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OrderQuestion TextPromptCRF Completion InstructionsCDASH VariableSDTMIG Target VariableSDTMIG Target MappingControlled Terminology CodeList NamePermissible ValuesPre-Populated Value
1Was the ECG performed?ECG PerformedIndicate whether or not an ECG or specific ECG test was done.EGPERFEGSTAT
(NY)Yes; No
2What was the method used for the ECG?MethodRecord the method used for the ECG.EGMETHODEGMETHOD
(EGMETHOD)6 Lead Standard; 8 Lead Standard; 10 Lead Standard; 12 Lead Standard
3What was the position of the subject during the ECG measurement?PositionRecord the position of the subject during the ECG.EGPOSEGPOS
(POSITION)Supine; Sitting
4What was date of the ECG?ECG DateRecord the date ECG was done using this format. EGDATEGDTC



5What was the Mean Heart Rate?ECG Mean Heart RateRecord the test result.EGHRMN_EGORRESEGORRESEGORRES where EGTESTCD = "EGHRMN"


6What was the unit of the Mean Heart Rate?UnitRecord or select the original unit in which these data were collected, if not pre-printed on CRF.EGHRMN_EGORRESUEGORRESEGORRESU where EGTESTCD = "EGHRMN"(Unit)
beats/min
7What was the Aggregate PR Interval?PR Interval, AggregateRecord the test result.PRAG_EGORRESEGORRESEGORRES where EGTESTCD = "PRAG"


8What was the unit of the Aggregate PR Interval?UnitRecord or select the original unit in which these data were collected, if not pre-printed on CRF.PRAG_EGORRESUEGORRESEGORRESU where EGTESTCD = "PRAG"(Unit)
msecs
9What was the Aggregate QRS Duration?QRS Duration, AggregateRecord the test result.QRSAG_EGORRESEGORRESEGORRES where EGTESTCD = "QRSAG"


10What was the unit of the Aggregate QRS Duration?UnitRecord or select the original unit in which these data were collected, if not pre-printed on CRF.QRSAG_EGORRESUEGORRESEGORRESU where EGTESTCD = "QRSAG"(Unit)
msecs
11What was the Aggregate QT Interval?QT Interval, AggregateRecord the test result.QTAG_EGORRESEGORRESEGORRES where EGTESTCD = "QTAG"


12What was the unit of the Aggregate QT Interval result?UnitRecord or select the original unit in which these data were collected, if not pre-printed on CRF.QTAG_EGORRESUEGORRESEGORRESU where EGTESTCD = "QTAG"(Unit)
msecs
13What was the Aggregate QTca Interval?QTca Interval, AggregateRecord the test result. QTCAAG_EGORRESEGORRESEGORRES where EGTESTCD = "QTCA"


14What was the unit of the Aggregate QTca Interval?UnitRecord or select the original unit in which these data were collected, if not pre-printed on CRF.QTCAAG_EGORRESUEGORRESEGORRESU where EGTESTCD = "QTCA"(Unit)
msecs
15What was the overall interpretation of the ECG?InterpretationRecord the the test result.INTP_EGORRESEGORRESEGORRES where EGTESTCD = "INTP"(NORMABNM)Normal; Abnormal
16Was the ECG clinically significant?Clinically SignificantRecord whether ECG results were clinically significant.EGCLSIGEGCLSIG
(NY)Yes; No

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