Waveform Conversion - chorus-ai/chorus_waveform_conversion GitHub Wiki

This wiki provides content related to converting waveform data. The CHoRUS waveform data will be provided in WFDB format.

Standardized waveform signal labels

The signal labels used in the waveform header files need to use standardized names for the signal labels. These standardized names come from the ISO/IEEE 11073 standards. More specifically, the signal labels listed below come from 11073-10101-2020 - ISO/IEEE International Standard - Health informatics-Device interoperability-Part 10101: Point-of-care medical device communication-Nomenclature.

Telemetry signals

As outlined in the SOP on contributing waveforms, we are requesting a number of different types of telemetry signals. The complete list of high-frequency and low-frequency ("numeric") signals being requested, along with the standardized signal labels are provided in these tables.

Table a) High-frequency telemetry signals
Signal Name Signal Label Additional Details Minimum Sample Rate (Hz) Required Signal Resolution
Electrocardiogram lead I MDC_ECG_LEAD_I Electrical activity from the right arm (-) to the left arm (+), providing a lateral view of the heart 125* ≤ 20 µV
Electrocardiogram lead II MDC_ECG_LEAD_II Electrical activity from the right arm (-) to the left leg (+), providing an inferior view of the heart 125* ≤ 20 µV
Electrocardiogram lead III MDC_ECG_LEAD_III Electrical activity from the left arm (-) to the left leg (+), providing an inferior view of the heart 125* ≤ 20 µV
Electrocardiogram lead aVR MDC_ECG_LEAD_AVR Electrical activity directed towards the right arm 125* ≤ 20 µV
Electrocardiogram lead aVL MDC_ECG_LEAD_AVL Electrical activity directed towards the left arm 125* ≤ 20 µV
Electrocardiogram lead aVF MDC_ECG_LEAD_AVF Electrical activity directed towards the left leg 125* ≤ 20 µV
Electrocardiogram lead V1 MDC_ECG_LEAD_V1 Placed at the 4th intercostal space, right of the sternum, providing a view of right ventricular activity 125* ≤ 20 µV
Electrocardiogram lead V2 MDC_ECG_LEAD_V2 Placed at the 4th intercostal space, left of the sternum, providing a view of right ventricular and septal activity 125* ≤ 20 µV
Electrocardiogram lead V3 MDC_ECG_LEAD_V3 Placed between V2 and V4, providing a transition between septal and anterior views 125* ≤ 20 µV
Electrocardiogram lead V4 MDC_ECG_LEAD_V4 Placed at the 5th intercostal space, midclavicular line, providing a view of anterior left ventricular activity 125* ≤ 20 µV
Electrocardiogram lead V5 MDC_ECG_LEAD_V5 Placed at the same horizontal level as V4, at the anterior axillary line, providing a view of lateral left ventricular activity 125* ≤ 20 µV
Electrocardiogram lead V6 MDC_ECG_LEAD_V6 Placed at the same horizontal level as V4, at the midaxillary line, providing a view of lateral left ventricular activity 125* ≤ 20 µV
Electrocardiogram lead V7 MDC_ECG_LEAD_V7 Placed at the same horizontal level as V6, at the posterior axillary line, used for detecting posterior infarctions 125* ≤ 20 µV
Electrocardiogram lead V8 MDC_ECG_LEAD_V8 Placed at the same horizontal level as V6, at the midscapular line, providing a more posterior view 125* ≤ 20 µV
Electrocardiogram lead V9 MDC_ECG_LEAD_V9 Placed at the same horizontal level as V6, at the paraspinal line, offering a view of posterior left ventricular activity 125* ≤ 20 µV
Electrocardiogram lead MCL1 MDC_ECG_LEAD_MCL1 A modified lead that approximates V1, used in 3-lead and 5-lead monitoring for detecting ventricular arrhythmias and bundle branch blocks 125* ≤ 20 µV
Electrocardiogram lead MCL6 MDC_ECG_LEAD_MCL6 A modified lead that approximates V6, used for lateral wall monitoring in continuous telemetry settings 125* ≤ 20 µV
Photoplethysmogram (PPG) MDC_PLETH Blood plethysmography 50 ≤ 0.01 a.u.
Respiration MDC_RESP Breathing; method not specified 25 ≤ 0.1 a.u.
Transthorasic impedance MDC_IMPED_TTHOR Transthoracic measurement of electrical impedance 50 ≤ 0.05 ohm
Arterial blood pressure (ABP) MDC_PRESS_BLD_ART Pressure of the blood in an artery 125 ≤ 1 mmHg
Central venous pressure (CVP) MDC_PRESS_BLD_VEN_CENT Pressure of the blood in the thoracic venae cavae 62 ≤ 1 mmHg
Pulmonary artery pressure (PAP) MDC_PRESS_BLD_ART_PULM Pressure of the blood in the pulmonary artery 62 ≤ 1 mmHg
Intracranial pressure (ICP) MDC_PRESS_INTRA_CRAN Pressure inside skull 62 ≤ 0.5 mmHg
Ventricular pressure (ICPV) MDC_PRESS_INTRA_CRAN_VENT Pressure inside skull inside ventricle 62 ≤ 0.5 mmHg
Airway flow (AWF) MDC_FLOW_AWAY Gas flow in airway 62 ≤ 0.01 L/s
Airway pressure (AWP) MDC_PRESS_AWAY Pressure of gas in airway 62 ≤ 0.5 cmH₂O
Airway volume (AWV) MDC_VOL_AWAY_TIDAL Volume of gas leaving the patient through the patient connection port during an expiratory phase 25 ≤ 1 mL
Capnogram (CO2) MDC_CO2_RESP Breathing; method: carbon dioxide measurement 25 ≤ 0.1% CO₂
  • For neonatal ECG, a minimum sampling rate of 250 Hz is recommended to preserve waveform fidelity.
Table b) Low-frequency ("numeric") signals
Signal Name Signal Label Additional Details
Heart rate (HR) MDC_ECG_HEART_RATE Rate of cardiac beats
QT interval MDC_ECG_TIME_PD_QT_GL Duration of the interval between the QRS onset and T wave offset of ECG (global)
ST elevation / depression MDC_ECG_AMPL_ST Amplitude of the ST segment at xx ms after the end of QRS complex of ECG in specified
Respiratory rate (RR) MDC_RESP_RATE Rate of breathing; method not specified
Oxygen saturation (SpO2) MDC_SAT_O2 Peripheral oxygen saturation
Perfusion index MDC_BLD_PERF_INDEX Tissue perfusion computed as milliliters per minute of blood flow per gram of tissue
Pulse rate (from PPG or BP) MDC_PULS_RATE Rate of blood pulse in an artery
Mean arterial blood pressure (ABPm) MDC_PRESS_BLD_ART_MEAN Mean pressure of the blood in an artery
Systolic arterial blood pressure (ABPs) MDC_PRESS_BLD_ART_SYS Systolic pressure of the blood in an artery
Diastolic arterial blood pressure (ABPd) MDC_PRESS_BLD_ART_DIA Diastolic pressure of the blood in an artery
Mean noninvasive blood pressure (NBPm) MDC_PRESS_BLD_NONINV_MEAN Pressure of the blood, obtained noninvasively (i.e., fingertip), as computed by averaging on one cycle
Systolic noninvasive blood pressure (NBPs) MDC_PRESS_BLD_NONINV_SYS Pressure of the blood, obtained noninvasively (i.e., fingertip), at the systolic phase
Diastolic noninvasive blood pressure (NBPd) MDC_PRESS_BLD_NONINV_DIA Pressure of the blood, obtained noninvasively (i.e., fingertip), at the diastolic phase
End tidal CO2 MDC_CONC_AWAY_CO2_ET Partial pressure of carbon dioxide in airway gas measured at the end of expiration.
Cerebral oxygen saturation (rSO2) MDC_SAT_O2_CEREB Regional oxygen saturation

Electroencephalogram signals

As outlined in the SOP on contributing waveforms, we are requesting EEG signals. This table provides standardized signal labels for the signals from the 10-20 EEG standard. The EEG signals should be sampled at 128Hz or higher and the resolution should be 1uV or smaller.

Signal Name Signal Label Additional Details
EEG Frontal Pole Left (Fp1) MDC_HEAD_FRONT_POLAR_L Frontopolar (theta 90, phi 108)
EEG Frontal Pole Right (Fp2) MDC_HEAD_FRONT_POLAR_R Frontopolar (theta 90, phi 72)
EEG Frontal Left (F3) MDC_HEAD_FRONT_L_3 Frontal (theta 64, phi 129.1)
EEG Frontal Right (F4) MDC_HEAD_FRONT_R_4 Frontal (theta 64, phi 50.9)
EEG Central Midline (Fz) MDC_HEAD_FRONT_MID Frontal (theta 45, phi 90)
EEG Frontal Left Outer (F7) MDC_HEAD_FRONT_L_7 Frontal (theta 90, phi 144)
EEG Frontal Right Outer (F8) MDC_HEAD_FRONT_R_8 Frontal (theta 90, phi 36)
EEG Central Left (C3) MDC_HEAD_CENT_L_3 Central (theta 45, phi 180)
EEG Central Right (C4) MDC_HEAD_CENT_R_4 Central (theta 45, phi 0)
EEG Central Midline (Cz) MDC_HEAD_CENT_MID Central (theta 0, phi 0)
EEG Parietal Left (P3) MDC_HEAD_PARIET_L_3 Parietal (theta 64, phi 230.9)
EEG Parietal Right (P4) MDC_HEAD_PARIET_R_4 Parietal (theta 64, phi 309.1)
EEG Central Midline (Pz) MDC_HEAD_PARIET_MID Parietal (theta 45, phi 270)
EEG Occipital Left (O1) MDC_HEAD_OCCIP_L Occipital (theta 90, phi 252)
EEG Occipital Right (O2) MDC_HEAD_OCCIP_R Occipital (theta 90, phi 288)
EEG Temporal Left (T3) MDC_HEAD_TEMPOR_L_3 Temporal (theta 90, phi 180)
EEG Temporal Right (T4) MDC_HEAD_TEMPOR_R_4 Temporal (theta 90, phi 0)
EEG Temporal Left Outer (T5) MDC_HEAD_TEMPOR_L_5 Temporal (theta 90, phi 216)
EEG Temporal Right Outer (T6) MDC_HEAD_TEMPOR_R_6 Temporal (theta 90, phi 324)
EEG Mastoid Left (A1) MDC_HEAD_AURIC_L Left ear (theta 120, phi 180)
EEG Mastoid Right (A2) MDC_HEAD_AURIC_R Right ear (theta 120, phi 0)
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