Current Surveillance forms

FormNameSorted By FormName In Ascending OrderQXQCodebookDescription
  C13CEMB1.pdfCohort Event ECG
  C13DERV1.pdfCohort Surveillance Stroke Derived Data
  C13EVT1.pdfCohort Surveillance CHD Events Data
  C13HDXA1.pdfHeart Failure Diagnosis Form
  C13JSTA1.pdfJHS Cohort Stroke Abstraction Form
  C13OCC1.pdfCohort Surveillance CHD Occurrence Data
  C13SDXA1.pdfStroke Final Diagnosis Form
  Stroke Derived Variables.pdfCohort Stroke Derived Veriables
  CHD Events.pdfCohort CHD Events
  CHD Occurrences.pdfCohort CHD Occurrence
  HF Occurrences.pdfCohort HF Occurrence
HFA_QxQ.pdfC13HFAA1.pdfHeart Failure Hospital Record Abstraction Form
CELF.pdfC13CELB1.pdfCohort Event Eligibility Form
CHIB.pdfCHIB_QxQ.pdfC13CHIA1.pdfCommon Hospital Information Form
CORC.pdfCORC_QxQ.pdfC13CORA1.pdfCoroner/Medical Examiner Form
DTHG.pdfDTHF_QXQ.pdfC13DTHA1.pdfDeath Certficate Form
HRAH.pdf  Hospital Abstraction Form
IFIC.pdfIFIC_QXQ.pdfC13IFIA1.pdfInformant Interview Form
PHF.pdfPHFA_QXQ.pdf Heart Failure Survey
PHQC.pdf C13PHQA1.pdfPhysician Questionnaire Form
PTMB.pdfPTMB_QXQ.pdf Phantom Form
Sample Hospital Letterfor_discharge list.pdf  Letter requesting discharge list from hospitals
STRF_QxQ.pdfSTRD_QXQ.pdfC13STRC1.pdfCohort Stroke Abstraction Form