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Table of contents
  1. 1. Clinical Trial
  2. 2. Routine Documentation
    1. 2.1. Admission
    1. 2.2. Medical History
    1. 2.3. Physical Examination
    1. 2.4. Assessment Score
    1. 2.5. Nursing Report
    1. 2.6. Apparative Diagnostics
    1. 2.7. Laboratory
    1. 2.8. Pathology/Histology
    1. 2.9. Consent
    1. 2.10. Therapy
    1. 2.11. Operative Report
    1. 2.12. Progress
    1. 2.13. Discharge Summary
    1. 2.14. Aftercare
  3. 3. Registry/Cohort Study
  4. 4. Quality Assurance
  5. 5. Data Standard
  6. 6. Patient-Reported Outcome
  7. 7. Medical Specialty
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Surgery registration Form for surgery registration Routine documentation in German hospitals DMI - Surgery registration Form for surgery registration

- 6/6/16 - 1 form, 1 itemgroup, 20 items, 1 language
Itemgroup: registration Surgery
Routine documentation in German hospitals. Source file name: OP150102_OP-Anmeldungsbogen/ OP-Anmeldung.009 Examplary forms provided by DMI (http://www.dmi.de/)

University Hospital Essen Procedures, P21-transmission

- 1/16/17 - 1 form, 1 itemgroup, 8 items, 1 language
Itemgroup: Default Itemgroup
Hospital routine documentation models at the University Hospital Essen. Tables were derived from the Medico Information System. Original table name: x1934dop

OP MS KICH Bericht MS University Hospital Muenster (UKM) Subform

- 11/24/16 - 1 form, 1 itemgroup, 10 items, 1 language
Itemgroup: General information
Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: OP MS KICH Bericht.

QHEP 16 Basis MS University Hospital Muenster (UKM) Subform

- 10/25/16 - 1 form, 3 itemgroups, 14 items, 1 language
Itemgroups: Basisdokumentation, Patient Information, Präoperative Anamnese
Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: QHEP 16 Basis.

QHEP 16 Eingriff MS University Hospital Muenster (UKM) Subform

- 10/25/16 - 1 form, 1 itemgroup, 12 items, 1 language
Itemgroup: Prozedur
Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: QHEP 16 Eingriff.

NO MS InfektionenWund Sub MS University Hospital Muenster (UKM) Subform

- 10/25/16 - 1 form, 4 itemgroups, 27 items, 2 languages
Itemgroups: wound infection, Oberflächliche postoperative Wundinfektion, Tiefe postoperative Wundinfektion, Infektion von Räumen und Organen im Operationsgebiet
Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: NO MS InfektionenWund Sub.

Laufzettel Patauf CHIRALL MS University Hospital Muenster (UKM)

- 10/19/16 - 1 form, 1 itemgroup, 22 items, 1 language
Itemgroup: Laufzettel
Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Laufzettel Patauf CHIRALL MS.

Accident report Pediatric surgery UKM - Accident Report form

- 6/1/17 - 1 form, 2 itemgroups, 17 items, 2 languages
Itemgroups: Patient demographics, Accident form
Accident report form converted to ODM format. Routine documentation of University Hospital of Münster.

Item List QS System UKM Part 8 from 61 - QS Items UKM

- 9/27/21 - 1 form, 1 itemgroup, 100 items, 2 languages
Itemgroup: All Items
Item list consisting of 100 items from QS System (GE) (August 2016), which is in use at the University Hospital Muenster, Germany. Permission granted by Dr. Volkert. This is item list part 8 from 61. Original QS Item Ids are represented by ItemDef OIDs.

Item List QS System UKM Part 8 from 61 - QS Items UKM

- 9/27/21 - 1 form, 1 itemgroup, 100 items, 2 languages
Itemgroup: All Items
Item list consisting of 100 items from QS System (GE) (August 2016), which is in use at the University Hospital Muenster, Germany. Permission granted by Dr. Volkert. This is item list part 8 from 61. Original QS Item Ids are represented by ItemDef OIDs.

Certificate Paediatric orthopaedics UKM - School Certificate Paediatric orthopaedics

- 4/3/17 - 1 form, 3 itemgroups, 11 items, 2 languages
Itemgroups: Patient demographics, Medical history, Certificate
School Certificate Paediatric orthopaedics form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by: Prof. Dr. med. Robert Rödl

Examination of gait Paediatric orthopaedics UKM - Examination of gait medical order form

- 4/3/17 - 1 form, 4 itemgroups, 17 items, 2 languages
Itemgroups: Patient demographics, Underlying disease, Examination, Medical history
Examination of gait medical order form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by: Prof. Dr. med. Robert Rödl

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