CDEs
Forms
Genetic testing done for biological father
Which pediatric visit are you entering data for?
Visit date
Which provider(s) are you entering data from?
If other, please specify
Gestational age Estimated from physical exam
PhenX - weight - measured weight protocol 021501
Weight units
Body height --lying
Height units
Head Occipital-frontal circumference
Head circumference units
Difficulties swallowing W/O fluids PhenX
If yes, please explain
PhenX - gastroesophageal reflux disease (GERD) symptoms protocol 191101
If yes, please explain
Are there symptoms or signs of constipation?
If yes, please explain
Are there any concerns with dietary intake especially calcium and/or vitamin D?
If yes, please explain
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