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Unscheduled Visit ECG: 12 Lead ECG [EG 1] NCT01117584

1 forms  
General Information
Description

General Information

Date ECG Performed
Description

Date ECG Performed

Data type

date

Time ECG performed
Description

Time ECG performed

Data type

time

ECG Interpretation
Description

If ECG Interpretation is Abnormal NCS or Abnormal CS, please select the appropriate abnormality code(s). Abnormal values that are clinically significant must be handled as an adverse event.

Data type

integer

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Unscheduled Visit ECG: 12 Lead ECG [EG 1] NCT01117584

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information
Date ECG Performed
Item
Date ECG Performed
date
Time ECG performed
Item
Time ECG performed
time
Item
ECG Interpretation
integer
ECG Interpretation
Code List
ECG Interpretation
CL Item
Normal  (0 )
CL Item
Abnormal - not clinically significant  (1 )
CL Item
Abnormal - clinically significant (2 )
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