| Document Date: 2014-09-19 09:23:53
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Facility Reporting hospital I___I___I___I Department/ward I___I___I___I Date / hospital 1= 2= 3= 9= I___I / I___I Toilet / / IndustryTerm Treatment for hypertension / pharmaceuticals alternative answers / / MedicalCondition RLS / cerebral ischemia / I___I Auricular fibrillation / illness / I___I Diabetes / Deep venous thrombosis / acute stroke / paresis / hypertension / progressive stroke I / stroke / unknown Previous stroke / TO STROKE / brain/stroke / / Technology Geriatrics / /
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Version 7.0. To be used for all stroke registrations from 1 April 2004 onwards RIKS -STROKE - ACUTE PHASE Personal ID number I___I___I___I___I___I___II___I___I___I___I