<?xml version="1.0" encoding="utf-8"?>
<!-- Sample Annotated ECG -->
<!-- HL7 December 2003 Ballot -->
<!-- Generated Fri Nov 21 16:47:32 2003 -->
<!-- Updated Thur 22-Sept-2005 -->
<!-- For questions, e-mail barry.brown@mortara.com -->
<!-- OID "1.2.3.4.5" is a pseudo OID in this example -->
<!-- OID "2.16.840.1.113883.3.2" is an example OID assigned by the Sponsor to a protocol, scoping the visit and timepoint codes -->
<!-- OID "2.16.840.1.113883.3.400" is an example OID assigned by the Sponsor to a trial, scoping the trial id, subject id's, technician id's, investigator id's, site id's -->
<!-- OID "2.16.840.1.113883.3" is an example OID identifying the Sponsor organization -->
<AnnotatedECG xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xsi:schemaLocation="urn:hl7-org:v3 ../schema/PORT_MT020001.xsd" type="Observation">
<id root="61d1a24f-b47e-41aa-ae95-f8ac302f4eeb"/>
<!-- fixed to 93000 for now, no need to differentiate different types of aECGs... -->
<code code="93000" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/>
<!-- timestamp matching ECG finding time in analysis dataset -->
<!-- if a time interval is needed, use <low/> and <high/> instead of <center/> -->
<effectiveTime>
<center value="20021122091000"/>
</effectiveTime>
<confidentialityCode code="B" codeSystem="1.2.3.4.5" codeSystemName="???CDISC???" displayName="Blinded to Sponsor and Investigator"/>
<reasonCode code="PER_PROTOCOL" codeSystem="1.2.3.4.5" codeSystemName="???CDISC???" displayName="The protocol specified that a measurement be performed at this point in the trial"/>
<componentOf>
<timepointEvent>
<!-- visit code defined in protocol -->
<code code="VISIT_3" codeSystem="2.16.840.1.113883.3.2" codeSystemName="PUK-123-PROT-C1" displayName="3rd Visit"/>
<!-- time period for the whole visit -->
<effectiveTime>
<low value="200211220737"/>
<high value="200211221023"/>
</effectiveTime>
<reasonCode code="S" codeSystem="1.2.3.4.5" codeSystemName="???CDISC???" displayName="Scheduled Visit"/>
<!-- person responsible for visit if different from investigator and ECG technician -->
<performer>
<studyEventPerformer>
<id root="2.16.840.1.113883.3.400" extension="SC-342"/>
<assignedPerson>
<name>JMK</name>
</assignedPerson>
</studyEventPerformer>
</performer>
<componentOf>
<subjectAssignment>
<subject>
<trialSubject>
<id root="2.16.840.1.113883.3.400" extension="SBJ-123"/>
<code code="ENROLLED" codeSystem="2.16.840.1.113883.5.111"
codeSystemName="ResearchSubjectRoleBasis" displayName="Enrolled in trial"/>
<subjectDemographicPerson>
<!-- Usually subject's initials -->
<name>Clark</name>
<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
<birthTime value="19530508"/>
<raceCode code="2106-3" codeSystem="2.16.840.1.113883.5.104"
codeSystemName="Race" displayName="RaceWhite"/>
</subjectDemographicPerson>
</trialSubject>
</subject>
<definition>
<treatmentGroupAssignment>
<code code="GRP-004" codeSystem="2.16.840.1.113883.3.2" codeSystemName="PUK-123-PROT-C1"/>
</treatmentGroupAssignment>
</definition>
<componentOf>
<clinicalTrial>
<id root="2.16.840.1.113883.3.400" extension="PUK-123-TRL-1"/>
<title>US Cardiac Safety Trial for PUK-123</title>
<!-- period of time for the entire trial -->
<activityTime>
<low value="20020618"/>
<high value="20030727"/>
</activityTime>
<componentOf>
<clinicalTrialProtocol>
<id root="2.16.840.1.113883.3.2" extension="PUK-123-PROT-C1"/>
<title>Cardiac Safety Protocol for PUK-123</title>
</clinicalTrialProtocol>
</componentOf>
<author>
<clinicalTrialSponsor>
<sponsorOrganization>
<id root="2.16.840.1.113883.3"/>
<name>ABC Pharmaceutical Company</name>
</sponsorOrganization>
</clinicalTrialSponsor>
</author>
<location>
<trialSite>
<id root="2.16.840.1.113883.3.400" extension="TS-035"/>
<location>
<name>River City Clinic for the Cardiac Challenged</name>
<addr>
<country>USA</country>
<state>ZZ</state>
<city>River City</city>
</addr>
</location>
</trialSite>
</location>
<responsibleParty>
<trialInvestigator>
<id root="2.16.840.1.113883.3.400" extension="INV-087"/>
<investigatorPerson>
<name>John Smith, M.D.</name>
</investigatorPerson>
</trialInvestigator>
</responsibleParty>
</clinicalTrial>
</componentOf>
</subjectAssignment>
</componentOf>
</timepointEvent>
</componentOf>
<definition>
<relativeTimepoint>
<code code="PD-30" codeSystem="2.16.840.1.113883.3.2" codeSystemName="PUK-123-PROT-C1" displayName="30 Minutes Post Dosage"/>
<componentOf>
<!-- 30 minute delay between reference event and relative timepoint where ECG assessment is made -->
<pauseQuantity value="1800" unit="s"/>
<protocolTimepointEvent>
<!-- same code used in timepointEvent -->
<code code="VISIT_3" codeSystem="2.16.840.1.113883.3.2"
codeSystemName="PUK-123-PROT-C1" displayName="3rd Visit"/>
<component>
<referenceEvent>
<code code="DOSAGE-2" codeSystem="2.16.840.1.113883.3.2"
codeSystemName="PUK-123-PROT-C1" displayName="2nd Dosage"/>
</referenceEvent>
</component>
</protocolTimepointEvent>
</componentOf>
</relativeTimepoint>
</definition>
<location>
<!-- ECG collection site if different from trial site -->
<testingSite>
<id root="2.16.840.1.113883.3.400" extension="TS-035-03"/>
<location>
<name>River City ECG Collection Service</name>
<addr>
<country>USA</country>
<state>ZZ</state>
<city>River City</city>
</addr>
</location>
</testingSite>
</location>
<controlVariable>
<relatedObservation>
<code code="21612-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Reported Age"/>
<value xsi:type="PQ" value="46" unit="a"/>
<author>
<assignedEntity>
<id root="2.16.840.1.113883.3.400" extension="SC-342"/>
<assignedAuthorType>
<assignedPerson>
<name>JMK</name>
</assignedPerson>
</assignedAuthorType>
<representedAuthoringOrganization>
<name>River City Clinic for the Cardiac Challenged</name>
<identification>
<id root="2.16.840.1.113883.3.400" extension="TS-035"/>
</identification>
</representedAuthoringOrganization>
</assignedEntity>
</author>
</relatedObservation>
</controlVariable>
<pertainsTo>
<subjectFindingComment>
<text>Subject felt dizzy 2 minutes prior to ECG collection</text>
</subjectFindingComment>
</pertainsTo>
<!-- ECG Waveform part starts here -->
<!-- Each component section will store a set of "correlated" sequences -->
<component>
<series>
<id root="dd7b629e-9be1-4686-a1bf-7896e16e2d46"/>
<code code="RHYTHM" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" displayName="Rhythm Waveforms"/>
<!-- time period of ECG collection -->
<effectiveTime>
<low value="20021122091000" inclusive="true"/>
<high value="20021122091010" inclusive="false"/>
</effectiveTime>
<!-- this is the device that generated the ECG -->
<author>
<seriesAuthor>
<manufacturedSeriesDevice>
<id extension="0"/>
<code code="RESTING_ECG" codeSystem="1.2.3.4.5" codeSystemName="???MDC???"/>
<manufacturerModelName>ELI250</manufacturerModelName>
<softwareName>5.3</softwareName>
</manufacturedSeriesDevice>
<manufacturerOrganization>
<name>Mortara Instrument, Inc.</name>
</manufacturerOrganization>
</seriesAuthor>
</author>
<!-- ECG technician that operated (e.g. pushed the button...) the device -->
<secondaryPerformer>
<seriesPerformer>
<id root="2.16.840.1.113883.3.400" extension="TECH-221"/>
<assignedPerson>
<name>KAB</name>
</assignedPerson>
</seriesPerformer>
</secondaryPerformer>
<!-- control variables describe the environment conditions used by the device -->
<!-- Typically these will be filter settings, time skew, valid range and similar settings -->
<controlVariable>
<controlVariable>
<code code="MDC_ECG_CTL_VBL_ATTR_FILTER_LOW_PASS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC" displayName="Low Pass Filter"/>
<component>
<controlVariable>
<code code="MDC_ECG_CTL_VBL_ATTR_FILTER_CUTOFF_FREQ"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC" displayName="Cutoff Frequency"/>
<value xsi:type="PQ" value="150" unit="Hz"/>
</controlVariable>
</component>
</controlVariable>
</controlVariable>
<controlVariable>
<controlVariable>
<code code="MDC_ECG_CTL_VBL_ATTR_FILTER_HIGH_PASS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC" displayName="High Pass Filter"/>
<component>
<controlVariable>
<code code="MDC_ECG_CTL_VBL_ATTR_FILTER_DESCRIPTION"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC" displayName="Filter Type"/>
<value xsi:type="ST">FIR</value>
</controlVariable>
</component>
</controlVariable>
</controlVariable>
<controlVariable>
<controlVariable>
<code code="MDC_ECG_CTL_VBL_ATTR_FILTER_NOTCH" codeSystem="2.16.840.1.113883.6.24"
codeSystemName="MDC" displayName="Notch Filter"/>
<component>
<controlVariable>
<code code="MDC_ECG_CTL_VBL_ATTR_FILTER_DESCRIPTION"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC" displayName="Filter Type"/>
<value xsi:type="ST">Adaptive</value>
</controlVariable>
</component>
<component>
<controlVariable>
<code code="MDC_ECG_CTL_VBL_ATTR_FILTER_NOTCH_FREQ"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC" displayName="Notch Frequency"/>
<value xsi:type="PQ" value="60" unit="Hz"/>
</controlVariable>
</component>
</controlVariable>
</controlVariable>
<component>
<!-- Each sequence set stores one ore more simultaneously recorded sequence -->
<!-- In this example we have a single sequence set as all the 12 leads are recorded simultaneously -->
<sequenceSet>
<component>
<sequence>
<code code="TIME_ABSOLUTE" codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<!-- This sequence is used for the time reference and we will use a GLIST_TS timestamp -->
<value xsi:type="GLIST_TS">
<!-- with a GLIST_TS we provide the head and increment values -->
<head value="20021122091000.000"/>
<increment value="0.002" unit="s"/>
</value>
</sequence>
</component>
<component>
<sequence>
<!-- This is the Lead I sequence, we thus give the MDC code for lead I -->
<code code="MDC_ECG_LEAD_I" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="SLIST_PQ">
<!-- With a SLIST_PQ we need to provide the origin and the scale concepts -->
<origin value="0" unit="uV"/>
<scale value="2.5" unit="uV"/>
<!-- With a SLIST_PQ the values of the sequence are "spelled out" in the <digit> element -->
<digits> -2 -2 -2 -2 -3 -4 -3 -5 -5 -4 -6 -9 -9 -8 -6 -4 -6 -10 -10
-10 -9 -9 -9 -7 -7 -7 -7 -6 -3 -3 -2 0 1 1 2 0 -2 -4 -5 -5 -3 -4
-5 -6 -6 -4 -3 -4 -5 -7 -7 -5 -6 -4 -2 -3 -1 -1 2 3 3 5 7 7 6 3
3 0 0 4 8 7 7 7 12 14 15 16 16 16 18 21 25 26 23 25 25 23 28 32
36 38 39 39 39 36 35 32 29 28 27 27 25 19 13 7 5 1 0 -3 -6 -8 -6
-4 -3 -6 -8 -10 -10 -10 -8 -6 -5 -3 -2 -2 -3 -4 -5 -5 -4 -6 -6
-9 -10 -12 -12 -13 -18 -22 -29 -33 -36 -43 -49 -56 -64 -70 -71
-70 -69 -62 -54 -43 -28 -15 -2 10 25 42 56 68 83 100 120 134 139
135 127 116 102 87 73 60 47 34 23 17 15 10 7 6 5 4 -1 1 2 2 1 -2
-5 -6 -6 -5 -3 -3 -4 -4 -2 0 -2 -2 -2 -1 -1 -5 -6 -7 -7 -8 -8 -9
-10 -10 -11 -11 -8 -6 -3 -4 -5 -5 -4 -4 -4 -3 -3 -4 -4 -3 -4 -3
-2 1 2 -1 -2 -3 -3 -3 -3 -3 -4 -6 -4 -1 -1 -2 0 2 3 6 8 7 4 2 2
1 1 0 0 2 1 -2 -3 -3 0 3 5 4 1 -1 -1 -1 -3 -3 -1 -1 -1 -2 -2 -1
-1 -5 -7 -10 -10 -10 -11 -11 -9 -8 -8 -10 -10 -11 -8 -7 -6 -8 -8
-5 -6 -7 -7 -7 -10 -11 -9 -11 -11 -14 -17 -17 -15 -13 -14 -13
-10 -10 -11 -15 -13 -12 -13 -13 -13 -13 -11 -10 -10 -12 -12 -11
-12 -12 -12 -12 -15 -14 -14 -14 -12 -12 -14 -16 -16 -15 -15 -12
-11 -15 -15 -12 -11 -9 -8 -9 -10 -13 -13 -12 -10 -9 -9 -10 -11
-14 -15 -16 -16 -16 -12 -12 -11 -12 -12 -10 -9 -10 -11 -10 -10
-11 -12 -13 -11 -11 -10 -10 -9 -9 -10 -10 -12 -12 -12 -12 -12
-13 -13 -13 -11 -11 -9 -8 -9 -9 -8 -7 -6 -6 -4 -1 1 -2 -4 -7 -5
-4 -3 -3 -1 -4 -6 -9 -9 -12 -12 -10 -12 -14 -16 -16 -17 -17 -17
-19 -20 -21 -22 -20 -18 -16 -14 -12 -10 -8 -6 -2 2 5 5 6 8 7 11
15 15 12 8 4 1 -3 0 5 4 3 4 4 6 6 6 6 5 5 5 7 6 2 4 4 6 11 15 16
17 15 15 15 11 7 3 -4 -7 -14 -16 -20 -22 -25 -20 -11 -8 -7 -8
-10 -15 -19 -21 -24 -27 -28 -28 -28 -28 -29 -29 -31 -30 -32 -32
-33 -29 -26 -20 -16 -14 -14 -15 -17 -24 -34 -43 -57 -65 -76 -82
-90 -93 -94 -94 -94 -97 -97 -98 -97 -90 -82 -66 -46 -29 -15 -2
11 27 38 55 74 91 108 115 110 96 74 56 36 24 17 15 14 8 -1 -12
-18 -25 -33 -35 -34 -34 -39 -34 -31 -33 -39 -40 -43 -43 -40 -39
-39 -40 -45 -47 -51 -50 -50 -42 -34 -37 -44 -53 -64 -64 -60 -50
-37 -29 -25 -22 -25 -26 -26 -28 -33 -37 -44 -44 -40 -38 -39 -42
-44 -48 -54 -55 -56 -50 -43 -34 -29 -35 -46 -56 -68 -70 -68 -56
-44 -39 -36 -36 -39 -46 -55 -60 -66 -57 -45 -25 -5 -9 -21 -49
-83 -92 -95 -76 -50 -36 -24 -17 -14 -22 -34 -47 -64 -65 -60 -56
-54 -53 -55 -56 -60 -59 -55 -50 -47 -46 -44 -41 -38 -43 -50 -58
-70 -72 -72 -62 -48 -41 -35 -32 -34 -36 -37 -36 -38 -39 -41 -42
-49 -51 -49 -49 -49 -51 -53 -56 -60 -62 -65 -60 -54 -49 -45 -40
-36 -35 -40 -44 -48 -48 -45 -36 -28 -27 -31 -42 -58 -62 -62 -56
-51 -43 -38 -30 -22 -20 -23 -24 -24 -23 -25 -17 -11 -13 -14 -16
-25 -33 -40 -46 -55 -56 -53 -43 -32 -26 -23 -14 -7 -5 -5 -9 -16
-21 -22 -25 -30 -31 -30 -28 -25 -21 -20 -13 -9 -8 -7 -7 -9 -10
-12 -12 -11 -9 -10 -9 -13 -14 -14 -14 -16 -17 -17 -12 -8 -6 -6
-9 -14 -16 -19 -19 -18 -18 -19 -14 -9 -7 -8 -14 -18 -17 -18 -15
-7 -2 2 6 10 9 5 1 -5 -8 -13 -14 -15 -13 -12 -11 -11 -10 -9 -12
-15 -13 -8 -4 -2 -1 -2 -4 -4 -5 -5 -6 -6 -7 -7 -8 -6 -5 -6 -10
-13 -14 -15 -8 0 4 3 3 3 2 2 7 15 15 16 17 20 21 17 13 9 11 17
27 39 42 39 40 34 31 32 34 31 33 31 31 31 30 29 27 27 29 29 29
27 20 9 3 0 0 1 7 11 14 15 18 19 16 12 7 1 -2 -3 -3 -6 -7 -6 0 5
7 8 12 15 12 4 -7 -18 -21 -20 -9 2 6 6 3 -2 -11 -20 -33 -47 -54
-56 -58 -57 -52 -46 -33 -17 -2 8 19 28 43 54 73 93 119 144 160
165 162 150 135 119 104 89 77 66 59 48 36 30 24 20 24 31 30 24
19 12 10 7 12 17 23 27 30 27 23 16 13 9 6 -2 -5 -9 -3 6 22 38 42
44 45 46 42 35 25 10 3 -1 9 22 29 30 33 34 28 19 16 14 13 11 11
10 11 12 19 26 28 29 27 26 22 18 18 21 25 28 29 29 30 30 29 27
27 24 23 19 19 21 22 24 26 24 26 27 22 18 16 13 16 20 27 33 37
42 43 40 35 27 18 6 2 2 11 20 29 37 38 37 33 28 27 25 24 17 15
11 7 5 5 6 9 13 18 23 23 21 15 4 0 -2 0 4 8 10 12 15 13 7 6 3 2
2 7 15 20 19 20 23 23 23 24 24 22 21 18 10 6 4 3 -4 -2 -1 7 17
21 22 19 15 13 10 11 9 8 11 17 20 20 18 19 16 15 15 14 13 13 12
15 18 21 21 22 20 18 20 22 22 23 24 26 29 28 25 27 24 22 17 12 8
7 8 11 16 22 25 29 31 34 34 31 24 20 16 13 11 11 13 15 16 19 20
23 25 25 20 15 8 5 4 7 15 20 23 28 33 29 23 12 0 -4 -4 10 25 34
39 40 39 37 30 27 26 23 20 16 13 12 12 15 20 21 20 25 29 32 31
27 21 20 21 18 13 9 8 9 9 12 16 21 19 22 22 23 23 24 25 25 26 26
21 24 25 22 16 15 14 13 13 17 18 19 19 21 18 19 20 21 16 16 19
29 42 45 46 46 45 42 37 34 29 27 30 44 60 75 90 90 86 77 67 59
48 46 47 53 61 63 62 50 32 20 10 11 15 21 23 22 20 20 22 19 9 6
6 7 9 15 20 24 28 28 26 22 15 10 6 6 4 5 6 9 11 13 14 6 -6 -15
-19 -17 -14 -17 -24 -30 -36 -38 -41 -41 -34 -24 -13 2 15 28 38
51 67 76 82 99 123 147 164 166 158 146 130 113 96 84 75 64 55 46
37 35 30 28 24 23 20 15 17 18 16 13 10 10 13 19 26 29 29 28 28
27 24 16 9 8 9 13 16 19 20 21 21 13 0 -7 -13 -14 -10 1 15 24 26
26 30 33 30 26 20 19 18 18 19 18 19 20 23 24 23 22 21 23 23 22
18 17 18 18 19 21 20 24 26 29 32 32 29 28 28 26 23 21 18 17 15
12 6 6 9 18 30 39 44 44 46 44 38 29 21 18 14 14 15 19 23 22 21
23 22 24 24 21 19 19 20 18 16 16 15 17 16 14 12 11 10 10 9 9 9 7
8 11 11 11 9 8 5 5 6 6 9 10 10 10 10 13 14 10 6 7 8 9 10 10 10
11 9 8 9 12 12 9 10 10 10 10 10 10 8 10 12 14 20 19 15 15 18 16
12 12 12 11 11 11 12 14 15 16 17 20 21 20 15 5 -6 -8 -10 -5 2 10
18 23 22 20 17 14 11 8 5 5 5 8 8 9 9 8 8 6 6 6 6 4 3 3 1 1 0 2 0
0 3 4 5 8 8 7 7 7 4 2 0 4 8 8 5 6 5 7 8 12 15 19 23 17 9 5 1 -1
-1 0 2 8 13 18 19 21 21 23 23 14 0 -10 -18 -14 -5 3 8 15 19 24
26 25 18 13 8 7 5 7 9 8 6 3 0 2 6 9 10 6 -1 -3 -6 -4 -2 4 10 14
11 9 7 5 2 0 -2 -2 8 17 20 12 -2 -11 -20 -17 -7 3 11 15 16 17 13
7 0 -1 -7 -6 -2 7 13 15 16 18 18 24 28 33 34 32 31 25 15 8 3 -2
-8 -5 1 9 13 16 17 17 17 17 17 12 2 -10 -22 -30 -38 -41 -47 -50
-52 -48 -40 -34 -32 -26 -20 -18 -20 -25 -35 -44 -54 -60 -68 -72
-77 -76 -72 -66 -60 -53 -50 -51 -51 -53 -58 -67 -75 -83 -87 -89
-94 -98 -103 -109 -113 -115 -121 -122 -119 -111 -97 -81 -65 -53
-45 -35 -26 -17 -7 8 28 57 82 92 92 83 71 53 34 19 6 -8 -24 -36
-45 -45 -48 -50 -54 -56 -61 -65 -62 -59 -57 -56 -56 -59 -60 -60
-59 -59 -59 -59 -62 -62 -61 -62 -62 -62 -61 -58 -58 -58 -59 -57
-57 -56 -56 -55 -53 -55 -55 -52 -48 -46 -51 -55 -55 -54 -54 -52
-51 -49 -50 -50 -49 -48 -45 -44 -41 -40 -43 -44 -47 -46 -49 -48
-46 -45 -44 -44 -43 -41 -42 -42 -41 -41 -38 -36 -37 -38 -38 -36
-37 -35 -36 -38 -38 -37 -39 -39 -39 -38 -35 -34 -33 -32 -30 -29
-31 -33 -33 -30 -26 -24 -23 -22 -21 -22 -23 -23 -24 -24 -24 -23
-23 -23 -22 -22 -22 -22 -23 -23 -26 -27 -31 -33 -33 -29 -26 -25
-25 -27 -26 -23 -23 -23 -26 -29 -29 -29 -28 -30 -29 -28 -28 -28
-28 -25 -25 -27 -27 -25 -25 -25 -24 -24 -26 -26 -25 -26 -26 -26
-28 -29 -26 -24 -23 -21 -19 -18 -18 -17 -19 -21 -19 -20 -21 -19
-15 -15 -15 -14 -14 -13 -13 -11 -10 -8 -7 -7 -8 -8 -7 -5 -6 -9
-12 -8 -8 -9 -10 -10 -8 -5 -4 -5 -4 -4 -7 -8 -9 -9 -10 -10 -10
-9 -10 -11 -13 -16 -16 -16 -16 -17 -21 -21 -21 -21 -21 -17 -15
-14 -11 -9 -10 -10 -10 -11 -11 -8 -9 -10 -12 -11 -11 -10 -13 -12
-13 -13 -13 -13 -16 -16 -14 -13 -13 -12 -12 -13 -14 -15 -15 -13
-10 -9 -10 -9 -9 -5 -4 -3 -5 -8 -10 -9 -10 -10 -10 -10 -10 -7 -7
-8 -11 -12 -13 -13 -13 -11 -9 -10 -12 -14 -13 -12 -9 -6 -8 -10
-10 -11 -12 -12 -11 -10 -10 -9 -9 -8 -8 -7 -7 -7 -8 -5 -8 -9 -11
-8 -7 -7 -5 -1 -1 -2 -5 -5 -8 -6 -2 2 1 2 5 8 9 9 10 11 14 16 19
23 24 21 23 23 21 24 27 30 32 33 31 31 27 25 23 25 25 25 24 21
15 7 1 -1 -5 -6 -8 -10 -12 -12 -10 -11 -14 -16 -16 -15 -13 -10
-9 -11 -11 -10 -12 -13 -14 -15 -15 -15 -14 -12 -13 -15 -15 -14
-15 -20 -24 -31 -35 -39 -44 -49 -56 -64 -72 -74 -76 -73 -66 -59
-52 -38 -25 -11 3 21 38 50 62 77 93 112 125 131 129 124 116 104
89 75 62 49 37 26 17 15 12 10 6 4 -1 -5 -2 0 -2 -4 -4 -6 -10 -9
-10 -11 -11 -10 -10 -10 -9 -12 -12 -12 -11 -8 -8 -8 -9 -9 -9 -8
-8 -8 -8 -9 -9 -4 0 1 -1 -5 -5 -2 -2 -1 -3 -1 -2 -2 -1 -1 -2 -1
-1 0 -3 -4 -5 -5 -5 -3 -3 -3 -2 -1 -2 -3 -4 -4 -3 -2 3 6 5 4 4 6
5 5 4 3 1 1 -2 -3 -3 -2 1 4 7 5 4 3 1 -2 -5 -5 -5 -5 -6 -3 1 2 1
1 0 1 -2 -3 -3 -3 -3 -6 -8 -8 -11 -11 -12 -10 -10 -11 -11 -10
-10 -9 -9 -12 -13 -10 -8 -7 -9 -10 -13 -13 -12 -14 -13 -10 -10
-10 -10 -7 -6 -7 -7 -7 -7 -7 -6 -6 -6 -6 -5 -6 -6 -8 -10 -12 -13
-14 -14 -13 -11 -10 -10 -10 -9 -9 -7 -6 -7 -7 -4 -5 -5 -4 -4 -4
-7 -7 -6 -5 -6 -8 -7 -6 -5 -5 -6 -8 -8 -6 -6 -7 -8 -10 -10 -7 -8
-9 -8 -6 -7 -5 -4 -2 1 0 -1 -1 -2 -4 -4 -6 -6 -6 -8 -10 -11 -11
-11 -11 -11 -9 -8 -8 -5 -4 -3 -2 -2 -3 -4 -5 -8 -10 -12 -9 -8 -6
-9 -8 -9 -9 -9 -9 -10 -9 -5 -4 -6 -6 -5 -5 -6 -7 -9 -10 -11 -11
-12 -11 -11 -7 -6 -5 -7 -6 -6 -7 -8 -8 -8 -8 -10 -7 -7 -8 -11
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-9 -12 -14 -16 -16 -16 -19 -20 -19 -16 -13 -11 -10 -10 -11 -11
-11 -12 -10 -9 -5 -4 -3 -1 -3 -5 -7 -6 -3 -2 -3 -2 0 -1 -5 -6 -5
-7 -7 -9 -9 -7 -4 -5 -4 -1 1 0 -2 -4 -2 -2 -4 -7 -8 -8 -8 -7 -9
-8 -7 -8 -7 -9 -9 -8 -9 -10 -11 -8 -7 -6 -4 -9 -13 -16 -15 -15
-15 -14 -11 -10 -9 -9 -10 -11 -12 -12 -13 -13 -13 -15 -16 -17
-18 -17 -16 -13 -7 -5 -5 0 3 4 2 3 6 9 13 17 19 17 19 23 22 21
17 15 13 11 9 8 11 8 8 8 5 3 4 4 3 3 0 0 -1 -3 -3 -5 -5 -6 -4 -4
-3 -7 -11 -15 -18 -23 -25 -27 -28 -30 -31 -32 -30 -30 -32 -32
-33 -32 -30 -30 -30 -29 -28 -30 -31 -32 -29 -28 -27 -26 -22 -21
-19 -16 -13 -13 -7 -1 0 -5 -13 -25 -37 -50 -62 -71 -81 -87 -87
-78 -62 -44 -23 -5 11 32 57 72 73 50 0 -64 -129 -181 -221 -252
-268 -277 -285 -288 -279 -265 -250 -232 -216 -196 -174 -152 -126
-106 -86 -70 -61 -55 -46 -40 -33 -26 -21 -18 -16 -15 -11 -9 -10
-10 -7 -6 -7 -7 -5 -3 -1 0 0 0 0 1 5 7 8 8 10 11 9 8 9 9 7 7 7 8
7 3 4 6 9 11 11 11 13 17 19 19 19 17 16 14 13 14 15 15 16 18 18
16 17 19 22 24 28 31 34 34 32 30 31 33 34 38 40 41 42 39 43 46
49 51 54 57 59 60 61 65 65 65 67 64 68 72 73 74 74 77 82 84 84
84 82 82 82 83 84 86 85 86 85 85 87 89 90 89 92 90 89 87 82 78
76 72 71 69 67 64 59 56 51 47 44 44 39 34 30 27 26 24 23 21 16
13 11 8 8 6 6 6 6 7 6 2 3 2 0 -2 -2 -5 -4 -5 -6 -7 -7 -8 -8 -10
-7 -6 -7 -11 -12 -12 -9 -8 -8 -7 -8 -9 -10 -12 -14 -16 -16 -14
-12 -13 -13 -14 -11 -9 -8 -6 -6 -7 -7 -7 -7 -7 -8 -9 -8 -7 -5 -4
-2 -4 -2 -1 1 0 0 -3 -3 -6 -4 -5 -5 -5 -6 -6 -5 -5 -6 -5 -3 -4
-4 -5 0 0 1 0 -1 -1 -1 -5 -7 -9 -9 -11 -12 -15 -15 -15 -13 -14
-14 -13 -13 -13 -12 -12 -11 -12 -11 -12 -10 -10 -7 -3 -3 -3 1 5
8 9 11 14 19 21 23 25 29 29 27 25 24 19 18 18 16 14 13 13 12 15
16 13 12 12 12 12 10 6 5 3 1 -2 -4 -2 -3 -2 -3 -2 -7 -18 -21 -23
-26 -26 -26 -27 -29 -29 -29 -32 -32 -33 -34 -34 -33 -30 -29 -33
-35 -37 -41 -41 -39 -37 -33 -32 -29 -27 -26 -27 -23 -20 -17 -16
-14 -15 -18 -22 -31 -40 -50 -62 -68 -74 -79 -76 -67 -57 -39 -20
-2 14 33 54 66 59 30 -19 -76 -135 -184 -221 -249 -272 -284 -291
-289 -282 -271 -257 -239 -221 -198 -174 -150 -126 -112 -96 -81
-69 -58 -48 -40 -32 -25 -21 -18 -17 -14 -13 -13 -13 -11 -9 -7 -8
-8 -8 -4 -3 -1 -2 -2 -3 -2 0 2 1 4 6 3 0 0 0 0 1 2 2 5 5 5 5 6 8
9 9 7 5 6 8 8 7 7 7 10 9 10 9 8 11 16 20 21 21 21 22 24 25 27 28
32 32 33 37 38 35 37 40 45 48 46 47 49 51 54 55 58 60 62 64 69
70 70 68 69 74 77 80 84 85 86 89 91 92 92 92 94 95 98 97 96 94
99 100 98 96 97 98 96 97 97 96 91 85 82 82 78 72 67 64 64 60 57
55 55 50 47 42 37 34 31 28 25 23 22 18 17 16 13 11 10 6 5 5 5 2
0 0 0 -3 -4 -4 -7 -6 -4 -4 -6 -4 -5 -6 -4 -3 -3 -5 -7 -8 -9 -6
-5 -4 -3 -3 -2 -2 -1 0 -4 -6 -6 -4 -5 -3 -3 -1 1 -1 0 0 -1 -1 0
0 0 0 </digits>
</value>
</sequence>
</component>
</sequenceSet>
</component>
<!-- Annotations for the given series start here -->
<!-- There can be one or more annotation sets for a given series -->
<!-- Each annotation set includes all the annotations performed in a single measurement "session" -->
<!-- In this example we provide two annotation sets, one generated by a machine and one by a human reader -->
<subjectOf>
<!-- we are now into first annotation set -->
<annotationSet>
<!-- Activity time: this specifies WHEN the annotation set was generated -->
<activityTime value="20021122091000.000"/>
<!-- Annotation set author: this is WHO performed the annotations (device or person) -->
<!-- This annotation set was produced by a device: the Mortara ELI250 5.3 software -->
<author>
<assignedEntity>
<id extension="0"/>
<assignedAuthorType>
<assignedDevice>
<code code="RESTING_ECG" codeSystem="1.2.3.4.5" codeSystemName="???"/>
<manufacturerModelName>ELI250</manufacturerModelName>
<softwareName>5.3</softwareName>
<playedManufacturedDevice>
<manufacturerOrganization>
<name>Mortara Instrument, Inc.</name>
</manufacturerOrganization>
</playedManufacturedDevice>
</assignedDevice>
</assignedAuthorType>
<representedAuthoringOrganization>
<name>River City Clinic for the Cardiac Challenged</name>
<identification>
<id root="2.16.840.1.113883.3.400" extension="TS-035"/>
</identification>
</representedAuthoringOrganization>
</assignedEntity>
</author>
<component>
<!-- The following is an example of a RHYTHM type annotation -->
<annotation>
<code code="MDC_ECG_RHY" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_RHY_SINUS_RHY"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC" displayName="Sinus Rhythm"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091000.000"/>
<high value="20021122091010.000"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<!-- The following is an example of a BEAT type annotation -->
<!-- This BEAT-tpe annotation will be used a "container" for all the WAVE-type annotations that belong to the same beat -->
<!-- Although we could, we don't specify an ROI for the beat; we just use it as a container -->
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<!-- We use the MDC_ECG_BEAT_NORMAL code to identify a normal beat -->
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<!-- Within the BEAT annotation we now store WAVE type annotations -->
<!-- The first is a P Wave -->
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<!-- the supportting ROI DOES NOT INCLUDE a lead component: => this is thus a GLOBAL annotation-->
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091000.122"/>
<high value="20021122091000.224"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<!-- Now comes the QRS Wave (for the same BEAT) -->
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091000.270"/>
<high value="20021122091000.390"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<!-- Now comes the T Wave -->
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<!-- We only give the high value of this wave (the offset) -->
<value xsi:type="IVL_TS">
<high value="20021122091000.690"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<!-- Still for the same BEAT we now provide NUMERICS type annotations -->
<!-- This are optional annotations (as they could be fully derived by the WAVE type annotations above -->
<!-- The "generator" of the aECG file is responsible to maintain consistency between NUMERICS and WAVE type anntoations -->
<!-- P wave duration -->
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<!-- PR interval -->
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<!-- QRS interval -->
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<!-- QT interval -->
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<!-- QTc interval -->
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<!-- P wave front angle -->
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<!-- QRS wave front angle -->
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<!-- T wave front angle -->
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<!-- We are done with the first beat!!! -->
<component>
<!-- This is the second beat.... everything is repeated as above -->
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091000.912"/>
<high value="20021122091001.014"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091001.060"/>
<high value="20021122091001.180"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<high value="20021122091001.480"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091001.720"/>
<high value="20021122091001.822"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091001.868"/>
<high value="20021122091001.988"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<high value="20021122091002.288"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091002.566"/>
<high value="20021122091002.668"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
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<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091006.902"/>
<high value="20021122091007.004"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091007.050"/>
<high value="20021122091007.170"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<high value="20021122091007.470"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091007.740"/>
<high value="20021122091007.842"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091007.888"/>
<high value="20021122091008.008"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<high value="20021122091008.308"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091008.558"/>
<high value="20021122091008.660"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091008.706"/>
<high value="20021122091008.826"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<high value="20021122091009.126"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_BEAT" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_BEAT_NORMAL"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091009.340"/>
<high value="20021122091009.442"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<low value="20021122091009.488"/>
<high value="20021122091009.608"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_WAVC" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_TWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support>
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_ABSOLUTE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Aboslute Time"/>
<value xsi:type="IVL_TS">
<high value="20021122091009.908"/>
</value>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_P"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="102" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_PR"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="148" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QRS"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="120" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="420" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_TIME_PD_QTc"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="443" unit="ms"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_P_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="44" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_QRS_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="-61" unit="deg"/>
</annotation>
</component>
<component>
<annotation>
<code code="MDC_ECG_ANGLE_T_FRONT"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="PQ" value="86" unit="deg"/>
</annotation>
</component>
</annotation>
</component>
</annotationSet>
</subjectOf>
<!-- We now give another example of annotation set, this time generated by a human reader -->
<!-- This annotation set consists of three RR intervals on lead I and three QT intervals on lead II -->
<subjectOf>
<annotationSet>
<!-- In this case the annotations where generated by a Doctor, using "one" on-screen measurement system -->
<author>
<assignedEntity>
<assignedAuthorType>
<assignedPerson>
<name>Doctor John Brown</name>
</assignedPerson>
</assignedAuthorType>
</assignedEntity>
</author>
<component>
<!-- In this case we did not use a BEAT higher-level component and we go directly to the WAVE type annotation -->
<annotation>
<code code="MDC_ECG_WAVC_TYPE" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_RWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<!-- Since we are providing a wave peak, we use the associated MDC code -->
<value xsi:type="CE" code="MDC_ECG_WAVC_PEAK"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support typeCode="SPRT">
<!-- the supporting ROI DOES INCLUDE a lead component: => this is thus a lead-based annotation-->
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<!-- The PEAK is a single value, and thus we thus use a PQ type-->
<boundary>
<code code="TIME_RELATIVE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Relative Time"/>
<value xsi:type="PQ" value="332" unit="ms"/>
</boundary>
</component>
<component>
<boundary>
<code code="MDC_ECG_LEAD_I"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
</annotation>
</component>
<!-- The second R wave peak on lead I -->
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_RWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PEAK"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support typeCode="SPRT">
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_RELATIVE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Relative Time"/>
<value xsi:type="PQ" value="1120" unit="ms"/>
</boundary>
</component>
<component>
<boundary>
<code code="MDC_ECG_LEAD_I"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
</annotation>
</component>
<!-- The third R wave peak on lead I -->
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_RWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PEAK"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support typeCode="SPRT">
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_RELATIVE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Relative Time"/>
<value xsi:type="PQ" value="1930" unit="ms"/>
</boundary>
</component>
<component>
<boundary>
<code code="MDC_ECG_LEAD_I"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
</annotation>
</component>
<!-- The fourth R wave peak on lead I -->
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_RWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_PEAK"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support typeCode="SPRT">
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_RELATIVE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Relative Time"/>
<value xsi:type="PQ" value="2776" unit="ms"/>
</boundary>
</component>
<component>
<boundary>
<code code="MDC_ECG_LEAD_I"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
</annotation>
</component>
<!-- The first QT interval on lead II is placed using a single QRSTWAVE -->
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSTWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support typeCode="SPRT">
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_RELATIVE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Relative Time"/>
<value xsi:type="IVL_PQ">
<low value="1068" unit="ms"/>
<high value="1482" unit="ms"/>
</value>
</boundary>
</component>
<component>
<boundary>
<code code="MDC_ECG_LEAD_II"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<!-- The second QT interval -->
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSTWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support typeCode="SPRT">
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_RELATIVE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Relative Time"/>
<value xsi:type="IVL_PQ">
<low value="1876" unit="ms"/>
<high value="2298" unit="ms"/>
</value>
</boundary>
</component>
<component>
<boundary>
<code code="MDC_ECG_LEAD_II"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
<!-- The third QT interval -->
<component>
<annotation>
<code code="MDC_ECG_WAVC_TYPE" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="CE" code="MDC_ECG_WAVC_QRSTWAVE"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<support typeCode="SPRT">
<supportingROI classCode="ROIBND">
<code code="ROIPS" codeSystem="2.16.840.1.113883.5.4" codeSystemName="HL7V3"/>
<component>
<boundary>
<code code="TIME_RELATIVE"
codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Relative Time"/>
<value xsi:type="IVL_PQ">
<low value="2722" unit="ms"/>
<high value="3128" unit="ms"/>
</value>
</boundary>
</component>
<component>
<boundary>
<code code="MDC_ECG_LEAD_II"
codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
</boundary>
</component>
</supportingROI>
</support>
</annotation>
</component>
</annotationSet>
</subjectOf>
<!-- Derived Series: Representative (median) beat-->
<!-- This structure is exactly the same as that of the "main" series -->
<derivation>
<!-- We use a derivedSeries tag -->
<derivedSeries>
<id root="38ed54e0-ecf6-4fc6-837f-b2d836980057"/>
<!-- We use a REPRESENTATIVE_BEAT code -->
<code code="REPRESENTATIVE_BEAT" codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Representative Beat Waveforms"/>
<!-- This is the time used to compute the derivedSeries (in this case the full 10 seconds of the original series) -->
<effectiveTime>
<low value="20021122091000.000" inclusive="true"/>
<high value="20021122091010.000" inclusive="false"/>
</effectiveTime>
<!-- This is WHO computed the derivedSeries (in this case the Mortara software in the recording device) -->
<author>
<seriesAuthor>
<manufacturedSeriesDevice>
<id extension="0"/>
<code code="RESTING_ECG" codeSystem="1.2.3.4.5" codeSystemName="???"/>
<manufacturerModelName>ELI250</manufacturerModelName>
<softwareName>5.3</softwareName>
</manufacturedSeriesDevice>
<manufacturerOrganization>
<name>Mortara Instrument, Inc.</name>
</manufacturerOrganization>
</seriesAuthor>
</author>
<component>
<sequenceSet>
<component>
<sequence>
<code code="TIME_RELATIVE" codeSystem="2.16.840.1.113883.5.4"
codeSystemName="ActCode" displayName="Relative Time"/>
<value xsi:type="GLIST_PQ">
<head value="0.000" unit="s"/>
<increment value="0.002" unit="s"/>
</value>
</sequence>
</component>
<component>
<sequence>
<code code="MDC_ECG_LEAD_I" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="SLIST_PQ">
<origin value="0" unit="uV"/>
<scale value="2.5" unit="uV"/>
<digits> 4 4 2 3 4 4 4 4 5 5 5 5 5 6 5 6 2 5 6 6 7 7 7 8 7 6
5 7 6 7 8 7 7 6 6 5 4 4 2 5 6 7 5 5 6 6 6 7 6 5 7 6 5 5
5 5 4 4 5 5 5 4 5 5 4 6 6 8 8 9 7 7 6 4 2 3 4 5 4 4 7 6
6 4 4 6 5 6 8 5 5 7 5 5 6 6 7 7 7 8 8 9 9 11 10 10 9 9
10 11 10 7 7 7 7 7 8 8 6 4 3 3 6 6 5 6 6 9 12 12 11 9 8
8 6 9 13 13 14 11 11 10 9 12 16 17 15 15 15 12 11 13 17
15 17 20 25 29 30 30 30 31 33 36 40 40 37 40 36 35 37 40
41 43 43 43 43 40 39 37 37 38 37 38 35 28 19 14 12 10 10
8 6 4 4 7 7 5 4 4 4 4 5 5 3 4 4 4 3 2 1 1 2 2 2 1 -1 0 0
-1 -7 -11 -18 -22 -25 -31 -36 -44 -52 -57 -58 -60 -58
-50 -42 -29 -14 -1 11 23 37 53 63 76 91 109 129 142 144
138 127 114 99 84 72 61 50 41 29 22 21 17 15 14 13 12 6
10 10 10 8 8 5 4 5 6 5 6 4 4 5 5 2 2 2 4 4 5 4 3 3 4 4 5
4 4 1 2 5 9 12 10 7 7 9 8 7 5 6 4 5 6 4 6 7 10 10 9 8 7
8 7 7 7 8 8 9 10 9 8 9 9 9 13 14 15 14 14 14 13 13 12 10
11 11 9 9 10 11 14 15 16 12 13 13 13 11 11 11 11 11 10
10 12 10 9 9 8 9 8 7 7 7 9 8 8 8 7 7 6 4 2 1 2 2 3 3 3
-1 -1 2 1 1 -1 -3 -3 -2 -2 -4 -2 -2 -1 -2 -1 2 3 1 1 2 1
2 2 2 2 3 3 0 0 0 0 -3 -1 -2 0 2 4 4 4 5 5 3 6 4 3 4 7 5
6 6 7 5 5 6 6 7 8 6 8 9 9 10 8 4 2 5 4 5 6 6 9 12 12 11
13 12 11 10 9 9 10 10 11 11 12 10 11 8 8 8 8 6 5 5 5 5 6
8 8 7 8 9 10 10 10 9 10 11 9 8 6 10 11 12 11 13 11 12 11
11 10 10 13 11 12 10 10 9 10 9 9 10 11 11 10 9 10 14 15
15 13 12 12 13 14 15 14 14 14 18 17 16 13 12 11 11 11 14
16 13 14 12 14 13 14 16 16 14 14 15 16 17 17 17 20 23 24
25 25 21 21 21 22 26 26 23 23 20 20 23 22 25 25 27 28 27
27 24 21 19 17 20 26 32 36 36 36 31 28 23 </digits>
</value>
</sequence>
</component>
<component>
<sequence>
<code code="MDC_ECG_LEAD_II" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="SLIST_PQ">
<origin value="0" unit="uV"/>
<scale value="2.5" unit="uV"/>
<digits> 52 50 49 49 48 48 47 44 43 41 38 37 36 34 31 29 28
28 28 27 27 26 27 26 24 24 24 24 23 24 25 24 24 23 23 21
21 21 20 20 20 21 21 20 21 21 21 21 22 21 23 23 22 22 22
22 21 22 22 21 22 22 23 23 25 25 25 25 25 26 26 25 25 24
24 25 23 22 22 22 22 22 23 25 25 25 26 25 25 25 23 21 21
22 22 21 18 17 19 20 18 19 18 19 20 18 19 19 19 20 20 21
21 19 19 19 18 19 18 17 17 17 16 16 15 15 17 20 19 18 17
17 16 17 18 18 19 19 18 18 18 19 20 21 21 25 27 28 26 28
31 34 38 43 47 52 53 54 52 50 47 48 48 49 48 47 46 43 44
44 41 41 44 46 46 46 43 41 40 37 34 32 30 29 29 26 23 17
11 10 8 4 4 3 2 1 0 -2 -2 -2 -4 -5 -4 -2 1 1 -1 -1 -3 -5
-6 -5 -3 -3 -3 -2 -2 0 3 5 8 8 9 9 6 -4 -16 -32 -48 -64
-75 -85 -92 -90 -82 -62 -37 -10 18 42 67 97 124 137 132
99 50 -10 -71 -118 -153 -179 -199 -214 -223 -225 -222
-215 -206 -192 -174 -152 -127 -103 -78 -63 -48 -34 -23
-16 -8 0 6 10 14 17 17 19 19 19 20 21 20 22 20 21 22 23
24 25 26 26 27 28 30 31 31 33 34 34 35 36 34 35 35 35 35
37 39 37 40 41 42 44 44 44 43 45 46 45 46 46 47 47 45 46
47 47 50 53 54 55 55 56 58 60 58 61 62 65 65 66 69 70 70
71 72 75 78 79 83 84 86 89 93 96 97 98 100 103 104 105
107 107 109 111 113 116 116 118 121 123 123 123 124 126
127 127 126 126 124 125 123 124 124 127 128 126 125 123
123 119 114 109 106 101 97 93 90 88 82 80 75 73 70 68 64
61 57 55 54 50 49 48 43 42 39 36 34 32 29 30 29 31 30 29
29 29 28 27 26 24 24 23 23 24 24 24 25 24 25 24 24 23 22
23 24 24 24 26 25 24 22 23 23 22 22 23 23 22 22 23 24 26
26 27 26 24 25 24 24 25 25 26 25 26 27 26 26 24 24 25 25
26 27 26 26 24 24 25 24 24 23 23 23 24 22 22 23 23 24 23
26 27 27 26 25 26 25 22 22 21 22 22 21 20 19 20 20 19 18
18 19 18 19 20 18 18 17 17 17 18 19 19 19 21 23 23 22 21
19 20 22 22 25 24 25 26 28 28 30 31 31 33 34 35 34 35 36
37 37 36 35 35 35 36 35 37 35 34 34 36 38 36 34 34 34 35
31 30 27 27 28 30 28 30 31 31 33 33 33 34 33 33 33 34 32
30 28 </digits>
</value>
</sequence>
</component>
<component>
<sequence>
<code code="MDC_ECG_LEAD_V1" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="SLIST_PQ">
<origin value="0" unit="uV"/>
<scale value="2.5" unit="uV"/>
<digits> 18 16 16 16 15 15 16 16 14 14 15 15 14 14 14 13 13
11 12 12 12 12 11 12 12 11 10 10 8 9 9 10 10 10 10 10 9
8 7 8 7 5 6 7 7 7 8 8 7 8 8 7 8 7 6 6 5 4 5 5 5 4 5 6 6
5 5 7 5 5 6 5 6 4 6 5 5 5 5 4 3 4 3 3 2 3 3 2 3 2 1 0 2
1 2 0 0 -1 0 -1 0 0 0 -1 0 -1 -2 -2 -3 -3 -3 -3 -3 -3 -2
-3 -3 -2 -2 -3 -4 -5 -5 -8 -8 -8 -8 -8 -7 -5 -2 -2 -2 -2
-2 -4 -4 -5 -6 -4 -3 -3 -2 -1 1 1 2 2 4 5 6 4 3 4 4 2 -1
-4 -8 -10 -13 -16 -19 -22 -24 -27 -29 -32 -31 -32 -33
-33 -32 -32 -31 -30 -28 -26 -25 -23 -22 -21 -23 -24 -23
-20 -16 -12 -11 -9 -8 -5 -5 -7 -7 -5 -4 -5 -3 -4 -4 -6
-6 -6 -5 -3 -2 0 -1 0 0 0 0 -2 0 -1 0 0 0 3 6 8 10 15 19
23 24 27 30 29 29 29 27 10 -21 -61 -113 -164 -213 -257
-308 -365 -423 -472 -517 -541 -565 -561 -549 -523 -485
-445 -402 -359 -312 -264 -218 -180 -141 -109 -76 -55 -35
-25 -10 0 11 18 22 21 20 18 17 17 16 18 22 24 26 27 26
25 26 28 30 29 29 27 29 28 28 28 30 30 31 29 31 30 29 27
27 26 25 26 27 27 28 27 29 29 29 30 31 31 31 31 30 31 33
32 32 31 32 32 31 30 31 30 30 31 31 31 31 30 32 32 33 33
33 34 35 35 36 37 37 37 37 34 34 37 38 39 37 38 39 39 40
42 42 42 42 42 43 42 39 39 39 39 38 39 40 40 41 42 41 41
41 39 39 40 40 40 38 38 36 34 34 35 32 30 30 29 28 26 27
25 23 20 20 19 20 18 17 14 13 15 13 10 12 12 11 11 11 10
11 11 11 12 12 12 12 11 11 10 8 8 9 10 10 10 10 9 10 9 7
8 7 8 8 8 9 9 9 11 10 10 9 10 8 10 9 10 9 10 10 10 9 8 8
8 7 7 7 9 8 9 9 8 8 7 7 7 7 6 7 6 5 5 5 3 3 4 5 4 4 3 1
2 1 1 2 2 2 1 1 1 -1 -2 -2 -2 -4 -4 -4 -4 -3 -2 -3 -2 -2
-2 -3 -4 -4 -5 -5 -6 -6 -7 -6 -4 -4 -3 -4 -4 -4 -5 -5 -4
-8 -9 -9 -8 -7 -6 -5 -5 -5 -5 -6 -6 -6 -5 -5 -4 -5 -6 -7
-7 -6 -5 -8 -7 -6 -8 -9 -9 -10 -11 -12 -13 -13 -12 -13
-12 -13 -13 -14 -14 -15 -15 -16 -15 -14 -14 -16 -16 -16
-17 -18 -16 -16 -17 -19 -22 -23 -24 -23 -21 -18 -17 -21
-21 -21 -21 -20 -16 -16 -17 -19 </digits>
</value>
</sequence>
</component>
<component>
<sequence>
<code code="MDC_ECG_LEAD_V2" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="SLIST_PQ">
<origin value="0" unit="uV"/>
<scale value="2.5" unit="uV"/>
<digits> 54 53 51 49 48 47 46 44 43 42 42 41 40 39 38 39 38
37 37 37 37 36 35 35 37 37 38 35 34 35 36 37 36 36 38 39
38 37 36 35 34 32 34 34 35 34 35 35 35 34 33 34 33 35 34
34 36 35 34 34 31 31 31 32 32 32 31 29 29 29 28 29 30 30
30 28 29 27 26 26 24 24 24 24 25 24 22 20 21 20 21 19 18
18 17 18 19 18 17 17 17 15 16 16 16 15 15 15 14 14 13 14
14 13 13 13 13 12 11 13 13 12 10 9 8 7 7 7 8 9 9 10 12
10 10 11 9 9 10 11 10 9 10 12 12 13 12 13 17 19 17 18 19
21 22 20 20 20 20 21 22 24 24 25 24 23 19 13 9 6 7 8 11
11 14 16 18 18 17 17 14 11 10 5 5 5 6 7 6 6 8 8 6 4 3 4
4 4 4 4 4 2 2 3 2 3 5 4 5 5 4 4 1 1 2 4 3 0 0 -1 -3 -5
-13 -22 -36 -48 -63 -80 -100 -116 -135 -146 -164 -186
-221 -255 -293 -327 -367 -412 -470 -531 -602 -661 -688
-695 -695 -681 -661 -641 -622 -597 -554 -496 -420 -337
-264 -201 -155 -122 -80 -55 -24 -9 8 25 45 56 61 62 58
52 49 50 50 51 55 58 59 59 59 60 61 60 62 65 65 64 63 63
65 66 68 68 70 72 72 72 69 70 70 72 72 73 75 77 77 78 80
83 83 83 84 85 86 87 87 87 90 92 93 92 94 95 95 96 97 98
99 101 101 103 108 106 107 109 111 113 115 118 119 119
122 123 125 127 127 129 130 134 138 140 141 144 143 146
147 148 147 150 150 151 150 149 149 149 148 149 148 149
150 150 151 150 149 148 146 145 144 145 142 141 139 135
133 127 122 120 117 113 108 104 100 96 90 86 82 77 72 69
65 60 57 54 51 48 45 42 41 39 37 37 36 34 35 34 34 32 31
32 31 28 28 28 29 28 28 28 29 29 28 27 28 28 27 28 28 28
30 30 32 33 34 34 34 35 34 35 34 34 34 34 34 35 34 37 37
38 36 36 34 34 35 35 35 35 36 37 37 36 35 34 33 33 34 36
34 33 33 32 31 29 28 28 27 28 26 26 25 24 23 23 24 24 22
23 22 22 19 19 17 16 16 17 16 17 16 16 15 14 14 13 13 12
11 12 13 11 11 11 11 10 10 10 11 11 9 10 9 9 9 10 10 12
12 11 8 9 9 8 10 10 10 9 11 9 8 8 9 8 8 9 10 10 9 10 10
9 9 11 10 9 8 8 9 9 9 10 8 11 10 9 9 10 11 11 11 11 11
13 14 13 13 13 14 11 7 7 9 8 5 6 5 5 5 8 10 11 12 </digits>
</value>
</sequence>
</component>
<component>
<sequence>
<code code="MDC_ECG_LEAD_V3" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="SLIST_PQ">
<origin value="0" unit="uV"/>
<scale value="2.5" unit="uV"/>
<digits> 25 25 24 21 22 23 22 22 22 23 24 24 24 24 24 25 25
25 24 25 26 25 26 28 27 27 28 27 27 26 27 27 27 27 27 26
26 27 26 26 24 24 23 24 24 25 26 26 24 24 23 23 23 23 22
24 25 24 23 23 23 23 23 23 23 22 22 22 19 20 22 22 22 21
21 21 21 20 19 19 18 18 18 17 16 15 15 14 14 13 13 13 14
13 12 12 13 11 10 11 12 11 10 9 10 9 8 7 7 8 9 9 9 10 10
11 11 10 10 10 9 10 9 9 9 6 6 6 7 7 9 9 10 10 10 11 8 8
9 9 10 9 9 9 12 14 13 14 15 15 15 15 16 18 19 21 22 23
25 26 30 31 32 33 33 32 32 27 24 22 23 23 24 26 30 32 35
36 32 30 28 25 22 19 19 21 20 18 13 10 9 11 9 7 5 5 6 7
7 5 4 2 2 3 4 7 7 6 7 7 6 3 2 2 2 3 3 0 -1 -2 -4 -8 -18
-34 -58 -86 -114 -145 -177 -210 -240 -261 -284 -306 -329
-350 -366 -379 -400 -431 -470 -517 -558 -587 -598 -594
-585 -566 -547 -530 -512 -494 -463 -424 -374 -317 -269
-217 -184 -158 -128 -99 -75 -57 -39 -19 2 19 29 38 40 40
38 40 43 49 55 60 61 63 63 63 66 68 70 70 71 72 73 75 74
77 77 80 80 81 83 83 81 81 82 85 88 88 88 90 92 94 96 97
98 97 99 100 102 104 105 105 106 108 108 110 111 115 114
113 114 116 116 117 118 121 124 124 123 127 128 130 131
133 135 136 137 140 141 141 140 140 140 142 145 147 146
144 144 146 147 148 147 145 143 143 142 141 139 136 135
134 133 130 128 127 126 124 122 118 116 113 111 109 106
103 99 95 91 89 84 81 77 71 67 61 58 52 47 43 40 33 30
29 27 24 23 20 19 17 16 14 13 11 10 11 12 11 13 13 14 13
13 12 13 13 11 11 12 12 12 14 14 15 15 15 17 16 16 17 19
20 21 21 23 22 22 24 23 23 23 23 24 25 26 27 26 26 26 27
27 29 29 30 30 28 28 28 29 30 30 29 30 29 29 27 26 26 25
24 23 23 22 23 21 21 22 19 20 21 20 18 17 17 16 15 16 14
14 14 13 12 12 15 13 11 9 10 10 11 10 11 10 9 8 8 8 8 7
7 9 8 8 8 8 7 4 6 6 5 5 5 5 5 6 7 8 10 12 12 10 9 9 9 9
10 9 7 9 9 7 9 9 11 9 9 10 10 10 10 11 11 9 9 9 11 11 10
10 10 12 12 14 13 13 12 11 11 12 13 17 18 16 15 17 18 17
18 19 19 19 15 14 14 12 12 13 15 17 21 19 18 21 </digits>
</value>
</sequence>
</component>
<component>
<sequence>
<code code="MDC_ECG_LEAD_V4" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="SLIST_PQ">
<origin value="0" unit="uV"/>
<scale value="2.5" unit="uV"/>
<digits> -18 -17 -18 -19 -18 -17 -17 -17 -16 -14 -13 -13 -11
-9 -10 -8 -7 -7 -6 -6 -4 -3 -3 -2 -1 0 1 3 4 3 3 5 6 8 8
9 11 12 10 11 9 9 9 9 9 7 7 8 7 8 7 6 6 6 4 5 6 6 4 5 6
4 5 4 4 4 4 4 3 2 3 5 4 4 4 6 7 6 5 4 3 3 3 3 3 3 4 2 1
3 4 3 4 2 2 4 5 4 3 4 5 4 4 3 3 3 1 0 1 2 3 4 6 6 7 6 5
4 5 5 6 5 3 2 0 0 1 1 3 5 6 6 6 7 6 7 6 6 6 8 8 7 6 7 8
9 11 12 12 13 12 12 13 16 17 20 21 22 24 26 29 28 30 33
34 33 33 33 30 29 28 28 30 34 35 38 42 42 40 39 37 35 31
27 26 28 28 25 19 13 10 10 10 7 4 3 4 5 6 5 3 1 1 2 2 4
5 4 4 3 2 1 1 1 1 3 3 0 -2 -4 -3 -6 -17 -35 -57 -84 -115
-149 -185 -220 -254 -282 -301 -313 -320 -315 -304 -281
-271 -263 -264 -264 -260 -253 -240 -222 -201 -180 -162
-157 -160 -173 -181 -196 -200 -195 -185 -172 -155 -134
-118 -96 -83 -70 -57 -40 -26 -12 -5 2 9 16 20 26 31 35
40 44 46 49 51 52 54 56 57 57 57 58 59 59 62 61 61 63 65
68 70 69 69 68 69 71 71 71 73 74 76 78 79 79 80 79 80 81
81 83 85 86 87 88 86 88 89 90 89 88 88 91 91 92 93 93 96
93 92 93 95 95 96 95 95 96 95 96 95 96 95 94 93 94 94 94
93 91 88 88 89 86 84 83 82 79 77 76 74 70 66 63 61 59 55
54 53 49 46 42 38 34 31 29 25 21 17 12 10 4 0 -2 -3 -7
-11 -15 -17 -19 -23 -26 -27 -33 -33 -34 -34 -38 -38 -39
-38 -36 -35 -34 -34 -33 -32 -32 -31 -29 -26 -24 -23 -22
-20 -20 -19 -17 -18 -18 -16 -14 -12 -11 -9 -8 -9 -8 -8
-6 -6 -5 -2 -2 0 0 2 2 3 4 5 5 6 6 9 6 7 8 9 8 9 8 9 9
10 9 9 8 8 7 9 9 10 11 11 10 9 10 9 8 7 7 6 6 7 7 8 6 5
4 4 5 4 3 3 3 3 4 4 3 2 1 2 1 0 0 -2 0 -1 -1 0 1 2 2 1 1
-1 -1 -1 0 -1 0 1 0 -1 1 2 3 3 1 2 3 2 2 1 0 0 2 3 4 6 5
3 5 6 6 7 5 4 5 4 6 5 5 6 6 7 7 7 8 8 9 11 12 13 9 12 13
13 11 15 16 17 16 17 17 18 17 17 21 21 20 19 20 18 17 15
14 15 16 17 18 18 19 20 21 22 23 23 23 25 28 29 24 21 </digits>
</value>
</sequence>
</component>
<component>
<sequence>
<code code="MDC_ECG_LEAD_V5" codeSystem="2.16.840.1.113883.6.24" codeSystemName="MDC"/>
<value xsi:type="SLIST_PQ">
<origin value="0" unit="uV"/>
<scale value="2.5" unit="uV"/>
<digits> 2 1 2 4 6 6 4 3 3 4 6 9 9 7 5 5 5 3 3 4 4 4 4 6 6 5
5 7 5 5 7 6 6 8 9 8 7 8 6 6 6 6 6 5 4 5 5 5 4 1 3 3 4 3
2 2 3 3 3 3 3 4 3 3 3 3 4 4 5 4 4 6 8 7 7 8 9 7 6 7 5 3
3 5 4 4 4 6 6 4 6 5 3 1 1 1 2 1 1 2 3 4 3 3 3 3 4 3 2 4
6 5 6 6 7 6 6 5 5 6 7 5 5 4 2 2 1 1 2 4 3 5 5 4 2 4 2 2
3 5 7 5 3 5 4 5 4 6 9 10 9 9 8 11 13 16 18 19 20 23 24
25 26 29 32 34 37 38 37 34 32 32 33 37 40 42 46 46 45 45
44 42 39 35 33 35 36 33 27 20 14 11 8 6 3 0 2 4 3 1 1 1
1 1 2 1 1 1 2 2 1 1 1 1 2 3 2 0 -2 -3 -2 -4 -8 -17 -28
-41 -56 -74 -92 -112 -128 -139 -143 -143 -140 -123 -101
-69 -41 -10 19 48 79 114 148 177 203 223 227 204 163 111
61 7 -43 -85 -118 -135 -150 -146 -140 -132 -123 -111 -99
-83 -67 -56 -45 -34 -23 -13 -4 4 9 11 13 14 15 15 15 18
20 21 22 25 25 23 21 21 21 24 25 27 28 27 31 32 29 29 29
31 31 33 34 33 33 35 36 36 34 35 36 35 34 35 37 36 37 38
39 38 37 38 39 39 40 40 39 39 40 40 42 41 40 41 41 40 41
42 42 43 44 44 44 42 41 42 41 42 42 42 44 44 44 44 41 42
42 42 43 43 41 42 42 41 38 38 38 38 36 37 38 37 36 36 33
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<component>
<sequence>
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31 31 34 36 35 37 38 40 41 40 39 38 40 42 41 42 42 43 43
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100 102 101 104 106 108 112 111 114 117 119 119 118 120
122 123 123 122 123 122 124 122 123 123 125 126 124 125
123 122 118 113 109 107 102 98 94 92 89 83 80 76 73 69
66 63 60 56 54 53 49 48 47 41 40 39 36 34 32 30 30 30 31
29 27 27 27 25 24 24 21 22 21 21 20 21 21 22 20 22 21 21
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18 19 20 21 21 19 20 19 19 19 19 20 20 20 23 22 22 20 21
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<!-- We now provide a single annotation set on the derived series -->
<!-- As with the original series, we could provide more sets -->
<!-- In the example we provide the global annotations for the representative beats of the derivedSeries-->
<subjectOf>
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