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Date: 10182016
NCT: NCT03023930
Title: Opioid Use Disorder in the Emergency Department: CTN
0069
Document: Informed Consent Preapproved Template
MUST BE APPROVED
FOR SITES BEFORE USE
Jan 30, 2017
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How to fill out opioid use disorder in
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Obtain a proper diagnosis from a healthcare provider.
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Individuals who have been diagnosed with opioid use disorder.
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What is opioid use disorder in?
Opioid use disorder is a medical condition characterized by an individual's compulsive use of opioids despite harmful consequences.
Who is required to file opioid use disorder in?
Healthcare providers are required to file opioid use disorder information.
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Opioid use disorder information can be filled out using the designated forms or reporting system provided by the relevant authorities.
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The purpose of opioid use disorder reporting is to track, monitor, and address the prevalence of opioid use disorder in a given population.
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Information such as patient demographics, treatment history, and opioid usage patterns must be reported on opioid use disorder forms.
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