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Table of contents
  1. 1. Clinical Trial
  2. 2. Routine Documentation
  3. 3. Registry/Cohort Study
  4. 4. Quality Assurance
  5. 5. Data Standard
  6. 6. Patient-Reported Outcome
  7. 7. Medical Specialty
    1. 7.1. Anesthesiology
    1. 7.2. Dermatology
    1. 7.3. ENT
    1. 7.4. Geriatrics
    1. 7.5. Gynecology/Obstetrics
    1. 7.6. Internal Medicine
      1. Hematology
      1. Infectious Diseases
      1. Cardiology/Angiology
      1. Pneumology
      1. Gastroenterology
      1. Nephrology
      1. Endocrinology/Metabolic Diseases
      1. Rheumatology
    1. 7.7. Neurology
    1. 7.8. Ophthalmology
    1. 7.9. Palliative Care
    1. 7.10. Pathology/Forensics
    1. 7.11. Pediatrics
    1. 7.12. Psychiatry/Psychosomatics
    1. 7.13. Radiology
    1. 7.14. Surgery
      1. General/Visceral Surgery
      1. Neurosurgery
      1. Plastic Surgery
      1. Thoracic Surgery
      1. Trauma/Orthopedics
      1. Vascular Surgery
    1. 7.15. Urology
    1. 7.16. Dental Medicine/OMS
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NCT00408408 NSABP Protocol B-40 - WORKSHEET FOR REPORTING BREAST RECONSTRUCTION INFORMATION

- 7/3/15 - 1 form, 3 itemgroups, 9 items, 1 language
Itemgroups: Header, BREAST RECONSTRUCTION INFORMATION, Footer
NCT00408408 NSABP Protocol B-40 - WORKSHEET FOR REPORTING BREAST RECONSTRUCTION INFORMATION A Randomized Phase III Trial of Neoadjuvant Therapy in Patients With Palpable and Operable Breast Cancer Evaluating the Effect on Pathologic Complete Response (pCR) of Adding Capecitabine or Gemcitabine to Docetaxel When Administered Before AC With or Without Bevacizumab and Correlative Science Studies Attempting to Identify Predictors of High Likelihood for pCR With Each of the Regimens Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D9B7B8C-E72A-A457-E040-BB89AD4372F6

Coronary Artery Bypass graft surgery in patients with Asymptomatic Carotid Stenosis DRKS00000521 - CABACS Case Report Form [carotid reconstruction]

- 3/1/16 - 1 form, 1 itemgroup, 24 items, 1 language
Itemgroup: Surgery documentation "CABG with CEA"
Coronary Artery Bypass graft surgery in patients with Asymptomatic Carotid Stenosis. A randomized controlled clinical trial. Short title: "CABACS" DRKS Number:DRKS00000521 IRSCTN Number:ISRCTN13486906 Phase:Therapeutic confirmatory(Phase III) Head of clinical trial: Prof. Dr. med. Christian Weimar University Duisburg-Essen Phone: 0201/723-6503 Fax: 0201/723-6948 e-mail: christian.weimar@uk-essen.de University Hospital Essen Hospital for Neurology Hufelandstr. 55 45122 Essen Trial coordinator: Dr. med. Stephan Knipp Phone: 0201/723-4915 Fax: 0201/723-5451 e-mail: stephan.knipp@uk-essen.de University Duisburg-Essen University Hospital Essen Hospital for thoracic- and cardiovascular surgery Hufelandstr. 55 45122 Essen Data Management: Anja Marr Phone: 0201/92239-257 Fax: 0201/92239-333 o. 0201/723-5933 e-mail: anja.marr@uk-essen.de University Hospital Essen Center for clinical trials Essen c/o IMIBE Hufelandstr. 55 45122 Essen Monitoring: Dipl.-Biol. Konstantinos Bilbilis Phone: 0201/92239-252 Fax: 0201/92239-310 e-mail: konstantinos.bilbilis@uk-essen.de University Hospital Essen Center for clinical trials Essen c/o IMIBE Hufelandstr. 55 45122 Essen

Assessment of burn injuries Pediatric surgery UKM - Assessment of burn injuries

- 6/1/17 - 1 form, 2 itemgroups, 23 items, 2 languages
Itemgroups: Footer module, Assessment of burn injuries
Assessment of burn injuries form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Dr. med. V. Müller

Eligibility Lymphoma NCT02072655

- 1/5/19 - 1 form, 2 itemgroups, 9 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Impact of Socio-aesthetic Care in the Quality of Life of Patients Treated for Lymphoma During and After Hospitalization; ODM derived from: https://clinicaltrials.gov/show/NCT02072655

Eligibility Tumors NCT01403779

- 1/23/19 - 1 form, 2 itemgroups, 10 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Comparison of the Cosmetic Outcome of Hypofractionated Versus Normofractionated IMRT in Treatment of Breast Cancer; ODM derived from: https://clinicaltrials.gov/show/NCT01403779

Eligibility Eversion in Dermatologic Surgery NCT01770002

- 9/22/18 - 1 form, 2 itemgroups, 10 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Eversion in Dermatologic Surgery: Is Cosmetic Appearance Improved?; ODM derived from: https://clinicaltrials.gov/show/NCT01770002 Sponsor: University of California, Davis Information provided by (Responsible Party): University of California, Davis Principal Investigator: Daniel Eisen, M.D. University of California, Davis

Breast Cancer Swedish National Quality Registry - Secondary corrections/reconstruction

- 1/11/18 - 1 form, 3 itemgroups, 17 items, 2 languages
Itemgroups: National Quality Register for breast reconstruction, Secondary corrections/reconstruction, Form 4, Right side- surgery specification, Left side- surgery specification
Description of registry: The aim of the National Quality Registry for Breast Cancer is to: -in an objective and standardised manner, monitor the continuum of care from diagnosis to any recurrence and death -enable the identification of regional differences -collectively relate to current guidelines and quality targets set by specialist associations and the National Board of Health and Welfare -facilitate research and developments in breast cancer. Secondary corrections/reconstruction Source: http://www.cancercentrum.se/samverkan/cancerdiagnoser/brost/kvalitetsregister/dokument/ Facts Owner: Kerstin Sandelin surgeon, Karolinska University Hospital, Solna kerstin.sandelin@sll.se

Breast Cancer Swedish National Quality Registry - Late reconstruction surgery

- 1/9/18 - 1 form, 5 itemgroups, 37 items, 2 languages
Itemgroups: National Quality Register for breast reconstruction, Late reconstruction surgery, Form 2, Reconstruction after Mastectomy, Nipple Reconstruction, Areola reconstruction, Reconstruction after partial Mastectomy, Contralateral surgical Intervention
Description of registry: The aim of the National Quality Registry for Breast Cancer is to: -in an objective and standardised manner, monitor the continuum of care from diagnosis to any recurrence and death -enable the identification of regional differences -collectively relate to current guidelines and quality targets set by specialist associations and the National Board of Health and Welfare -facilitate research and developments in breast cancer. Source: http://www.cancercentrum.se/samverkan/cancerdiagnoser/brost/kvalitetsregister/dokument/ Facts Owner: Kerstin Sandelin surgeon, Karolinska University Hospital, Solna kerstin.sandelin@sll.se

Breast Cancer Swedish National Quality Registry - Reconstructive surgery within cancer surgery

- 1/9/18 - 1 form, 5 itemgroups, 39 items, 2 languages
Itemgroups: National Quality Register for breast reconstruction, Reconstructive surgery within cancer surgery, Form 1, Partial mastectomy + collective oncologic reconstruction surgery, Mastectomy + simultaneous reconstruction, Nipple Reconstruction, Areola reconstruction, Contralateral surgical Intervention
Description of registry: The aim of the National Quality Registry for Breast Cancer is to: -in an objective and standardised manner, monitor the continuum of care from diagnosis to any recurrence and death -enable the identification of regional differences -collectively relate to current guidelines and quality targets set by specialist associations and the National Board of Health and Welfare -facilitate research and developments in breast cancer. Reconstructive surgery within cancer surgery Source: http://www.cancercentrum.se/samverkan/cancerdiagnoser/brost/kvalitetsregister/dokument/ Facts Owner: Kerstin Sandelin surgeon, Karolinska University Hospital, Solna kerstin.sandelin@sll.se

Eligibility Breast Cancer NCT02061527

- 2/6/19 - 1 form, 2 itemgroups, 12 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Breast Reconstruction With Acellular Dermal Matrix in the Setting of Breast Cancer Treatment; ODM derived from: https://clinicaltrials.gov/show/NCT02061527

Eligibility Breast Cancer NCT01736605

- 9/17/19 - 1 form, 2 itemgroups, 12 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
The Effect of Meditation and Massage Therapy for Breast Cancer Patients Undergoing Tissue Reconstruction; ODM derived from: https://clinicaltrials.gov/show/NCT01736605

Eligibility Breast Carcinoma NCT01199354

- 12/8/18 - 1 form, 2 itemgroups, 9 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Skin Sparing Mastectomy and Immediate Breast Reconstruction With Latissimus Dorsi Flap After Neoadjuvant Chemotherapy and Radiotherapy (M-RIC); ODM derived from: https://clinicaltrials.gov/show/NCT01199354

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