Document versie: PM/ICD applicatie

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1 Inhoud Patient... 2 PatientIDs... 2 Patient Authorized Hospitals... 3 Procedures... 3 Leads... 9 Adverse events Follow-up Hospital Brands p. 1

2 Patient Veldnaam XML element Type Opties Blokkade? id DIPR_ID DIPR_IDAA Hospital hospital_id created_by dipr_created_by VARCHAR(32) created_datetime last_modified_by dipr_last_modified_by VARCHAR(128) last_modified_datetime deleted deleted_by deleted_datetime Surname (birthname) NAAMPAT VARCHAR(250) ja Prefix of surname (birthname) PRENAAMPAT VARCHAR(250) Initials patients INIT VARCHAR(250) Surname partner (when name partner is used) NAAMP VARCHAR(250) Prefix of surname partner (when name partner is used) PRENAAMP VARCHAR(250) Burger Service Nummer BSN Ja Date of birth GEBDAT VARCHAR(250) Ja Gender GENDER 0 male 1 female Current survival status of patient OVERL 0 alive 1 dead Date of death OVERLD DATE alleen zichtbaar wanneer OVERL = 1 Last Follow-up hospital LASTFUCIC PatientIDs Veldnaam XML element Type Opties Blokkade? hospitalid patientid Patient number in hospital patientnumber VARCHAR(16) p. 2

3 Patient Authorized Hospitals Veldnaam XML element Type Opties Blokkade? patientid INT(10) hospitalid INT(10) Procedures Veldnaam XML element Type Opties Blokkade? ID DIPR_ID DIPR_IDAA DIPR_IDAABA PATIENT_ID hospital_id created_by dipr_created_by created_datetime last_modified_by dipr_last_modified_by last_modified_datetime deleted INT(1) deleted_by deleted_datetime Procedure PROCDESC 1 ICD 3 PM 4 ICM 5 lead only Asymptomatic SymptomsaAndEventsAsymptomatic Alleen wanneer PROCDESC NIET de waarde 4 niet Fatigue SymptomsaAndEventsFatigue Alleen wanneer PROCDESC NIET de waarde 4 p. 3

4 Palpitations SymptomsaAndEventsPalpitations Alleen wanneer PROCDESC NIET de waarde 4 Dyspnoe SymptomsaAndEventsDyspnoe Alleen wanneer PROCDESC NIET de waarde 4 Chest pain SymptomsaAndEventsChestPain Alleen wanneer PROCDESC NIET de waarde 4 near / pre-syncope / dizziness SymptomsaAndEventsNearPreSyncopeDizziness Alleen wanneer PROCDESC NIET de waarde 4 0 No 1 Yes Syncope SymptomsaAndEventsSyncope Alleen wanneer PROCDESC NIET de waarde 4 0 Chronic heart failure SymptomsaAndEventsChronicHeartFailure Alleen wanneer PROCDESC NIET de waarde 4 0 No 1 Yes 0 Systemic embolic event SymptomsaAndEventsSystemicEmbolicEvent Alleen Wanneer PROCDESC NIET de waarde 4 0 No 1 Yes 0 p. 4

5 Cardiac arrest / aborted sudden death SymptomsaAndEventsCardiacArrestAbortedSudde ndeath Alleen wanneer PROCDESC NIET de waarde 4 0 No 1 Yes Other SymptomsaAndEventsOther Alleen wanneer PROCDESC NIET de waarde 4 If other symptom, specify SYMPTOMX VARCHAR(40) Wanneer SymptomsaAndEventsOther waarde 1 ICD indication PROCINDICD Wanneer PROCDESC waarde 1 1 prophylactic 2 therapeutic PM indication? ICDPMIndication Wanneer PROCDESC waarde 1 Bradycardia PMIndication_bradycardia Alleen wanneer ICDPMIndication de waarde 1 of wanneer PROCDESC waarde 3 AV-block PMIndication_AV_Block Alleen wanneer ICDPMIndication de waarde 1 of wanneer PROCDESC waarde 3 Heart failure PMIndication_heart_failure Alleen wanneer ICDPMIndication de waarde 1 of wanneer PROCDESC waarde 3 Afib PMIndication_Afib Alleen wanneer ICDPMIndication de p. 5

6 waarde 1 of wanneer PROCDESC waarde 3 Acute MI PMIndication_acute_MI Alleen wanneer ICDPMIndication de waarde 1 of wanneer PROCDESC waarde 3 Severe electrolyte disturbance PMIndicationSevereElectrolyteDisturbance Alleen wanneer ICDPMIndication de waarde 1 of wanneer PROCDESC waarde 3 Other PMIndicationOther Alleen wanneer ICDPMIndication de waarde 1 of wanneer PROCDESC waarde 3 If other indication, specify PROCINDY Wanneer PMIndicationOther waarde 1 If bradycardia, indicate PROCINDBC Wanneer PMIndication_bradycardia waarde 1 0 sinus node dysfunction 1 AV conduction disturbance 2 binodal disease 3 drug induced bradycardia If AV-block, indicate PROCINDAV Wanneer PMIndication_AV_Block waarde 1 0 first degree AVB 1 second degree AVB Mobitz type I (Wenckebach) 2 second degree AVB Mobitz type II (Infranodal) p. 6

7 3 complete AV-block ICM indication PROCINDREV Wanneer PROCDESC waarde 4 0 collaps eci 1 palpitations 9 other If other indication, specify PROCINDZ VARCHAR(40) Wanneer PROCINDREV waarde 9 Ejection Fraction assessed? EFASSESSED LV EF (%) LVEF Wanneer EFASSESSED de waarde 1 Method EFOTHERMETHOD Wanneer EFASSESSED de waarde 1 1 Nuclear 2 LV angio 3 Echo 4 CT 5 MRI Date of procedure PROCDATE DATE Second stage procedure? SECSTAGEYN Hospital in which this procedure was performed PROCCIC Hospital PatientID in implanting hospital PRPATIENTID Wanneer PROCCIC een waarde procimpl VARCHAR(999) Antibiotic ProcedureAntibiotics pre/perioperative ProcedureAntibioticsPrePeri Wanneer ProcedureAntibiotics de waarde 1 postoperative ProcedureAntibioticsPost Wanneer ProcedureAntibiotics de waarde 1 Type of device procedure PROCTYPE 0 implantation p. 7

8 1 explantation 2 replacement 4 reposition 5 upgrade with device change 6 upgrade without device change 7 activation 8 deactivation 9 pocket revision 10 attempt to procedure If upgrade, type of upgrade DEVUPGR Wanneer PROCTYPE de waarde 5 of 6 0 upgrade from PM to ICD 1 upgrade from PM to CRT-D 2 upgrade from CRT-P to CRT-D 3 upgrade from ICD to CRT-D 4 upgrade from VVI-ICD to DDD-ICD 5 upgrade from AAI-PM to DDD-PM 6 upgrade from VVI-PM to DDD-PM 7 upgrade from AAI-PM to CRT-P 8 upgrade from VVI-PM to CRT-P 9 upgrade from DDD-PM to CRT-P Brand name device PROCDEVICEBRAND Wanneer PROCTYPE de waarde 0 of 2 of 5 of 7 Brands If other brand name, specify DEVICEBRANDOTHER Wanneer PROCDEVICEBRAND = other Model device DEVICEMODEL Wanneer PROCTYPE de waarde 0 of 2 of 5 of 7 Model If other model, specify DEVICEMODELOTHER VARCHAR(40) Wanneer DEVICEMODEL = other Serial number device PROCDEVICESERIALNUMBER VARCHAR(40) Wanneer PROCTYPE de waarde 0 of 2 of 5 of 7 Leadless device? LEADLESS ATP therapy? ATPTHERAPY Wanneer PROCDESC waarde 1 p. 8

9 Activated (Defibrillation Test) VFINDUCED Wanneer PROCDESC waarde 1 Succesful tested shock (DF Test Success) SUCCESFULTESTED Wanneer VFINDUCED de waarde 1 Reason for replacement / explantation / reposition device PROCREPLREAS Wanneer PROCTYPE de waarde 1,2,4,5 of 8 t applicable 1 normal End Of Service 2 premature End Of Service 6 sensing / pacing failure 7 failure to defibrillate 8 software (algorithm) failure 9 connector failure 10 recall 11 skin erosion / infection 12 systemic infection / endocarditis 15 elective (patient request) 16 pocket hematoma 17 pain 18 damage from extrinsic energy 26 elective 27 system change - electrode problem 28 system change - hemodynamic 66 unknown 77 other If other reason, specify PROCREPLREASX VARCHAR(40) Wanneer PROCREPLREASX de waarde 77 Leads Wanneer LEADLESS de waarde 0 Veldnaam XML element Type Opties Blokkade? Lead type leadtype 1 RA lead ja p. 9

10 2 RV lead 3 Subcutaneous array 4 LV lead 5 Extra lead 9 Unknown Type of procedure leadprocedure 0 implantation ja 1 explantation 2 replacement 4 reposition 5 repair 6 activation 7 deactivation 8 reposition tip 9 attempt to procedure 10 new adapater 11 adapter removal 12 new extension 13 extension removal Type extra lead leadextratype Wanneer leadtype waarde 5 0 RA lead 1 RV lead 2 LV lead 3 defib lead 5 VVD 6 CS lead 7 other If other type, specify leadextraother VARCHAR(40) Wanneer leadextratype waarde 7 leadbrand Wanneer leadprocedure waarde 0,2,6,8,9,10,11,12,13 Brand If other brand name, specify leadbrandother VARCHAR(40) Wanneer leadbrand waarde other leadmodel Wanneer leadprocedure waarde 0,2,6,8,9,10,11,12,13 Model If other model, specify leadmodelother VARCHAR(40) Wanneer leadmodel waarde other Serial number leadserialnumber VARCHAR(40) Wanneer leadprocedure waarde Reason lead replacement / reposition / explantation 0,2,6,8,9,10,11,12,13 leadreason Wanneer leadprocedure waarde 1,2,4,5,7 p. 10

11 585 If other reason, specify leadreasonother VARCHAR(40) Wanneer leadreason waarde other Method of making lead inactive leadmethod Wanneer leadprocedure waarde 1,2,4,7 0 capping 1 cutting and capping 2 removal Epicardial lead leadepicardial Adverse event during procedure adverseevent INT(1) Wanneer leadprocedure de waarde 9 Adverse events Veldnaam XML element Type Opties Blokkade? ID DIPR_ID DIPR_IDAA DIPR_IDAABC PATIENT_ID hospital_id procedure_id created_by dipr_created_by VARCHAR(32) last_modified_by dipr_last_modified_by VARCHAR(128) created_datetime last_modified_datetime deleted_by INT(1) deleted deleted_datetime Date of procedure related to this Adverse Event RELPROCDATE DATE Occurrence of adverse event COMPLWHENB INT(1) 0 During procedure p. 11

12 1 First 90 days 2 >90 days Date of Adverse event aedate DATE Hospital related to this Adverse Event aecic INT(10) Type of adverse event COMPLTYPE INT(2) 560 If other type, specify COMPLTYPEOTHER VARCHAR(40) Wanneer COMPLTYPE de waarde 99 If event from puncture, secondary to Seldinger COMPLTYPEST INT(1) Wanneer COMPLTYPE de waarde 5 technique 1 pneumothorax 2 haemothorax 7 other If other technique, specify COMPLTYPESTX VARCHAR(40) Wanneer COMPLTYPEST de waarde 7 If event from puncture, secondary to sheath insertion? COMPLTYPESI INT(1) Wanneer COMPLTYPE de waarde 5 0 No 1 air or foreign body embolism 2 perforation of the heart or central vein 3 inadvertent injury to artery 4 dissection of the central vein If lead dysfunction, related to lead placement? COMPLTYPELP INT(1) Wanneer COMPLTYPE de waarde 11 1 bradycardia requiring pacing 2 tachycardia requiring therapy 3 perforation of heart or vein 4 damage to heart valve 5 damage to lead Location of adverse event COMPLLOCATION INT(2) 0 aorta 1 A. Iliaca/femoralis 2 A. Radialis/Brachialis 3 A. Coronaria 4 V. Coronaria 5 A. Pulmonalis 6 V. Pulmonalis 7 right or left atrium 8 right ventricle 9 left ventricle 10 lead 11 pocket 12 cerebrum p. 12

13 13 retroperitoneaal 77 other If other location, specify COMPLLOCATIONX VARCHAR(80) Wanneer COMPLLOCATION de waarde 77 Adverse event related to procedure? COMPLRELPROC INT(1) If yes, certainty COMPLRELPROC2 INT(1) Wanneer COMPLRELPROC de waarde 1 0 possibly 1 probably 9 definitely Adverse event related to device? COMPLRELDEVICE INT(1) If yes, certainty COMPLRELDEVICE2 INT(1) Wanneer COMPLRELDEVICE de waarde 1 0 possibly 1 probably 9 definitely If yes, how? COMPLRELDEVICER INT(1) Wanneer COMPLRELDEVICE de waarde 1 0 improper or inadequate connection of lead 1 pocket hematoma 2 pain 3 erosion 4 premature failure 5 damage from extrinsic energy Adverse event related to lead? COMPLRELLEAD INT(1) If yes, certainty COMPLRELLEAD2 INT(1) 0 possibly 1 probably 9 definitely If yes, how? COMPLRELLEADR INT(1) 0 intravascular thrombosis (embolisation) 1 intravascular constriction (i.e.svc obstruction) p. 13

14 2 macro- or micro-lead dislodgement 3 fibrosis at electrode-myocardial interface 4 infection-endocarditis 5 lead failure 6 retention with fracture 7 chronic perforation 8 pericarditis If lead failure, type of failure COMPLRELLEADF INT(1) Wanneer COMPLRELLEADR de waarde 5 0 insulation failure (inner/outer) 1 conductor failure Other relation adverse event COMPLOTHER VARCHAR(80) Status adverse event AESTAT INT(1) 0 ongoing 1 final End date adverse event AEEND DATE Outcome adverse event COMPLRESULT INT(1) effect on patient 1 full recovery 2 partial recovery 3 death If the patient is dead, date of death DATEOFDEATH DATE Wanneer COMPLRESULTS waarde 3 "Cause of death? CAUSEOFDEATH INT(1) 0 cardiac 1 non-cardiac 2 unknown If cardiac, specify CARDIACDEATH INT(1) Wanneer CAUSEOFDEATH de waarde 0 If non-cardiac, specify NONCARDIACDEATH VARCHAR(40) Wanneer CAUSEOFDEATH de waarde 1 Pacemaker/ICD explanted? PMICDEXPLANTED INT(1) 0 No If explanted, explantation date PMICDEXPLDATE DATE Wanneer PMICDEXPLANTED de waarde 1 If explanted, explantation findings PMICDEXPLFINDINGS VARCHAR(40) Wanneer PMICDEXPLANTED de waarde 1 p. 14

15 Follow-up Veldnaam XML element Type Opties Blokkade? ID DIPR_ID DIPR_IDAA DIPR_IDAABD PATIENT_ID hospital_id created_by dipr_created_by last_modified_by dipr_last_modified_by created_datetime last_modified_datetime deleted_by INT(1) deleted deleted_datetime Follow-up date IDAABD DATE Follow up FUDESC INT(4) 1 ICD 3 PM 4 ICM 5 lead only Hospital in which this follow-up was performed FUCIC INT(4) Hospital Setting changes? SETTCHANGE INT(1) Device (early) failure? EARLYFAIL INT(1) If yes, reason device failure? EARLYFAILX INT(2) Wanneer EARLYFAIL waarde 1 t applicable 1 normal End Of Service 2 premature End Of Service 6 sensing / pacing failure p. 15

16 7 failure to defibrillate 8 software (algorithm) failure 9 connector failure 11 skin erosion / infection 12 systemic infection / endocarditis 15 elective (patient request) 17 pain 18 damage from extrinsic energy 27 system change - electrode problem 28 system change - hemodynamic 66 unknown 77 other Battery tested BATTERYTESTED INT(1) Battery voltage (V) BATTERYVOLTAGE VARCHAR(4) Charge time for max energy delivery (sec) BATTERYCHARGET INT(3) Lead failure? LEADFAIL INT(1) If yes, reason Leadfailure? LEADFAILX INT(2) Wanneer LEADFAIL heet waarde Impedance RA lead (Ohm at 5V) FRAIMP INT(4) Impedance RV lead (Ohm at 5V) FRVIMP INT(4) Impedance SQ Array (Ohm at 5V) FSQIMP INT(4) Impedance LV lead (Ohm at 5V) FLVIMP INT(4) Impedance extra lead (Ohm at 5V) FELIMP INT(4) Number of appropriate ATPs APPRATPS INT(2) Number of inappropriate ATPs INAPPRATPS INT(2) Number of appropriate shocks APPRSHOCKS INT(2) Number of inappropriate shocks INAPPRSHOCKS INT(2) p. 16

17 585 Waarde Optie Waarde Opties t applicable 13 intravascular constriction 1 normal End Of Service 14 macro- or micro-lead dislodgement 2 premature End Of Service 17 pain 3 upgrade to dual chamber 18 damage from extrinsic energy 4 upgrade to biventricular / CRT 19 fibrosis at electrode-myocordial interface 5 upgrade atrial therapy 20 lead failure 6 sensing / pacing failure 21 retention with fracture 7 failure to defibrillate 22 chronic perforation 8 software (algorithm) failure 23 oversensing T-wave 9 connector failure 24 oversensing R-wave in atrial channel 10 recall 25 diaphragm stimulation 11 skin erosion / infection 66 unknown 12 systemic infection / endocarditis 77 other 560 Waarde Optie Waarde Optie Waarde Optie 0 dissection 10 infection caused by device 20 phlebitis - superficial 1 clinically significant bleeding 11 lead dysfunction 21 CVA / RIND / TIA 2 from contrast medium 12 cardiac perforation 22 myocardial infarction 3 nervous system 13 cardiac arrest 23 wound complication 4 conduction problem 14 drug reaction 24 diaphragm irritation 5 from puncture 15 valve rupture 25 central venous complication 6 VT/VF 16 coronary venous dissection 26 deep venous thrombosis 7 acute Heart Failure 17 lead dislodgement 27 pericardial effusion / tamponade 8 embolism / thrombosis 18 haemothorax 28 arrhythmic storm 9 pneumothorax 19 peripheral embolus 99 other p. 17

18 605 Waarde Optie Waarde Optie t applicable 17 pain 6 sensing / pacing failure 18 damage from extrinsic energy 7 failure to defibrillate 19 fibrosis at electrode-myocardial interface 8 software (algorithm) failure 21 retention with fracture 9 connector failure 22 chronic perforation 11 skin erosion / infection 23 oversensing T-wave 12 systemic infection / endocarditis 24 oversensing R-wave in atrial channel 13 intravascular constriction 25 diaphragm stimulation 14 macro- or micro-lead dislodgement 66 Unknown 77 other Hospital Waarde Optie Waarde Optie Waarde Optie 101 UMCG 142 Maasziekenhuis Pantein 182 Tergooi Zkh. (Blaricum) 103 AMC 143 Gelre Ziekenhuis 183 Ommelander Zkh. (Delfzijl) 104 VUMC 144 Gelre Ziekenhuis 184 St. Anna Ziekenhuis 105 OLVG 145 UZ-G (Gent) 185 Alrijne Zkh (Leiderdorp) 106 LUMC 146 SKB 186 St. Lucas Andreas Ziekenhuis 107 UMCU 147 Martini Ziekenhuis 187 Gemini Ziekenhuis 108 St. Antonius (Nieuwegein) 148 MCL 188 Zorg Groep T. (Hengelo) 109 EMC (Sophia) 149 Bethesda Zkh. 189 Talma Sionsberg 110 UMC St. Radboud 150 Vlietland Zkh. 190 CMH 111 Amphia Zkh. (Molengracht) 151 Groene Hart Zkh 191 Loc Bergen op Z 112 Catharina Zkh. 152 HagaZiekenhuis 192 Rode Kruis Zkh. 113 MUMC 153 Bronovo Zkh. 193 Diaconessenhuis 114 Sint Franciscus Gasthuis 154 Bernhoven Zkh. (Oss) 194 `t Lange Land 115 Maasstad Ziekenhuis 155 JBZ 195 Loc Roosendaal 116 MC Zuiderzee 156 Alb.Schweitzer 196 Gelderse Vallei 117 Zaans MC 157 Nij Smellinghe 197 St. Jans Gasth. 118 Ziekenhuis Amstelland 158 Zuwe Hofpoort 198 Refaja Zkh. 119 BovenIJ Ziekenhuis 159 Rijnstate Zkh (Zevenaar) 199 Röpcke-Zweers Z 120 Westfriesgasthuis 160 Scheper Zkh. 200 Zonder Ziekenhuis p. 18

19 121 Isala (Weezenlanden) 161 ZGT (Almelo) 201 ZorgSaam Zkh. (De Honte) 122 Spaarne Ziekenhuis 162 Antonius Zkh. 202 Haven Ziekenhuis 123 Deventer Ziekenhuis 163 Laurentius Zkh. 203 Spijkenisse Medisch Centrum 124 MST 164 Diaconessenhuis 204 Zkh. Dirksland 125 HagaZiekenhuis 165 Slingeland Zkh. 205 JBZ (Carolus) 126 MCA 166 RdGG (Delft) 206 OLVG (Prinsengracht) 127 TweeSteden Zkh. (Tilburg) 167 MCHaaglanden (Westeinde) 207 Amphia Zkh. (Langendijk) 128 Rijnstate Zkh. (Arnhem) 168 Rivierenland Zk 208 Alb.Schweitzer (Amstelwijck) 129 Slotervaart Ziekenhuis 169 Tjongerschans 209 Martini Zkh. (Van Ketwich) 130 Adm. de Ruyter (Vlissingen) 170 Elkerliek Zkh. 210 Kennemer Gasthuis 131 Flevo Ziekenhuis 171 Waterland Zkh. 211 Maasstad Zkh. (Clara) 132 MMC (Veldhoven) 172 Adm. de Ruyter (Goes) 212 Rijnstate (oud) (Zevenaar) 133 Bernhoven Zkh 173 IJsselland Ziekenhuis 213 MC Haaglanden (Antoniushove) 134 Atrium-Orbis MC (Sittard) 174 St. Antonius (Oudenrijn) 214 St. Cardiologie (Landsmeer) 135 Atrium-Orbis MC (Heerlen) 175 Meander MC 215 Diaconessenhuis 136 Alrijne Zkh (Leiden) 176 Tergooi Zkh. (Hilversum) 216 Cardiologische centra NL 137 Kennemer Gasthuis 177 Ikazia Ziekenhuis 217 St. Antonius Zk (Leidsche Rijn) 138 St. Jansdal Zkh 178 St. Elisabeth Ziekenhuis 218 St. Antonius Zk (Overvecht) 139 CWZ 179 Wilhelmina Ziekenhuis 500 Buitenlandse Ziekenhuizen 140 VieCuri MC 180 Ommelander Zkh. (Lucas) 600 ERROR: Hospital unknown 141 MMC (Eindhoven) 181 Beatrix Zkh Test Ziekenhuis Brands Waarde Optie Waarde Optie 1 Alpha 17 Medico 2 ARCO 18 Medtronic 3 Biotec 20 Pacertronic 4 Biotronik 21 Siemens 5 Cardio France 22 Somedics 6 CCS 23 Sorin Group 7 Celsa 24 St.Jude Medical 8 Cook 25 Telectronics 9 Cordis 26 Vascomed 10 DAIG 27 Ventritex 11 Devices 28 Vitatron 12 ELA Medical 29 X-Pacertronic p. 19

20 13 Guidant 31 Boston Scientific 14 Impulse Dynamics 32 CameronHealth-BostonScientific 15 InnoMedi 33 Incontro 16 Intermedics 77 Other p. 20