CDE Detailed Report

Disease: Stroke
Sub-Domain: Non-Imaging Diagnostics
CRF: Electrocardiogram (ECG)

Displaying 1 - 19 of 19
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C04502 ECG global result type ECGGlobalResltTyp Result in qualitative terms of the electrocardiogram (EKG) being reported Result in qualitative terms of the electrocardiogram (EKG) being reported ECG results Normal;Abnormal - Not clinically significant;Abnormal - Clinically significant;Non-specific STT changes;Borderline;Unable to evaluate Normal;Abnormal - Not clinically significant;Abnormal - Clinically significant;Non-specific STT changes;Borderline;Unable to evaluate Alphanumeric

Choose the response that best describes the overall ECG results.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

2535631
C04513 ECG ST segment abnormality status ECGSTSegmntAbnrmlyStat Status of an abnormal interval between the end of the QRS complex and the beginning of the T wave (ST segment) appears abnormal on the electrocardiogram (EKG) being reported Status of an abnormal interval between the end of the QRS complex and the beginning of the T wave (ST segment) appears abnormal on the electrocardiogram (EKG) being reported ST segment abnormality Absent;Present;Unknown Absent;Present;Unknown Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

3189768
C04503 ECG heart rate ECGHeartRate Rate in beats per minute of ventricular contractions recorded in the electrocardiogram (EKG) being reported. Also called Heart Rate (HR). Rate in beats per minute of ventricular contractions recorded in the electrocardiogram (EKG) being reported. Also called Heart Rate (HR). Ventricular rate/Heart rate Numeric Values

Record the ventricular rate/ heart rate in beats per minute.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 300 beats per minute 3152840
C04514 ECG T wave abnormality indicator ECGTWavAbnrmlyInd Indicator whether the T wave appears abnormal on the electrocardiogram (EKG) being reported Indicator whether the T wave appears abnormal on the electrocardiogram (EKG) being reported T waves abnormality Absent;Present;Peaked Absent;Present;Peaked Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

3189773
C04504 ECG heart rhythm result type ECGHeartRhythmResltTyp Type of heart rhythm apparent on the electrocardiogram (EKG) being reported Type of heart rhythm apparent on the electrocardiogram (EKG) being reported Heart rhythm Normal sinus rhythm;Sinus tachycardia;Sinus bradycardia;Supraventricular tachycardia;Other, specify Normal sinus rhythm;Sinus tachycardia;Sinus bradycardia;Supraventricular tachycardia;Other, specify Alphanumeric

Choose all that apply. If 'Normal sinus rhythm' is chosen no other values can be chosen.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

3189214
C04515 ECG ventricular arrhythmia type ECGVentricArrhythmiaTyp Type of ventricular arrythmia, if any, apparent on the electrocardiogram (EKG) being reported Type of ventricular arrhythmia, if any, apparent on the electrocardiogram (EKG) being reported Ventricular arrhythmia, specify type Premature ventricular contractions;Ventricular tachycardia;Ventricular fibrillation;Other, specify Premature ventricular contractions;Ventricular tachycardia;Ventricular fibrillation;Other, specify Alphanumeric

Choose all that apply.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

3189701
C04505 ECG left ventricular hypertrophy status ECGLtVentriclrHyprtrophyStat Status of left ventricular hypertrophy on the electrocardiogram (EKG) being reported Status of left ventricular hypertrophy on the electrocardiogram (EKG) being reported Left ventricular hypertrophy Absent;Present;Unknown Absent;Present;Unknown Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

3189853
C18776 ECG atrial arrhythmia other text ECGAtrialArrhythmiaOTH The free-text field related to 'ECG atrial arrhythmia type' specifying other text. Type of atrial arrhythmia, if any, apparent on the electrocardiogram (EKG) being reported The free-text field related to 'ECG atrial arrhythmia type' specifying other text. Type of atrial arrhythmia, if any, apparent on the electrocardiogram (EKG) being reported Other, specify Alphanumeric

Choose all that apply.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

3189694
C04506 ECG right ventricular hypertrophy status ECGRtVentriclrHyprtrophyStat Status of right ventricular hypertrophy on the electrocardiogram (EKG) being reported Status of right ventricular hypertrophy on the electrocardiogram (EKG) being reported Right ventricular hypertrophy Absent;Present;Unknown Absent;Present;Unknown Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

3189777
C18777 ECG heart rhythm result other text ECGHeartRhythmResltOTH The free-text field related to 'ECG heart rhythm result type' specifying other text. Type of heart rhythm apparent on the electrocardiogram (EKG) being reported The free-text field related to 'ECG heart rhythm result type' specifying other text. Type of heart rhythm apparent on the electrocardiogram (EKG) being reported Other, specify Alphanumeric

Choose all that apply. If 'Normal sinus rhythm' is chosen no other values can be chosen.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

3189214
C04507 ECG complete bundle branch block status ECGCompBundleBrnchBlkStat Status of complete bundle branch block on the electrocardiogram (EKG) being reported Status of complete bundle branch block on the electrocardiogram (EKG) being reported Patterns of complete bundle branch block Absent;Present;Unknown Absent;Present;Unknown Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

3189937
C18778 ECG ventricular arrhythmia other text ECGVentricArrhythmiaOTH The free-text field related to 'ECG ventricular arrhythmia type' specifying other text. Type of ventricular arrythmia, if any, apparent on the electrocardiogram (EKG) being reported The free-text field related to 'ECG ventricular arrhythmia type' specifying other text. Type of ventricular arrythmia, if any, apparent on the electrocardiogram (EKG) being reported Other, specify Alphanumeric

Choose all that apply.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

3189701
C04508 ECG previous myocardial infarction status ECGPrevMyocardInfarctStat Status of patterns of previous myocardial infarction apparent on the electrocardiogram (EKG) being reported Status of patterns of previous myocardial infarction apparent on the electrocardiogram (EKG) being reported Patterns of previous myocardial infarction Absent;Present;Unknown Absent;Present;Unknown Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

3189900
C04509 ECG PR interval ECGPRIntrvl Interval in milliseconds (msec) from the start of the P wave to the start of the QRS complex (PR interval) for the electrocardiogram (EKG) being reported Interval in milliseconds (msec) from the start of the P wave to the start of the QRS complex (PR interval) for the electrocardiogram (EKG) being reported PR interval Numeric Values

Measure and record the PR interval in milliseconds (msec).

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Free-Form Entry

10 300 millisecond 2948836
C04510 ECG QRS duration ECGQRSDur Duration in milliseconds (msec) of the QRS complex for the electrocardiogram (EKG) being recorded Duration in milliseconds (msec) of the QRS complex for the electrocardiogram (EKG) being recorded QRS duration Numeric Values

Measure and record the QRS duration in milliseconds (msec).

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Free-Form Entry

10 300 millisecond 3155365
C04500 ECG atrial arrhythmia type ECGAtrialArrhythmiaTyp Type of atrial arrhythmia, if any, apparent on the electrocardiogram (EKG) being reported Type of atrial arrhythmia, if any, apparent on the electrocardiogram (EKG) being reported Atrial arrhythmia, specify type Premature atrial contractions;Atrial fibrillation;Atrial flutter;Other, specify Premature atrial contractions;Atrial fibrillation;Atrial flutter;Other, specify Alphanumeric

Choose all that apply.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

3189694
C04511 ECG QT interval ECGQTIntrvl Interval in milliseconds (msec) from the start of the Q wave to the end of the T wave (QT interval) for the electrocardiogram (EKG) being reported Interval in milliseconds (msec) from the start of the Q wave to the end of the T wave (QT interval) for the electrocardiogram (EKG) being reported QT interval Numeric Values

Measure and record the QT interval in milliseconds (msec).

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Free-Form Entry

200 600 millisecond 2948834
C04501 ECG assessment date and time ECGAssessDateTime Date (and time, if applicable and known) the electrocardiogram (EKG) was administered Date (and time, if applicable and known) the electrocardiogram (EKG) was administered Date and time of ECG Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Free-Form Entry

2004069
C04512 ECG QTc interval ECGQTcIntrvl Interval in milliseconds (msec) as corrected for the period from the start of the Q wave to the end of the T wave (QTc interval) for the electrocardiogram (EKG) being reported Interval in milliseconds (msec) as corrected for the period from the start of the Q wave to the end of the T wave (QTc interval) for the electrocardiogram (EKG) being reported QTc interval Numeric Values

Measure and record the QTc interval in milliseconds (msec).

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 999 millisecond 2847444
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