Bastiaan Sallevelt

268 CHAPTER 3.2 16. Would you like to comment on or ask a question about your medication? 17. Do you have any drug allergies? Yes/No b. If yes, specify which drugs/drug classes c. If yes, specify the symptoms of the allergy Rash Swelling/angio-oedema Collapse Hypotension Bronchospasm Other symptom, 18. Do you have any drug intolerances? Yes/ No b. If yes, specify which drugs/drug classes c. If yes, specify the symptoms of the drug intolerance For study team member to answer and enter in the eCRF: Did the SHIM led to any change in the medication list? (Please tick the correct box) Yes No If yes, specify which drug, dosage, dose frequency or dosage form. Was medicine reconciliation done? Yes No

RkJQdWJsaXNoZXIy MTk4NDMw