FormCompletionDate
Item
Visit Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
CourseNumber
Item
Course #
double
C25337 (NCI Thesaurus Property)
C0237753 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
CourseDayNumber
Item
Day in Course (Cycle)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25301 (NCI Thesaurus Property)
C0439228 (UMLS 2011AA Property)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
EvaluationDate
Item
Date of Examination (Enter the date the ECG was performed.)
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25214 (NCI Thesaurus ObjectClass)
C0220825 (UMLS 2011AA ObjectClass)
ProcedureTime
Item
Time (Enter the time the ECG was performed.)
time
C25218 (NCI Thesaurus ObjectClass)
C1948041 (UMLS 2011AA ObjectClass)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C71104 (NCI Thesaurus ObjectClass)
C0008976 (UMLS 2011AA ObjectClass)
C42614 (NCI Thesaurus Property)
C0027365 (UMLS 2011AA Property)
QRSDIntervalTimeinMilliseconds
Item
QRSD Interval (Enter the QRS duration QRSD interval in milliseconds.)
double
C38053 (NCI Thesaurus ObjectClass)
C1623258 (UMLS 2011AA ObjectClass)
C25543 (NCI Thesaurus Property)
C1272706 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C41140 (NCI Thesaurus ValueDomain)
C0439223 (UMLS 2011AA ValueDomain)
QTIntervalTimeinMilliseconds
Item
QT Interval (Enter the QT interval in milliseconds.)
double
C38053 (NCI Thesaurus ObjectClass)
C1623258 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C41140 (NCI Thesaurus ValueDomain)
C0439223 (UMLS 2011AA ValueDomain)
QTC(Corrected)IntervalResult
Item
QTC (corrected) Interval (Enter the QTC interval in milliseconds.)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C38053 (NCI Thesaurus ObjectClass)
C1623258 (UMLS 2011AA ObjectClass)
PRIntervalTimeinMilliseconds
Item
PR Interval (Enter the PR interval in milliseconds.)
double
C0013798 (NCI Metathesaurus ObjectClass)
C25543 (NCI Thesaurus Property)
C1272706 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C41140 (NCI Thesaurus ValueDomain)
C0439223 (UMLS 2011AA ValueDomain)
Item
ECG Impression (Select one of the following summary finding:)
text
C38053 (NCI Thesaurus ObjectClass)
C1623258 (UMLS 2011AA ObjectClass)
C3367 (NCI Thesaurus Property)
C0037088 (UMLS 2011AA Property)
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C0205161 (UMLS 2011AA ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C1704701 (UMLS 2011AA ValueDomain)
Code List
ECG Impression (Select one of the following summary finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Borderline (B)
C14157 (NCI Thesaurus)
C0205189 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
PulseRateMeasurementValue
Item
Rate (Enter the patients pulse rate.)
double
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25749 (NCI Thesaurus ObjectClass)
C0391850 (UMLS 2011AA ObjectClass)
C25636 (NCI Thesaurus Property)
C1521828 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25749 (NCI Thesaurus ValueDomain)
C0391850 (UMLS 2011AA ValueDomain)
Item
Rhythm (Select one of the following rhythm finding:)
text
C38053 (NCI Thesaurus ObjectClass)
C1623258 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C0205161 (UMLS 2011AA ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C1704701 (UMLS 2011AA ValueDomain)
Code List
Rhythm (Select one of the following rhythm finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
Item
Arrhythmia type (Select the patients arrhythmia type.)
text
C38053 (NCI Thesaurus ObjectClass)
C1623258 (UMLS 2011AA ObjectClass)
C3367 (NCI Thesaurus Property)
C0037088 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C2881 (NCI Thesaurus ValueDomain)
C0003811 (UMLS 2011AA ValueDomain)
C41328 (NCI Thesaurus ValueDomain)
C0438154 (UMLS 2011AA ValueDomain)
Code List
Arrhythmia type (Select the patients arrhythmia type.)
CL Item
Asystole (Asystole)
CL Item
Atrial Fibrillation: C50466 (Atrial fibrillation)
C50466 (NCI Thesaurus)
C0004238 (UMLS 2011AA)
CL Item
Atrial Flutter (Atrial flutter)
C51224 (NCI Thesaurus)
C0004239 (UMLS 2011AA)
CL Item
Atrial Tachycardia/paroxysmal Atrial Tachycardia (pat) (Atrial tachycardia/Paroxysmal Atrial Tachycardia (PAT))
CL Item
Atrioventricular Block: First Degree Block (AV block: First degree block)
CL Item
Atrioventricular Block: Second Degree Motitz Type I (wenckebach) (AV block: Second degree Motitz Type I (Wenckebach))
CL Item
Atrioventricular Block: Second Degree Motitz Type Ii (AV block: Second degree Motitz Type II)
CL Item
Atrioventricular Block: Third Degree (complete Av Bloc (AV block: Third degree (Complete AV block))
CL Item
Bigeminy (Bigeminy)
CL Item
Bundle Branch Block (Bundle branch block)
CL Item
Conduction Abnormality, Not Otherwise Specified (Conduction abnormality NOS)
CL Item
Idioventricular Rhythm (Idioventricular rhythm)
CL Item
Nodal/junctional Arrhythmia (Nodal/Junctional arrhythmia)
CL Item
Sinus Rhythm (Normal Sinus rhythm)
CL Item
Paced Rhythm (Paced Rhythm)
CL Item
Premature Ventricular Contractions (pvcs) (Premature ventricular contractions (PVCs))
CL Item
Prolonged Qtc Interval (Prolonged QTc interval)
CL Item
Sick Sinus Syndrome (Sick Sinus Syndrome)
C62244 (NCI Thesaurus)
C0037052 (UMLS 2011AA)
CL Item
Sinus Bradycardia (Sinus bradycardia)
C26923 (NCI Thesaurus)
C0085610 (UMLS 2011AA)
CL Item
Sinus Tachycardia (Sinus tachycardia)
C26889 (NCI Thesaurus)
C0039239 (UMLS 2011AA)
CL Item
Stokes-adams Syndrome (Stokes-Adams Syndrome)
CL Item
Supraventricular Arrhythmia, Not Otherwise Specified (Supraventricular arrhythmia NOS)
CL Item
Supraventricular Extrasystoles (Supraventricular extrasystoles)
CL Item
Supraventricular Tachycardia (svt) (Supraventricular tachycardia (SVT))
CL Item
Torsade De Pointes (Torsade de pointes)
CL Item
Trigeminy (Trigeminy)
CL Item
Ventricular Arrhythmia, Not Otherwise Specified (Ventricular arrhythmia NOS)
CL Item
Ventricular Fibrillation (Ventricular fibrillation)
C0042510 (NCI Metathesaurus)
CL Item
Ventricular Flutter (Ventricular flutter)
CL Item
Ventricular Tachycardia (Ventricular tachycardia)
CL Item
Wolff-parkinson-white Syndrome (Wolff-Parkinson-White Syndrome)
C35132 (NCI Thesaurus)
C0043202 (UMLS 2011AA)
Item
P Wave (Select one of the following P Wave finding:)
text
C0429084 (NCI Metathesaurus ObjectClass)
C3367 (NCI Thesaurus Property)
C0037088 (UMLS 2011AA Property)
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C0205161 (UMLS 2011AA ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C1704701 (UMLS 2011AA ValueDomain)
Code List
P Wave (Select one of the following P Wave finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
Item
QRS Complex (Select one of the following QRS Complex finding:)
text
C0429097 (NCI Metathesaurus ObjectClass)
C3367 (NCI Thesaurus Property)
C0037088 (UMLS 2011AA Property)
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C0205161 (UMLS 2011AA ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C1704701 (UMLS 2011AA ValueDomain)
Code List
QRS Complex (Select one of the following QRS Complex finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
Item
ST Segment (Select one of the following ST Segment finding:)
text
C0520887 (NCI Metathesaurus ObjectClass)
C3367 (NCI Thesaurus Property)
C0037088 (UMLS 2011AA Property)
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C0205161 (UMLS 2011AA ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C1704701 (UMLS 2011AA ValueDomain)
Code List
ST Segment (Select one of the following ST Segment finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
CommentChangeFromBaselineText
Item
Comments (Enter comments applicable to the ECG.)
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25213 (NCI Thesaurus ObjectClass)
C1442488 (UMLS 2011AA ObjectClass)
C25446 (NCI Thesaurus ObjectClass)
C0392747 (UMLS 2011AA ObjectClass)
C0947611 (NCI Metathesaurus Property)