Comprehensive ECG Analysis Report

Transcription

1 Protocol: OTOCOL DEMO2 (Active) ert Account: Investigator: GREEN, A Source Site ID: 211 AAA 12-DEC YY BASELINE / HOUR 2 8-SEP Hennessey, Yvette 1:2:1 1-AUG-27 16:7 >> The following demography or visit name was modified from the original source. Please review the modified data listed above and notify ert via a Data Revision Request Form(included with the study reference materials) of any required changes., Investigator: Gator, Ivan, Site ID: 1, : / BAS / 1B FFF 11-NOV FF FEDC DOSE 1 16-MAY-27 3:13:26 The mean comparison information has been updated. DOSE 2 16-MAY-27 :25:15 The mean comparison information has been updated A-29 12:1 2-A-29 12:1 Interpretation: Abnormal Conduction:Other Finding Generated on: 2-MAR-21 15:3:37 Filters: Protocol=OTOCOL DEMO2; Data Type= R -Denotes a repeat visit., Findings with alerts are bolded. Totals reflect the applied filter. Page 1 of 6

2 Protocol: OTOCOL DEMO2 (Active) ert Account: Investigator: GREEN, A Source Site ID: 211 FFF 11-NOV FF BASELINE / HOUR 1 2-OCT Jacobs, Robert Interpretation: Abnormal 1:2:1 31-JAN-27 1:15 Rhythm: Sinus Bradycardia Clinical Alerts: Marked Bradycardia >> The following demography or visit name was modified from the original source. Please review the modified data listed above and notify ert via a Data Revision Request Form(included with the study reference materials) of any required changes., Investigator: Gator, Ivan, Site ID: 1, : / SCR / BASELINE / HOUR 2 2-OCT :33:1 2-A-29 11:33 >> The following demography or visit name was modified from the original source. Please review the modified data listed above and notify ert via a Data Revision Request Form(included with the study reference materials) of any required changes., ID1 666FFF REV 3-MAR-1978 S REEE FINAL VISIT / HOUR 2 15-JAN-29 13:33: A-29 12:3 >> The following demography or visit name was modified from the original source. Please review the modified data listed above and notify ert via a Data Revision Request Form(included with the study reference materials) of any required changes., Time ::, Date of Birth 2/3/1978 Site ID: 211 of transmittals reported without abnormalities: of transmittals reported with abnormalities: of transmittals unable to interpret: % 33.33% Generated on: 2-MAR-21 15:3:37 Filters: Protocol=OTOCOL DEMO2; Data Type= R -Denotes a repeat visit., Findings with alerts are bolded. Totals reflect the applied filter. Page 2 of 6

3 Protocol: OTOCOL DEMO2 (Active) ert Account: Investigator: BLUE, C Source Site ID: 215 BAB 2-JUL BB 6317 BASELINE / HOUR 1 8-SEP-26 V Nelson, Julie Interpretation: Abnormal 1:2:1 12-JAN-21 3:9 ST Segment: Depressed T Waves: Biphasic The clinical evaluation has been modified from the previous report: Evaluation By: Jacobs, Robert, Evaluation Date/Time: 3-JAN-27 8:23 ANN ABCD 15-MAY-197 S DOSE 1 2-FEB-29 1:18:18 V A-29 12:13 Interpretation: Abnormal Conduction: First Degree AV Block Clinical Alerts: Marked Prolongation >> The following demography or visit name was modified from the original source. Please review the modified data listed above and notify ert via a Data Revision Request Form(included with the study reference materials) of any required changes., ID1 S1 Generated on: 2-MAR-21 15:3:37 Filters: Protocol=OTOCOL DEMO2; Data Type= R -Denotes a repeat visit., Findings with alerts are bolded. Totals reflect the applied filter. Page 3 of 6

4 Protocol: OTOCOL DEMO2 (Active) ert Account: Investigator: BLUE, C Source Site ID: 215 ANN 15-MAY-197 S BASELINE / HOUR 1 16-FEB-28 15:33: A-29 1: BASELINE / HOUR 2 16-FEB-28 16:3: A-29 1:28 Interpretation: Abnormal Conduction: Prolonged c Clinical Alerts: Prolonged c Site ID: 215 of transmittals reported without abnormalities: of transmittals reported with abnormalities: of transmittals unable to interpret: % 75.% Generated on: 2-MAR-21 15:3:37 Filters: Protocol=OTOCOL DEMO2; Data Type= R -Denotes a repeat visit., Findings with alerts are bolded. Totals reflect the applied filter. Page of 6

5 Protocol: OTOCOL DEMO2 (Active) ert Account: Investigator: GOLD, D Source Site ID: 219 AAA 12-DEC XX BASELINE / HOUR 1 -SEP Hennessey, Yvette 1:2:1 1-AUG-27 11:36 >> The following demography or visit name was modified from the original source. Please review the modified data listed above and notify ert via a Data Revision Request Form(included with the study reference materials) of any required changes., Investigator: Gator, Ivan, Site ID: 1, : / SCR / BASELINE / HOUR 2 6-SEP Hennessey, Yvette 1:2:1 1-AUG-27 11:36 >> The following demography or visit name was modified from the original source. Please review the modified data listed above and notify ert via a Data Revision Request Form(included with the study reference materials) of any required changes., Investigator: Gator, Ivan, Site ID: 1, : / BAS / 1B B-L 31-AUG-1979 S BASELINE / HOUR 2 18-JAN-29 12:1: A-29 12: DOSE 1 25-JAN-29 12:12: The mean comparison information has been updated Ward, Kathleen 26-AUG-29 16:16 Generated on: 2-MAR-21 15:3:37 Filters: Protocol=OTOCOL DEMO2; Data Type= R -Denotes a repeat visit., Findings with alerts are bolded. Totals reflect the applied filter. Page 5 of 6

6 Protocol: OTOCOL DEMO2 (Active) ert Account: Investigator: GOLD, D Source Site ID: 219 Site ID: 219 of transmittals reported without abnormalities: of transmittals reported with abnormalities: of transmittals unable to interpret: of transmittals reported without abnormalities: 9 of transmittals reported with abnormalities: 5 of transmittals unable to interpret: % 35.71% Protocol: OTOCOL DEMO2 of transmittals reported without abnormalities: of transmittals reported with abnormalities: of transmittals unable to interpret: Report Totals Total number of transmittals reported: of transmittals reported without abnormalities: of transmittals reported with abnormalities: of transmittals unable to interpret: % 35.71% % 35.71% Generated on: 2-MAR-21 15:3:37 Filters: Protocol=OTOCOL DEMO2; Data Type= R -Denotes a repeat visit., Findings with alerts are bolded. Totals reflect the applied filter. Page 6 of 6