Primary Diagnosis: New diagnosis fields
Diagnosis
text
Diagnosis Date
date
Category
integer
Other
text
Physical Examination
If the Physical Examination was performed, please provide the Assessment Date below.
text
Record any clinically significant abnormal findings/conditions identified during the exam on the Medical and Surgical History and/or Adverse Events form.
date
Vital Signs
vital signs date
date
Position
integer
Systolic Blood Pressure
integer
Diastolic Blood Pressure
integer
Pulse Rate
integer
Height and Weight
Height and Weight Date
date
Height
integer
Weight
float
ECG: 12 Lead ECG
Date ECG Performed
date
ECG Interpretation
integer
ECG Abnormality
integer