Electrode Placement Values [Internet]. Digital Imaging and Communications in Medicine (DICOM) Standards Committee. DICOM PS3.16 2018 c - Content Mapping Resource; 2018. Available from: http://dicom.nema.org/MEDICAL/dicom/2016a/output/chtml/part16/sect_CID_3263.html.
Life in the Fastlane [Internet]. Australia: #FOAMed Medical Education Resources; c2007-2018. ECG Limb Lead Reversals; 2017 Apr 4 [cited 2018 Jul 17]. Available from: https://lifeinthefastlane.com/ecg-library/limb-lead-reversals/.
Electrocardiography [Internet]. St. Petersburg (FL): Wikimedia Foundation, Inc; c2001-2018. Wikipedia; 2018 Jun 24 [cited 2018 Jul 17]. Available from: https://en.wikipedia.org/wiki/Electrocardiography#Electrodes_and_leads.
Nelwan SP, Meij SH, van Dam TB, Kors JA. Correction of ECG variations caused by body position changes and electrode placement during ST-T monitoring. J Electrocardiol. 2001;34 Suppl:213-6. PubMed PMID: 11781959.
Organisation: Tepe International
Email: omermatrix@ada.net.tr
Date originally authored: 2007-07-18
Organisation: Tepe International
Email: omermatrix@ada.net.tr
Date originally authored: 2007-07-18
- Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
- Custodian Organisation: openEHR Foundation
- References: ECG Report Templates [Internet]. Digital Imaging and Communications in Medicine (DICOM) Standards Committee. DICOM PS3.16 2018 c - Content Mapping Resource; 2018. Available from: http://dicom.nema.org/medical/dicom/current/output/html/part16.html#sect_ECGReportTemplates Electrode Placement Values [Internet]. Digital Imaging and Communications in Medicine (DICOM) Standards Committee. DICOM PS3.16 2018 c - Content Mapping Resource; 2018. Available from: http://dicom.nema.org/MEDICAL/dicom/2016a/output/chtml/part16/sect_CID_3263.html. Life in the Fastlane [Internet]. Australia: #FOAMed Medical Education Resources; c2007-2018. ECG Limb Lead Reversals; 2017 Apr 4 [cited 2018 Jul 17]. Available from: https://lifeinthefastlane.com/ecg-library/limb-lead-reversals/. Electrocardiography [Internet]. St. Petersburg (FL): Wikimedia Foundation, Inc; c2001-2018. Wikipedia; 2018 Jun 24 [cited 2018 Jul 17]. Available from: https://en.wikipedia.org/wiki/Electrocardiography#Electrodes_and_leads. Nelwan SP, Meij SH, van Dam TB, Kors JA. Correction of ECG variations caused by body position changes and electrode placement during ST-T monitoring. J Electrocardiol. 2001;34 Suppl:213-6. PubMed PMID: 11781959.
- Current Contact: Heather Leslie, Atomica Informatics
- Original Namespace: org.openehr
- Original Publisher: openEHR Foundation
- Custodian Namespace: org.openehr
- MD5-CAM-1.0.1: F0CDAB35DB0614EC716AE837F7A2B378
- Build Uid: b9a39035-9b21-4cd4-952a-c7782a384370
- Revision: 1.0.4
For example: codes from IHE ECG codetable, such as 'Incomplete ECG'; 'Limb electrodes interchanged'; or 'Muscle tremor'.
For example: 'Standard 12-lead extended to the right by V5R, V4R, V3R'. Coding of the lead placement with a terminology, such as DICOM CID 3263/ISO 11073 MDC codes, is desirable where possible.
For example: identification of the algorithm used; or description of technical limitations.
Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.
Include:
All not explicitly excluded archetypes
For example: Uncooperative patient; difficulty with lead placement; or moist skin.
This free text field could be further coded in a template to enable a Present/Absent value set if required for reporting purposes.
- Standing [Standing at the time of ECG testing.]
- Sitting [Sitting (for example on bed or chair) at the time of ECG testing.]
- Reclining [Reclining at the time of ECG testing.]
- Lying [Lying flat at the time of ECG testing.]
- Lying with tilt to left [Lying flat with some lateral tilt, usually angled towards the left side at the time of ECG testing.]
Include:
openEHR-EHR-CLUSTER.level_
Units: -90.0..90.0 °
Limit decimal places: 0
Coding of the ECG type with a terminology is preferred, where possible. For example: 'Standard ECG'; or '15-lead ECG'.
Also known as the PP rate. The atrial heart rate is measured from P wave to P wave.
Property: Frequency
Units: >=0.0 /min
Limit decimal places: 0
Also known as the RR rate, QRS rate or electrical heart rate. The ventricular heart rate is measured from R wave to R wave and calculated across the ECG as a whole (multiple leads).
Property: Frequency
Units: >=0.0 /min
Limit decimal places: 0
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
The PR interval is measured from onset of P wave to the onset of QRS complex.
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
The QRS complex is measured from its onset to the ST segment onset (J point).
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
The RR interval is measured as the time interval between successive R waves.
This data element may include a link to the original clinical information provided in the ECG request.
May be multiple. Coding of the interpretation with a terminology is preferred, where possible. For example: normal sinus rhythm; ischaemic ST-T changes in anterior leads; and/or poor R progression in right precordial leads.
For example: 'Normal ECG', 'Equivocal ECG' or 'Abnormal ECG'; 'Spikes from pacemaker signal'; 'ST depression'; or 'Atrial fibrillation'. Coding of the finding with a terminology is preferred, where possible.
For example: 'posterior AMI' or 'supraventricular tachycardia'. Coding of the diagnosis with a terminology is preferred, where possible. This diagnosis should be aligned with the narrative in the 'Conclusion'.
The conclusion is intended to be a narrative and expanded version of the 'ECG diagnosis'. For example: 'Normal sinus rhythm with ischaemic ST-T changes in anterior leads and poor R progression in right precordial leads; or comparison with previous ECG results.
The ECG may be represented as an image or another multimedia/binary type. Multiple formats are allowed but they should represent equivalent clinical content.
Include:
openEHR-EHR-CLUSTER.media_
For example: normal axis or left deviation; or number of degrees.
Choice of:
Quantity
Property: Angle, plane
Units: °
Text
For example: normal axis or left deviation; or number of degrees.
Choice of:
- Quantity
Property: Angle, plane
Units: ° - Text
For example: normal axis or left deviation; or number of degrees.
Choice of:
- Quantity
Property: Angle, plane
Units: ° - Text
Runtime name constraint:
- Lead I [Lead I is the voltage difference between the left arm electrode and right arm electrode, directed towards the left arm at zero degrees.
] - Lead II [Lead II is the voltage difference between the left leg electrode and the right arm electrode, directed towards the left leg at +
60 degrees. ] - Lead III [Lead III is the voltage difference between the left leg electrode and the left arm electrode, directed towards the left leg at +
120 degrees. ] - Lead aVR [Lead augmented vector right (aVR) has the positive electrode on the right arm and the negative pole is a combination of the left arm electrode and the left leg electrode.
It is directed towards the right arm at -150 degrees. ] - Lead aVL [Lead augmented vector left (aVL) has the positive electrode on the left arm and the negative pole is a combination of the right arm electrode and the left leg electrode.
It is directed towards the left arm electrode at -30 degrees. ] - Lead aVF [Lead augmented vector foot (aVF) has the positive electrode on the left leg and the negative pole is a combination of the right arm electrode and the left arm electrode.
It is directed towards the left leg electrode at + 90 degrees. ] - Lead V1 [A precordial lead, placed to the right of the sternum in the fourth intercostal space.
Also known as lead V2R. ] - Lead V2 [A precordial lead, placed to the left of the sternum in the fourth intercostal space.
Also known as lead V1R. ] - Lead V3 [A precordial lead, placed directly between leads V2 and V4.
] - Lead V3R [A precordial lead, placed directly on the right side of the chest between leads V1 and V4R.
] - Lead V4 [A precordial lead, placed in the left fifth intercostal space at the midclavicular line.
] - Lead V4R [A precordial lead, placed in the right fifth intercostal space at the midclavicular line.
] - Lead V5 [A precordial lead, placed level with lead V4 at the left anterior axillary line.
] - Lead V5R [A precordial lead, placed level with lead V4R at the right anterior axillary line.
] - Lead V6 [A precordial lead, placed level with lead V5 at the left midaxillary line.
] - Lead V6R [A precordial lead, placed level with lead V5R at the right midaxillary line.
] - Lead V7 [Lead V7 is a posterior lead, placed in the posterior axillary line.
] - Lead V8 [Lead V8 is a posterior lead, placed in the midscapular region.
] - Lead V9 [Lead V9 is a posterior lead, placed in the paraspinal region.
]
For example: ST segment findings.
Property: Voltage, electrical
Units: mV
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Electrical potential time
Units:
- 4.uV.ms{Ashman units}
- uV.ms
Property: Voltage, electrical
Units: mV
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Electrical potential time
Units:
- 4.uV.ms{Ashman units}
- uV.ms
Property: Voltage, electrical
Units: mV
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Voltage, electrical
Units: mV
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Voltage, electrical
Units: mV
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Voltage, electrical
Units: mV
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Voltage, electrical
Units: mV
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Voltage, electrical
Units: >=0.0 mV
Limit decimal places: 2
Measured from its onset to the ST segment onset (J point).
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Electrical potential time
Units:
- 4.uV.ms{Ashman units}
- uV.ms
Property: Voltage, electrical
Units: mV
Property: Voltage, electrical
Units: mV
Property: Voltage, electrical
Units: mV
Property: Voltage, electrical
Units: mV
Property: Voltage, electrical
Units: mV
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Slope is measured in degrees for 25 mm/sec, 1mV/cm scaling.
Property: Angle, plane
Units: -90.0..90.0 °
Limit decimal places: 0
Value set sourced from DICOM PS3.16 2018 c - Content Mapping Resource -http://dicom.nema.org/medical/dicom/current/output/html/part16.html#sect_CID_3233
Choice of:
Coded Text- ST elevation [The ST segment is elevated.]
- ST depression [The ST segment is depressed.]
- ST depression - horizontal [The ST segment is depressed but not sloping. This is a more specific form of 'ST depression'.]
- ST depression - upsloping [The ST segment is depressed and sloping upward. This is a more specific form of 'ST depression'.]
- ST depression - downsloping [The ST segment is depressed and downsloping. This is a more specific form of 'ST depression'.]
- Text
Property: Voltage, electrical
Units: mV
Limit decimal places: 2
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Electrical potential time
Units:
- 4.uV.ms{Ashman units}
- uV.ms
Include:
All not explicitly excluded archetypes
Include:
All not explicitly excluded archetypes
Marit Alice Venheim, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Ole Andreas Bjordal, Webmed, Norway
Erling Are Hole, Helse Bergen, Norway
Vebjørn Arntzen, Oslo University Hospital, Norway
Koray Atalag, University of Auckland, New Zealand
Heidi Aursand, Oslo universitetssykehus, Norway
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
Ivar Berge, Oslo Universitetssykehus, Norway
Greg Burch, Tiny Medical Apps, United Kingdom
Marja Buur, Medisch Centrum Alkmaar/ Code24, Netherlands
Tamsin Cockayne, Australia
Marc Cotran, identity vision systems, Canada
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Einar Engtrø, DIPS AS, Norway
Heather Grain, Llewelyn Grain Informatics, Australia
Sam Heard, Ocean Informatics, Australia
Eugene Igras, IRIS Systems, Inc., Canada
Lars Ivar Mehlum, Nasjonal IKT HF, Norway
Tom Jarl Jakobsen, Helse Bergen, Norway
Mikkel Johan Gaup Grønmo, Forvaltningssenter EPJ, Helse Nord, Norway (Nasjonal IKT redaktør)
Aljoscha Kindermann, University Hospital of Heidelberg, Germany
Nils Kolstrup, Skansen Legekontor og Nasjonalt Senter for samhandling og telemedisin, Norway
Anette Larsson, Tieto Sweden AB, Sweden
Liv Laugen, Oslo universitetssykehus, Norway (Nasjonal IKT redaktør)
Øygunn Leite Kallevik, Helse Bergen, Norway
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Siv Marie Lien, DIPS ASA, Norway
Hildegard McNicoll, freshEHR Clinical Informatics Ltd., United Kingdom
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Lars Morgan Karlsen, Nordlandssykehuset Bodø, Norway
Jayashree Panickar, Karolinska Institute, Sweden
Line Silsand, Universitetssykehuset i Nord-Norge, Norway
Raymond Simkus, Brookswood Family Practice, Canada
Niclas Skyttberg, Karolinska Institutet, Sweden
Trine Strand, Oslo Universitetssykehus (OUS), Norway
Tim Sturgill, United States
Norwegian Review Summary, Nasjonal IKT HF, Norway
Andreas Sundstrom, Capio S:t Gorans Hospital, Sweden
Nyree Taylor, Ocean Informatics, Australia
Micaela Thierley, Helse Vest IKT, Norway
Rowan Thomas, St. Vincent's Hospital Melbourne, Australia
Anders Thurin, VGR, Sweden
John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør)
Stian Torleif Varpe, Helse Vest IKT, Norway
Jesus Trigo, Public University of Navarre, Spain
Karl Trygve Kalleberg, Oslo Universitetssykehus, Norway
- German: Aljoscha Kindermann, Kim Sommer, University Hospital of Heidelberg, MHH, aljoscha.kindermann@med.uni-heidelberg.de, sommer.kimkatrin@mh-hannover.de
- Norwegian Bokmål: Silje Ljosland Bakke, Helse Vest IKT AS, silje.ljosland.bakke@helse-vest-ikt.no
- Arabic (Syria): Mona Saleh