crfgen - JSON CRF Library

Forms in PE (2)

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Physical Examination (Body Systems)

Sources: DB1 | Forms loaded: 2

PE (Physical Examination)

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#	Question	Response / annotation
1	Exam Date PEDAT	PEDTC
2	Line Number PESPID	PESPID
3	Body System PETEST	Autoimmune Cardiovascular Dermatological Ears/Nose/Throat Endocrine/Metabolic Gastrointestinal Genito-urinary Musculoskeletal Respiratory Neurological and CNS PETEST
4	Result PEORRES	Normal PEORRES Abnormal [NOT SUBMITTED] Not Done PESTAT = NOT DONE
5	Abnormal Findings PEORRES_ABN	PEORRES
6	Clinically Significant PECLSIG	Yes No PECLSIG in SUPPPE

Physical Examination

Sources: DB1 | Forms loaded: 2

PE (Physical Examination)

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Primary Domain

All Domains

#	Question	Response / annotation
1	Date of Collection field_001	PEDTC
2	Was Physical Examination Performed? field_002	Yes [NOT SUBMITTED] No PESTAT = NOT DONE when PETESTCD = PEALL
3	Appearance/Skin field_003	Normal PEORRES Abnormal PEORRES Not Done PESTAT = NOT DONE PEORRES when PETEST = Appearance/Skin
4	Appearance/Skin, Abnormal Specify field_004	ABNSP in SUPPPE
5	Head/Neck (including Thyroid) field_005	Normal PEORRES Abnormal PEORRES Not Done PESTAT = NOT DONE PEORRES when PETEST = Head/Neck (including Thyroid)
6	Head/Neck (including Thyroid), Abnormal Specify field_006	ABNSP in SUPPPE
7	Eyes/Ears/Nose/Throat field_007	Normal PEORRES Abnormal PEORRES Not Done PESTAT = NOT DONE PEORRES when PETEST = Eyes/Ears/Nose/Throat
8	Eyes/Ears/Nose/Throat, abnormal findings, specify field_008	ABNSP in SUPPPE
9	Cardiovascular field_009	Normal PEORRES Abnormal PEORRES Not Done PESTAT = NOT DONE PEORRES when PETEST = Cardiovascular
10	Cardiovascular, Abnormal Specify field_010	ABNSP in SUPPPE
11	Pulmonary field_011	Normal PEORRES Abnormal PEORRES Not Done PESTAT = NOT DONE PEORRES when PETEST = Pulmonary
12	Pulmonary, Abnormal Specify field_012	ABNSP in SUPPPE
13	Abdomen field_013	Normal PEORRES Abnormal PEORRES Not Done PESTAT = NOT DONE PEORRES when PETEST = Abdomen
14	Abdomen, Abnormal Specify field_014	ABNSP in SUPPPE
15	Neurological field_015	Normal PEORRES Abnormal PEORRES Not Done PESTAT = NOT DONE PEORRES when PETEST = Neurological
16	Neurological, Abnormal Specify field_016	ABNSP in SUPPPE
17	Musculoskeletal field_017	Normal PEORRES Abnormal PEORRES Not Done PESTAT = NOT DONE PEORRES when PETEST = Musculoskeletal
18	Musculoskeletal, Abnormal Specify field_018	ABNSP in SUPPPE
19	Other field_019	Normal PEORRES Abnormal PEORRES Not Done PESTAT = NOT DONE PEORRES when PETEST = Other
20	Other, Abnormal Specify field_020	ABNSP in SUPPPE