Vital Assessment
Physical Examination
Examination Date
date
Pregnancy Test
Pregnancy Test
boolean
Date of Collection
text
Accession Number
text
Biochemistry/Proteomics
Reason Off Treatment
Death
Death
boolean
Primary Cause of Death
integer
Cause of death
text
Autopsy
integer
Investigator Signature
Investigator Signature
text
Investigator Signature Date
date