This example shows a CRF that collects electrocardiogram data utilizing a local reader.
Indicate whether or not an ECG or specific ECG test was done. | Was the ECG performed? EGPERF EGSTAT | <NY codelist> | |
---|---|---|---|
Record the method used for the ECG. | What was the method used for the ECG? EGMETHOD | <EGMETHOD codelist> | |
Record the position of the subject during the ECG. | What was the position of the subject during the ECG measurement? EGPOS | <POSITION codelist> | |
Record the date ECG was done using this format (DD-MON-YYYY). | EGDAT EGDTC | _ _ / _ _ _ / _ _ _ _ | |
Record the time point labels for when the ECG test should be taken, if not pre-printed on the CRF. | EGTPT | _________________ | |
Record the time the ECG was done (as complete as possible). | EGTIM EGDTC | _ _ : _ _ : _ _ | |
EGHRMN_EGORRES EGORRES where EGTESTCD = "EGHRMN" Pre-populated | beats/min | ||
EGHRMN_EGORRESU EGORRESU where EGTESTCD = "EGHRMN" Pre-populated | msecs <Unit codelist> | ||
Record the test result. | PRAG_EGORRES EGORRES where EGTESTCD = "PRAG" | _________________ | |
PRAG_EGORRESU EGORRESU where EGTESTCD = "PRAG" Pre-populated | msecs <Unit codelist> | ||
Record the test result. | QRSAG_EGORRES EGORRES where EGTESTCD = "QRSAG" | _________________ | |
QRSAG_EGORRESU EGORRESU where EGTESTCD = "QRSAG" Pre-populated | msecs <Unit codelist> | ||
Record the test result. | QTAG_EGORRES EGORRES where EGTESTCD = "QTAG" | _________________ | |
QTAG_EGORRESU EGORRESU where EGTESTCD = "QTAG" Pre-populated | msecs <Unit codelist> | ||
Record the test result. | QTCAAG_EGORRES EGORRES where EGTESTCD = "QTCA" | _________________ | |
QTCAAG_EGORRESU EGORRESU where EGTESTCD = "QTCA" Pre-populated | msecs <Unit codelist> | ||
Record the the test result. | What was the overall interpretation of the ECG? INTP_EGORRES EGORRES where EGTESTCD = "INTP" | <NORMABNM codelist> | |
Record whether ECG results were clinically significant. | Was the ECG clinically significant? EGCLSIG SUPPEG.QVAL where SUPPEG.QNAM = "EGCLSIG" and SUPPEG.QLABEL= "Clinically Significant" and EGTESTCD= "INTP" | <NY codelist> |
This is the SDTM data associated with the CRF above.
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