FormsPlayer has failed to load! Please check your installation XForm automatically generated from ODM Study Definition file:///c:/apache_tomcat/jakarta-tomcat-5.0.19/webapps/XML4PharmaServer/temp/xform20051049520.5466.html FORM.VITPHYEX system-generated ONC USA S 1 1

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Form: Physical Exam

Subject ID : ID of the Subject

Study Event ID : system-generated

Group: Physical Exam, General

Compound : Maximum length is 8 characters.

Therapeutic Area : Oncology ONC

Protocol Code : Maximum length is 15 characters.

Country : United States USA Germany DE France Fr

Record status: Source verified, not queried S Source verified, queried V

Group: Physical Exam, Body System

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Physical Exam Body System : Head, Neck and Thyroid 1 Eyes, Ears, Nose and Throat 2 Chest 3 Lungs 4 Heart 5 Lymph Nodes 6 Abdomen 7 Anorectal 8 Genitalia 9 Skin 10 Musculoskeletal 11 Neurological 12 Other 13

English: Normal/Abnormal/Not Done? : Normal 1 Abnormal 2 Not Done 3

Comment : Maximum length is 200 characters.

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