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CID 3335 ECG Annotation (Current)
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PS3.16 > DCMR Context Groups (Normative) > ECG Annotation

CID 3335 ECG Annotation

This Context Group comprises the nomenclature of ISO/IEEE 11073-10102, limited to the hierarchies under Reference IDs MDC_ECG_WAVEC, MDC_ECG_WAVEP, MDC_ECG_BEAT, and MDC_ECG_NOISE.

The base terms from those hierarchies are included in the table below for reference. Note that these base terms are pre-coordinated with a variety of concept discriminators, and the Code Values for those pre-coordinated terms are arithmetically derived from the Code Values of the base terms. For the complete current list of terms and discriminator values, see the ISO/IEEE Standard. All pre-coordinated terms (annotation plus discriminators) within the identified hierarchies are part of this Context Group.

Note

  1. This Context Group is used in the Concept Name Code Sequence of the Waveform Annotation Sequence (0040,B020). See PS3.3.

  2. A prior version of this Context Group used codes from the SCP-ECG coding system.

  3. Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Keyword:

ECGAnnotation

FHIR Keyword:

dicom-cid-3335-ECGAnnotation

Type:

Extensible

Version:

20130613

UID:

1.2.840.10008.6.1.62

Table CID 3335. ECG Annotation

Coding Scheme Designator

Code Value

Code Meaning

ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)

MDC

10:256

P wave

MDC_ECG_WAVC_PWAVE

MDC

10:320

P' wave (second deflection in P wave)

MDC_ECG_WAVC_PPWAVE

MDC

10:384

P'' wave (third deflection in P wave)

MDC_ECG_WAVC_PPPWAVE

MDC

10:448

Q wave

MDC_ECG_WAVC_QWAVE

MDC

10:512

QS wave

MDC_ECG_WAVC_QSWAVE

MDC

10:576

R wave

MDC_ECG_WAVC_RWAVE

MDC

10:640

R' wave (second deflection in R Wave)

MDC_ECG_WAVC_RRWAVE

MDC

10:704

R'' wave (third deflection in R Wave)

MDC_ECG_WAVC_RRRWAVE

MDC

10:768

Notch

MDC_ECG_WAVC_NOTCH

MDC

10:832

S wave

MDC_ECG_WAVC_SWAVE

MDC

10:896

S' wave (second deflection in S Wave)

MDC_ECG_WAVC_SSWAVE

MDC

10:960

S'' wave (third deflection in S Wave)

MDC_ECG_WAVC_SSSWAVE

MDC

10:1024

T wave

MDC_ECG_WAVC_TWAVE

MDC

10:1088

T' wave (second deflection in T Wave)

MDC_ECG_WAVC_TTWAVE

MDC

10:1152

U wave

MDC_ECG_WAVC_UWAVE

MDC

10:1216

Delta wave

MDC_ECG_WAVC_DELTA

MDC

10:1280

Isoelectric region from global QRS onset to specific lead onset

MDC_ECG_WAVC_IWAVE

MDC

10:1344

Isoelectric region from specific lead QRS Offset to global offset

MDC_ECG_WAVC_KWAVE

MDC

10:1408

Osborne wave

MDC_ECG_WAVC_JWAVE

MDC

10:1472

Entire Beat (Pon to Toff, excluding U)

MDC_ECG_WAVC_PQRSTWAVE

MDC

10:1536

Entire Beat (Qon to Toff, excluding P and U)

MDC_ECG_WAVC_QRSTWAVE

MDC

10:1600

Entire QRS (excluding P, T and U)

MDC_ECG_WAVC_QRSWAVE

MDC

10:1664

TU fused wave

MDC_ECG_WAVC_TUWAVE

MDC

10:1728

Ventricular flutter wave

MDC_ECG_WAVC_VFLWAVE

MDC

10:1792

Atrial flutter wave

MDC_ECG_WAVC_AFLWAVE

MDC

10:1856

Isoelectric point or segment

MDC_ECG_WAVC_ISO

MDC

10:1920

PR Segment

MDC_ECG_WAVC_PRSEG

MDC

10:1984

ST Segment

MDC_ECG_WAVC_STSEG

MDC

10:2048

J-point

MDC_ECG_WAVC_STJ

MDC

10:2112

ST measurement point

MDC_ECG_WAVC_STM

MDC

10:2176

Isolated QRS-like artifact

MDC_ECG_WAVC_ARFCT

MDC

10:2240

Calibration pulse (individual pulse)

MDC_ECG_WAVC_CALP

MDC

10:2304

ST change

MDC_ECG_WAVC_STCH

MDC

10:2368

T-wave change

MDC_ECG_WAVC_TCH

MDC

10:2432

Ventricular Activation Time

MDC_ECG_WAVC_VAT

MDC

10:4096

Antibradycardia pace spike

MDC_ECG_WAVP_PACE

MDC

10:4352

atrium Antibradycardia pace spike

MDC_ECG_WAVP_PACE_ATR

MDC

10:4608

right atrium Antibradycardia pace spike

MDC_ECG_WAVP_PACE_ATR_R

MDC

10:4864

left atrium Antibradycardia pace spike

MDC_ECG_WAVP_PACE_ATR_L

MDC

10:5120

ventricular Antibradycardia pace spike

MDC_ECG_WAVP_PACE_V

MDC

10:5376

right ventricle Antibradycardia pace spike

MDC_ECG_WAVP_PACE_V_R

MDC

10:5632

left ventricle Antibradycardia pace spike

MDC_ECG_WAVP_PACE_V_L

MDC

10:5888

transthoracic Antibradycardia pace spike

MDC_ECG_WAVP_PACE_EXT

MDC

10:6144

Antitachycardia pace spike

MDC_ECG_WAVP_ATPACE

MDC

10:6400

atrium Antitachycardia pace spike

MDC_ECG_WAVP_ATPACE_ATR

MDC

10:6656

ventricle Antitachycardia pace spike

MDC_ECG_WAVP_ATPACE_V

MDC

10:6912

transthoracic Antitachycardia pace spike

MDC_ECG_WAVP_ATPACE_EXT

MDC

10:7168

Cardioversion spike

MDC_ECG_WAVP_CDVS

MDC

10:7424

atrium Cardioversion spike

MDC_ECG_WAVP_CDVS_ATR

MDC

10:7680

ventricle Cardioversion spike

MDC_ECG_WAVP_CDVS_V

MDC

10:7936

transthoracic Cardioversion spike

MDC_ECG_WAVP_CDVS_EXT

MDC

10:8192

Defibrillation spike

MDC_ECG_WAVP_DEFIB

MDC

10:8448

atrium Defibrillation spike

MDC_ECG_WAVP_DEFIB_ATR

MDC

10:8704

ventricle Defibrillation spike

MDC_ECG_WAVP_DEFIB_V

MDC

10:8960

transthoracic Defibrillation spike

MDC_ECG_WAVP_DEFIB_EXT

MDC

10:8192

Heart beat

MDC_ECG_BEAT

MDC

10:8208

Normal beat (sinus beat, normal conduction)

MDC_ECG_BEAT_NORMAL

MDC

10:8224

Abnormal beat

MDC_ECG_BEAT_ABNORMAL

MDC

10:8240

Dominant beat

MDC_ECG_BEAT_DOMINANT

MDC

10:8256

Supraventricular premature contraction

MDC_ECG_BEAT_SV_P_C

MDC

10:8272

Atrial premature contraction (beat)

MDC_ECG_BEAT_ATR_P_C

MDC

10:8288

Junctional (nodal) premature contraction

MDC_ECG_BEAT_JUNC_P_C

MDC

10:8304

Aberrated atrial premature beat (Ashman beat)

MDC_ECG_BEAT_ATR_P_C_ABERR

MDC

10:8320

Non-conducted p-wave (blocked)

MDC_ECG_BEAT_ATR_PWAVE_BLK

MDC

10:8336

Ventricular premature contraction beat

MDC_ECG_BEAT_V_P_C

MDC

10:8352

Fusion of ventricular and normal beat

MDC_ECG_BEAT_V_P_C_FUSION

MDC

10:8368

R-on-T premature ventricular beat

MDC_ECG_BEAT_V_P_C_RonT

MDC

10:8384

Supraventricular escape beat

MDC_ECG_BEAT_SV_ESC

MDC

10:8400

Atrial escape beat

MDC_ECG_BEAT_ATR_ESC

MDC

10:8416

Junctional (nodal) escape beat

MDC_ECG_BEAT_JUNC_ESC

MDC

10:8432

Ventricular escape beat

MDC_ECG_BEAT_V_ESC

MDC

10:8448

Bundle branch block beat

MDC_ECG_BEAT_BB_BLK

MDC

10:8464

Left bundle branch block beat

MDC_ECG_BEAT_LBB_BLK_COMP

MDC

10:8480

Incomplete left bundle branch block beat

MDC_ECG_BEAT_LBB_BLK_INCOMP

MDC

10:8496

Right bundle branch block beat

MDC_ECG_BEAT_RBB_BLK_COMP

MDC

10:8512

Incomplete right bundle branch block beat

MDC_ECG_BEAT_RBB_BLK_INCOMP

MDC

10:8528

Left anterior fascicular block beat

MDC_ECG_BEAT_BLK_ANT_L_HEMI

MDC

10:8544

Left posterior fascicular block beat

MDC_ECG_BEAT_BLK_POS_L_HEMI

MDC

10:8560

bifascicular block beat

MDC_ECG_BEAT_BLK_BIFASC

MDC

10:8576

trifascicular block beat

MDC_ECG_BEAT_BLK_TRIFASC

MDC

10:8592

bilateral bundle-branch block beat

MDC_ECG_BEAT_BLK_BILAT

MDC

10:8608

intraventricular conduction disturbance

MDC_ECG_BEAT_BLK_IVCD

MDC

10:8624

pre-excitation

MDC_ECG_BEAT_PREX

MDC

10:8640

Wolf-Parkinson-White syndrome

MDC_ECG_BEAT_WPW_UNK

MDC

10:8656

Wolf-Parkinson type A

MDC_ECG_BEAT_WPW_A

MDC

10:8672

Wolf-Parkinson type B

MDC_ECG_BEAT_WPW_B

MDC

10:8688

Lown-Ganong-Levine syndrome

MDC_ECG_BEAT_LGL

MDC

10:8704

Paced beat

MDC_ECG_BEAT_PACED

MDC

10:8720

Pacemaker Fusion beat

MDC_ECG_BEAT_PACED_FUS

MDC

10:8736

Unclassifiable beat

MDC_ECG_BEAT_UNKNOWN

MDC

10:8752

Pacemaker Learning beat

MDC_ECG_BEAT_LEARN

MDC

10:11200

No Noise

MDC_ECG_NOISE_CLEAN

MDC

10:11216

Moderate Noise, beats can be detected but cannot be classified

MDC_ECG_NOISE_MODERATE

MDC

10:11232

Severe Noise, beats cannot be detected or classified

MDC_ECG_NOISE_SEVERE

MDC

10:11248

No ECG signal is available

MDC_ECG_NOISE_NOSIGNAL

Note

In a prior version of this table, the code 10:608 was specified for the concept R wave.

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