PI Name
Item
PI Name
text
C0027365 (UMLS CUI [1,1])
C1521895 (UMLS CUI [1,2])
Protocol or IRB Number
Item
Protocol or IRB Number
integer
C2348563 (UMLS CUI [1])
Protocol Short Title
Item
Protocol Short Title
text
C2348563 (UMLS CUI [1,1])
C1705824 (UMLS CUI [1,2])
Subject Initials
Item
Subject Initials
text
C2986440 (UMLS CUI [1])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Exam Date
Item
Exam Date
date
C2826643 (UMLS CUI [1])
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Physical Examination not performed
Item
Physical Examination not performed
boolean
C0031809 (UMLS CUI [1,1])
C0445106 (UMLS CUI [1,2])
Item
Visit Number
text
C1549755 (UMLS CUI [1])
Body System
Item
Body system to be examined
text
C0460002 (UMLS CUI [1])
Item
Finding
text
C0243095 (UMLS CUI [1])
Comments
Item
Comments (required if Abnormal)
text
C0947611 (UMLS CUI [1])
Clinically Significant
Item
Clinically Significant
boolean
C2826293 (UMLS CUI [1])
Other
Item
Other (specify in Comments)
text
C0205394 (UMLS CUI [1])
Item
Finding
text
C0243095 (UMLS CUI [1])
Comments
Item
Comments (required if Abnormal)
text
C0947611 (UMLS CUI [1])
Clinically Significant
Item
Clinically Significant
boolean
C2826293 (UMLS CUI [1])
Additional notes
Item
Additional notes
text
C0947611 (UMLS CUI [1])
Physical Examination performed by
Item
Physical Examination performed by
text
C0031809 (UMLS CUI [1,1])
C1550369 (UMLS CUI [1,2])
Principal Investigator Signature
Item
Principal Investigator Signature
text
C1519316 (UMLS CUI [1,1])
C1521895 (UMLS CUI [1,2])
Date
Item
Date
date
C0011008 (UMLS CUI [1])