DATE
Item
Date:
date
C0011008 (UMLS CUI-1)
Item
Position:
text
C0733755 (UMLS CUI-1)
BLOOD PRESSURE SYSTOLIC
Item
Systolic blood pressure (in mm Hg):
integer
C0871470 (UMLS CUI [1])
BLOOD PRESSURE DIASTOLIC
Item
Diastolic blood pressure (in mm Hg):
integer
C0428883 (UMLS CUI [1])
HEART RATE
Item
Heart rate (bpm):
integer
C0018810 (UMLS CUI [1])
DATE
Item
Date of measurement:
date
C0011008 (UMLS CUI-1)
Height
Item
Height:
float
C0005890 (UMLS CUI-1)
Weight
Item
Weight:
float
C0005910 (UMLS CUI-1)
PERFORMANCE STATUS (ECOG)
Item
Performance status (ECOG):
text
PREGNANCY TEST
Item
Was a pregnancy test performed?
boolean
C0032976 (UMLS CUI-1)
Item
If "No", specify reason:
text
C0392360 (UMLS CUI-1)
Code List
If "No", specify reason:
CL Item
Post- Menopausal (1)
CL Item
Surgically sterile (2)
CL Item
Pre- Menarche (4)
Item
If "Yes", specify test:
text
C0032976 (UMLS CUI-1)
Code List
If "Yes", specify test:
Item
Test result:
text
C0087111 (UMLS CUI-1)
C0884358 (UMLS CUI-2)
C0032961 (UMLS CUI-3)
C0332281 (UMLS CUI-4)
C0449438 (UMLS CUI-5)
DATE
Item
Date of test:
date
C0011008 (UMLS CUI-1)
DATE
Item
Date of examination:
date
C0011008 (UMLS CUI-1)
Item
General appearance:
text
C1148438 (UMLS CUI-1)
Code List
General appearance:
Item
Head, eyes, ears, nose, throat:
text
C0030705 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
C0449438 (UMLS CUI-3)
Code List
Head, eyes, ears, nose, throat:
Item
Neck:
text
C0027530 (UMLS CUI-1)
Item
Cardiovascular:
text
C0007226 (UMLS CUI-1)
Code List
Cardiovascular:
Item
Lungs:
text
C0030705 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
C0024109 (UMLS CUI-3)
C0449438 (UMLS CUI-4)
Item
Abdomen:
text
C0000726 (UMLS CUI-1)
Item
Lymph nodes:
text
C0024204 (UMLS CUI-1)
Item
Genitourinary:
text
C0030705 (UMLS CUI-1)
C0031809 (UMLS CUI-2)
C2709259 (UMLS CUI-3)
C0449438 (UMLS CUI-4)
Item
Extremities:
text
C0015385 (UMLS CUI-1)
Item
Neurological:
text
C0027763 (UMLS CUI-1)
Item
Skin:
text
C1123023 (UMLS CUI-1)
Item
Musculoskeletal:
text
C0026860 (UMLS CUI-1)
Code List
Musculoskeletal:
Item
Others:
text
C0205394 (UMLS CUI-1)
Specification
Item
For systems with "Abnormal" as result, please specify:
text
C2348235 (UMLS CUI-1)
DATE AND TIME
Item
Date and time of ECG:
datetime
C0011008 (UMLS CUI-1)
HEART RATE
Item
Heart rate (bpm):
integer
C0018810 (UMLS CUI [1])
QRS WIDTH
Item
QRS width (sec):
float
C0520880 (UMLS CUI [1])
QTc
Item
Bazett's QTc (msec):
float
C0489625 (UMLS CUI [1])
PR INTERVAL
Item
PR interval (sec):
float
C0429087 (UMLS CUI [1])
QTc
Item
Fridericia's QTc (msec):
float
C0489625 (UMLS CUI [1])
QT INTERVAL
Item
QT Interval (sec):
float
C0429028 (UMLS CUI [1])
Item
Interpretation of ECG tracing:
text
C1623258 (UMLS CUI-1)
C0459471 (UMLS CUI-2)
Code List
Interpretation of ECG tracing:
Item
Any Hypertrophy, when ECG interpretation abnormal?
text
C1383860 (UMLS CUI-1)
Code List
Any Hypertrophy, when ECG interpretation abnormal?
CL Item
Left atrial hypertrophy (1)
CL Item
Right atrial hypertrophy (2)
CL Item
Left ventricular hypertrophy (3)
CL Item
Right ventricular hypertrophy (4)
Item
If ECG interpretation abnormal, any infarction?
text
Code List
If ECG interpretation abnormal, any infarction?
CL Item
Subacute (recent) (2)
Item
If ECG interpretation abnormal, any ST/ T Morphology?
text
Code List
If ECG interpretation abnormal, any ST/ T Morphology?
CL Item
Myocardial ischemia (1)
CL Item
Digitalis effect (2)
CL Item
Symmetrical T-wave inversions (3)
CL Item
Other non-specific ST/ T (4)
Item
If ECG interpretation abnormal, any rhythm abnormalities?
text
Code List
If ECG interpretation abnormal, any rhythm abnormalities?
CL Item
Sinus tachycardia (1)
CL Item
Sinus bradycardia (2)
CL Item
Supraventricular premature beat (3)
CL Item
Supraventricular tachycardia (4)
CL Item
Atrial fibrillation (5)
CL Item
Atrial flutter (6)
CL Item
Ventricular premature beat (7)
CL Item
Ventricular tachycardia (8)
CL Item
Ventricular fibrillation (9)
CL Item
Torsade de pointes (10)
CL Item
Other rhythm abnormalities (11)
CL Item
Pacemaker rhythm (12)
Item
If ECG interpretation abnormal, any conduction abnormalities?
text
Code List
If ECG interpretation abnormal, any conduction abnormalities?
CL Item
Other intraventricular conduction defect (6)
CL Item
Pre-excitation syndrom (7)
Item
Other abnormalities:
text
C0205394 (UMLS CUI-1)
Code List
Other abnormalities:
CL Item
Left axis deviation (1)