Physical Examination
day month year
date
Indicate current physical findings by tick the appropriate box(es) below.
integer
"Not done" only applicable for: Breasts, Urogenital, Pelvis and Rectal. They are prefilled for this study.
text
If you tick abnormal in "Examination status", describe concisely: [different findings should be separated by either a (;) or a (/)]
text
Vital Signs, cardiac
day month year
date
Planned Relative Time
integer
00:00-23:59
time
Blood Pressure Supine, systolic
integer
Blood Pressure Supine, diastolic
integer
Heart Rate
integer