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

- 15-03-21 - 1 Formulier, 4 Itemgroepen, 26 Data-elementen, 1 Taal
Itemgroepen: Administrative documentation , Indication, Report, Report
Documentation part 6. Contract for the post- therapy ophthalmologist for the special ambulatory care of eye surgery.

5d Documentation Form for Surgeon or Follow- Up Controller IVOM - Continuation of therapy cycle after therapy break or directly after the first 4 injections

- 02-01-18 - 3 Formulieren, 9 Itemgroepen, 82 Data-elementen, 1 Taal
Itemgroepen: Follow- up, therapy cycle , therapy cycle , therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle
Documentation part 5d. Documentation form for intravitreal operative drug application of VEGF inhibitors / steroids by Diabetic maculopathy.

3rd Therapy cycle by uninterrupted further treatment

7 Itemgroepen 74 Data-elementen

1st Therapy cycle

11 Itemgroepen 101 Data-elementen

5e Documentation Form for Surgeon - 1st Therapy

- 02-01-18 - 2 Formulieren, 11 Itemgroepen, 93 Data-elementen, 1 Taal
Itemgroepen: Administrative documentation, therapy cycle, therapy cycle, therapy cycle , therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle
Documentation part 5e. Documentation form for intravitreal operative drug application of VEGF inhibitors / steroids by in macular edema after retinal venous occlusion

2nd Therapy

8 Itemgroepen 73 Data-elementen

5f Documentation Form for Surgeon or Follow- Up Controller - 1st Therapy

- 02-01-18 - 2 Formulieren, 8 Itemgroepen, 65 Data-elementen, 1 Taal
Itemgroepen: Administrative documentation, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle
Documentation part 5f. Documentation form for intravitreal operative drug application in CNV by diseases other than neovascular age-related macular degeneration

2nd Therapy

7 Itemgroepen 55 Data-elementen

5g Documentation Form for Surgeon or Follow- Up Controller - 1st Therapy

- 02-01-18 - 2 Formulieren, 8 Itemgroepen, 65 Data-elementen, 1 Taal
Itemgroepen: Administrative documentation, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle
Documentation part 5g. Documentation form for intravitreal operative drug application of VEGF- Inhibitors / steroids in non-infectious uveitis of the posterior Segmentes and macular edema as a result of uveitis

2nd Therapy

7 Itemgroepen 55 Data-elementen

5e Documentation Form for Surgeon - 1st Therapy

- 28-12-17 - 2 Formulieren, 11 Itemgroepen, 93 Data-elementen, 1 Taal
Itemgroepen: Administrative documentation, therapy cycle, therapy cycle, therapy cycle , therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle
Documentation part 5d. Documentation form for intravitreal operative drug application of VEGF inhibitors / steroids by in macular edema after retinal venous occlusion

2nd Therapy

8 Itemgroepen 73 Data-elementen

5c Documentation Form for Surgeon or Follow- Up Controller IVOM - 1st Therapy cycle

- 17-12-17 - 1 Formulier, 14 Itemgroepen, 118 Data-elementen, 1 Taal
Itemgroepen: Administrative documentation, therapy cycle, therapy cycle, therapy cycle , therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle
Documentation part 5c. 12 month course of intravitreal operative drug application of VEGF inhibitors and the controls by wet age-related macular degeneration according to the scheme of „Treat and Extend“-study.

5b Documentation Form for Surgeon or Follow- Up Controller IVOM - 1st Therapy cycle

- 17-12-17 - 1 Formulier, 15 Itemgroepen, 127 Data-elementen, 1 Taal
Itemgroepen: Administrative documentation, therapy cycle, therapy cycle, therapy cycle , therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle
Documentation part 5b. 12 month course of intravitreal operative drug application of VEGF inhibitors and the controls by wet age-related macular degeneration according to the scheme of CATT study.

5a Documentation Form for Surgeon or Follow- Up Controller IVOM - 1st Therapy cycle

- 17-12-17 - 3 Formulieren, 10 Itemgroepen, 76 Data-elementen, 1 Taal
Itemgroepen: Administrative documentation, therapy cycle, therapy cycle, therapy cycle , therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle, therapy cycle
Documentation part 5a. 12 month course of intravitreal operative drug application of VEGF inhibitors and the controls by wet age-related macular degeneration according to the scheme of IVAN study.

2nd Therapy cycle

9 Itemgroepen 65 Data-elementen

3rd Therapy cycle

9 Itemgroepen 65 Data-elementen

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