- Created by Kathleen Mellars, last modified on Dec 16, 2022
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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> | |
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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> |
CDASH Variable | Order | Question Text | Prompt | CRF Completion Instructions | Type | SDTMIG Target Variable | SDTM Target Mapping | Controlled Terminology Code List Name | Permissible Values | Pre-Populated Value | Query Display | List Style | Hidden |
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EGPERF | 1 | Was the ECG performed? | ECG Performed | Indicate whether or not an ECG or specific ECG test was done. | Text | EGSTAT | (NY) | Yes; No | |||||
EGMETHOD | 2 | What was the method used for the ECG? | Method | Record the method used for the ECG. | Text | EGMETHOD | (EGMETHOD) | 6 Lead Standard; 8 Lead Standard; 10 Lead Standard; 12 Lead Standard | |||||
EGPOS | 3 | What was the position of the subject during the ECG measurement? | Position | Record the position of the subject during the ECG. | Text | EGPOS | (POSITION) | Supine; Sitting | |||||
EGDAT | 4 | What was date of the ECG? | ECG Date | Record the date ECG was done using this format (DD-MON-YYYY). | Date | EGDTC | |||||||
EGTPT | 5 | What was the planned time point of the ECG measurement? | [Planned Time Point Name] | Record the time point labels for when the ECG test should be taken, if not pre-printed on the CRF. | Text | EGTPT | |||||||
EGTIM | 6 | What was the time the ECG was collected? | ECG Time | Record the time the ECG was done (as complete as possible). | Time | EGDTC | |||||||
EGHRMN_EGORRES | 7 | What was the Mean Heart Rate? | ECG Mean Heart Rate | Record the test result. | Text | EGORRES | EGORRES where EGTESTCD = "EGHRMN" | beats/min | |||||
EGHRMN_EGORRESU | 8 | What was the unit of the Mean Heart Rate? | Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | EGORRES | EGORRESU where EGTESTCD = "EGHRMN" | (Unit) | msecs | ||||
PRAG_EGORRES | 9 | What was the Aggregate PR Interval? | PR Interval, Aggregate | Record the test result. | Text | EGORRES | EGORRES where EGTESTCD = "PRAG" | ||||||
PRAG_EGORRESU | 10 | What was the unit of the Aggregate PR Interval? | Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | EGORRES | EGORRESU where EGTESTCD = "PRAG" | (Unit) | msecs | ||||
QRSAG_EGORRES | 11 | What was the Aggregate QRS Duration? | QRS Duration, Aggregate | Record the test result. | Text | EGORRES | EGORRES where EGTESTCD = "QRSAG" | ||||||
QRSAG_EGORRESU | 12 | What was the unit of the Aggregate QRS Duration? | Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | EGORRES | EGORRESU where EGTESTCD = "QRSAG" | (Unit) | msecs | ||||
QTAG_EGORRES | 13 | What was the Aggregate QT Interval? | QT Interval, Aggregate | Record the test result. | Text | EGORRES | EGORRES where EGTESTCD = "QTAG" | ||||||
QTAG_EGORRESU | 14 | What was the unit of the Aggregate QT Interval result? | Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | EGORRES | EGORRESU where EGTESTCD = "QTAG" | (Unit) | msecs | ||||
QTCAAG_EGORRES | 15 | What was the Aggregate QTca Interval? | QTca Interval, Aggregate | Record the test result. | Text | EGORRES | EGORRES where EGTESTCD = "QTCA" | ||||||
QTCAAG_EGORRESU | 16 | What was the unit of the Aggregate QTca Interval? | Unit | Record or select the original unit in which these data were collected, if not pre-printed on CRF. | Text | EGORRES | EGORRESU where EGTESTCD = "QTCA" | (Unit) | msecs | ||||
INTP_EGORRES | 17 | What was the overall interpretation of the ECG? | Interpretation | Record the the test result. | Text | EGORRES | EGORRES where EGTESTCD = "INTP" | (NORMABNM) | Normal; Abnormal | ||||
EGCLSIG | 18 | Was the ECG clinically significant? | Clinically Significant | Record whether ECG results were clinically significant. | Text | SUPPEG.QVAL | SUPPEG.QVAL where SUPPEG.QNAM = "EGCLSIG" and SUPPEG.QLABEL= "Clinically Significant" and EGTESTCD= "INTP" | (NY) | Yes;No |
This is the SDTM data associated with the CRF above.
Row 1: | Shows a measurement of ventricular rate. This result was assessed as not clinically significant (EGCLSIG = "N"). |
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Row 2: | Shows a measurement of PR interval. This result was assessed as clinically significant (EGCLSIG = "Y"). |
Rows 3-4: | These interval measurements were collected in seconds. However, in this submission, the standard unit for these tests was milliseconds, so the results have been converted in EGSTRESC and EGSTRESN. |
Row 5: | Show "QTcB Interval, Aggregate". This result was derived by the sponsor, as indicated by the “Y” in the EGDRVFL column. Note that EGORRES is null for these derived records. |
Row 6: | Shows the result of the TEST "Interpretation" (i.e., the interpretation of the ECG strip as a whole), which for this ECG was "ABNORMAL". |
Row Captions Debug Message
Remember to keep number agreement between labels and captions.
eg.xpt
eg.xpt
Row | STUDYID | DOMAIN | USUBJID | EGSEQ | EGREFID | EGTESTCD | EGTEST | EGCAT | EGPOS | EGORRES | EGORRESU | EGSTRESC | EGSTRESN | EGSTRESU | EGNAM | EGMETHOD | EGDRVFL | EGCLSIG | VISITNUM | VISIT | EGDTC | EGDY |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | XYZ | EG | XYZ-US-701-002 | 1 | 334PT89 | EGHRMN | ECG Mean Heart Rate | MEASUREMENT | SUPINE | 62 | beats/min | 62 | 62 | beats/min | Test Lab | 12 LEAD STANDARD | N | 1 | SCREENING | 2003-04-15T11:58 | -36 | |
2 | XYZ | EG | XYZ-US-701-002 | 2 | 334PT89 | PRAG | PR Interval, Aggregate | INTERVAL | SUPINE | 0.15 | sec | 150 | 150 | msec | Test Lab | 12 LEAD STANDARD | Y | 1 | SCREENING | 2003-04-15T11:58 | -36 | |
3 | XYZ | EG | XYZ-US-701-002 | 3 | 334PT89 | QRSAG | QRS Duration, Aggregate | INTERVAL | SUPINE | 0.103 | sec | 103 | 103 | msec | Test Lab | 12 LEAD STANDARD | 1 | SCREENING | 2003-04-15T11:58 | -36 | ||
4 | XYZ | EG | XYZ-US-701-002 | 4 | 334PT89 | QTAG | QT Interval, Aggregate | INTERVAL | SUPINE | 0.406 | sec | 406 | 406 | msec | Test Lab | 12 LEAD STANDARD | 1 | SCREENING | 2003-04-15T11:58 | -36 | ||
5 | XYZ | EG | XYZ-US-701-002 | 5 | 334PT89 | QTCA | QTcA Interval, Aggregate | INTERVAL | SUPINE | 469 | 469 | msec | Test Lab | 12 LEAD STANDARD | Y | 1 | SCREENING | 2003-04-15T11:58 | -36 | |||
6 | XYZ | EG | XYZ-US-701-002 | 12 | 334PT89 | INTP | Interpretation | SUPINE | ABNORMAL | ABNORMAL | 1 | SCREENING | 2003-04-15T11:58 | -36 |
Dataset Wrapper Debug Message
Please add a row column to your dataset.
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