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        <!-- FormData element for the DEMOG and Vitals form collected on Visit 1 (Original)  -->
        <FormData FormOID="PAGE_1">
          <AuditRecord>
            <UserRef UserOID="User.002"/>
            <LocationRef LocationOID="Location.001"/>
            <DateTimeStamp>2001-05-31-T10:08:40-05:00</DateTimeStamp>
          </AuditRecord>
          <!--  ItemGroupData element for the Demographics part of the form   -->
          <ItemGroupData ItemGroupOID="DEMOG" ItemGroupRepeatKey="1">
            <ItemData ItemOID="PT" Value="P001"/>
            <ItemData ItemOID="INITIALS" Value="AMH"/>
            <ItemData ItemOID="SEX" Value="f"/>
            <ItemData ItemOID="DOB" Value="1947-07-16"/>
            <ItemData ItemOID="SPONSOR_PTID" Value="B00-2136-001"/>
            <ItemData ItemOID="WEIGHT_LB" Value="150"/>
            <ItemData ItemOID="WEIGHT_KG" Value="68.18"/>
            <!--  ItemGroupData element for the Vitals part of the form     -->
          </ItemGroupData>
          <ItemGroupData ItemGroupOID="VITALS" ItemGroupRepeatKey="">
            <ItemData ItemOID="PT" Value="P001"/>
            <ItemData ItemOID="VISITNAME" Value="Visit1"/>
            <ItemData ItemOID="SBP" Value="120"/>
            <ItemData ItemOID="DBP" Value="80"/>
            <ItemData ItemOID="SPONSOR_PTID" Value="B00-2136-001"/>
            <ItemData ItemOID="OCCUR_NUM" Value="1"/>
          </ItemGroupData>
        </FormData>
	  <!--  Electronic signature for this form   -->
        <SignatureODMInfo>
            <UserRef UserOID="User.001"/>
            <LocationRef LocationOID="Location.001"/>
            <SignatureRef SignatureOID="SignatureDef.001"/>
            <DateTimeStamp>2001-05-30T10:06:32-05:00</DateTimeStamp>
        </SignatureODMInfo>
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