Epic mri screening form
[DOC File]This checklist should be used as one of several tools for ...
https://info.5y1.org/epic-mri-screening-form_1_e1e6f3.html
Laboratory services, including communication and reporting to and from county public health. Imaging services (including MRI, CT, Ultrasound, etc.). Other ancillary and diagnostic services. Mass Fatality Management: Plans have been established for management and disposition of deceased patients.
[DOCX File]PROTOCOL SYNOPSIS - Murdoch Children's Research Institute
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RCH procedure “ Epic: Appropriate Use for Research (RCH Procedure)”, available on the RCH intranet ... (keeping in mind that some participants who provide consent may be found to be ineligible during the screening procedures). ... In table format LIST all procedures, assessments, and tests (e.g., CT-scans, MRI, blood tests etc) that form ...
[DOCX File]FORM - OGA Research Financial Clearance
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Research Financial Clearance Form. Office of Grant Administration. Research Financial Clearance Form. Research Financial Clearance Form. Telephone: 404-616-4731. Email: grants@gmh.edu. Office of Grant Administration. Telephone: 404-616-4731. Email: grants@gmh.edu. OGA_Financial Clearance Form Page 2 of 9. Version Date: 03/2018. OGA_Financial ...
[DOCX File]Consent Template: Combined HIPAA
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Blood tests: We need to collect blood to measure (blood chemistries, blood counts, DNA, etc.). (If blood tests are repeated, explain the frequency – e.g. at each study visit, before starting the study, etc.) (Explain the amount in simple terms, e.g., Depending on the study visit we will collect between X and Y teaspoons of blood.)
[DOC File]Consent Form: Institutional Review Board (IRB) - UT ...
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Please read this consent form carefully and take your time making a decision about whether to participate. As the researchers discuss this consent form with you, please ask him/her to explain any words or information that you do not clearly understand.
[DOCX File]Murdoch Children's Research Institute
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The study must be added to Epic if it (i) involves RCH patients*who will be actively involved in the study (i.e. excludes research which is observational or just medical record review) and who will have procedures or services conducted at RCH or (ii) is a clinical trial of an investigational drug or device which will be given at the RCH (see ...
[DOC File]PATIENT HISTORY FORM - Hopkins Medicine
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Title: PATIENT HISTORY FORM Author: abaer5 Last modified by: Elaine Martin Created Date: 7/8/2008 5:55:00 PM Company: JHU DOM Other titles: PATIENT HISTORY FORM
[DOCX File]University of Chicago
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If the subject’s scan will be read by a radiologist and will be ordered through EPIC, you need to also schedule your scan in EPIC (after confirming the date and time with the MRIRC) ... MRI screening form (available on the MRIRC website . https://mrirc.uchicago.edu/forms.php ... MRI Research Center is in suite Q300, located on the 3. rd.
[DOCX File]Observational Study Template
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If eligibility screening requires collection of data about prospective subjects (via medical record review, direct query or other procedures), and this screening will take place before subjects consent to participation in the main study, describe the plan for obtaining consent/assent and HIPAA authorization for the screening (unless the ...
WHA - WHA Home
However if one clicks on the hyperlink first and completes Suspicion of Infection Screen -if the screening result is: ... Nuc Med, MRI, Ultrasound, Diagnostic or Interventional Radiology) For patients . at AngelsGrace Hospice. For p. atients receiving only Comfort Measure treatment ... Access patient record in Epic; utilize a paper form to ...
[DOC File]Consent Form Template Minimal Risk - UT Southwestern
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Note: If you are a parent or guardian of a minor and have been asked to read and sign this form, the “you” in this document refers to the minor. Instructions: Please read this consent form carefully and take your time making a decision about whether to participate.
[DOCX File]2018 TQS Progress Report - CHA - Oregon
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CHA UR will implement auto-authorizations for MRI of joints, lower and upper extremities, ultrasound guided breast biopsy and hysteroscopy D&C in August of 2018. Once the process is enacted, CHA UR analysts will perform audits on 100% of all auto-authorizations conducted in the first month, with a 10% audit of all following authorizations.
[DOCX File]FORM - OGA Research Financial Clearance
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Research Financial Clearance Form. Office of Grant Administration. Research Financial Clearance Form. Research Financial Clearance Form. Telephone: 404-616-4731. Email: grants@gmh.edu. Office of Grant Administration. Telephone: 404-616-4731. Email: grants@gmh.edu. OGA_Financial Clearance Form Page 3 of 9. Version Date: 03/2018.3. OGA_Financial ...
[DOC File]COMPETENCY CHECKLIST (SAMPLE)
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Title: COMPETENCY CHECKLIST (SAMPLE) Author: Dean P. Morris Last modified by: atruesdell Created Date: 11/17/2009 8:03:00 PM Company: Corporate Services Group, LLC.
[DOCX File]Research Consent - UT Southwestern
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Participants will undergo a 2-day screening that includes a blood draw, exercise testing, and completion of quality-of-life surveys. Once screening is complete, participants will complete a physical therapy program that will require visits to SITE’S fitness center three times each week for 16 weeks, for a total of 48 visits.
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