Data collection log form

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Legacy Content

This page contains Legacy Content.
  • Explanation: no longer needed with updated processes such as using EPR and PatientFollow Project.
  • Successor: No successor was entered

Click Expand to show legacy content.

The Data collection log form is a paper form that the data collectors use to write down some info about their patients to keep track of them. Much of the information is identical to what is displayed in CCMDB.accdbs Patient List and Previous entry form.

Stopping the use of collection log forms


Stop Date: December 2020 (ICU and Med)


Stop Date: February 1, 2021


Stop date: February 1, 2021

Legacy Collection Log form info

where collection form log sheet live

These forms "live" for a time being, in a "data collector's binder". The Master Log Collection form resides in Main office for print shop.

The sheet is entirely for the convenience of the collector. Please dispose of it in confidential waste when you no longer need it. (The sheet used to be sent to the main office, but this is no longer required (June 8.16))


To see a copy of the Data Collection Log form go to:

Staff are not supposed to use their own version of the Data Collection Logs nor should they be making photocopies of this form. It cost more to photocopy than to get a batch done in the printshop. We currently have a number of versions of the data collection log forms that staff are using. If you are one of those units that are using a version other than one shown in link above, please contact the Data Processor and she will order them from printshop. -Trish Ostryzniuk 14:59, 2012 October 24 (CDT)--Trish Ostryzniuk 16:27, 2016 September 19 (CDT)

Data Collector Use

Keeping track of Serial number / Pat_ID

We now have Facilitated Management of Serial numbers. This eliminates the function of the paper forms to keep track of serials.

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