Forms in EG (2)
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Example Case Report Forms for EG domain
Sources: DB1 | Forms loaded: 2
Form: MUGA or Echocardiogram
Show domain info
Primary Domain
CV
All Domains
CV, EG
# Question Response
1
Date of assessment
field_001
2
Method
field_002
3
LVEF Result
field_003
4
LVEF Unit
field_004
5
field_005
Example Case Report Forms for EG domain
Sources: DB1 | Forms loaded: 2
Form: Electrocardiogram
Show domain info
Primary Domain
EG
All Domains
EG
# Question Response
1
Date Performed
ecg.EGDT_RAW
2
Subject position
field_002
3
PR Interval (msecs
ecg.PR_RAW
4
QRS Interval (msec
ecg.QRS_RAW
5
QT Interval (msecs
ecg.QT_RAW
6
QTc Interval (msec
ecg.QTC_RAW
7
Heart Rate (cycle/
ecg.HR_RAW
8
ECG Result Interpr
ecg.EGINTP
9
Specify ECG Abnorm
ecg.EGINTPSP