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Date: Patient Information: Provider for Today\'s Visit:Primary Care Provider:SSN#:Birth Sex: How do you identify, if different from above? Name (Last, First, Middle):Birth Date:Age:Preferred Language:Veteran
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Identify the required fields for the registry
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Who needs data sources for registries?

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Government agencies for tracking statistics
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Healthcare providers for monitoring patient health outcomes
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Research institutions for conducting studies
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Non-profit organizations for program evaluation
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Data sources for registries are the various places or systems where information is collected and stored for the purpose of maintaining accurate records.
Any individual or organization that has access to and maintains data sources for registries is required to file.
Data sources for registries can be filled out by providing detailed information about where the data is collected from, how it is stored, and who has access to it.
The purpose of data sources for registries is to ensure that accurate and up-to-date information is being used for decision-making and reporting purposes.
Information that must be reported on data sources for registries includes the name of the data source, description of the data collected, who has access to the data, and any data sharing agreements.
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