Vital Signs
Duplicate
integer
Date of Vital Signs
date
Time
time
Blood Pressure - Systolic
float
Blood Pressure - Diastolic
float
Heart Rate
integer
Temperature
integer
e.g. Sitting
text
Comment
text
General Physical Examination
General Medical History
Body System Code
text
Specific Condition
text
Check only one response for each condition
text
Start Date
date
End Date
date
Detailed Physical Examination
Assessment
Skin including injection site
text
if applies
text
Head, Eyes, Ears, Nose, Throat
text
if applies
text
Thyroid
text
if applies
text
Lungs
text
if applies
text
Cardiovascular
text
if applies
text
Abdomen (Liver and Spleen)
text
if applies
text
Lymph Nodes
text
if applies
text
Neurological
text
if applies
text
Extremities
text
Specify Abnormality
text
Other
text
Specify Abnormality, if applies
text