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The Society of Thoracic Surgeons Congenital Heart Surgery Database Data Collection Form Version 3.3 July 1, 2015, PRE Operative ADMINISTRATIVE Referring Cardiologist: UCLA Cardiologist: Participant

How to fill out congenital data collection form

How to Fill Out Congenital Data Collection Form:

1. Start by gathering all necessary information and documents. This may include the child's birth certificate, medical records, and any relevant genetic testing results.
2. Begin by inputting the basic details of the child, such as their full name, date of birth, and gender. Provide accurate and up-to-date information to ensure data accuracy.
3. Next, provide information about the parents, including their names and contact details. This is important for follow-up purposes and to establish a line of communication if needed.
4. The form will likely ask for details about the child's medical history. Be sure to include any past medical conditions, surgeries, or hospitalizations the child has experienced.
5. Specify any known genetic disorders or conditions that run in the family. This information helps in identifying potential hereditary factors.
6. If applicable, note any medications the child takes regularly or any known allergies. This is crucial for ensuring the child's safety and preventing adverse reactions.
7. The form may have a section to indicate any developmental or behavioral concerns about the child. Provide honest and accurate information to help healthcare professionals understand the child's overall well-being.
8. Finally, review the completed form for any errors or missing information. Double-check all the details to ensure everything is accurate and complete before submitting it.

Who Needs Congenital Data Collection Form:

1. Healthcare Professionals: Physicians, nurses, and other healthcare providers use congenital data collection forms to gather comprehensive information about a child's medical history, genetic predispositions, and potential risk factors. This information helps in making informed decisions about the child's care and treatment.
2. Researchers: Congenital data collection forms are valuable tools for researchers studying genetic disorders, birth defects, and developmental challenges. By analyzing this data, researchers can identify trends, risk factors, and potential interventions to improve patient outcomes.
3. Public Health Agencies: Government agencies and public health organizations collect and analyze data from congenital data collection forms to monitor the prevalence and trends of congenital conditions. This information assists in developing public health policies, allocating resources, and implementing preventive measures.

By diligently filling out congenital data collection forms, individuals can contribute to the better understanding and management of congenital conditions while potentially improving the care and quality of life for affected individuals.

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What is the congenital data collection form?

The congenital data collection form is a document that gathers information about congenital conditions, which are present at birth.

Who is required to file the congenital data collection form?

Healthcare providers and facilities are required to file the congenital data collection form.

How to fill out the congenital data collection form?

The congenital data collection form can be filled out by providing relevant information about congenital conditions, such as the diagnosis and demographic details of the affected individuals.

What is the purpose of the congenital data collection form?

The purpose of the congenital data collection form is to collect data on congenital conditions for research, analysis, and reporting purposes.

What information must be reported on the congenital data collection form?

The congenital data collection form typically requires information about the individual's diagnosis, demographics, and any relevant medical history.