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Table des matières
  1. 1. Essai clinique
  2. 2. Routinedokumentation
  3. 3. Études de registres/cohortes
  4. 4. Assurance qualité
  5. 5. Standard de données
  6. 6. Questionnaire pour les patients
  7. 7. Spécialité médicale
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COVID-19 Status Form of Rhön-Klinikum Bad Neustadt - Pre-hospital COVID-19-Status Form

- 28/09/2021 - 2 Formulaires, 4 Groupes Item, 26 Eléments de données, 1 Langue
Groupes Item: Exclusion Criteria for inpatient admission, Immune Status COVID-19, Additional Information for risk assessment, Signature
COVID-19 Status forms of the Rhön-Klinikum Campus Bad Neustadt, Germany. * pre-hospital * on admission They are used for the assessment of COVID-19 risk before (via telephone) and on the day of admission. If one of the 4 exclusion criteria is answered with "yes" a physician/clinician has to make the decision about medical requirement for admission. Provided by the Medical Documentation Department of the Rhön-Klinikum Campus Bad Neustadt. German Description: Die Patienten werden zunächst vor dem stationären Aufenthalt angerufen und gefragt, ob sie in Quarantäne sind oder Kontaktpersonen oder vielleicht doch erkrankt. Wurde eine dieser Fragen mit Ja beantwortet, dann muss ein Arzt entscheiden und der Patient wird am Aufnahmetag nur mit medizinischer Notwendigkeit aufgenommen.

COVID-19 Status on admission day

3 Groupes Item 14 Eléments de données

Endpoint Hospitalisation for heart failure GSK study Chronic Coronary Heart Disease NCT00799903

- 20/09/2021 - 1 Formulaire, 3 Groupes Item, 43 Eléments de données, 1 Langue
Groupes Item: Investigator section, CEC Section, CEC Status
Study ID: 100601 Clinical Study ID: LPL100601 Study Title: LPL100601, A Clinical Outcomes Study of Darapladib versus Placebo in Subjects with Chronic Coronary Heart Disease to Compare the Incidence of Major Adverse Cardiovascular Events (MACE) Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00799903 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 3 Study Recruitment Status: Completed Generic Name: darapladib Trade Name: darapladib Study Indication: Atherosclerosis Study part: Endpoint Hospitalisation for heart failure - Repeating form (Scheduled visits)

Swedish Heart Failure Registry (RiksSvikt) - SHFR Hospital

- 20/09/2021 - 1 Formulaire, 9 Groupes Item, 93 Eléments de données, 2 Langues
Groupes Item: Demography and Lifestyle, Patient self rated symptoms, Previous diseases, Performed procedures, Diagnostics, Biometrics and physical signs, Medication treatment, Patient and relative Information, Planned Follow-Up
Swedish Heart Failure Registry (RiksSvikt/SwedeHF) Sweden has a long tradition of measuring results and performance of the given health care. In order to stimulate to achieve better results, we try to find explanations for the discrepancies between different regions/hospitals/primary care units. In recent years, quality registries have become an increasingly important source of Swedish clinical research. SwedeHF (or RiksSvikt) was created in order to give the participating units knowledge, about how they diagnosed and treated their patients. The given information obtains indications where further efforts are needed in order to give patients with heart failure an optimal management. SwedeHF is an Internet-based registry, where participating units register their heart failure patient on-line, using transferred data from standardized forms or from computerized patients records. SHFR Hospital

Patient Admision Pediatric Hematology and Oncology UK Muenster

- 20/09/2021 - 1 Formulaire, 18 Groupes Item, 195 Eléments de données, 2 Langues
Groupes Item: Patient, Father, Mother, Living arrangement, Sibling, Medical history, Nursing support, Support device, Personal aids, School, Kindergarten, workshop, Therapies in school, kindergarten, workshop, Medication, Medication history, Therapy, Nutrition, Continence, Catheters and drainages, Other
Freigabe zur Verarbeitung durch Frau Prof. Rössig, Quellenangabe: "Pädiatrische Hämatologie und Onkologie, UKM" Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Münster Released for adaption by Frau Prof. Rössig Source:Pediatric Hematology und Oncology, University hospital Münster

Patient Admission and Medical History Bridging UK Essen

- 20/09/2021 - 1 Formulaire, 3 Groupes Item, 59 Eléments de données, 1 Langue
Groupes Item: Patient administration, Medical History, Anticoagulation, platelet aggregation inhibitors or anti-imflammatories in medial history
A prospective register study, investigating the change from Marcumar to Heparin in surgical patients. This is the fourth of its kind (Bridging). Authorisation granted by Mrs. Ose (Frau Ose), ZKS Essen (UK Essen)

Flowchart inpatient admission Checklist Admission Routine documentation in German hospitals DMI - Flowchart inpatient admission Checklist Admission

- 20/09/2021 - 1 Formulaire, 4 Groupes Item, 27 Eléments de données, 1 Langue
Groupes Item: Flowchart Hospital admission Inpatient, X- ray, Ultrasonography; Endoscopy, Examinations Other
Routine documentation in German hospitals. Source file name: AU010104_Checkliste Aufnahme/ Ablaufplan stationäre Aufnahme.045 Examplary forms provided by DMI (http://www.dmi.de/)

Pediatrics UKM Emergency room admission - Emergency room admission

- 20/09/2021 - 1 Formulaire, 5 Groupes Item, 20 Eléments de données, 2 Langues
Groupes Item: Patient demographics, Admission, Health insurance, Legal representative/ policyholder, Footer module
Emergency room admission form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Prof. Dr. Omran.

Emergency room admission Pediatric surgery UKM - Emergency room admission

- 20/09/2021 - 1 Formulaire, 5 Groupes Item, 20 Eléments de données, 2 Langues
Groupes Item: Patient demographics, Admission, Health insurance, Legal representative/ policyholder, Footer module
Emergency room admission form converted to ODM format. Routine documentation of University Hospital of Münster.

Balance Sheet Pediatric surgery UKM - Patient admission

- 20/09/2021 - 1 Formulaire, 2 Groupes Item, 44 Eléments de données, 2 Langues
Groupes Item: Patient admission, Patient questionnaire
Balance Sheet converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Dr. med. V. Müller

Admission checklist Psychiatry UKM - Admission checklist

- 20/09/2021 - 1 Formulaire, 3 Groupes Item, 21 Eléments de données, 2 Langues
Groupes Item: Patient demographics, Admission status, Documentation
Admission checklist converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Volker Arolt

Q801NWD 16 Aufnahme University Hospital Muenster (UKM) Subform

- 20/09/2021 - 1 Formulaire, 5 Groupes Item, 20 Eléments de données, 1 Langue
Groupes Item: Anamnesis and symptoms at admission, Comorbidity, Rankin Scale, Barthel index at admission, NIHSS
Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: Q801NWD 16 Aufnahme.

Admission checklist Psychiatry UKM - Admission checklist

- 20/09/2021 - 1 Formulaire, 3 Groupes Item, 21 Eléments de données, 2 Langues
Groupes Item: Patient demographics, Admission status, Documentation
Admission checklist converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Volker Arolt.

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