Inglés

12-Lead ECG Form

1 formularios  
  1. StudyEvent: ODM
    1. 12-Lead ECG Form
Administrative Data
Descripción

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Screening number
Descripción

Subject Screening No.

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0220908
UMLS CUI [1,2]
C0600091
Subject no.
Descripción

Subject Number

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348585
12-Lead Electrocardiogram
Descripción

12-Lead Electrocardiogram

Alias
UMLS CUI-1
C0430456
Study Day
Descripción

Study Day

Tipo de datos

integer

Alias
UMLS CUI [1]
C2826182
Protocol Time
Descripción

Protocol Time

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C2348563
Date
Descripción

Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008
Actual Time
Descripción

Actual Time

Tipo de datos

time

Alias
UMLS CUI [1]
C0040223
RR Value
Descripción

RR Value

Tipo de datos

integer

Unidades de medida
  • msec
Alias
UMLS CUI [1]
C0489636
msec
Result of ECG
Descripción

Result of ECG

Tipo de datos

text

Alias
UMLS CUI [1]
C0438154
Comments Indicator
Descripción

Comments Indicator

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C1522602
Comments
Descripción

Comments

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Clinical Staff Initials
Descripción

Clinical Staff Initials

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2986440
UMLS CUI [1,2]
C1552089
Pre-dose mean
Descripción

Pre-dose mean

Alias
UMLS CUI-1
C0518766
UMLS CUI-2
C0439565
RR Value
Descripción

RR Value

Tipo de datos

integer

Unidades de medida
  • msec
Alias
UMLS CUI [1]
C0489636
msec
Comments Indicator
Descripción

Comments Indicator

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C1522602
Comments
Descripción

Comments

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Clinical Staff Initials
Descripción

Clinical Staff Initials

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2986440
UMLS CUI [1,2]
C1552089
Conclusion
Descripción

Conclusion

Alias
UMLS CUI-1
C1707478
Staff initials
Descripción

Staff initials

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2986440
UMLS CUI [1,2]
C1552089
Date
Descripción

Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008
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Similar models

12-Lead ECG Form

1 formularios
  1. StudyEvent: ODM
    1. 12-Lead ECG Form
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject Screening No.
Item
Subject Screening number
integer
C0220908 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject Number
Item
Subject no.
integer
C2348585 (UMLS CUI [1])
Item Group
12-Lead Electrocardiogram
C0430456 (UMLS CUI-1)
Item
Study Day
integer
C2826182 (UMLS CUI [1])
Study Day
Code List
Study Day
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
Item
Protocol Time
text
C0040223 (UMLS CUI [1,1])
C2348563 (UMLS CUI [1,2])
Protocol Time
Code List
Protocol Time
CL Item
Pre dose (Pre dose)
CL Item
Pre-dose mean (Pre-dose mean)
CL Item
24h00 post dose (24h00 post dose)
CL Item
48h00 post dose (48h00 post dose)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Actual Time
Item
Actual Time
time
C0040223 (UMLS CUI [1])
RR Value
Item
RR Value
integer
C0489636 (UMLS CUI [1])
Item
Result of ECG
text
C0438154 (UMLS CUI [1])
Result of ECG
Code List
Result of ECG
CL Item
Normal (Normal)
CL Item
Abnormal - NCS (Abnormal - NCS)
CL Item
Abnormal - CS (Abnormal - CS)
CL Item
No Result (not available) (No Result (not available))
Item
Comments Indicator
integer
C0947611 (UMLS CUI [1,1])
C1522602 (UMLS CUI [1,2])
Comments Indicator
Code List
Comments Indicator
CL Item
Not done due to adverse event (describe) (1)
CL Item
Late due to late running of previous assessment (2)
CL Item
Subject not in attendance (confirm time delay) (3)
CL Item
Late due to technical problems (confirm time delay) (4)
CL Item
Other (describe) (5)
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Clinical Staff Initials
Item
Clinical Staff Initials
text
C2986440 (UMLS CUI [1,1])
C1552089 (UMLS CUI [1,2])
Item Group
Pre-dose mean
C0518766 (UMLS CUI-1)
C0439565 (UMLS CUI-2)
RR Value
Item
RR Value
integer
C0489636 (UMLS CUI [1])
Item
Comments Indicator
integer
C0947611 (UMLS CUI [1,1])
C1522602 (UMLS CUI [1,2])
Comments Indicator
Code List
Comments Indicator
CL Item
Not done due to adverse event (describe) (1)
CL Item
Late due to late running of previous assessment (2)
CL Item
Subject not in attendance (confirm time delay) (3)
CL Item
Late due to technical problems (confirm time delay) (4)
CL Item
Other (describe) (5)
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Clinical Staff Initials
Item
Clinical Staff Initials
text
C2986440 (UMLS CUI [1,1])
C1552089 (UMLS CUI [1,2])
Item Group
Conclusion
C1707478 (UMLS CUI-1)
Staff initials
Item
Staff initials
text
C2986440 (UMLS CUI [1,1])
C1552089 (UMLS CUI [1,2])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
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