Data Collection Forms for USRDS Special Studies

Wave I DMMS

Confidential Report USRDS - Anemia
Confidential Report USRDS DMMS - Core
Dialyzer Types by Manufacturer or Product
Instructions USRDS DMMS
USRDS DMMS - Dialysis Facility/Unit Questionnaire
Confidential Report USRDS DMMS - Nutrition
Patient Tracking Form
Confidential Report  - Dialysis Unit/Facility Questionnaire
Confidential Report USRDS - Vascular Access in Incident Patients
 

Dialyzer Types by Manufacturer or Product
Instruction Manual
USRDS DMMS (Prospective) - Dialysis Facility/Unit Questionnaire
Confidential Report - Medical Questionnaire (DMMS - Prospective)
Patient Consent Form
Dialysis Patient Questionnaire
DMMS (Prospective) Patient Tracking
Dialysis Unit/Facility Questionnaire

Coversheet for Medical Update Questionnaire
DMMS Followup Instructions
DMMS Followup - Medical Update Questionnaire
Dialysis Patient Questionnaire and Patient Consent Form

DMMS Clinical Questionnaire
DMMS Instruction Manual for Clinical Questionnaire
DMMS Instructions for Facility/Unit Questionnaire
Patient Tracking
Dialysis Unit/Facility Questionnaire