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Attachment 12 Table of Exxam Components
ICR 201604-0925-002 · OMB 0925-0216 · Object 63781601.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Attachment 12 Table of Exxam Components |
| Author | Joanne Murabito |
| Last Modified By | Writer |
| File Modified | 2015-12-08 |
| File Created | 2026-07-14 |
| Conversion State | complete |
Extracted Text
Attachment A 12 Table of Examination Components Gen 3/Omni Group 2 Exam 3
Pre-Exam Components
Pre-Exam Time 45 minutes
• Telephone contact for Appointment
• Scheduling, Reminder, Instructions
Exam Components
Exam Time 110 minutes
• Informed consent (15 minutes)
• Blood draw/urine (10 minutes)
• ECG (10 minutes)
• Anthropometry (5 minutes)
• Physician-administered medical hx (25 minutes)
• Resting BP x 2 (5 minutes)
• Lifestyle questionnaires (5 minutes)
• Exit interview (5 minutes)
• Change into gown (5 minutes)
• Bleeding Questionnaire & Platelet Reactivity (5 minutes)
• eFHS App download in clinic (20 minutes)
Post-Exam eFHS
Post-Exam Time 156 minutes
• App questionnaire
• Device transmission (BP, weight, Alivecor)
• Link with EMR
9 minutes per week x 52 weeks/ 1 yr