ID

9698

Beschrijving

The patient's ECG. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACFB66E7-BCB1-6D16-E040-BB89AD4363C3

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACFB66E7-BCB1-6D16-E040-BB89AD4363C3

Trefwoorden

Versies (2)
  1. 27-08-12 27-08-12 -
  2. 16-01-15 16-01-15 - Martin Dugas
Geüploaded op

16 januari 2015

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0 Legacy
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Diagnostic ECG

Engels

No Instruction available.

1 Formulieren  
  1. StudyEvent: Diagnostic ECG
    1. No Instruction available.
Diagnostic ECG
Beschrijving

Diagnostic ECG

Alias
UMLS CUI-1
C1623258
Visit Date
Beschrijving

FormCompletionDate

Datatype

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C40988
NCI Thesaurus Property
C25250
UMLS CUI-1
C1549507
Course #
Beschrijving

CourseNumber

Datatype

integer

Alias
NCI Thesaurus Property
C25337
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C25379
UMLS CUI-1
C0750729
Day in Course (Cycle)
Beschrijving

CourseDayNumber

Datatype

integer

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C25301
NCI Thesaurus ObjectClass
C25379
UMLS CUI-1
C0439228
Date of Examination (Enter the date the ECG was performed.)
Beschrijving

EvaluationDate

Datatype

date

Alias
NCI Thesaurus Property
C25164
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C25214
UMLS CUI-1
C2985720
Time (Enter the time the ECG was performed.)
Beschrijving

ProcedureTime

Datatype

time

Alias
NCI Thesaurus ObjectClass
C25218
NCI Thesaurus ValueDomain
C25207
NCI Thesaurus ObjectClass
C71104
NCI Thesaurus Property
C42614
UMLS CUI-1
C2598109
QRSD Interval (Enter the QRS duration QRSD interval in milliseconds.)
Beschrijving

QRSDIntervalTimeinMilliseconds

Datatype

text

Maateenheden
  • ms
Alias
NCI Thesaurus ObjectClass
C38053
NCI Thesaurus Property
C25543
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ValueDomain
C25207
NCI Thesaurus ValueDomain
C41140
UMLS CUI-1
C0429025
ms
QT Interval (Enter the QT interval in milliseconds.)
Beschrijving

QTIntervalTimeinMilliseconds

Datatype

float

Maateenheden
  • ms
Alias
NCI Thesaurus ObjectClass
C38053
NCI Thesaurus Property
C20200
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ValueDomain
C25207
NCI Thesaurus ValueDomain
C41140
UMLS CUI-1
C0429028
ms
QTC (corrected) Interval (Enter the QTC interval in milliseconds.)
Beschrijving

QTC(Corrected)IntervalResult

Datatype

float

Maateenheden
  • ms
Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C20200
NCI Thesaurus ObjectClass
C38053
UMLS CUI-1
C0489625
ms
PR Interval (Enter the PR interval in milliseconds.)
Beschrijving

PRIntervalTimeinMilliseconds

Datatype

float

Maateenheden
  • ms
Alias
NCI Metathesaurus ObjectClass
C0013798
NCI Thesaurus Property
C25543
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ValueDomain
C25207
NCI Thesaurus ValueDomain
C41140
UMLS CUI-1
C0429087
ms
ECG Impression (Select one of the following summary finding:)
Beschrijving

ElectrocardiogramNormalAbnormalCode

Datatype

text

Alias
NCI Thesaurus ObjectClass
C38053
NCI Thesaurus Property
C3367
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ValueDomain
C25401
NCI Thesaurus ValueDomain
C48554
UMLS CUI-1
C1623258
Rate (Enter the patients pulse rate.)
Beschrijving

PulseRateMeasurementValue

Datatype

integer

Alias
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus ObjectClass
C25749
NCI Thesaurus Property
C25636
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ValueDomain
C25749
UMLS CUI-1
C0232117
Rhythm (Select one of the following rhythm finding:)
Beschrijving

ElectrocardiographyResultNormalAbnormalCode

Datatype

text

Alias
NCI Thesaurus ObjectClass
C38053
NCI Thesaurus Property
C20200
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ValueDomain
C25401
NCI Thesaurus ValueDomain
C48554
UMLS CUI-1
C0199571
Arrhythmia type (Select the patients arrhythmia type.)
Beschrijving

ElectrocardiographicFindingArrhythmiaType

Datatype

text

Alias
NCI Thesaurus ObjectClass
C38053
NCI Thesaurus Property
C3367
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ValueDomain
C2881
NCI Thesaurus ValueDomain
C41328
UMLS CUI-1
C0003811
P Wave (Select one of the following P Wave finding:)
Beschrijving

PWaveFindingNormalAbnormalCode

Datatype

text

Alias
NCI Metathesaurus ObjectClass
C0429084
NCI Thesaurus Property
C3367
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ValueDomain
C25401
NCI Thesaurus ValueDomain
C48554
UMLS CUI-1
C0429084
QRS Complex (Select one of the following QRS Complex finding:)
Beschrijving

QRSComplexFindingNormalAbnormalCode

Datatype

text

Alias
NCI Metathesaurus ObjectClass
C0429097
NCI Thesaurus Property
C3367
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ValueDomain
C25401
NCI Thesaurus ValueDomain
C48554
UMLS CUI-1
C1287080
ST Segment (Select one of the following ST Segment finding:)
Beschrijving

STSegmentFindingNormalAbnormalCode

Datatype

text

Alias
NCI Metathesaurus ObjectClass
C0520887
NCI Thesaurus Property
C3367
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ValueDomain
C25401
NCI Thesaurus ValueDomain
C48554
UMLS CUI-1
C0429029
Comments (Enter comments applicable to the ECG.)
Beschrijving

CommentChangeFromBaselineText

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C25213
NCI Thesaurus ObjectClass
C25446
NCI Metathesaurus Property
C0947611
UMLS CUI-1
C0947611
Terug naar het begin van de pagina

Similar models

No Instruction available.

1 Formulieren
  1. StudyEvent: Diagnostic ECG
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Diagnostic ECG
C1623258 (UMLS CUI-1)
Form completion date
Item
Visit Date
date
C25164 (NCI Thesaurus ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C1549507 (UMLS CUI-1)
Course
Item
Course #
integer
C25337 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS CUI-1)
Day in Course
Item
Day in Course (Cycle)
integer
C25337 (NCI Thesaurus ValueDomain)
C25301 (NCI Thesaurus Property)
C25379 (NCI Thesaurus ObjectClass)
C0439228 (UMLS CUI-1)
Evaluation Date
Item
Date of Examination (Enter the date the ECG was performed.)
date
C25164 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus ObjectClass)
C2985720 (UMLS CUI-1)
Procedure Time
Item
Time (Enter the time the ECG was performed.)
time
C25218 (NCI Thesaurus ObjectClass)
C25207 (NCI Thesaurus ValueDomain)
C71104 (NCI Thesaurus ObjectClass)
C42614 (NCI Thesaurus Property)
C2598109 (UMLS CUI-1)
QRS duration
Item
QRSD Interval (Enter the QRS duration QRSD interval in milliseconds.)
text
C38053 (NCI Thesaurus ObjectClass)
C25543 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25207 (NCI Thesaurus ValueDomain)
C41140 (NCI Thesaurus ValueDomain)
C0429025 (UMLS CUI-1)
QT Interval
Item
QT Interval (Enter the QT interval in milliseconds.)
float
C38053 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25207 (NCI Thesaurus ValueDomain)
C41140 (NCI Thesaurus ValueDomain)
C0429028 (UMLS CUI-1)
QTc
Item
QTC (corrected) Interval (Enter the QTC interval in milliseconds.)
float
C25337 (NCI Thesaurus ValueDomain)
C20200 (NCI Thesaurus Property)
C38053 (NCI Thesaurus ObjectClass)
C0489625 (UMLS CUI-1)
PR Interval
Item
PR Interval (Enter the PR interval in milliseconds.)
float
C0013798 (NCI Metathesaurus ObjectClass)
C25543 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25207 (NCI Thesaurus ValueDomain)
C41140 (NCI Thesaurus ValueDomain)
C0429087 (UMLS CUI-1)
Item
ECG Impression (Select one of the following summary finding:)
text
C38053 (NCI Thesaurus ObjectClass)
C3367 (NCI Thesaurus Property)
C25162 (NCI Thesaurus ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C1623258 (UMLS CUI-1)
CL.1
Code List
ECG Impression (Select one of the following summary finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Borderline (B)
C14157 (NCI Thesaurus)
C0205189 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
Pulse Rate
Item
Rate (Enter the patients pulse rate.)
integer
C25190 (NCI Thesaurus ObjectClass)
C25749 (NCI Thesaurus ObjectClass)
C25636 (NCI Thesaurus Property)
C25209 (NCI Thesaurus ValueDomain)
C25749 (NCI Thesaurus ValueDomain)
C0232117 (UMLS CUI-1)
Item
Rhythm (Select one of the following rhythm finding:)
text
C38053 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C25162 (NCI Thesaurus ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C0199571 (UMLS CUI-1)
CL.2
Code List
Rhythm (Select one of the following rhythm finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
Item
Arrhythmia type (Select the patients arrhythmia type.)
text
C38053 (NCI Thesaurus ObjectClass)
C3367 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C2881 (NCI Thesaurus ValueDomain)
C41328 (NCI Thesaurus ValueDomain)
C0003811 (UMLS CUI-1)
CL.3
Code List
Arrhythmia type (Select the patients arrhythmia type.)
CL Item
Asystole (Asystole)
CL Item
Atrial Fibrillation (Atrial fibrillation)
C50466 (NCI Thesaurus)
C0004238 (UMLS 2011AA)
CL Item
Atrial Flutter (Atrial flutter)
C51224 (NCI Thesaurus)
C0004239 (UMLS 2011AA)
CL Item
Atrial Tachycardia/paroxysmal Atrial Tachycardia (pat) (Atrial tachycardia/Paroxysmal Atrial Tachycardia (PAT))
CL Item
Atrioventricular Block: First Degree Block (AV block: First degree block)
CL Item
Atrioventricular Block: Second Degree Motitz Type I (wenckebach) (AV block: Second degree Motitz Type I (Wenckebach))
CL Item
Atrioventricular Block: Second Degree Motitz Type II (AV block: Second degree Motitz Type II)
CL Item
Atrioventricular Block: Third Degree (complete Av Bloc (AV block: Third degree (Complete AV block))
CL Item
Bigeminy (Bigeminy)
CL Item
Bundle Branch Block (Bundle branch block)
CL Item
Conduction Abnormality, Not Otherwise Specified (Conduction abnormality NOS)
CL Item
Idioventricular Rhythm (Idioventricular rhythm)
CL Item
Nodal/junctional Arrhythmia (Nodal/Junctional arrhythmia)
CL Item
Sinus Rhythm (Normal Sinus rhythm)
CL Item
Paced Rhythm (Paced Rhythm)
CL Item
Premature Ventricular Contractions (pvcs) (Premature ventricular contractions (PVCs))
CL Item
Prolonged Qtc Interval (Prolonged QTc interval)
CL Item
Sick Sinus Syndrome (Sick Sinus Syndrome)
C62244 (NCI Thesaurus)
C0037052 (UMLS 2011AA)
CL Item
Sinus Bradycardia (Sinus bradycardia)
C26923 (NCI Thesaurus)
C0085610 (UMLS 2011AA)
CL Item
Sinus Tachycardia (Sinus tachycardia)
C26889 (NCI Thesaurus)
C0039239 (UMLS 2011AA)
CL Item
Stokes-adams Syndrome (Stokes-Adams Syndrome)
CL Item
Supraventricular Arrhythmia, Not Otherwise Specified (Supraventricular arrhythmia NOS)
CL Item
Supraventricular Extrasystoles (Supraventricular extrasystoles)
CL Item
Supraventricular Tachycardia (svt) (Supraventricular tachycardia (SVT))
CL Item
Torsade De Pointes (Torsade de pointes)
CL Item
Trigeminy (Trigeminy)
CL Item
Ventricular Arrhythmia, Not Otherwise Specified (Ventricular arrhythmia NOS)
CL Item
Ventricular Fibrillation (Ventricular fibrillation)
C0042510 (NCI Metathesaurus)
CL Item
Ventricular Flutter (Ventricular flutter)
CL Item
Ventricular Tachycardia (Ventricular tachycardia)
CL Item
Wolff-parkinson-white Syndrome (Wolff-Parkinson-White Syndrome)
C35132 (NCI Thesaurus)
C0043202 (UMLS 2011AA)
Item
P Wave (Select one of the following P Wave finding:)
text
C0429084 (NCI Metathesaurus ObjectClass)
C3367 (NCI Thesaurus Property)
C25162 (NCI Thesaurus ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C0429084 (UMLS CUI-1)
CL.4
Code List
P Wave (Select one of the following P Wave finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
Item
QRS Complex (Select one of the following QRS Complex finding:)
text
C0429097 (NCI Metathesaurus ObjectClass)
C3367 (NCI Thesaurus Property)
C25162 (NCI Thesaurus ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C1287080 (UMLS CUI-1)
CL.5
Code List
QRS Complex (Select one of the following QRS Complex finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
Item
ST Segment (Select one of the following ST Segment finding:)
text
C0520887 (NCI Metathesaurus ObjectClass)
C3367 (NCI Thesaurus Property)
C25162 (NCI Thesaurus ValueDomain)
C25401 (NCI Thesaurus ValueDomain)
C48554 (NCI Thesaurus ValueDomain)
C0429029 (UMLS CUI-1)
CL.6
Code List
ST Segment (Select one of the following ST Segment finding:)
CL Item
Abnormal (A)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Normal (N)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
Comments
Item
Comments (Enter comments applicable to the ECG.)
text
C25704 (NCI Thesaurus ValueDomain)
C25213 (NCI Thesaurus ObjectClass)
C25446 (NCI Thesaurus ObjectClass)
C0947611 (NCI Metathesaurus Property)
C0947611 (UMLS CUI-1)
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial