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
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, originalLanguage=en, translators=
- German: Aljoscha Kindermann, University Hospital of Heidelberg, aljoscha.kindermann@med.uni-heidelberg.de
- Norwegian Bokmål: Silje Ljosland Bakke, Helse Vest IKT AS, silje.ljosland.bakke@helse-vest-ikt.no
- Arabic (Syria): Mona Saleh
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openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0003]/items[at0088], code=at0088, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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- 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.]
openEHR-EHR-CLUSTER.level_
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Units: >=0.0 /min
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Units: >=0.0 ms
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Units: >=0.0 ms
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0105], code=at0105, itemType=ELEMENT, level=4, text=RR interval global, description=The interval between successive R waves across the ECG as a whole (multiple leads)., comment=The RR interval is measured as the time interval between successive R waves., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0096], code=at0096, itemType=ELEMENT, level=4, text=Clinical information provided, description=Narrative description of clinical information available at the time of interpretation of results., comment=This data element may include a link to the original clinical information provided in the ECG request., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Device interpretation, description=Interpretative comment on this ECG result, originating from a device., comment=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., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0101], code=at0101, itemType=ELEMENT, level=4, text=Finding, description=Single word, phrase or brief description that represents a significant finding in the ECG result., comment=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., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0081], code=at0081, itemType=ELEMENT, level=4, text=ECG diagnosis, description=Single word, phrase or brief description that represents the overall clinical meaning and significance of the ECG result., comment=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'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0089], code=at0089, itemType=ELEMENT, level=4, text=Conclusion, description=Narrative synthesis about all of the key findings in the ECG result., comment=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., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0083], code=at0083, itemType=SLOT, level=4, text=Multimedia representation, description=Digital representation of the ECG result., comment=The ECG may be represented as an image or another multimedia/binary type. Multiple formats are allowed but they should represent equivalent clinical content., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.media_
Quantity
Property: Angle, plane
Units: deg
Text
- Quantity
Property: Angle, plane
Units: deg - Text
- Quantity
Property: Angle, plane
Units: deg - Text
- 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.
]
Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0028], code=at0028, itemType=ELEMENT, level=5, text=P duration, description=Duration of P wave., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units: >=0.0 ms
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Units:
- 4.uV.ms{Ashman units}
- uV.ms
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Units: >=0.0 ms
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Units:
- 4.uV.ms{Ashman units}
- uV.ms
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Units: >=0.0 ms
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Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0051], code=at0051, itemType=ELEMENT, level=5, text=R duration, description=Duration of the R wave., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units: >=0.0 ms
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0053], code=at0053, itemType=ELEMENT, level=5, text=S amplitude, description=Amplitude of the S wave., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Voltage, electrical
Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0054], code=at0054, itemType=ELEMENT, level=5, text=S duration, description=Duration of the S wave., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units: >=0.0 ms
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0055], code=at0055, itemType=ELEMENT, level=5, text=R' amplitude, description=Amplitude of the R' wave., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Voltage, electrical
Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0056], code=at0056, itemType=ELEMENT, level=5, text=R' duration, description=Duration of the R' wave., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units: >=0.0 ms
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Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0058], code=at0058, itemType=ELEMENT, level=5, text=S' duration, description=Duration of the S' wave., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units: >=0.0 ms
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0059], code=at0059, itemType=ELEMENT, level=5, text=Ventricular Activation Time (VAT), description=Interval from the onset of the QRS complex to the latest positive peak in the complex, or the latest substantial notch on the latest peak (whichever is later)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units: >=0.0 ms
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Units: >=0.0 mV
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Units: >=0.0 ms
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0062], code=at0062, itemType=ELEMENT, level=5, text=QRS area, description=Area of the QRS complex., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Electrical potential time
Units:
- 4.uV.ms{Ashman units}
- uV.ms
Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0064], code=at0064, itemType=ELEMENT, level=5, text=ST midpoint, description=Elevation or depression at the midpoint of the ST segment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Voltage, electrical
Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=ST 80ms, description=Elevation or depression of the ST segment 80 ms after the end of the QRS complex (J point)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Voltage, electrical
Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0106], code=at0106, itemType=ELEMENT, level=5, text=ST 60ms, description=Elevation or depression of the ST segment 60 ms after the end of the QRS complex (J point)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Voltage, electrical
Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0066], code=at0066, itemType=ELEMENT, level=5, text=ST end, description=Elevation or depression at the end of the ST segment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Voltage, electrical
Units: mV, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0067], code=at0067, itemType=ELEMENT, level=5, text=ST duration, description=Duration of the ST segment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Time
Units: >=0.0 ms
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Units: -90.0..90.0 deg
Limit decimal places: 0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0005]/items[at0027]/items[at0069], code=at0069, itemType=ELEMENT, level=5, text=ST segment morphology, description=Shape of the ST segment., comment=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, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=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
Units: mV
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Units: >=0.0 ms
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Units:
- 4.uV.ms{Ashman units}
- uV.ms
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