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Pediatric medical history MS University Hospital Muenster (UKM) Subform - Pädiatrische Anamnese MS University Hospital Muenster (UKM) Subform

- 20/09/21 - 1 modulo, 10 itemgroups, 80 elementi, 1 linguaggio
Itemgroups: General information, Current medical history, Medical history, Peripartum history, Milestones, Prior hospital admission and surgery, Family social history, Examination, Treatment plan, Patient chart: medical orders
Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: Pädiatrische Anamnese

Pediatrics UKM Emergency room admission - Emergency room admission

- 20/09/21 - 1 modulo, 5 itemgroups, 20 elementi, 2 lingue
Itemgroups: 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

- 20/09/21 - 1 modulo, 5 itemgroups, 20 elementi, 2 lingue
Itemgroups: 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.

Chest questionnaire Pediatric surgery UKM - Chest questionnaire

- 20/09/21 - 1 modulo, 6 itemgroups, 31 elementi, 2 lingue
Itemgroups: Patient demographics, Congenital breast deformities, Impaired health due to chest deformity, Standing position improvements, Reason to play sports, What do you dislike about physical education?
Chest questionnaire form converted to ODM format. Routine documentation of University Hospital of Münster.

Balance Sheet Pediatric surgery UKM - Patient admission

- 20/09/21 - 1 modulo, 2 itemgroups, 44 elementi, 2 lingue
Itemgroups: Patient admission, Patient questionnaire
Balance Sheet converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Dr. med. V. Müller

Registration CRF ImproveCareNow

- 20/09/21 - 1 modulo, 8 itemgroups, 34 elementi, 1 linguaggio
Itemgroups: Registration, Demographics, Race, Parents Education, Health Insurance, Height; Weight, Extent of Disease Crohn’s Disease Indeterminate colitis, Extent of Ulcerative Colitis
Type of information collected in the ICN2 Database for the scientific infrastructure "ImproveCareNow" (http://www.improvecarenow.org/) to improve health outcome of chrildren and adolescents with IBD.

NSCH 2016 Children Ages 6-11 - F. Providing for This Child’s Health

- 20/09/21 - 11 moduli, 1 ItemGroup, 8 elementi, 1 linguaggio
ItemGroup: Health Care Costs; health care financing
Study part: Children Ages 6-11 National Survey of Childrens Health, NSCH, 2016. A study by the U.S. Department of Health and Human Services to better understand the health issues faced by children in the United States today. Child and Adolescent Health Measurement Initiative, Data Resource Center on Child and Adolescent Health website. Retrieved on 07/12/2016 from http://childhealthdata.org/learn/NSCH/resources/survey-instruments. OMB No. 0607-0990: Approval Expires 04/30/2019.

E. This Child’s Health Insurance Coverage

1 ItemGroup 18 elementi

I. About Your Family and Household

1 ItemGroup 34 elementi

K. Household Information

1 ItemGroup 15 elementi

G. This Child’s Learning

1 ItemGroup 11 elementi

H. About You and This Child

1 ItemGroup 21 elementi

J. About You

2 itemgroups 20 elementi

NSCH 2016 Children Ages 12-17 - A. This Child’s Health

- 20/09/21 - 11 moduli, 1 ItemGroup, 108 elementi, 1 linguaggio
ItemGroup: health Child
Study part: Children Ages 12-17 National Survey of Childrens Health, NSCH, 2016. A study by the U.S. Department of Health and Human Services to better understand the health issues faced by children in the United States today. Child and Adolescent Health Measurement Initiative, Data Resource Center on Child and Adolescent Health website. Retrieved on 07/12/2016 from http://childhealthdata.org/learn/NSCH/resources/survey-instruments. OMB No. 0607-0990: Approval Expires 04/30/2019.

B. This Child as an Infant

1 ItemGroup 3 elementi

D. Experience with This Child’s Health Care Providers

1 ItemGroup 30 elementi

E. This Child’s Health Insurance Coverage

1 ItemGroup 18 elementi

F. Providing for This Child’s Health

1 ItemGroup 8 elementi

I. About Your Family and Household

1 ItemGroup 34 elementi

K. Household Information

1 ItemGroup 15 elementi

NSCH 2016 Children Ages 0-5 - D. Experience with This Child’s Health Care Providers

- 20/09/21 - 11 moduli, 1 ItemGroup, 18 elementi, 1 linguaggio
ItemGroup: Experience; Health Personnel
Study part: Children Ages 0-5 National Survey of Childrens Health, NSCH, 2016. A study by the U.S. Department of Health and Human Services to better understand the health issues faced by children in the United States today. Child and Adolescent Health Measurement Initiative, Data Resource Center on Child and Adolescent Health website. Retrieved on 07/12/2016 from http://childhealthdata.org/learn/NSCH/resources/survey-instruments. OMB No. 0607-0990: Approval Expires 04/30/2019.

F. Providing for This Child’s Health

1 ItemGroup 8 elementi

E. This Child’s Health Insurance Coverage

1 ItemGroup 18 elementi

C. Health Care Services

1 ItemGroup 49 elementi

B. This Child as an Infant

1 ItemGroup 10 elementi

A. This Child’s Health

1 ItemGroup 99 elementi

I. About Your Family and Household

1 ItemGroup 32 elementi

UKM-ORBIS® Clinic for childrens and adolscent medicine-Outpatient department of childrens and neonatal surgery; surgery protocol

- 17/09/21 - 1 modulo, 15 itemgroups, 108 elementi, 1 linguaggio
Itemgroups: Organizational information, Sterility, Surgical team, Timing details, Diagnosis, Procedures, Patient positioning, High frequency surgery, Skin Disinfection, Sieves, Supplies, Suture supplies, Counting check, Additional services, Documentation history
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 and Oncology, University hospital Münster

NS-CSHCN 2009 - SECTION 9.5: ADD/ADHD Questions (only asked of children who currently have ADD/ADHD)

- 17/09/21 - 14 moduli, 3 itemgroups, 26 elementi, 1 linguaggio
Itemgroups: SECTION 9.5, C95Q01A, SECTION 9.5 continuation
National Survey of Children with Special Health Care Needs, 2009/10 Survey Design and Sponsorship: Maternal and Child Health Bureau at the Health Resources and Services Administration in partnership with National Center for Health Statistics at the Centers for Disease Control, Child and Adolescent Health Measurement Initiative, and a National Technical Expert Panel Data Collection: National Center for Health Statistics at the Centers for Disease Control Geographic Areas: Nationwide, all 50 states and the District of Columbia Periodicity: 2001, 2005/06, 2009/10, yearly as of 2016/17 Population sampled: Non-institutionalized children with special health care needs (CSHCN) in the US ages 0-17 years Sample size range: Nationally: between 38,000 and 40,000 State: approximately 750 Representative: Weighted to be representative of the US population of non-institutionalized CSHCN ages 0-17 Topics: Assesses overall health and health status of CSHCN, including medical home, adequate health insurance, access to needed services, and adequate care coordination. Other topics include functional difficulties, transition services, and shared decision-making. http://childhealthdata.org/learn/NS-CSHCN

SECTION 11: Additional Demographics

1 ItemGroup 3 elementi

SECTION 10: Demographics

1 ItemGroup 10 elementi

SECTION 1: NIS/SLAITS Eligibility

1 ItemGroup 4 elementi

SECTION 2: Initial Demographics

1 ItemGroup 14 elementi

Eligibility Acute Heart Failure DRKS00008447 NCT02151383 - Eligibility Acute Heart Failure NCT02151383

- 17/09/21 - 1 modulo, 2 itemgroups, 18 elementi, 1 linguaggio
Itemgroups: Inclusion Criteria, Exclusion Criteria
Pharmacokinetics & Safety of Serelaxin on Top of Standard of Care Therapy in Pediatric Patients With Acute Heart Failure; ODM derived from: https://clinicaltrials.gov/show/NCT02151383

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