ARCHETYPE ECG recording (openEHR-EHR-OBSERVATION.ecg.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.ecg.v1
ConceptECG recording
DescriptionAn electrocardiograph (ECG or EKG) is an interpretation of the electrical activity of the heart over time, recorded non-invasively using external skin electrodes.
UseUse to record details of a standard 12 lead ECG including parameters and interpretation. Use to record details of ECGs performed during exercise conditions and stress testing.
MisuseNot to be used for recordings with non-standard ECG leads. Not to be used for recording Holter monitor results.
PurposeTo record the electrocardiographic interpretation of the electrical activity of the heart by an ECG device.
ReferencesLead descriptions - http://en.wikipedia.org/wiki/Electrocardiography [accessed 22 February, 2010]
Copyright© openEHR Foundation
AuthorsAuthor name: Omer Hotomaroglu
Organisation: Tepe International
Email: omermatrix@ada.net.tr
Date originally authored: 2007-07-18
Other Details LanguageAuthor name: Omer Hotomaroglu
Organisation: Tepe International
Email: omermatrix@ada.net.tr
Date originally authored: 2007-07-18
Other Details (Language Independent)
  • 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: Ocean Informatics
  • References: Lead descriptions - http://en.wikipedia.org/wiki/Electrocardiography [accessed 22 February, 2010]
  • Original Namespace: com.oceaninformatics
  • Original Publisher: Ocean Informatics
  • Custodian Namespace: com.oceaninformatics
  • MD5-CAM-1.0.1: 525550BACF69E26730E38B94DEC75B65
  • Build Uid: 9ce28f0c-80e7-43f8-bdf1-0beae9fc72ec
  • Revision: 1.0.0
Keywordselectrocardiograph, ECG, EKG, electrocardiogram, electrocardiography, 12 lead
Lifecyclepublished
UID2e1ba734-a023-4388-b1af-548f8260d85d
Language useden
Citeable Identifier1013.1.276
Revision Number1.0.0
state
Level of ExertionLevel of Exertion: Details about physical activity undertaken at the time of ECG recording.
Include:
openEHR-EHR-CLUSTER.level_of_exertion.v1 and specialisations
Confounding factorsConfounding factors: Comment on and record other incidental factors that may be contributing to ECG recording.
TiltTilt: The craniocaudal tilt of the surface on which the person is lying at the time of ECG recording.
events
Any eventAny event: *
protocol
ECG Device ECG Device : Details about the electrocardiograph device used to record the ECG.
Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
ECG ViewerECG Viewer: Details of device used to view the ECG output.
Include:
openEHR-EHR-CLUSTER.device.v1 and specialisations
QTc calculation methodQTc calculation method: Method used to correct QT interval.
data
Global ECG ParametersGlobal ECG Parameters: Details about the entire ECG.
RR RateRR Rate: Frequency of electrical ventricular contractions (measured from R wave to R wave) and indicative of the mechanical heart rate.
Property: Frequency
Units: >=0.0 /min
Limit decimal places: 0
PR intervalPR interval: Measured interval from onset of P wave to QRS.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
QRS durationQRS duration: QRS complex duration, measured from its onset to the ST segment onset (J point).
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
QT intervalQT interval: Interval from the onset of the QRS complex to the end of the T wave.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
QTc intervalQTc interval: Corrected QT interval.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
AxisAxis: Details about the heart's electrical axis i.e. the general direction of the heart's depolarization wavefront.
P axisP axis: Average direction of electrical activity during atrial depolarization.
Property: Angle, plane
Units: °
QRS axisQRS axis: Average direction of electrical activity during ventricular depolarization.
Property: Angle, plane
Units: °
T axisT axis: Average direction of electrical activity during ventricular repolarization.
Property: Angle, plane
Units: °
(Per-lead Parameters)(Per-lead Parameters): Details about measured parameters for each named lead (specified in the run-time name constraint).
Runtime name constraint:
  • Lead I [Lead I is the voltage between the (positive) left arm (LA) electrode and right arm (RA) electrode.]
  • Lead II [Lead II is the voltage between the (positive) left leg (LL) electrode and the right arm (RA) electrode.]
  • Lead III [Lead III is the voltage between the (positive) left leg (LL) electrode and the left arm (LA) electrode.]
  • Lead aVR [Lead augmented vector right (aVR) has the positive electrode (white) on the right arm. The negative electrode is a combination of the left arm (black) electrode and the left leg (red) electrode, which "augments" the signal strength of the positive electrode on the right arm.]
  • Lead aVL [Lead augmented vector left (aVL) has the positive (black) electrode on the left arm. The negative electrode is a combination of the right arm (white) electrode and the left leg (red) electrode, which "augments" the signal strength of the positive electrode on the left arm.]
  • Lead aVF [Lead augmented vector foot (aVF) has the positive (red) electrode on the left leg. The negative electrode is a combination of the right arm (white) electrode and the left arm (black) electrode, which "augments" the signal of the positive electrode on the left leg.]
  • Lead V1 [Lead V1 is a precordial lead, placed in the fourth intercostal space (between ribs 4 & 5) just to the right of the sternum (breastbone).]
  • Lead V2 [Lead V2 is a precordial lead, placed in the fourth intercostal space (between ribs 4 & 5) just to the left of the sternum.]
  • Lead V3 [Lead V3 is a precordial lead, placed in between leads V2 and V4.]
  • Lead V4 [Lead V4 is a precordial lead, placed in the fifth intercostal space (between ribs 5 & 6) in the mid-clavicular line (the imaginary line that extends down from the midpoint of the clavicle (collarbone).]
  • Lead V5 [Lead V5 is a precordial lead, placed horizontally even with V4, but in the anterior axillary line. (The anterior axillary line is the imaginary line that runs down from the point midway between the middle of the clavicle and the lateral end of the clavicle; the lateral end of the collarbone is the end closer to the arm.)]
  • Lead V6 [Lead V6 is a precordial lead, placed horizontally even with V4 and V5 in the midaxillary line. (The midaxillary line is the imaginary line that extends down from the middle of the patient's armpit.)]
P amplitudeP amplitude: P wave amplitude.
Property: Voltage, electrical
Units: mV
P durationP duration: Duration of P wave.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
P areaP area: P wave area for monophasic P waves or the area of the initial portion of a biphasic P wave.
Property: Electrical potential time
Units: Ashman units
Limit decimal places: 1
P' amplitudeP' amplitude: Amplitude of P' wave.
Property: Voltage, electrical
Units: mV
P' durationP' duration: Duration of P' wave.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
P' areaP' area: Area of the terminal portion of a biphasic P wave.
Property: Electrical potential time
Units: Ashman units
Limit decimal places: 1
Q amplitudeQ amplitude: Q wave amplitude.
Property: Voltage, electrical
Units: mV
Q durationQ duration: Q wave duration.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
R amplitudeR amplitude: R wave amplitude.
Property: Voltage, electrical
Units: mV
R durationR duration: R wave duration.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
S amplitudeS amplitude: S wave amplitude.
Property: Voltage, electrical
Units: mV
S durationS duration: S wave duration.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
R' amplitudeR' amplitude: R' wave amplitude.
Property: Voltage, electrical
Units: mV
R' durationR' duration: R' wave duration.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
S' amplitudeS' amplitude: S' wave amplitude.
Property: Voltage, electrical
Units: mV
S' durationS' duration: S' wave duration.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
V.A.T.V.A.T.: Ventricular Activation Time is the 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).
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
QRS p-pQRS p-p: Peak-to-peak QRS complex amplitude.
Property: Voltage, electrical
Units: >=0.0 mV
Limit decimal places: 2
QRS durationQRS duration: QRS complex duration, measured from its onset to the ST segment onset (J point).
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
QRS areaQRS area: The area of the QRS complex.
Property: Electrical potential time
Units: Ashman units
Limit decimal places: 1
ST onsetST onset: Elevation or depression at the onset (J point) of the ST segment.
Property: Voltage, electrical
Units: mV
ST midpointST midpoint: Elevation or depression at the midpoint of the ST segment.
Property: Voltage, electrical
Units: mV
ST 80msST 80ms: Elevation or depression of the ST segment 80 ms after the end of the QRS complex (J point).
Property: Voltage, electrical
Units: mV
ST endST end: Elevation or depression at the end of the ST segment.
Property: Voltage, electrical
Units: mV
ST durationST duration: ST segment duration.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
ST slopeST slope: ST segment slope. 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 shapeST shape: The ST segment shape.
  • Straight [*]
  • Concave upward [*]
  • Concave downward [*]
T amplitudeT amplitude: T wave amplitude.
Property: Voltage, electrical
Units: mV
Limit decimal places: 2
T durationT duration: T wave duration.
Property: Time
Units: >=0.0 millisec
Limit decimal places: 0
T areaT area: The area of T wave.
Property: Electrical potential time
Units: Ashman units
Limit decimal places: 1
Automatic interpretationAutomatic interpretation: Interpretative comment on this recording originating from the device.
Overall interpretationOverall interpretation: An overall interpretative comment on this recording.
ECG RecordingECG Recording: Multimedia representation of the ECG.
Other contributors
Translators
  • Arabic (Syria): Mona Saleh