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12-lead ECG Repeating Form

1 forms  
12-lead ECG
Description

12-lead ECG

Alias
UMLS CUI-1
C0430456
Date and time of ECG
Description

Date and time of ECG

Data type

datetime

Alias
UMLS CUI [1]
C2826846
Heart Rate
Description

Heart Rate

Data type

integer

Measurement units
  • beats/min
Alias
UMLS CUI [1]
C0018810
beats/min
PR Interval
Description

PR Interval

Data type

float

Measurement units
  • msec
Alias
UMLS CUI [1]
C0429087
msec
RR Interval
Description

RR Interval

Data type

float

Measurement units
  • msec
Alias
UMLS CUI [1]
C0429087
msec
QRS Axis
Description

QRS Axis

Data type

integer

Measurement units
  • degrees
Alias
UMLS CUI [1]
C0429012
degrees
QRS Duration
Description

QRS Duration

Data type

float

Measurement units
  • msec
Alias
UMLS CUI [1]
C0429025
msec
Uncorrected QT Interval
Description

Uncorrected QT Interval

Data type

float

Measurement units
  • msec
Alias
UMLS CUI [1]
C1287082
msec
QTcB Interval
Description

QTcB Interval

Data type

float

Measurement units
  • msec
Alias
UMLS CUI [1]
C0855331
msec
Result of the ECG
Description

If answer is "abnormal": complete the ECG abnormality form for all clinically significant abnormalities, and additionally complete the AE form if the abnormality meets the protocol definition for an AE

Data type

integer

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Similar models

12-lead ECG Repeating Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
12-lead ECG
C0430456 (UMLS CUI-1)
Date and time of ECG
Item
Date and time of ECG
datetime
C2826846 (UMLS CUI [1])
Heart Rate
Item
Heart Rate
integer
C0018810 (UMLS CUI [1])
PR Interval
Item
PR Interval
float
C0429087 (UMLS CUI [1])
RR Interval
Item
RR Interval
float
C0429087 (UMLS CUI [1])
QRS Axis
Item
QRS Axis
integer
C0429012 (UMLS CUI [1])
QRS Duration
Item
QRS Duration
float
C0429025 (UMLS CUI [1])
Uncorrected QT Interval
Item
Uncorrected QT Interval
float
C1287082 (UMLS CUI [1])
QTcB Interval
Item
QTcB Interval
float
C0855331 (UMLS CUI [1])
Item
Result of the ECG
integer
ECG results
Code List
Result of the ECG
CL Item
Normal (1)
C0522054 (UMLS CUI-1)
(Comment:en)
CL Item
Abnormal - not clinically significant (2)
C0522055 (UMLS CUI-1)
C2826632 (UMLS CUI-2)
(Comment:en)
CL Item
Abnormal - clinically significant (3)
C0522055 (UMLS CUI-1)
C2826632 (UMLS CUI-2)
(Comment:en)
CL Item
No result (not available) (4)
C1706613 (UMLS CUI-1)
(Comment:en)
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