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Table of contents
  1. 1. Clinical Trial
  2. 2. Routine Documentation
  3. 3. Registry/Cohort Study
  4. 4. Quality Assurance
  5. 5. Data Standard
  6. 6. Patient-Reported Outcome
  7. 7. Medical Specialty
    1. 7.1. Anesthesiology
    1. 7.2. Dermatology
    1. 7.3. ENT
    1. 7.4. Geriatrics
    1. 7.5. Gynecology/Obstetrics
    1. 7.6. Internal Medicine
      1. Hematology
      1. Infectious Diseases
      1. Cardiology/Angiology
      1. Pneumology
      1. Gastroenterology
      1. Nephrology
      1. Endocrinology/Metabolic Diseases
      1. Rheumatology
    1. 7.7. Neurology
    1. 7.8. Ophthalmology
    1. 7.9. Palliative Care
    1. 7.10. Pathology/Forensics
    1. 7.11. Pediatrics
    1. 7.12. Psychiatry/Psychosomatics
    1. 7.13. Radiology
    1. 7.14. Surgery
      1. General/Visceral Surgery
      1. Neurosurgery
      1. Plastic Surgery
      1. Thoracic Surgery
      1. Trauma/Orthopedics
      1. Vascular Surgery
    1. 7.15. Urology
    1. 7.16. Dental Medicine/OMS
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HIS cancer conference gynecology breast cancer - HIS

- 5/15/13 - 1 form, 8 itemgroups, 49 items, 2 languages
Itemgroups: Patientenaufkleber groß, Tumorkonferenz, Angaben zum Patienten, Verlauf, Pathologie Befund, Fragestellung, Subformular, Empfehlungen der Tumorkonferenz
HIS cancer conference gynecology breast cancer

HIS Registration cancer conference - gynecology breast cancer - HIS

- 4/13/21 - 1 form, 3 itemgroups, 48 items, 2 languages
Itemgroups: Admininstrative Daten, Anmeldung TB Mamma, Zytologie-Befunde
HIS Registration cancer conference - gynecology breast cancer

HIS documentation cancer conference - gynecology breast cancer - HIS

- 5/15/13 - 1 form, 8 itemgroups, 86 items, 2 languages
Itemgroups: Admininstrative Daten, Dokumentation TB Mamma, klin. TNM-Stadium, vorh. path.TNM-Stadium, TNM-Stadium der Patho, endgültiges TNM-Stadium, Geplante Therapie, Weiteres
HIS documentation cancer conference - gynecology breast cancer

UFK HD: Gynäkologische Tumore - Anamnesis

- 2/13/23 - 1 form, 3 itemgroups, 45 items, 2 languages
Itemgroups: anamnesis_general, anamnesis_specific, WHO-5
Dieses Projekte soll an der UFK HD im Bereich der gynäkologischen Tumore (1) die strukturierte Datenerfassung gemäß CDISC Standard ermöglich und (2) die klinische Arbeit entlang des Patientinnenweges digitalisieren und zur Arbeitserleichterung für die beteiligten Mitarbeiter:innen führen. Affiliation: Department of Obstetrics and Gynecology, Heidelberg University Hospital

HIS medical history breast cancer - HIS

- 8/7/13 - 1 form, 8 itemgroups, 108 items, 2 languages
Itemgroups: Patientenaufkleber groß, Anamnesebogen, Vorerkrankungen/Voroperationen, Externe Befunde, Familienanamnese, Klinischer Befund, Mammasonographie, Procedere
documentation standard - breast cancer - gynecology, with friendly permission (Dr. Tio) - kooperatives Brustzentrum Münster, Bereich Senologie an der Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe - Leitung: Dr. med. Joke Tio

KBV Certificate estimated delivery day Template 3 - KBV Certificate estimated delivery day Template 3a

- 9/5/17 - 2 forms, 5 itemgroups, 28 items, 1 language
Itemgroups: Header, Certificate estimated delivery day, Footer, Account details of insured, Occupational details
Muster 3 - Zeugnis über den mutmaßlichen Tag der Entbindung (Freigabe: 01.09.2014) - 10.2014, 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 Forms for contract medical care 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

KBV Certificate estimated delivery day Template 3b

3 itemgroups 13 items

Birth sheet, delivery Routine documentation in German hospitals DMI

- 7/30/17 - 1 form, 11 itemgroups, 58 items, 2 languages
Itemgroups: Beginning of labor, Rupture of membranes, Birth, Birth, Medical procedures, Placental expulsion, Placenta, Amniotic membranes, Umbilical cord blood loss, Perineum; vagina, Further information
Routine documentation in German hospitals. Source file name: SD070109_Geburtenbogen. Examplary forms provided by DMI (http://www.dmi.de/)

Eligibility Breast Cancer, Early Breast Cancer NCT02443467

- 1/20/17 - 1 form, 2 itemgroups, 12 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
A Study to Determine the Safety and Tolerability of Herceptin as an Adjuvant Therapy of Early Breast Cancer; ODM derived from: https://clinicaltrials.gov/show/NCT02443467

PRIOR TREATMENT FOR METASTATIC BREAST CANCER Roche H0650g Breast Cancer - PRIOR TREATMENT FOR METASTATIC BREAST CANCER

- 3/15/21 - 1 form, 2 itemgroups, 10 items, 1 language
Itemgroups: RADIOTHERAPY, HORMONAL THERAPY, METASTASE
Study part: Prior treatment for metastatic breast cancer. A phase III multinational, randomized, single-blind study of recombinant humanized anti-p185HER2 monoclonal antibody (rhuMAb HER2) in patients with HER2/neu overexpression who have not received prior cytotoxic chemotherapy for metastatic breast cancer. "Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche"

Eligibility Metastatic Breast Cancer, Locally Advanced Breast Cancer NCT00960960

- 6/19/18 - 1 form, 2 itemgroups, 20 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
A Study of PI3-Kinase Inhibitor GDC-0941 in Combination With Paclitaxel, With and Without Bevacizumab or Trastuzumab, in Patients With Locally Recurrent Or Metastatic Breast Cancer; ODM derived from: https://clinicaltrials.gov/show/NCT00960960

PRIOR TREATMENT FOR BREAST CANCER (ADJUVANT SETTING) Roche H0650g Breast Cancer - PRIOR TREATMENT FOR BREAST CANCER (ADJUVANT SETTING)

- 3/15/21 - 1 form, 3 itemgroups, 18 items, 1 language
Itemgroups: Chemotherapy, Therapeutic regimen, ADJUVANT THERAPY
Study part: Prior treatment for breast cancer (Adjuvant setting). A phase III multinational, randomized, single-blind study of recombinant humanized anti-p185HER2 monoclonal antibody (rhuMAb HER2) in patients with HER2/neu overexpression who have not received prior cytotoxic chemotherapy for metastatic breast cancer. "Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche"

Eligibility Breast Cancer NCT00818051

- 9/27/21 - 1 form, 1 itemgroup, 20 items, 1 language
Itemgroup: Criteria
Radiation Therapy in Treating Women Who Have Undergone Breast Conservation Surgery and Systemic Therapy for Early Breast Cancer; ODM derived from: https://clinicaltrials.gov/show/NCT00818051

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