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Sommario
  1. 1. Test clinico
  2. 2. Documentazione di routine
  3. 3. Registro / studio di coorte
  4. 4. Garanzia di qualità
  5. 5. Dati Standard
  6. 6. Risultato segnalato dal paziente
  7. 7. Specialità mediche
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Demographics Screening Ranibizumab Macular Edema Diabetes Mellitus FVF4168g - Demographics Screening

- 17/09/21 - 1 modulo, 1 ItemGroup, 7 elementi, 1 linguaggio
ItemGroup: Demography
Study part: Demographics Screening . A Phase III, Double-Masked, Multicenter, Randomized, Sham-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection In Subjects With Clinically Significant Macular Edema With Center Involvement Secondary To Diabetes Mellitus.

Demographics Screening Ranibizumab Age-Related Macular Degeneration FVF3192g - Demographics Screening

- 17/09/21 - 1 modulo, 1 ItemGroup, 7 elementi, 1 linguaggio
ItemGroup: Demography
Study part: Demographics Screening . A Phase IIIb, Multicenter, Randomized, Double-Masked, Sham Injection-Controlled Study Of The Efficacy And Safety Of Ranibizumab In Subjects With Subfoveal Choroidal Neovascular (CNV) With Or Without Classic CNV Secondary To Age-Related Macular Degeneration.

Demographics Screening rhuFab V2 Neovascular Age-Related Macular Degeneration FVF2598g - Demographics Screening

- 17/09/21 - 1 modulo, 1 ItemGroup, 7 elementi, 1 linguaggio
ItemGroup: Demography
Study part: Demographics Screening . A Phase III, Multicenter, Randomized, Double-Masked, Sham Injection-Controlled Study Of The Efficacy And Safety Of rhuFab V2 (Ranibizumab) In Subjects With Minimally Classic Or Occult Subfoveal Neovascular Age-Related Macular Degeneration.

ICHOM Macular Degeneration

- 17/09/21 - 1 modulo, 10 itemgroups, 47 elementi, 1 linguaggio
Itemgroups: Demographics, Physical examination visual acuity, clinical status, Medical History, Therapy eye, Treatment, treatment burden, Therapy complications, Disease activity, health related quality of life Vision Screening
MACULAR DEGENERATION DATA COLLECTION Version 3.0.1 Revised: April 10th, 2017, International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ Conditions: Neovascular Macular Degeneration Neovascular Age Related Macular Degeneration | Polypoidal Choroidal Vasculopathy | Myopic Neovascular Macular Degeneration | Other Forms of Neovascular Macular Degeneration (includes Post-Traumatic, Inflammatory, Idiopathic, Macular Telangiectasia Type 2) Non-Neovascular Age Related Macular Degeneration Treatment Approaches: Intravitreal anti-VEGF treatment | Other intravitreal treatment | Photodynamic therapy | Thermal laser photocoagulation | Retinal radiation therapy | Transpupillary thermotherapy | Retinal surgical treatment Questionnaires used in this form: Brief IVI

Example 2 Discharge Letter AMD

- 17/09/21 - 1 modulo, 14 itemgroups, 46 elementi, 1 linguaggio
Itemgroups: Administrative data, Diagnosis Right eye, Diagnosis Left eye, Vision, Intraocular pressure, Slit lamp biomicroscopy Right eye, Slit lamp biomicroscopy Left eye, Ophthalmoscopy Right eye, Ophthalmoscopy Left eye, OCT Macula Right eye, OCT Macula Left eye, Fluorescein Angiography, Indocyanine green angiography, Evaluation; Treatment
Routine documentation for Age-Related Macular Degeneration. Eye clinic, University Clinic of Muenster.

Example 1 Discharge Letter Diabetic Retinopathy - Example 1

- 17/09/21 - 2 moduli, 13 itemgroups, 44 elementi, 1 linguaggio
Itemgroups: Administrative data, Diagnosis Right eye, Diagnosis Left eye, Vision, Intraocular pressure, Slit lamp biomicroscopy Right eye, Slit lamp biomicroscopy Left eye, Ophthalmoscopy Right eye, Ophthalmoscopy Left eye, SD- OCT Right eye, SD- OCT Left eye, Fluorescein Angiography, Evaluation; Treatment
Routine documentation for Diabetic Retinopathy. Eye clinic, University Clinic of Muenster.

Example 2

0 ItemGroup 0 elemento

medical examination SHIP-START-3 reading test

- 03/07/21 - 1 modulo, 1 ItemGroup, 31 elementi, 2 lingue
ItemGroup: reading test
reading test form of SHIP Study (Study of Health in Pomerania), conducted by the University Medicine of Greifswald. SHIP unique domain name SHIP.SHIP3.MEX.PHYSEXAM.READTEST. ODM derived from https://www.fvcm.med.uni-greifswald.de/dd_service/data_use_explore.php. Further information: http://www2.medizin.uni-greifswald.de/cm/fv/ship.html. Publication granted by Prof. Völzke. Reference: Völzke H, et al. Cohort profile: the study of health in Pomerania. Int J Epidemiol. 2011;40(2):294-307. PMID: 20167617

Eligibility Non-arteritic Anterior Ischemic Optic Neuropathy NCT02019927

- 22/06/21 - 1 modulo, 2 itemgroups, 14 elementi, 1 linguaggio
Itemgroups: Inclusion Criteria, Exclusion Criteria
Electric Stimulation of the Eye to Improve Vision After Trauma; ODM derived from: https://clinicaltrials.gov/show/NCT02019927

6. Documentation Form for The Post- Therapy Ophthalmologist - Documentation Form for The Post- Therapy Ophthalmologist

- 15/03/21 - 1 modulo, 4 itemgroups, 26 elementi, 1 linguaggio
Itemgroups: Administrative documentation , Indication, Report, Report
Documentation part 6. Contract for the post- therapy ophthalmologist for the special ambulatory care of eye surgery.

Eligibility Optic Neuritis NCT01451593

- 22/01/21 - 1 modulo, 2 itemgroups, 15 elementi, 1 linguaggio
Itemgroups: Inclusion Criteria, Exclusion Criteria
Neuroprotection With Phenytoin in Optic Neuritis; ODM derived from: https://clinicaltrials.gov/show/NCT01451593

medical examination SHIP-Trend-1 static fundus analysis

- 15/01/21 - 1 modulo, 1 ItemGroup, 9 elementi, 2 lingue
ItemGroup: static fundus analysis
static fundus analysis form of SHIP Study (Study of Health in Pomerania), conducted by the University Medicine of Greifswald. SHIP unique domain name TREND.TREND1.MEX.PHYSEXAM.AHA. ODM derived from https://www.fvcm.med.uni-greifswald.de/dd_service/data_use_explore.php. Further information: http://www2.medizin.uni-greifswald.de/cm/fv/ship.html. Publication granted by Prof. Völzke. Reference: Völzke H, et al. Cohort profile: the study of health in Pomerania. Int J Epidemiol. 2011;40(2):294-307. PMID: 20167617 The English version of this form is under development.

medical examination SHIP-Trend-1 static fundus analysis (reading data)

- 12/01/21 - 1 modulo, 1 ItemGroup, 20 elementi, 2 lingue
ItemGroup: static fundus analysis (reading data)
static fundus analysis (reading data) form of SHIP Study (Study of Health in Pomerania), conducted by the University Medicine of Greifswald. SHIP unique domain name TREND.TREND1.MEX.PHYSEXAM.AHAREAD. ODM derived from https://www.fvcm.med.uni-greifswald.de/dd_service/data_use_explore.php. Further information: http://www2.medizin.uni-greifswald.de/cm/fv/ship.html. Publication granted by Prof. Völzke. Reference: Völzke H, et al. Cohort profile: the study of health in Pomerania. Int J Epidemiol. 2011;40(2):294-307. PMID: 20167617

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