| # | 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
|