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Case Report Form for suspected cases of multisystem inflammatory syndrome (MIS) in children and adolescents temporally related to COVID-19 (Arabic Version)

World Health Organization WHO (2020) C_WHO
لمنصة السریریة العالمیة لمرض كوفید-19 :شتبھ في إصابتھا ُاستمارة تقریر الحالة الخاصة بالحالات الم بًبالمتلازمة الالتھابیة متعددة الأجھزة لدى الأطفال والمراھقین الم... more
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Global clinical data platform for severe acute hepatitis of unknown aetiology in children case report form (CRF)

World Health Organization WHO (2022) C_WHO
Multiple countries are reporting severe acute cases of hepatitis of unknown aetiology in children, in several regions of the world. WHO has developed this clinical case report form (CRF) to support and facilitate reporting of anonymized, patient-level data of acute hepatitis of unknown aetiology.
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Revised case report form for confirmed Novel Coronavirus COVID-19 (‎‎‎report to WHO within 48 hours of case identification)‎‎‎

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22 July 2022
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Case Report Form for suspected cases of multisystem inflammatory syndrome (MIS) in children and adolescents temporally related to COVID-19

World Health Organization WHO (2020) C_WHO
Global COVID-19 Clinical Platform: Case Record Form for suspected cases of Multisystem inflammatory syndrome (MIS) in children and adolescents temporally related to COVID-19
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Case Report Form for suspected cases of multisystem inflammatory syndrome (MIS) in children and adolescents temporally related to COVID-19 (Russian Version)

World Health Organization WHO (2020) C_WHO
Глобальная платформа регистрации клинических данных по COVID-19.Карта регистрации случаев с подозрением на синдром мультисистемного воспаления(СМВ),ассоциированный... more
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Case Report Form for suspected cases of multisystem inflammatory syndrome (MIS) in children and adolescents temporally related to COVID-19 (Chinese Version)

World Health Organization WHO (2020) C_WHO
全球COVID-19临床平台:与COVID-19暂时相关的儿童和青少年多系统炎症综合征疑似病例的病例报告表
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Monkeypox: case report form (‎CRF)‎, 21 July 2022

World Health Organization WHO (2022) C_WHO
WHO invites Member States, health facilities and other entities to participate in the global effort to collect anonymized clinical data relating to suspected or confirmed cases of monkeypox and contribute data to the WHO Global Clinical Platform. WHO has developed a clinical characterization case ... more
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Monkeypox Case Report Form (CRF) and minimum dataset Case reporting form (CRF)

World Health Organization WHO (2022) C_WHO
19 August 2022. A monkeypox case investigation form (CIF) has been designed as a tool for Member States and researchers to conduct in-depth epidemiological investigation of suspected, probable and confirmed cases of monkeypox. This form allows to collect data prospectively or retrospectively for bot... more
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Ebola case report forms for clinicians. Daily clinical dataset

World Health Organization WHO (2018) C_WHO
These forms are intended only for clinicians and nurses taking care of patients with Ebola virus disease. They provide standardized information that needs to be collected by the clinicians at admission time, every day and at time of discharge.
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Ebola case report forms for clinicians. Admission form
recommended

World Health Organization WHO (2018) C_WHO
These forms are intended only for clinicians and nurses taking care of patients with Ebola virus disease. They provide standardized information that needs to be collected by the clinicians at admission time, every day and at time of discharge.
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Ebola case report forms for clinicians. Discharge form
recommended

World Health Organization WHO (2018) C_WHO
These forms are intended only for clinicians and nurses taking care of patients with Ebola virus disease. They provide standardized information that needs to be collected by the clinicians at admission time, every day and at time of discharge.
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Monkeypox Case Report Form (CRF) (Arabic)

World Health Organization WHO (2022) C_WHO
21 July 2022. The Rapid Core CRF is designed to collect data obtained through examination, interview and review of hospital or clinic notes of patients with suspected, probable, or confirmed monkeypox infection. Data may be collected prospectively or retrospectively. The data collection period is ... more
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"Shadow" Report - Healthcare Field - Case of Albania

Albanian Center for Population and Development (ACPD); UNFPA (2016) C2
Submitted to the United Nation's Committee on the Convention on the Elimination of All Forms of Discrimination Against Women February 2016 Published by the Albanian Center for Population and Development (ACPD) Adresa : Bul “ Gjergj Fishta”, Kompleksi “Tirana 2000” Kulla 4, kati 2, Tir... more
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Mpox Outbreak: Short Case Report Form

Centers for Disease Control and Prevention (CDC) (2023) C_CDC
Report Form
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Collective Voices Report: Qualitative Case Study Report

Three Millennium Development Goal Fund (3MDG) (2017) C1
Civil Society Organisations’ contribution towards community engagement to access and demand health services and encourage communities to practice appropriate health-seeking behaviour in Mon and Chin States
The following report is a study of 14 villages under the Collective Voices project (Nov... more
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Plague Case Investigation Report

Centers for Disease Control and Prevention (2017) C1
This is a basic form for reporting individual cases of plague. It asks for information regarding patient history and the course of the illness. In addition, it offers space for laboratory results, the case status, and epidemiological information.
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Collective Voices: Qualitative Case Study Report

Three Millennium Development Goal Fund (3MDG) (2018) C1
Civil Society Organisations’ contribution towards community engagement to access and demand health services and encourage communities to practice appropriate health-seeking behaviour in Mon and Chin States. The study recognizes that civil society can promote people-centered health by creating an e... more
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Ethiopia: Report on the Sentinel Surveillance of Sexually Transmitted Infections Based on Syndromic Case Reporting (July 2014-June 2015)

The Ethiopian Public Health Institute, Federal Ministry of Health Ethiopia (2015) C_CDC
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Report of the implementation of a case based connectivity solution for TB diagnosis

FIND (2017) C2