Form EG - Central Reading
EG - Central Reading
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Was an ECG performed?
No
Yes
What was the (ECG) [reference identifier/accession number]?
What was the method used for the ECG?
12 LEAD STANDARD
HOLTER CONTINUOUS ECG RECORDING
What was the position of the subject during the ECG measurement?
Choose
Sitting
Standing
Supine
Semi-Recumbent
Semi-Fowler's
What was the date of the ECG?
01 Jan 2000
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Mandatory field