| Document Date: 2014-09-19 09:22:53
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Company CVS / / Facility hospital Please / I___I Toilet / Reporting hospital I___I___I___I Ward/department I___I___I___I / hospital I / hospital If / / IndustryTerm pharmaceuticals / treatment for stroke / / MedicalCondition I___I Auricular fibrillation / hypertension / TO THE ONSET OF STROKE / Amaurosis fugax / stroke I / FOLLOW-UP OF STROKE PATIENTS / stroke / brain/stroke / Previous stroke I / RLS / transitory global amnesia / I___I Diabetes / acute stroke / several stroke / illness / thrombosis / / MedicalTreatment thrombolytic therapy / catheter / / Organization County Council / / Product Moduretic / Diovan / Ramipril / Simvastatin / Cozaar / Cardizem / Crestor / Clopidogrel / dipyridamole / Plavix / Norvasc / Lipitor / Micardis / Tenormin / Carvedilol / Atacand / Atenolol / Plendil / / ProvinceOrState Connecticut / / Technology Geriatrics / ultrasound / /
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Version 10.0 To be used for all acute stroke registrations from 1 January 2010 onwards. To register a TIA diagnosis, please use separate TIA form. RIKS-STROKE – ACUTE PHASE FOR REGISTRATION OF STROKE Personal ID number