Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Date of birth (subject)
Item
Date of birth (subject)
date
C0421451 (UMLS CUI [1])
Examiner ID
Item
Examiner ID
text
Date of investigation
Item
Date of investigation
date
Beginning of ECG investigation
Item
Beginning of ECG investigation
time
Item
1. Has an ECG ever been performed on you before?
text
Code List
1. Has an ECG ever been performed on you before?
CL Item
I don't know (I don't know)
Item
1 a) If yes, how long ago is your last ECG investigation?
text
Code List
1 a) If yes, how long ago is your last ECG investigation?
CL Item
< 4 weeks (< 4 weeks)
CL Item
2-12 months (2-12 months)
CL Item
> 1 year (> 1 year)
CL Item
I don't know (I don't know)
Item
1 b) If yes, has your ECG always been normal?
text
Code List
1 b) If yes, has your ECG always been normal?
CL Item
I don't know (I don't know)
Item
2. Have you ever been diagnosed with a cardiac defect (currently, formerly, or during infancy)?
text
Code List
2. Have you ever been diagnosed with a cardiac defect (currently, formerly, or during infancy)?
CL Item
I don't know (I don't know)
Item
3. Are you on medication because of a cardiovascular disease?
text
Code List
3. Are you on medication because of a cardiovascular disease?
CL Item
I don't know (I don't know)
Item
4. Have you ever been diagnosed with a heart attack?
text
Code List
4. Have you ever been diagnosed with a heart attack?
CL Item
I don't know (I don't know)
Item
5. Have you been diagnosed with a cardiac valvular defect?
text
Code List
5. Have you been diagnosed with a cardiac valvular defect?
CL Item
I don't know (I don't know)
Item
6. Did you ever have a cardiac catherization?
text
Code List
6. Did you ever have a cardiac catherization?
CL Item
I don't know (I don't know)
Item
7. Have you ever been diagnosed with cardiac arrythmia?
text
Code List
7. Have you ever been diagnosed with cardiac arrythmia?
CL Item
I don't know (I don't know)
Item
8. Did you ever have heart surgery?
text
Code List
8. Did you ever have heart surgery?
CL Item
I don't know (I don't know)
Item
9. Do you/Did you ever suffer from pulmonary disease?
text
Code List
9. Do you/Did you ever suffer from pulmonary disease?
CL Item
I don't know (I don't know)
Item
10. Do you/Did you ever suffer from a disease of the liver?
text
Code List
10. Do you/Did you ever suffer from a disease of the liver?
CL Item
I don't know (I don't know)
Item
11. Do you/Did you ever suffer from a stroke (apoplectic insult)?
text
Code List
11. Do you/Did you ever suffer from a stroke (apoplectic insult)?
CL Item
I don't know (I don't know)
Item
12. Do you/Did you ever suffer from an angiopathy (e. g. of the leg arteries, the carotid artery)?
text
Code List
12. Do you/Did you ever suffer from an angiopathy (e. g. of the leg arteries, the carotid artery)?
CL Item
I don't know (I don't know)
Item
Has thorax angle been used?
text
Code List
Has thorax angle been used?
CL Item
Missing (Missing)
CL Item
Shifted position (Shifted position)
Item
10 seconds 12 channel ECG 50 mm/sec
text
Code List
10 seconds 12 channel ECG 50 mm/sec
CL Item
Saved on computer (Saved on computer)
CL Item
Both missing (Both missing)
Item
If ECG data are missing, please specify reason
integer
Code List
If ECG data are missing, please specify reason
CL Item
Malfunction ECG recorder (1)
CL Item
Laptop defect (2)
CL Item
Vacuum pump defect (3)
CL Item
Subject refuses ECG (4)
CL Item
Other (see Comments/Special incidents) (5)
Item
20 minutes 12 channel resting ECG
text
Code List
20 minutes 12 channel resting ECG
CL Item
Computer O.K. (Computer O.K.)
CL Item
With deficiencies (With deficiencies)
CL Item
Missing (Missing)
Item
If resting ECG data are missing, please specify reason
integer
Code List
If resting ECG data are missing, please specify reason
CL Item
Malfunction ECG recorder (1)
CL Item
Laptop defect (2)
CL Item
Vacuum pump defect (3)
CL Item
Subject refuses ECG (4)
CL Item
Other (see Comments/Special incidents) (5)
ECG with metronome-controlled breathing
Item
With metronome-controlled breathing
boolean
Comments/Special incidents
Item
Comments/Special incidents
text
End of ECG investigation
Item
End of ECG investigation
time
Quality
Item
Quality
text
Supraventricular extrasystole
Item
N-SVES
text
Ventricular extrasystole
Item
N-VES
text
Comments
Item
Comments
text
Analyzability
Item
Analyzability of ECG
integer