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Lab tests cardiac surgery UKM - Lab tests

- 7/10/17 - 1 form, 2 itemgroups, 22 items, 2 languages
Itemgroups: Patient demographics, Lab tests
Lab tests form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Sven Martens.

Laboratory results, University Hospital Cologne

- 9/20/21 - 1 form, 4 itemgroups, 55 items, 1 language
Itemgroups: Laboratory results, Clinical chemistry, Electrophoresis, Hematology
Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: Labor_kumulativ_Befund

Item List ICM UKB Maßnahmen Part 2

- 9/20/21 - 1 form, 1 itemgroup, 250 items, 1 language
Itemgroup: Maßnahmen Part 2
ICM Item list, which is in use in Intensive Care at the University Hospital Bonn, Germany. Permission granted by Dr. Zenker.

Item List QS System UKM Part 45 from 61 - QS Items UKM

- 9/20/21 - 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 45 from 61. Original QS Item Ids are represented by ItemDef OIDs.

ImmunoCAP®

- 11/2/17 - 1 form, 14 itemgroups, 48 items, 1 language
Itemgroups: General information, General, Tree pollen, Grass pollen, Weed pollen, Mildew, Mites/house dust, Animal allergens, Insect poison, Food, Occupational allergens, Screening, Other, Comments
Original Form name: ImmunoCAP.® Copyright: Thermo Fisher Scientific

Item List QS System UKM Part 44 from 61 - QS Items UKM

- 9/27/17 - 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 44 from 61. Original QS Item Ids are represented by ItemDef OIDs.

KBV Medical Examination Report Form Template 30

- 9/7/17 - 1 form, 10 itemgroups, 59 items, 1 language
Itemgroups: General Information, Medical history, preexisting illnesses, Risk factors, Findings, Blood laboratory test, urine laboratory test, New Diagnosis/Suspected Diagnosis, Treatment, Patient information
Muster 30 - Berichtsvordruck Gesundheitsuntersuchung (Freigabe 10.11.2008). 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 30 - Medical Examination Report Form (Released 10-11-2008). 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 Request form laboratory services Template 10A

- 9/6/17 - 1 form, 8 itemgroups, 82 items, 1 language
Itemgroups: Header, Request form, EDTA Blood, Citrat, Serum whole blood, Glucose, Urine, Other
Muster 10A - Anforderungsschein für Laboratoriumsuntersuchungen bei Laborgemeinschaften 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 Prescription of laboratory services Template 10

- 9/6/17 - 1 form, 4 itemgroups, 33 items, 1 language
Itemgroups: Header, Laboratory service, Medical information, Footer
Muster 10 - Überweisungsschein für Laboratoriumsuntersuchungen als Auftragsleistung (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

Infection documentation Routine documentation in German hospitals DMI

- 8/2/17 - 1 form, 1 itemgroup, 5 items, 2 languages
Itemgroup: documentation Infection
Routine documentation in German hospitals. Source file name: VL040310_Infektionsdokumentationsbogen Examplary forms provided by DMI (http://www.dmi.de/)

Infection documentation, nosocomial Routine documentation in German hospitals DMI

- 8/2/17 - 1 form, 8 itemgroups, 22 items, 2 languages
Itemgroups: General information, Nosocomial infection, Microbiological diagnostics, Diagnoses; medical procedures, ICU stay, Antibiotics, Risk factors, Signature
Routine documentation in German hospitals. Source file name: VL040310_Infektionsdokumentationsbogen Examplary forms provided by DMI (http://www.dmi.de/)

Anesthesia protocol cardiac surgery UKM - Anesthesia protocol

- 7/31/17 - 1 form, 4 itemgroups, 43 items, 2 languages
Itemgroups: Patient demographics, Assessment, Lab results, Anesthesia
Anesthesia protocol converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Sven Martens.

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