Forms in PE (1)
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Example Case Report Forms for PE domain
Sources: DB1 | Forms loaded: 1
Form: Physical Examination
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Primary Domain
PE
All Domains
PE
# Question Response
1
Date of Collection
field_001
2
Was Physical Examination Performed?
field_002
3
Appearance/Skin
field_003
4
Appearance/Skin, Abnormal Specify
field_004
5
Head/Neck (including Thyroid)
field_005
6
Head/Neck (including Thyroid), Abnormal Specify
field_006
7
Eyes-Ears-Nose_Throat
field_007
8
Eyes-Ears-Nose_Throat, Abnormal Specify
field_008
9
Cardiovascular
field_009
10
Cardiovascular, Abnormal Specify
field_010
11
Pulmonary
field_011
12
Pulmonary, Abnormal Specify
field_012
13
Abdomen
field_013
14
Abdomen, Abnormal Specify
field_014
15
Neurological
field_015
16
Neurological, Abnormal Specify
field_016
17
Musculoskeletal
field_017
18
Musculoskeletal, Abnormal Specify
field_018
19
Other
field_019
20
Other, Abnormal Specify
field_020