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.
ECG Codetable [Internet]. Austin (TX): Clinical Data Interchange Standards Consortium (CDISC) [cited 2018 Sep 06]. Available from: https://www.cdisc.org/system/files/all/standard/terminology/ECG%20Codetable.xlsx
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. ECG Codetable [Internet]. Austin (TX): Clinical Data Interchange Standards Consortium (CDISC) [cited 2018 Sep 06]. Available from: https://www.cdisc.org/system/files/all/standard/terminology/ECG%20Codetable.xlsx
- Current Contact: Heather Leslie, Atomica Informatics
- Original Namespace: org.openehr
- Original Publisher: openEHR Foundation
- Custodian Namespace: org.openehr
- MD5-CAM-1.0.1: 74996EC468592327106931BD710E7CFD
- Build Uid: e45bfe05-02e3-4144-8de8-ce70d32c9392
- Revision: 0.0.1-alpha
Coding of the ECG type with a terminology is preferred, where possible. For example: 'Standard ECG'; or '15-lead ECG'.
Also known as the Atrial rate. The PP rate is measured from P wave to P wave.
Property: Frequency
Units: >=0.0 1/min
Limit decimal places: 0
Also known as the Ventricular rate, QRS rate or electrical heart rate. The RR rate is measured from R wave to R wave.
Property: Frequency
Units: >=0.0 1/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
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
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: {Ashman units}
Limit decimal places: 1
Property: Voltage, electrical
Units: mV
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Electrical potential time
Units: {Ashman units}
Limit decimal places: 1
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: {Ashman units}
Limit decimal places: 1
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
- 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'.]
Property: Voltage, electrical
Units: mV
Limit decimal places: 2
Property: Time
Units: >=0.0 ms
Limit decimal places: 0
Property: Electrical potential time
Units: {Ashman units}
Limit decimal places: 1
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: '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.
Multiple formats are allowed but they should represent equivalent clinical content.
Include:
openEHR-EHR-CLUSTER.multimedia.v1 and specialisations
For example: Uncooperative patient; difficulty with lead placement; or moist skin.
Include:
openEHR-EHR-CLUSTER.level_
Property: Angle, plane
Units: -90.0..90.0 °
Limit decimal places: 0
For example: codes from IHE ECG codetable, such as 'Incomplete ECG'; 'Limb electrodes interchanged'; or 'Muscle tremor'.
Coding of the lead placement with a terminology, is desirable, where possible. For example: ISO/IEEE 11073 MDC codes.
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
Koray Atalag, University of Auckland, New Zealand
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)
Greg Burch, Tiny Medical Apps, United Kingdom
Marja Buur, Medisch Centrum Alkmaar/ Code24, Netherlands
Tamsin Cockayne, Australia
Marc Cotran, identity vision systems, Canada
Sam Heard, Ocean Informatics, Australia
Eugene Igras, IRIS Systems, Inc., Canada
Aljoscha Kindermann, University Hospital of Heidelberg, Germany
Anette Larsson, Tieto Sweden AB, Sweden
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Hildegard McNicoll, freshEHR Clinical Informatics Ltd., United Kingdom
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Jayashree Panickar, Karolinska Institute, Sweden
Raymond Simkus, Brookswood Family Practice, Canada
Tim Sturgill, United States
Norwegian Review Summary, Nasjonal IKT HF, Norway
Andreas Sundstrom, Capio S:t Gorans Hospital, Sweden
Nyree Taylor, Ocean Informatics, Australia
Rowan Thomas, St. Vincent's Hospital Melbourne, Australia
- Norwegian Bokmal: Silje Ljosland Bakke, Nasjonal IKT HF, silje.ljosland.bakke@nasjonalikt.no
- Arabic (Syria): Mona Saleh