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  1. 1. Klinische studie
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  3. 3. Register-/kohortstudies
  4. 4. Kwaliteitswaarborging
  5. 5. Datastandaard
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  7. 7. Medisch vakgebied
    1. 7.1. Anesthesie
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      1. Pneumologie
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    1. 7.8. Oogheelkunde
    1. 7.9. Palliatieve zorg
    1. 7.10. Pathologie/Forensische Geneeskunde
    1. 7.11. Kindergeneeskunde
    1. 7.12. Psychiatrie/Psychosomatisch
    1. 7.13. Radiologie
    1. 7.14. Chirurgie
      1. Algemene/maag-darm-chirurgie
      1. Neurochirurgie
      1. Plastische chirurgie
      1. Cardiothoracale chirurgie
      1. Traumachirurgie/Orthopedie
      1. Vaatchirurgie
    1. 7.15. Urologie
    1. 7.16. Tandheelkunde/MKG
Geselecteerde datamodellen

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KBV Prescription of Hearing Aids Template 15

- 07-09-17 - 1 Formulier, 15 Itemgroepen, 98 Data-elementen, 1 Taal
Itemgroepen: Header, Prescription of Hearing Aids, Ear finding right, Ear finding left, acoustic impedance test, Speech hearing test, Diagnosis, Cost Estimate, Comparison Hearing aids, Device proposal, Cost Estimate, medical certificate, Insurance coverage, Receipt, Comments
Muster 15 - Ohrenärztliche Verordnung einer Hörhilfe (Freigabe 01.09.2014). Formulare für die vertragsärztliche Versorgung - Freigabe durch Dezernat 4 - Ärztliche Leistungen und Versorgungsstruktur Geschäftsbereich Sicherstellung und Versorgungsstruktur Abteilung Sicherstellung Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Quelle: http://www.kbv.de/html/formulare.php --- Template 15 - Prescription of Hearing Aids (Released 09-01-2014). Released by Department 4 - Medical treatment and structure of supply, division ensurance and structure of supply, department ensurance Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Source: http://www.kbv.de/html/formulare.php

Treatment History CRFs Multiple Sclerosis Tysabri NCT00027300

- 27-01-17 - 1 Formulier, 1 Itemgroep, 6 Data-elementen, 1 Taal
Itemgroep: MS Treatment History
The purpose of this study is to determine the safety and efficacy of natalizumab in the treatment of individuals who have been diagnosed with relapsing remitting multiple sclerosis (MS). It is hoped that natalizumab will prevent certain types of white blood cells from moving out of the bloodstream into organs, including the brain, that are being damaged by autoimmune disease (a disease in which the body's own immune system attacks certain organs). These white blood cells are thought to cause inflammation that can result in lesions (small areas of damage) in the brain. These lesions are thought to be the cause of relapses and disability in MS. Documentation process: This form ist to be obtained in Screening

KBV Remedy Prescription for Speech Therapy Template 14

- 27-09-21 - 1 Formulier, 13 Itemgroepen, 79 Data-elementen, 1 Taal
Itemgroepen: Header, Prescription, Remedy Prescription, Therapy, Diagnosis, Audiogram, Audiogram left, Audiogram right, Laryngological Finding, Approval, Footer, Receipt, Treatment
Muster 14 - Heilmittelverordnung Maßnahmen der Stimm-, Sprech- und Sprachtherapie (Freigabe 29.04.2016). Formulare für die vertragsärztliche Versorgung - Freigabe durch Dezernat 4 - Ärztliche Leistungen und Versorgungsstruktur Geschäftsbereich Sicherstellung und Versorgungsstruktur Abteilung Sicherstellung Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Quelle: http://www.kbv.de/html/formulare.php --- Template 14 - Remedy Prescription for Speech Therapy (Released 04-29-2016). Released by Department 4 - Medical treatment and structure of supply, division ensurance and structure of supply, department ensurance Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Source: http://www.kbv.de/html/formulare.php

Treatment deferral Multiple Sclerosis ALAIN01 NCT02419378

- 28-05-16 - 1 Formulier, 1 Itemgroep, 13 Data-elementen, 1 Taal
Itemgroep: Treatment deferral
Alemtuzumab in Autoimmune Inflammatory Neurodegeneration: Mechanisms of Action and Neuroprotective Potential (ALAIN01) https://clinicaltrials.gov/ct2/show/NCT02419378 Principal Investigator Prof. Dr. Dr. Sven Meuth, University Hospital Muenster, Germany

Admission Checklist Children Oncology Pediatric Hematology and Oncology UK Muenster

- 17-11-21 - 1 Formulier, 12 Itemgroepen, 60 Data-elementen, 2 Talen
Itemgroepen: Checklist, InInfectivity, Planned therapy, Supportive therapy, Transfusions, Chemotherapy flush, Intensive Care, Laboratories and Diagnostics, Hypersensitivities and Premedication, Next visits, Other, KIONK Physician
Bei Aufnahme eines Patienten außerhalb 17A West und KMT-Station, aber innerhalb des Zentrums für Kinder- und Jugendmedizin. Freigabe zur Verarbeitung durch Frau Prof. Rössig, Quellenangabe: "Pädiatrische Hämatologie und Onkologie, UKM" Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Münster Released for adaption by Frau Prof. Rössig Source:Pediatric Hematology und Oncology, University hospital Münster

Swedish Bladder Cancer Registry - Treatment of Primary Tumor

- 15-11-17 - 1 Formulier, 2 Itemgroepen, 30 Data-elementen, 2 Talen
Itemgroepen: General Information, Treatment of Primary Tumor
Swedish Bladder Cancer Registry Healthcare Quality http://www.cancercentrum.se/vast/cancerdiagnoser/urinvagar/urinblase--och-urinvagscancer/kvalitetsregister/dokument/ Treatment of Primary Tumor

On-Study Form Brain Metastases NCT00377156

- 25-07-15 - 1 Formulier, 5 Itemgroepen, 14 Data-elementen, 1 Taal
Itemgroepen: Header, Description of Primary Disease, Disease/History, Neurologic Examination, Height
On-Study - North Central Cancer Treatment Group On-Study Form - 2467371v1.0 Stereotactic Radiation Therapy With or Without Whole-Brain Radiation Therapy in Treating Patients With Brain Metastases Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=104D18F2-219E-2AE1-E044-0003BA3F9857

Bladder Cancer CALGB 90104 NCT00014534 - Chemotherapy Dose Form Bladder Cancer (CALGB 90104)

- 25-07-15 - 1 Formulier, 1 Itemgroep, 26 Data-elementen, 1 Taal
Itemgroep: Chemotherapy Dose Form
CALGB: 90104 Chemotherapy Dose Form Combination Chemotherapy in Treating Patients With Bladder Cancer NCT00014534 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BE1C0B11-7B76-737C-E034-0003BA12F5E7

Treatment - Brain Cancer - Neurologic Evaluation Form - 2286577v3.0 - Brain Cancer - Neurologic Evaluation Form

- 09-01-15 - 1 Formulier, 3 Itemgroepen, 32 Data-elementen, 1 Taal
Itemgroepen: CRF Header, Brain: Form Administration, Brain: Neurologic Evaluation
Brain Cancer - Neurologic Evaluation Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DE951920-1FCC-25F8-E034-0003BA12F5E7

Treatment Form Bladder Cancer CALGB 90601 NCT00942331

- 25-07-15 - 1 Formulier, 6 Itemgroepen, 46 Data-elementen, 1 Taal
Itemgroepen: Header, Clinical Data, Gemcitabine, Cisplatin, Bevacizumab/placebo, Gemcitabine/Cisplatin
CALGB 90601: Treatment Form Gemcitabine Hydrochloride and Cisplatin With or Without Bevacizumab in Treating Patients With Advanced Urinary Tract Cancer NCT00942331 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=65402ABE-C4AA-902C-E040-BB89AD435D5A

Treatment - Bladder/Urothelial Cancer - Treatment by Cycle Form - 2019329v2.31 - Bladder/Urothelial Cancer - Treatment by Cycle Form

- 08-01-15 - 1 Formulier, 5 Itemgroepen, 24 Data-elementen, 1 Taal
Itemgroepen: CRF Header, BLADDER/UROTHELIAL: FORM ADMINISTRATION, BLADDER/UROTHELIAL: TREATMENT CYCLE AND MODIFICATIONS, BLADDER/UROTHELIAL: OFF-TREATMENT, Comments
Bladder/Urothelial Cancer - Treatment by Cycle Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A959-3FA4-E034-080020C9C0E0

Treatment - Bladder/Urothelial Cancer - Treatment Summary Form - 2019328v2.31 - Bladder/Urothelial Cancer - Treatment Summary Form

- 08-01-15 - 1 Formulier, 8 Itemgroepen, 45 Data-elementen, 1 Taal
Itemgroepen: CRF Header, BLADDER/UROTHELIAL: FORM ADMINISTRATION, BLADDER/UROTHELIAL: TREATMENT - CHEMOTHERAPY, BLADDER/UROTHELIAL: TREATMENT SCHEDULE - RADIATION THERAPY, BLADDER/UROTHELIAL: TREATMENT SCHEDULE - SURGERY, BLADDER/UROTHELIAL: OFF-TREATMENT & MODIFICATIONS, BLADDER/UROTHELIAL: TREATMENT SCHEDULE - NON-PROTOCOL THERAPY, Comments
Bladder/Urothelial Cancer - Treatment Summary Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A957-3FA4-E034-080020C9C0E0

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