| Question | Response |
|---|---|
| Date of Collection |
PE.PEDTC |
| Was Physical Examination Performed? | Yes No |
| Appearance/Skin |
PE.PETESTPE.PEORRES Normal Abnormal Not Done |
| Appearance/Skin, Abnormal Specify |
SUPPPE.ABNSP |
| Head/Neck (including Thyroid) |
PE.PETESTPE.PEORRES Normal Abnormal Not Done |
| Head/Neck (including Thyroid), Abnormal Specify |
SUPPPE.ABNSP |
| Eyes-Ears-Nose_Throat |
PE.PETESTPE.PEORRES Normal Abnormal Not Done |
| Eyes-Ears-Nose_Throat, Abnormal Specify |
SUPPPE.ABNSP |
| Cardiovascular |
PE.PETESTPE.PEORRES Normal Abnormal Not Done |
| Cardiovascular, Abnormal Specify |
SUPPPE.ABNSP |
| Pulmonary |
PE.PETESTPE.PEORRES Normal Abnormal Not Done |
| Pulmonary, Abnormal Specify |
SUPPPE.ABNSP |
| Abdomen |
PE.PETESTPE.PEORRES Normal Abnormal Not Done |
| Abdomen, Abnormal Specify |
SUPPPE.ABNSP |
| Neurological |
PE.PETESTPE.PEORRES Normal Abnormal Not Done |
| Neurological, Abnormal Specify |
SUPPPE.ABNSP |
| Musculoskeletal |
PE.PETESTPE.PEORRES Normal Abnormal Not Done |
| Musculoskeletal, Abnormal Specify |
SUPPPE.ABNSP |
| Other |
PE.PETESTPE.PEORRES Normal Abnormal Not Done |
| Other, Abnormal Specify |
SUPPPE.ABNSP |