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CID 3335 ECG Annotations (Current)
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## CID 3335 ECG Annotations

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/.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20130613

UID:

  1.2.840.10008.6.1.62

Table CID 3335. ECG Annotations

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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