CDE Detailed Report

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

Displaying 1 - 35 of 35
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
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 Absent;Present 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
C12826 ECG arrhythmia ventricular morphology type ECGArrhythmVentricMorphTyp Type of morphology of any ventricular arrhythmia apparent on the electrocardiogram (ECG) being reported Type of morphology of any ventricular arrhythmia apparent on the electrocardiogram (ECG) being reported If ventricular arrhythmia, specify morphology Uniform;Multiform Uniform;Multiform Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C17966 ECG result text ECGResltTxt Text description of any electrocardiogram (ECG) result selected other than Normal Text description of any ECG result selected other than Normal For any ECG result that is not Normal, provide comments Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

2535631
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
C12827 ECG axis direction indicator ECGAxsDirInd Indicator of the direction of any axis deviation apparent on the electrocardiogram (ECG) being reported Indicator of the direction of any axis deviation apparent on the electrocardiogram (ECG) being reported Axis Direction Normal;Left axis deviation;Right axis deviation Normal;Left axis deviation;Right axis deviation Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C17967 ECG administer date time clock type ECGAdministrDateTimeClockTyp Type of clock system used to record time of electrocardiogram (ECG) administration Type of clock system used to record time of ECG administration Date and time of ECG am;PM;24-hour clock am;PM;24-hour clock Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

2004069
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
C12828 ECG atrial enlargement right status ECGAtrialEnlrgmntRtStat Status of right atrial enlargement present or absent on the electrocardiogram (ECG) being reported Status of right atrial enlargement present or absent on the electrocardiogram (ECG) being reported Right atrial enlargement Absent;Present Absent;Present Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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
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
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
C12829 ECG atrial enlargement left status ECGAtrialEnlrgmntLftStat Status of left atrial enlargement present or absent on the electrocardiogram (ECG) being reported Status of left atrial enlargement present or absent on the electrocardiogram (ECG) being reported Left atrial enlargement Absent;Present Absent;Present Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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
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
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
C12830 ECG conduction block status ECGConductnBlockStat Status of a conduction block apparent on the electrocardiogram (ECG) being reported Status of a conduction block apparent on the electrocardiogram (ECG) being reported Conduction block Absent;Present Absent;Present Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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;Borderline;Unable to evaluate Normal;Abnormal - Not clinically significant;Abnormal - Clinically significant;Borderline;Unable to evaluate 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

Single Pre-Defined Value Selected

2535631
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
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 Absent;Present 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
C12831 ECG atrioventricular block first degree status ECGAVBlk1stDegStat Status of first degree atrioventricular (AV) block apparent on the electrocardiogram (ECG) being reported Status of first degree atrioventricular (AV) block apparent on the electrocardiogram (ECG) being reported First degree AV block Absent;Present Absent;Present Alphanumeric

Only answered if Present is answered for Conduction block. Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 wave 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
C12832 ECG atrioventricular block second degree status ECGAVBlk2ndDegStat Status of second degree atrioventricular (AV) block apparent on the electrocardiogram (ECG) being reported Status of second degree atrioventricular (AV) block apparent on the electrocardiogram (ECG) being reported Second degree AV block Absent;Present Absent;Present Alphanumeric

Only answered if Present is answered for Conduction block. Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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;Atrial arrhythmia;Ventricular arrhythmia;Paced rhythm, specify type;Supraventricular tachycardia;Other, specify Normal sinus rhythm;Sinus tachycardia;Sinus bradycardia;Atrial arrhythmia;Ventricular arrhythmia;Paced rhythm, specify type;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
C12833 ECG atrioventricular block third degree complete status ECGAVBlk3rdDegCmpleteStat Status of third degree or complete atrioventricular (AV) block apparent on the electrocardiogram (ECG) being reported Status of third degree or complete atrioventricular (AV) block apparent on the electrocardiogram (ECG) being reported Third degree (complete AV block) Absent;Present Absent;Present Alphanumeric

Only answered if Present is answered for Conduction block. Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 Absent;Present 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
C10758 ECG WPW syndrome status ECGWolfParkWhiteSyndStat Status of whether ventricular preexcitation / Wolff-Parkinson-White syndrome (WPW) is present or absent on the electrocardiogram (EKG) being reported Status of whether ventricular preexcitation / Wolff-Parkinson-White syndrome (WPW) is present or absent on the electrocardiogram (EKG) being reported Ventricular pre-excitation/ Wolff-Parkinson-White Syndrome Absent;Present Absent;Present Alphanumeric

Choose one. WPW syndrome is also referred to as ventricular pre-excitation.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C12834 ECG bundle branch block incomplete status ECGBundleBrnchBlkIncmpleteStat Status of incomplete bundle branch block apparent on the electrocardiogram (ECG) being reported Status of incomplete bundle branch block apparent on the electrocardiogram (ECG) being reported Incomplete bundle branch block Absent;Present Absent;Present Alphanumeric

Only answered if Present is answered for Conduction block. Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 Absent;Present 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
C12823 ECG atrial rate ECGAtrialRt Rate measured in beats per minute of atrial contractions recorded in the electrocardiogram (ECG) being reported Rate measured in beats per minute of atrial contractions recorded in the electrocardiogram (ECG) being reported Atrial rate Numeric Values

Record the atrial rate in beats per minute.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 300 beats per minute
C12835 ECG bundle branch block type ECGBundleBrnchBlockTyp Type of any complete or incomplete bundle branch block apparent on the electrocardiogram (ECG) being reported Type of any complete or incomplete bundle branch block apparent on the electrocardiogram (ECG) being reported If complete or incomplete buddle branch block present, type Left;Right;Non-specific intraventricular conduction delay Left;Right;Non-specific intraventricular conduction delay Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

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 Complete bundle branch block Absent;Present Absent;Present Alphanumeric

Only answered if Present is answered for Conduction block. 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
C12825 ECG pace rhythm type ECGPaceRhythmTyp Type of paced rhythm, if any, apparent on the electrocardiogram (ECG) being reported Type of paced rhythm, if any, apparent on the electrocardiogram (ECG) being reported Paced rhythm, specify type Atrial;Ventricular Atrial;Ventricular Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C12836 ECG left anterior hemiblock status ECGLftAntHemiBlkStat Status of left anterior hemiblock apparent on the electrocardiogram (ECG) being reported Status of left anterior hemiblock apparent on the electrocardiogram (ECG) being reported Left anterior hemiblock Absent;Present Absent;Present Alphanumeric

Only answered if Present is answered for Conduction block. Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Electrocardiogram (ECG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

CSV