QERMID Register Logical Models
0.1.0 - draft
QERMID Register Logical Models - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://www.healthdata.be/fhir/qermid/StructureDefinition/pacemakers-primo-implantation | Version: 0.1.0 | |||
| Draft as of 2026-04-22 | Computable Name: pacemakersprimoimplantation | |||
QERMID Pacemakers - Primo-implantation data collection
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | Pacemakers - Primo-implantation | |
![]() ![]() |
0..1 | string | DCD status | |
![]() ![]() |
0..1 | string | Ce formulaire n’est disponible qu’en néerlandais ou français. Veuillez sélectionner le néerlandais ou français comme langue dans vos paramètres lorsque vous remplissez ce formulaire. | |
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0..1 | string | Auteur de l'enregistrement | |
![]() ![]() |
1..1 | string | Groupe d'auteurs | |
![]() ![]() |
1..1 | string | Auteur | |
![]() ![]() |
1..1 | string | Co-auteur | |
![]() ![]() |
0..1 | string | Study design | |
![]() ![]() |
0..1 | string | Program | |
![]() ![]() |
0..1 | string | Project | |
![]() ![]() |
0..1 | string | Event | |
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0..1 | string | DCD | |
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0..1 | string | ID unique, Business key | |
![]() ![]() |
0..1 | string | Type de registre | |
![]() ![]() |
0..1 | string | Code d’enregistrement | |
![]() ![]() |
0..1 | string | Identification du patiënt | |
![]() ![]() |
1..1 | Identifier | Numéro de registre national du patient | |
![]() ![]() |
0..1 | string | Numéro d’identification interne du patient | |
![]() ![]() |
1..1 | Identifier | Numéro d’identification généré du patient | |
![]() ![]() |
0..1 | string | Prénom | |
![]() ![]() |
0..1 | string | Nom de famille | |
![]() ![]() |
1..1 | string | Date de naissance | |
![]() ![]() |
1..1 | code | Sexe Binding: PM_SEX (390) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu de résidence Binding: PLACE_OF_RESIDENCE (12) Value Set (required) | |
![]() ![]() |
0..1 | string | Professionnel de santé | |
![]() ![]() |
1..1 | code | Responsable pour la pose d’indication Binding: HPIN (15) Value Set (required) | |
![]() ![]() |
0..1 | string | Informations générales | |
![]() ![]() |
1..1 | string | Date d'implantation | |
![]() ![]() |
1..1 | code | Type de remboursement Binding: PM_REIMBURSEMENT (355) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_1 (377) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_2 (378) Value Set (required) | |
![]() ![]() |
1..1 | code | Avez-vous utilisé une enveloppe antibactérienne résorbable? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Indication Binding: PM_ABANTENV (385) Value Set (required) | |
![]() ![]() |
1..1 | code | Critère complémentaire patient immunodéprimé Binding: PM_CRIT_IMMCOMP (386) Value Set (required) | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | code | Critère complémentaire PADIT ≥ 6 points Binding: PM_CRIT_PADIT (397) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autre indication | |
![]() ![]() |
0..1 | string | Données médicales | |
![]() ![]() |
0..1 | string | Indications | |
![]() ![]() |
1..1 | code | Symptôme Binding: PM_SYMP_PACE (392) Value Set (required) | |
![]() ![]() |
1..1 | code | ECG Binding: PM_ECG_PACE (379) Value Set (required) | |
![]() ![]() |
1..1 | code | Etiologie Binding: PM_ETIO_PACE (350) Value Set (required) | |
![]() ![]() |
1..1 | code | Type de stimulateur intracardiaque transcathéter implantable Binding: PM_DEVICE_8 (364) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu d’implantation du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_3 (394) Value Set (required) | |
![]() ![]() |
1..1 | code | Indications Binding: PM_INDICATION (383) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autres indications | |
![]() ![]() |
0..* | code | Critères spécifiques Binding: PM_SPECIFIC_CRITERIA (359) Value Set (required) | |
![]() ![]() |
1..1 | string | Justification du risque infectieux | |
![]() ![]() |
1..1 | code | L’estimation générale de l’espérance de vie après l’intervention au moyen du dispositif, est-il au minimum de deux ans? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Le patient est-il porteur d'un des types de dispositifs médicaux suivants? Binding: PM_DEVICE_3 (374) Value Set (required) | |
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0..1 | string | Données patient spécifiques | |
![]() ![]() |
1..1 | string | Poids (kg) | |
![]() ![]() |
1..1 | string | Taille (cm) | |
![]() ![]() |
0..1 | string | Urée (g/dL) | |
![]() ![]() |
0..1 | string | Creatinine (mg/dL) | |
![]() ![]() |
0..1 | string | GFR (mL/min/1,73 m²) | |
![]() ![]() |
0..* | code | Caractéristiques spécifiques du patient Binding: PM_DISORDER_1 (368) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier maladie valvulaire | |
![]() ![]() |
1..1 | string | Spécifier insuffisance respiratoire chronique | |
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1..1 | code | Spécifier antécédent de radiothérapie thoracique Binding: PM_LATERALITY (358) Value Set (required) | |
![]() ![]() |
1..1 | string | Raison antécédent de radiothérapie thoracique | |
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1..1 | string | LVEF [%] | |
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0..1 | string | Données de procédure d'implant | |
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1..1 | string | Dose de radiation (DAP - mGy/cm²) | |
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1..1 | code | Acquisition d'un vénogramme Binding: PM_YN (360) Value Set (required) | |
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1..1 | decimal | Nombre de tentatives de positionnement du système de stimulation sans sonde | |
![]() ![]() |
1..1 | string | Si plus de 10, éxpliquer pourquoi: | |
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1..1 | code | Position finale du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_1 (396) Value Set (required) | |
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0..* | code | Complications aiguës Binding: PM_DISORDER_2 (369) Value Set (required) | |
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1..1 | code | Spécifier épanchement péricardique nécessitant une intervention Binding: PM_PROCEDURE_1 (393) Value Set (required) | |
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1..1 | code | Spécifier complication vasculaire Binding: PM_DISORDER_3 (366) Value Set (required) | |
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1..1 | string | Raison du décès | |
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1..1 | code | Procédure réussie Binding: PM_YN (360) Value Set (required) | |
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1..1 | string | Spécifier procédure non réussie | |
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0..1 | string | Données pour CRT-P | |
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1..1 | code | Cardiopathie Binding: PM_QUALIFIER (352) Value Set (required) | |
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1..1 | code | Classe NYHA Binding: PM_NYHA (371) Value Set (required) | |
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1..1 | string | Durée QRS (80-350 ms) | |
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1..1 | string | LVEF % (0-80) | |
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1..1 | string | Diamètre ventricule gauche télédiastolique (35-100 mm) | |
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1..1 | code | Trouble de la conduction Binding: PM_DISORDER_4 (367) Value Set (required) | |
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1..1 | code | Présence d'un asynchronisme au moyen d'une échographie Binding: PM_YN_NA (361) Value Set (required) | |
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0..1 | string | 5. Boîtier et électrode(s) | |
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0..1 | string | Boîtier | |
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1..1 | string | SADMI implant notification code | |
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0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
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0..1 | string | Référence | |
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0..1 | string | Distributeur | |
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0..1 | string | Classification (INAMI) | |
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1..1 | code | Modèle single, dual ou plugged triple Binding: QERMID_IMPLT_322_34901_34902_34903 (389) Value Set (required) | |
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1..1 | code | Modèle CRT-P Binding: QERMID_IMPLT_323 (380) Value Set (required) | |
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1..1 | code | Modèle stimulateur intracardiaque transcathéter implantable Binding: QERMID_IMPLT_34904_34905 Value Set (required) | |
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1..1 | string | Numéro de série | |
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1..1 | string | Numéro de série | |
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0..1 | code | Date valable du | |
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0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
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0..1 | code | Date valable jusqu'au | |
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0..1 | string | Mode de stimulation | |
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1..1 | code | Mode de stimulation – Valeur 1 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 2 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
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1..1 | code | Mode de stimulation – Valeur 3 Binding: PM_STIMULATION_2 (357) Value Set (required) | |
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1..1 | code | Mode de stimulation – Valeur 4 Binding: PM_STIMULATION_3 (356) Value Set (required) | |
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1..1 | code | Mode de stimulation – Valeur 5 Binding: PM_STIMULATION_4 (353) Value Set (required) | |
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0..1 | string | Remarques | |
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0..1 | string | Electrodes | |
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0..1 | code | Numéro de prestation Binding: BILLING_CODE_384 (384) Value Set (required) | |
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0..1 | code | Numéro de prestation Binding: BILLING_CODE_382 (382) Value Set (required) | |
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0..1 | code | Lieu d’implantation Binding: PM_ANATOMICAL LOCATION_2 (395) Value Set (required) | |
![]() ![]() |
0..1 | string | SADMI implant notification code | |
![]() ![]() |
0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
![]() ![]() |
0..1 | string | Référence | |
![]() ![]() |
0..1 | string | Distributeur | |
![]() ![]() |
0..1 | string | Classification (INAMI) | |
![]() ![]() |
0..1 | string | Numéro de série | |
![]() ![]() |
0..1 | code | Sous-type d'intervention Binding: PM_PROCEDURE_2 (399) Value Set (required) | |
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0..1 | code | Raison du remplacement Binding: PM_REPL_ELEC (375) Value Set (required) | |
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0..1 | string | Remarques | |
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0..1 | string | Statut | |
![]() ![]() |
0..1 | string | La source de données | |
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0..1 | string | Langue | |
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0..1 | string | Nom technique du DCD | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| pacemakers-primo-implantation.CD-PAT-SEX | Base | required | PM_SEX (390) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-PLC-RESDC | Base | required | PLACE_OF_RESIDENCE (12) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-RIZIV-TREAT-PHYS | Base | required | HPIN (15) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-REIMBURS-TPE | Base | required | PM_REIMBURSEMENT (355) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-1 | Base | required | PM_DEVICE_1 (377) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE | Base | required | PM_DEVICE_2 (378) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV-INDICATN | Base | required | PM_ABANTENV (385) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-IMMCOMP | Base | required | PM_CRIT_IMMCOMP (386) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-PADIT | Base | required | PM_CRIT_PADIT (397) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-SYMP | Base | required | PM_SYMP_PACE (392) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ECG | Base | required | PM_ECG_PACE (379) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ETIO | Base | required | PM_ETIO_PACE (350) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-2 | Base | required | PM_DEVICE_8 (364) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_3 (394) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-INDICATN | Base | required | PM_INDICATION (383) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CRIT | Base | required | PM_SPECIFIC_CRITERIA (359) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-LIFE-EXPECT-MIN-2Y | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-CARRIER-MED-DEVICE | Base | required | PM_DEVICE_3 (374) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CHARC | Base | required | PM_DISORDER_1 (368) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-HISTY-RADIO-THOR-SPECIF | Base | required | PM_LATERALITY (358) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACQN-VENGR | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-FINL-POSTN-ITI | Base | required | PM_ANATOMICAL LOCATION_1 (396) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP | Base | required | PM_DISORDER_2 (369) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-PCEFF-INTVNT-SPECIF | Base | required | PM_PROCEDURE_1 (393) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-VASC-COMPLIC-SPECIF | Base | required | PM_DISORDER_3 (366) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PROC-SUCCES | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CARDIOP | Base | required | PM_QUALIFIER (352) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NYHA-CLASS | Base | required | PM_NYHA (371) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CNDCTN-DISO | Base | required | PM_DISORDER_4 (367) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-ASYN-ULTRSND | Base | required | PM_YN_NA (361) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SDP-NOMLIST | Base | required | QERMID_IMPLT_322_34901_34902_34903 (389) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NOMLIST | Base | required | QERMID_IMPLT_323 (380) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-NOMLIST | Base | required | QERMID_IMPLT_34904_34905 Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-1 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-2 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-3 | Base | required | PM_STIMULATION_2 (357) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-4 | Base | required | PM_STIMULATION_3 (356) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-5 | Base | required | PM_STIMULATION_4 (353) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR1 | Base | required | BILLING_CODE_384 (384) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR2 | Base | required | BILLING_CODE_382 (382) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_2 (395) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-INTVNT-SUBTPE | Base | required | PM_PROCEDURE_2 (399) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ELECT-REPLAC-REAS | Base | required | PM_REPL_ELEC (375) Value Set | 📦0.1.0 | This IG |
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | Pacemakers - Primo-implantation | |
![]() ![]() |
0..1 | string | DCD status | |
![]() ![]() |
0..1 | string | Ce formulaire n’est disponible qu’en néerlandais ou français. Veuillez sélectionner le néerlandais ou français comme langue dans vos paramètres lorsque vous remplissez ce formulaire. | |
![]() ![]() |
0..1 | string | Auteur de l'enregistrement | |
![]() ![]() |
1..1 | string | Groupe d'auteurs | |
![]() ![]() |
1..1 | string | Auteur | |
![]() ![]() |
1..1 | string | Co-auteur | |
![]() ![]() |
0..1 | string | Study design | |
![]() ![]() |
0..1 | string | Program | |
![]() ![]() |
0..1 | string | Project | |
![]() ![]() |
0..1 | string | Event | |
![]() ![]() |
0..1 | string | DCD | |
![]() ![]() |
0..1 | string | ID unique, Business key | |
![]() ![]() |
0..1 | string | Type de registre | |
![]() ![]() |
0..1 | string | Code d’enregistrement | |
![]() ![]() |
0..1 | string | Identification du patiënt | |
![]() ![]() |
1..1 | Identifier | Numéro de registre national du patient | |
![]() ![]() |
0..1 | string | Numéro d’identification interne du patient | |
![]() ![]() |
1..1 | Identifier | Numéro d’identification généré du patient | |
![]() ![]() |
0..1 | string | Prénom | |
![]() ![]() |
0..1 | string | Nom de famille | |
![]() ![]() |
1..1 | string | Date de naissance | |
![]() ![]() |
1..1 | code | Sexe Binding: PM_SEX (390) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu de résidence Binding: PLACE_OF_RESIDENCE (12) Value Set (required) | |
![]() ![]() |
0..1 | string | Professionnel de santé | |
![]() ![]() |
1..1 | code | Responsable pour la pose d’indication Binding: HPIN (15) Value Set (required) | |
![]() ![]() |
0..1 | string | Informations générales | |
![]() ![]() |
1..1 | string | Date d'implantation | |
![]() ![]() |
1..1 | code | Type de remboursement Binding: PM_REIMBURSEMENT (355) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_1 (377) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_2 (378) Value Set (required) | |
![]() ![]() |
1..1 | code | Avez-vous utilisé une enveloppe antibactérienne résorbable? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Indication Binding: PM_ABANTENV (385) Value Set (required) | |
![]() ![]() |
1..1 | code | Critère complémentaire patient immunodéprimé Binding: PM_CRIT_IMMCOMP (386) Value Set (required) | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | code | Critère complémentaire PADIT ≥ 6 points Binding: PM_CRIT_PADIT (397) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autre indication | |
![]() ![]() |
0..1 | string | Données médicales | |
![]() ![]() |
0..1 | string | Indications | |
![]() ![]() |
1..1 | code | Symptôme Binding: PM_SYMP_PACE (392) Value Set (required) | |
![]() ![]() |
1..1 | code | ECG Binding: PM_ECG_PACE (379) Value Set (required) | |
![]() ![]() |
1..1 | code | Etiologie Binding: PM_ETIO_PACE (350) Value Set (required) | |
![]() ![]() |
1..1 | code | Type de stimulateur intracardiaque transcathéter implantable Binding: PM_DEVICE_8 (364) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu d’implantation du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_3 (394) Value Set (required) | |
![]() ![]() |
1..1 | code | Indications Binding: PM_INDICATION (383) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autres indications | |
![]() ![]() |
0..* | code | Critères spécifiques Binding: PM_SPECIFIC_CRITERIA (359) Value Set (required) | |
![]() ![]() |
1..1 | string | Justification du risque infectieux | |
![]() ![]() |
1..1 | code | L’estimation générale de l’espérance de vie après l’intervention au moyen du dispositif, est-il au minimum de deux ans? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Le patient est-il porteur d'un des types de dispositifs médicaux suivants? Binding: PM_DEVICE_3 (374) Value Set (required) | |
![]() ![]() |
0..1 | string | Données patient spécifiques | |
![]() ![]() |
1..1 | string | Poids (kg) | |
![]() ![]() |
1..1 | string | Taille (cm) | |
![]() ![]() |
0..1 | string | Urée (g/dL) | |
![]() ![]() |
0..1 | string | Creatinine (mg/dL) | |
![]() ![]() |
0..1 | string | GFR (mL/min/1,73 m²) | |
![]() ![]() |
0..* | code | Caractéristiques spécifiques du patient Binding: PM_DISORDER_1 (368) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier maladie valvulaire | |
![]() ![]() |
1..1 | string | Spécifier insuffisance respiratoire chronique | |
![]() ![]() |
1..1 | code | Spécifier antécédent de radiothérapie thoracique Binding: PM_LATERALITY (358) Value Set (required) | |
![]() ![]() |
1..1 | string | Raison antécédent de radiothérapie thoracique | |
![]() ![]() |
1..1 | string | LVEF [%] | |
![]() ![]() |
0..1 | string | Données de procédure d'implant | |
![]() ![]() |
1..1 | string | Dose de radiation (DAP - mGy/cm²) | |
![]() ![]() |
1..1 | code | Acquisition d'un vénogramme Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | decimal | Nombre de tentatives de positionnement du système de stimulation sans sonde | |
![]() ![]() |
1..1 | string | Si plus de 10, éxpliquer pourquoi: | |
![]() ![]() |
1..1 | code | Position finale du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_1 (396) Value Set (required) | |
![]() ![]() |
0..* | code | Complications aiguës Binding: PM_DISORDER_2 (369) Value Set (required) | |
![]() ![]() |
1..1 | code | Spécifier épanchement péricardique nécessitant une intervention Binding: PM_PROCEDURE_1 (393) Value Set (required) | |
![]() ![]() |
1..1 | code | Spécifier complication vasculaire Binding: PM_DISORDER_3 (366) Value Set (required) | |
![]() ![]() |
1..1 | string | Raison du décès | |
![]() ![]() |
1..1 | code | Procédure réussie Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier procédure non réussie | |
![]() ![]() |
0..1 | string | Données pour CRT-P | |
![]() ![]() |
1..1 | code | Cardiopathie Binding: PM_QUALIFIER (352) Value Set (required) | |
![]() ![]() |
1..1 | code | Classe NYHA Binding: PM_NYHA (371) Value Set (required) | |
![]() ![]() |
1..1 | string | Durée QRS (80-350 ms) | |
![]() ![]() |
1..1 | string | LVEF % (0-80) | |
![]() ![]() |
1..1 | string | Diamètre ventricule gauche télédiastolique (35-100 mm) | |
![]() ![]() |
1..1 | code | Trouble de la conduction Binding: PM_DISORDER_4 (367) Value Set (required) | |
![]() ![]() |
1..1 | code | Présence d'un asynchronisme au moyen d'une échographie Binding: PM_YN_NA (361) Value Set (required) | |
![]() ![]() |
0..1 | string | 5. Boîtier et électrode(s) | |
![]() ![]() |
0..1 | string | Boîtier | |
![]() ![]() |
1..1 | string | SADMI implant notification code | |
![]() ![]() |
0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
![]() ![]() |
0..1 | string | Référence | |
![]() ![]() |
0..1 | string | Distributeur | |
![]() ![]() |
0..1 | string | Classification (INAMI) | |
![]() ![]() |
1..1 | code | Modèle single, dual ou plugged triple Binding: QERMID_IMPLT_322_34901_34902_34903 (389) Value Set (required) | |
![]() ![]() |
1..1 | code | Modèle CRT-P Binding: QERMID_IMPLT_323 (380) Value Set (required) | |
![]() ![]() |
1..1 | code | Modèle stimulateur intracardiaque transcathéter implantable Binding: QERMID_IMPLT_34904_34905 Value Set (required) | |
![]() ![]() |
1..1 | string | Numéro de série | |
![]() ![]() |
1..1 | string | Numéro de série | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | string | Mode de stimulation | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 1 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 2 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 3 Binding: PM_STIMULATION_2 (357) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 4 Binding: PM_STIMULATION_3 (356) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 5 Binding: PM_STIMULATION_4 (353) Value Set (required) | |
![]() ![]() |
0..1 | string | Remarques | |
![]() ![]() |
0..1 | string | Electrodes | |
![]() ![]() |
0..1 | code | Numéro de prestation Binding: BILLING_CODE_384 (384) Value Set (required) | |
![]() ![]() |
0..1 | code | Numéro de prestation Binding: BILLING_CODE_382 (382) Value Set (required) | |
![]() ![]() |
0..1 | code | Lieu d’implantation Binding: PM_ANATOMICAL LOCATION_2 (395) Value Set (required) | |
![]() ![]() |
0..1 | string | SADMI implant notification code | |
![]() ![]() |
0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
![]() ![]() |
0..1 | string | Référence | |
![]() ![]() |
0..1 | string | Distributeur | |
![]() ![]() |
0..1 | string | Classification (INAMI) | |
![]() ![]() |
0..1 | string | Numéro de série | |
![]() ![]() |
0..1 | code | Sous-type d'intervention Binding: PM_PROCEDURE_2 (399) Value Set (required) | |
![]() ![]() |
0..1 | code | Raison du remplacement Binding: PM_REPL_ELEC (375) Value Set (required) | |
![]() ![]() |
0..1 | string | Remarques | |
![]() ![]() |
0..1 | string | Statut | |
![]() ![]() |
0..1 | string | La source de données | |
![]() ![]() |
0..1 | string | Langue | |
![]() ![]() |
0..1 | string | Nom technique du DCD | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| pacemakers-primo-implantation.CD-PAT-SEX | Base | required | PM_SEX (390) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-PLC-RESDC | Base | required | PLACE_OF_RESIDENCE (12) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-RIZIV-TREAT-PHYS | Base | required | HPIN (15) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-REIMBURS-TPE | Base | required | PM_REIMBURSEMENT (355) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-1 | Base | required | PM_DEVICE_1 (377) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE | Base | required | PM_DEVICE_2 (378) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV-INDICATN | Base | required | PM_ABANTENV (385) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-IMMCOMP | Base | required | PM_CRIT_IMMCOMP (386) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-PADIT | Base | required | PM_CRIT_PADIT (397) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-SYMP | Base | required | PM_SYMP_PACE (392) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ECG | Base | required | PM_ECG_PACE (379) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ETIO | Base | required | PM_ETIO_PACE (350) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-2 | Base | required | PM_DEVICE_8 (364) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_3 (394) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-INDICATN | Base | required | PM_INDICATION (383) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CRIT | Base | required | PM_SPECIFIC_CRITERIA (359) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-LIFE-EXPECT-MIN-2Y | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-CARRIER-MED-DEVICE | Base | required | PM_DEVICE_3 (374) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CHARC | Base | required | PM_DISORDER_1 (368) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-HISTY-RADIO-THOR-SPECIF | Base | required | PM_LATERALITY (358) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACQN-VENGR | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-FINL-POSTN-ITI | Base | required | PM_ANATOMICAL LOCATION_1 (396) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP | Base | required | PM_DISORDER_2 (369) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-PCEFF-INTVNT-SPECIF | Base | required | PM_PROCEDURE_1 (393) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-VASC-COMPLIC-SPECIF | Base | required | PM_DISORDER_3 (366) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PROC-SUCCES | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CARDIOP | Base | required | PM_QUALIFIER (352) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NYHA-CLASS | Base | required | PM_NYHA (371) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CNDCTN-DISO | Base | required | PM_DISORDER_4 (367) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-ASYN-ULTRSND | Base | required | PM_YN_NA (361) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SDP-NOMLIST | Base | required | QERMID_IMPLT_322_34901_34902_34903 (389) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NOMLIST | Base | required | QERMID_IMPLT_323 (380) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-NOMLIST | Base | required | QERMID_IMPLT_34904_34905 Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-1 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-2 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-3 | Base | required | PM_STIMULATION_2 (357) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-4 | Base | required | PM_STIMULATION_3 (356) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-5 | Base | required | PM_STIMULATION_4 (353) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR1 | Base | required | BILLING_CODE_384 (384) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR2 | Base | required | BILLING_CODE_382 (382) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_2 (395) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-INTVNT-SUBTPE | Base | required | PM_PROCEDURE_2 (399) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ELECT-REPLAC-REAS | Base | required | PM_REPL_ELEC (375) Value Set | 📦0.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | Pacemakers - Primo-implantation | |
![]() ![]() |
0..1 | string | DCD status | |
![]() ![]() |
0..1 | string | Ce formulaire n’est disponible qu’en néerlandais ou français. Veuillez sélectionner le néerlandais ou français comme langue dans vos paramètres lorsque vous remplissez ce formulaire. | |
![]() ![]() |
0..1 | string | Auteur de l'enregistrement | |
![]() ![]() |
1..1 | string | Groupe d'auteurs | |
![]() ![]() |
1..1 | string | Auteur | |
![]() ![]() |
1..1 | string | Co-auteur | |
![]() ![]() |
0..1 | string | Study design | |
![]() ![]() |
0..1 | string | Program | |
![]() ![]() |
0..1 | string | Project | |
![]() ![]() |
0..1 | string | Event | |
![]() ![]() |
0..1 | string | DCD | |
![]() ![]() |
0..1 | string | ID unique, Business key | |
![]() ![]() |
0..1 | string | Type de registre | |
![]() ![]() |
0..1 | string | Code d’enregistrement | |
![]() ![]() |
0..1 | string | Identification du patiënt | |
![]() ![]() |
1..1 | Identifier | Numéro de registre national du patient | |
![]() ![]() |
0..1 | string | Numéro d’identification interne du patient | |
![]() ![]() |
1..1 | Identifier | Numéro d’identification généré du patient | |
![]() ![]() |
0..1 | string | Prénom | |
![]() ![]() |
0..1 | string | Nom de famille | |
![]() ![]() |
1..1 | string | Date de naissance | |
![]() ![]() |
1..1 | code | Sexe Binding: PM_SEX (390) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu de résidence Binding: PLACE_OF_RESIDENCE (12) Value Set (required) | |
![]() ![]() |
0..1 | string | Professionnel de santé | |
![]() ![]() |
1..1 | code | Responsable pour la pose d’indication Binding: HPIN (15) Value Set (required) | |
![]() ![]() |
0..1 | string | Informations générales | |
![]() ![]() |
1..1 | string | Date d'implantation | |
![]() ![]() |
1..1 | code | Type de remboursement Binding: PM_REIMBURSEMENT (355) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_1 (377) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_2 (378) Value Set (required) | |
![]() ![]() |
1..1 | code | Avez-vous utilisé une enveloppe antibactérienne résorbable? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Indication Binding: PM_ABANTENV (385) Value Set (required) | |
![]() ![]() |
1..1 | code | Critère complémentaire patient immunodéprimé Binding: PM_CRIT_IMMCOMP (386) Value Set (required) | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | code | Critère complémentaire PADIT ≥ 6 points Binding: PM_CRIT_PADIT (397) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autre indication | |
![]() ![]() |
0..1 | string | Données médicales | |
![]() ![]() |
0..1 | string | Indications | |
![]() ![]() |
1..1 | code | Symptôme Binding: PM_SYMP_PACE (392) Value Set (required) | |
![]() ![]() |
1..1 | code | ECG Binding: PM_ECG_PACE (379) Value Set (required) | |
![]() ![]() |
1..1 | code | Etiologie Binding: PM_ETIO_PACE (350) Value Set (required) | |
![]() ![]() |
1..1 | code | Type de stimulateur intracardiaque transcathéter implantable Binding: PM_DEVICE_8 (364) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu d’implantation du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_3 (394) Value Set (required) | |
![]() ![]() |
1..1 | code | Indications Binding: PM_INDICATION (383) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autres indications | |
![]() ![]() |
0..* | code | Critères spécifiques Binding: PM_SPECIFIC_CRITERIA (359) Value Set (required) | |
![]() ![]() |
1..1 | string | Justification du risque infectieux | |
![]() ![]() |
1..1 | code | L’estimation générale de l’espérance de vie après l’intervention au moyen du dispositif, est-il au minimum de deux ans? Binding: PM_YN (360) Value Set (required) | |
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1..1 | code | Le patient est-il porteur d'un des types de dispositifs médicaux suivants? Binding: PM_DEVICE_3 (374) Value Set (required) | |
![]() ![]() |
0..1 | string | Données patient spécifiques | |
![]() ![]() |
1..1 | string | Poids (kg) | |
![]() ![]() |
1..1 | string | Taille (cm) | |
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0..1 | string | Urée (g/dL) | |
![]() ![]() |
0..1 | string | Creatinine (mg/dL) | |
![]() ![]() |
0..1 | string | GFR (mL/min/1,73 m²) | |
![]() ![]() |
0..* | code | Caractéristiques spécifiques du patient Binding: PM_DISORDER_1 (368) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier maladie valvulaire | |
![]() ![]() |
1..1 | string | Spécifier insuffisance respiratoire chronique | |
![]() ![]() |
1..1 | code | Spécifier antécédent de radiothérapie thoracique Binding: PM_LATERALITY (358) Value Set (required) | |
![]() ![]() |
1..1 | string | Raison antécédent de radiothérapie thoracique | |
![]() ![]() |
1..1 | string | LVEF [%] | |
![]() ![]() |
0..1 | string | Données de procédure d'implant | |
![]() ![]() |
1..1 | string | Dose de radiation (DAP - mGy/cm²) | |
![]() ![]() |
1..1 | code | Acquisition d'un vénogramme Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | decimal | Nombre de tentatives de positionnement du système de stimulation sans sonde | |
![]() ![]() |
1..1 | string | Si plus de 10, éxpliquer pourquoi: | |
![]() ![]() |
1..1 | code | Position finale du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_1 (396) Value Set (required) | |
![]() ![]() |
0..* | code | Complications aiguës Binding: PM_DISORDER_2 (369) Value Set (required) | |
![]() ![]() |
1..1 | code | Spécifier épanchement péricardique nécessitant une intervention Binding: PM_PROCEDURE_1 (393) Value Set (required) | |
![]() ![]() |
1..1 | code | Spécifier complication vasculaire Binding: PM_DISORDER_3 (366) Value Set (required) | |
![]() ![]() |
1..1 | string | Raison du décès | |
![]() ![]() |
1..1 | code | Procédure réussie Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier procédure non réussie | |
![]() ![]() |
0..1 | string | Données pour CRT-P | |
![]() ![]() |
1..1 | code | Cardiopathie Binding: PM_QUALIFIER (352) Value Set (required) | |
![]() ![]() |
1..1 | code | Classe NYHA Binding: PM_NYHA (371) Value Set (required) | |
![]() ![]() |
1..1 | string | Durée QRS (80-350 ms) | |
![]() ![]() |
1..1 | string | LVEF % (0-80) | |
![]() ![]() |
1..1 | string | Diamètre ventricule gauche télédiastolique (35-100 mm) | |
![]() ![]() |
1..1 | code | Trouble de la conduction Binding: PM_DISORDER_4 (367) Value Set (required) | |
![]() ![]() |
1..1 | code | Présence d'un asynchronisme au moyen d'une échographie Binding: PM_YN_NA (361) Value Set (required) | |
![]() ![]() |
0..1 | string | 5. Boîtier et électrode(s) | |
![]() ![]() |
0..1 | string | Boîtier | |
![]() ![]() |
1..1 | string | SADMI implant notification code | |
![]() ![]() |
0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
![]() ![]() |
0..1 | string | Référence | |
![]() ![]() |
0..1 | string | Distributeur | |
![]() ![]() |
0..1 | string | Classification (INAMI) | |
![]() ![]() |
1..1 | code | Modèle single, dual ou plugged triple Binding: QERMID_IMPLT_322_34901_34902_34903 (389) Value Set (required) | |
![]() ![]() |
1..1 | code | Modèle CRT-P Binding: QERMID_IMPLT_323 (380) Value Set (required) | |
![]() ![]() |
1..1 | code | Modèle stimulateur intracardiaque transcathéter implantable Binding: QERMID_IMPLT_34904_34905 Value Set (required) | |
![]() ![]() |
1..1 | string | Numéro de série | |
![]() ![]() |
1..1 | string | Numéro de série | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | string | Mode de stimulation | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 1 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 2 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 3 Binding: PM_STIMULATION_2 (357) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 4 Binding: PM_STIMULATION_3 (356) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 5 Binding: PM_STIMULATION_4 (353) Value Set (required) | |
![]() ![]() |
0..1 | string | Remarques | |
![]() ![]() |
0..1 | string | Electrodes | |
![]() ![]() |
0..1 | code | Numéro de prestation Binding: BILLING_CODE_384 (384) Value Set (required) | |
![]() ![]() |
0..1 | code | Numéro de prestation Binding: BILLING_CODE_382 (382) Value Set (required) | |
![]() ![]() |
0..1 | code | Lieu d’implantation Binding: PM_ANATOMICAL LOCATION_2 (395) Value Set (required) | |
![]() ![]() |
0..1 | string | SADMI implant notification code | |
![]() ![]() |
0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
![]() ![]() |
0..1 | string | Référence | |
![]() ![]() |
0..1 | string | Distributeur | |
![]() ![]() |
0..1 | string | Classification (INAMI) | |
![]() ![]() |
0..1 | string | Numéro de série | |
![]() ![]() |
0..1 | code | Sous-type d'intervention Binding: PM_PROCEDURE_2 (399) Value Set (required) | |
![]() ![]() |
0..1 | code | Raison du remplacement Binding: PM_REPL_ELEC (375) Value Set (required) | |
![]() ![]() |
0..1 | string | Remarques | |
![]() ![]() |
0..1 | string | Statut | |
![]() ![]() |
0..1 | string | La source de données | |
![]() ![]() |
0..1 | string | Langue | |
![]() ![]() |
0..1 | string | Nom technique du DCD | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| pacemakers-primo-implantation.CD-PAT-SEX | Base | required | PM_SEX (390) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-PLC-RESDC | Base | required | PLACE_OF_RESIDENCE (12) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-RIZIV-TREAT-PHYS | Base | required | HPIN (15) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-REIMBURS-TPE | Base | required | PM_REIMBURSEMENT (355) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-1 | Base | required | PM_DEVICE_1 (377) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE | Base | required | PM_DEVICE_2 (378) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV-INDICATN | Base | required | PM_ABANTENV (385) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-IMMCOMP | Base | required | PM_CRIT_IMMCOMP (386) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-PADIT | Base | required | PM_CRIT_PADIT (397) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-SYMP | Base | required | PM_SYMP_PACE (392) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ECG | Base | required | PM_ECG_PACE (379) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ETIO | Base | required | PM_ETIO_PACE (350) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-2 | Base | required | PM_DEVICE_8 (364) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_3 (394) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-INDICATN | Base | required | PM_INDICATION (383) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CRIT | Base | required | PM_SPECIFIC_CRITERIA (359) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-LIFE-EXPECT-MIN-2Y | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-CARRIER-MED-DEVICE | Base | required | PM_DEVICE_3 (374) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CHARC | Base | required | PM_DISORDER_1 (368) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-HISTY-RADIO-THOR-SPECIF | Base | required | PM_LATERALITY (358) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACQN-VENGR | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-FINL-POSTN-ITI | Base | required | PM_ANATOMICAL LOCATION_1 (396) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP | Base | required | PM_DISORDER_2 (369) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-PCEFF-INTVNT-SPECIF | Base | required | PM_PROCEDURE_1 (393) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-VASC-COMPLIC-SPECIF | Base | required | PM_DISORDER_3 (366) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PROC-SUCCES | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CARDIOP | Base | required | PM_QUALIFIER (352) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NYHA-CLASS | Base | required | PM_NYHA (371) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CNDCTN-DISO | Base | required | PM_DISORDER_4 (367) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-ASYN-ULTRSND | Base | required | PM_YN_NA (361) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SDP-NOMLIST | Base | required | QERMID_IMPLT_322_34901_34902_34903 (389) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NOMLIST | Base | required | QERMID_IMPLT_323 (380) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-NOMLIST | Base | required | QERMID_IMPLT_34904_34905 Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-1 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-2 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-3 | Base | required | PM_STIMULATION_2 (357) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-4 | Base | required | PM_STIMULATION_3 (356) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-5 | Base | required | PM_STIMULATION_4 (353) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR1 | Base | required | BILLING_CODE_384 (384) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR2 | Base | required | BILLING_CODE_382 (382) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_2 (395) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-INTVNT-SUBTPE | Base | required | PM_PROCEDURE_2 (399) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ELECT-REPLAC-REAS | Base | required | PM_REPL_ELEC (375) Value Set | 📦0.1.0 | This IG |
This structure is derived from Base
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | Pacemakers - Primo-implantation | |
![]() ![]() |
0..1 | string | DCD status | |
![]() ![]() |
0..1 | string | Ce formulaire n’est disponible qu’en néerlandais ou français. Veuillez sélectionner le néerlandais ou français comme langue dans vos paramètres lorsque vous remplissez ce formulaire. | |
![]() ![]() |
0..1 | string | Auteur de l'enregistrement | |
![]() ![]() |
1..1 | string | Groupe d'auteurs | |
![]() ![]() |
1..1 | string | Auteur | |
![]() ![]() |
1..1 | string | Co-auteur | |
![]() ![]() |
0..1 | string | Study design | |
![]() ![]() |
0..1 | string | Program | |
![]() ![]() |
0..1 | string | Project | |
![]() ![]() |
0..1 | string | Event | |
![]() ![]() |
0..1 | string | DCD | |
![]() ![]() |
0..1 | string | ID unique, Business key | |
![]() ![]() |
0..1 | string | Type de registre | |
![]() ![]() |
0..1 | string | Code d’enregistrement | |
![]() ![]() |
0..1 | string | Identification du patiënt | |
![]() ![]() |
1..1 | Identifier | Numéro de registre national du patient | |
![]() ![]() |
0..1 | string | Numéro d’identification interne du patient | |
![]() ![]() |
1..1 | Identifier | Numéro d’identification généré du patient | |
![]() ![]() |
0..1 | string | Prénom | |
![]() ![]() |
0..1 | string | Nom de famille | |
![]() ![]() |
1..1 | string | Date de naissance | |
![]() ![]() |
1..1 | code | Sexe Binding: PM_SEX (390) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu de résidence Binding: PLACE_OF_RESIDENCE (12) Value Set (required) | |
![]() ![]() |
0..1 | string | Professionnel de santé | |
![]() ![]() |
1..1 | code | Responsable pour la pose d’indication Binding: HPIN (15) Value Set (required) | |
![]() ![]() |
0..1 | string | Informations générales | |
![]() ![]() |
1..1 | string | Date d'implantation | |
![]() ![]() |
1..1 | code | Type de remboursement Binding: PM_REIMBURSEMENT (355) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_1 (377) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_2 (378) Value Set (required) | |
![]() ![]() |
1..1 | code | Avez-vous utilisé une enveloppe antibactérienne résorbable? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Indication Binding: PM_ABANTENV (385) Value Set (required) | |
![]() ![]() |
1..1 | code | Critère complémentaire patient immunodéprimé Binding: PM_CRIT_IMMCOMP (386) Value Set (required) | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | code | Critère complémentaire PADIT ≥ 6 points Binding: PM_CRIT_PADIT (397) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autre indication | |
![]() ![]() |
0..1 | string | Données médicales | |
![]() ![]() |
0..1 | string | Indications | |
![]() ![]() |
1..1 | code | Symptôme Binding: PM_SYMP_PACE (392) Value Set (required) | |
![]() ![]() |
1..1 | code | ECG Binding: PM_ECG_PACE (379) Value Set (required) | |
![]() ![]() |
1..1 | code | Etiologie Binding: PM_ETIO_PACE (350) Value Set (required) | |
![]() ![]() |
1..1 | code | Type de stimulateur intracardiaque transcathéter implantable Binding: PM_DEVICE_8 (364) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu d’implantation du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_3 (394) Value Set (required) | |
![]() ![]() |
1..1 | code | Indications Binding: PM_INDICATION (383) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autres indications | |
![]() ![]() |
0..* | code | Critères spécifiques Binding: PM_SPECIFIC_CRITERIA (359) Value Set (required) | |
![]() ![]() |
1..1 | string | Justification du risque infectieux | |
![]() ![]() |
1..1 | code | L’estimation générale de l’espérance de vie après l’intervention au moyen du dispositif, est-il au minimum de deux ans? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Le patient est-il porteur d'un des types de dispositifs médicaux suivants? Binding: PM_DEVICE_3 (374) Value Set (required) | |
![]() ![]() |
0..1 | string | Données patient spécifiques | |
![]() ![]() |
1..1 | string | Poids (kg) | |
![]() ![]() |
1..1 | string | Taille (cm) | |
![]() ![]() |
0..1 | string | Urée (g/dL) | |
![]() ![]() |
0..1 | string | Creatinine (mg/dL) | |
![]() ![]() |
0..1 | string | GFR (mL/min/1,73 m²) | |
![]() ![]() |
0..* | code | Caractéristiques spécifiques du patient Binding: PM_DISORDER_1 (368) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier maladie valvulaire | |
![]() ![]() |
1..1 | string | Spécifier insuffisance respiratoire chronique | |
![]() ![]() |
1..1 | code | Spécifier antécédent de radiothérapie thoracique Binding: PM_LATERALITY (358) Value Set (required) | |
![]() ![]() |
1..1 | string | Raison antécédent de radiothérapie thoracique | |
![]() ![]() |
1..1 | string | LVEF [%] | |
![]() ![]() |
0..1 | string | Données de procédure d'implant | |
![]() ![]() |
1..1 | string | Dose de radiation (DAP - mGy/cm²) | |
![]() ![]() |
1..1 | code | Acquisition d'un vénogramme Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | decimal | Nombre de tentatives de positionnement du système de stimulation sans sonde | |
![]() ![]() |
1..1 | string | Si plus de 10, éxpliquer pourquoi: | |
![]() ![]() |
1..1 | code | Position finale du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_1 (396) Value Set (required) | |
![]() ![]() |
0..* | code | Complications aiguës Binding: PM_DISORDER_2 (369) Value Set (required) | |
![]() ![]() |
1..1 | code | Spécifier épanchement péricardique nécessitant une intervention Binding: PM_PROCEDURE_1 (393) Value Set (required) | |
![]() ![]() |
1..1 | code | Spécifier complication vasculaire Binding: PM_DISORDER_3 (366) Value Set (required) | |
![]() ![]() |
1..1 | string | Raison du décès | |
![]() ![]() |
1..1 | code | Procédure réussie Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier procédure non réussie | |
![]() ![]() |
0..1 | string | Données pour CRT-P | |
![]() ![]() |
1..1 | code | Cardiopathie Binding: PM_QUALIFIER (352) Value Set (required) | |
![]() ![]() |
1..1 | code | Classe NYHA Binding: PM_NYHA (371) Value Set (required) | |
![]() ![]() |
1..1 | string | Durée QRS (80-350 ms) | |
![]() ![]() |
1..1 | string | LVEF % (0-80) | |
![]() ![]() |
1..1 | string | Diamètre ventricule gauche télédiastolique (35-100 mm) | |
![]() ![]() |
1..1 | code | Trouble de la conduction Binding: PM_DISORDER_4 (367) Value Set (required) | |
![]() ![]() |
1..1 | code | Présence d'un asynchronisme au moyen d'une échographie Binding: PM_YN_NA (361) Value Set (required) | |
![]() ![]() |
0..1 | string | 5. Boîtier et électrode(s) | |
![]() ![]() |
0..1 | string | Boîtier | |
![]() ![]() |
1..1 | string | SADMI implant notification code | |
![]() ![]() |
0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
![]() ![]() |
0..1 | string | Référence | |
![]() ![]() |
0..1 | string | Distributeur | |
![]() ![]() |
0..1 | string | Classification (INAMI) | |
![]() ![]() |
1..1 | code | Modèle single, dual ou plugged triple Binding: QERMID_IMPLT_322_34901_34902_34903 (389) Value Set (required) | |
![]() ![]() |
1..1 | code | Modèle CRT-P Binding: QERMID_IMPLT_323 (380) Value Set (required) | |
![]() ![]() |
1..1 | code | Modèle stimulateur intracardiaque transcathéter implantable Binding: QERMID_IMPLT_34904_34905 Value Set (required) | |
![]() ![]() |
1..1 | string | Numéro de série | |
![]() ![]() |
1..1 | string | Numéro de série | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | string | Mode de stimulation | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 1 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 2 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 3 Binding: PM_STIMULATION_2 (357) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 4 Binding: PM_STIMULATION_3 (356) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 5 Binding: PM_STIMULATION_4 (353) Value Set (required) | |
![]() ![]() |
0..1 | string | Remarques | |
![]() ![]() |
0..1 | string | Electrodes | |
![]() ![]() |
0..1 | code | Numéro de prestation Binding: BILLING_CODE_384 (384) Value Set (required) | |
![]() ![]() |
0..1 | code | Numéro de prestation Binding: BILLING_CODE_382 (382) Value Set (required) | |
![]() ![]() |
0..1 | code | Lieu d’implantation Binding: PM_ANATOMICAL LOCATION_2 (395) Value Set (required) | |
![]() ![]() |
0..1 | string | SADMI implant notification code | |
![]() ![]() |
0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
![]() ![]() |
0..1 | string | Référence | |
![]() ![]() |
0..1 | string | Distributeur | |
![]() ![]() |
0..1 | string | Classification (INAMI) | |
![]() ![]() |
0..1 | string | Numéro de série | |
![]() ![]() |
0..1 | code | Sous-type d'intervention Binding: PM_PROCEDURE_2 (399) Value Set (required) | |
![]() ![]() |
0..1 | code | Raison du remplacement Binding: PM_REPL_ELEC (375) Value Set (required) | |
![]() ![]() |
0..1 | string | Remarques | |
![]() ![]() |
0..1 | string | Statut | |
![]() ![]() |
0..1 | string | La source de données | |
![]() ![]() |
0..1 | string | Langue | |
![]() ![]() |
0..1 | string | Nom technique du DCD | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| pacemakers-primo-implantation.CD-PAT-SEX | Base | required | PM_SEX (390) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-PLC-RESDC | Base | required | PLACE_OF_RESIDENCE (12) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-RIZIV-TREAT-PHYS | Base | required | HPIN (15) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-REIMBURS-TPE | Base | required | PM_REIMBURSEMENT (355) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-1 | Base | required | PM_DEVICE_1 (377) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE | Base | required | PM_DEVICE_2 (378) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV-INDICATN | Base | required | PM_ABANTENV (385) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-IMMCOMP | Base | required | PM_CRIT_IMMCOMP (386) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-PADIT | Base | required | PM_CRIT_PADIT (397) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-SYMP | Base | required | PM_SYMP_PACE (392) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ECG | Base | required | PM_ECG_PACE (379) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ETIO | Base | required | PM_ETIO_PACE (350) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-2 | Base | required | PM_DEVICE_8 (364) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_3 (394) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-INDICATN | Base | required | PM_INDICATION (383) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CRIT | Base | required | PM_SPECIFIC_CRITERIA (359) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-LIFE-EXPECT-MIN-2Y | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-CARRIER-MED-DEVICE | Base | required | PM_DEVICE_3 (374) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CHARC | Base | required | PM_DISORDER_1 (368) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-HISTY-RADIO-THOR-SPECIF | Base | required | PM_LATERALITY (358) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACQN-VENGR | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-FINL-POSTN-ITI | Base | required | PM_ANATOMICAL LOCATION_1 (396) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP | Base | required | PM_DISORDER_2 (369) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-PCEFF-INTVNT-SPECIF | Base | required | PM_PROCEDURE_1 (393) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-VASC-COMPLIC-SPECIF | Base | required | PM_DISORDER_3 (366) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PROC-SUCCES | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CARDIOP | Base | required | PM_QUALIFIER (352) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NYHA-CLASS | Base | required | PM_NYHA (371) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CNDCTN-DISO | Base | required | PM_DISORDER_4 (367) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-ASYN-ULTRSND | Base | required | PM_YN_NA (361) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SDP-NOMLIST | Base | required | QERMID_IMPLT_322_34901_34902_34903 (389) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NOMLIST | Base | required | QERMID_IMPLT_323 (380) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-NOMLIST | Base | required | QERMID_IMPLT_34904_34905 Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-1 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-2 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-3 | Base | required | PM_STIMULATION_2 (357) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-4 | Base | required | PM_STIMULATION_3 (356) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-5 | Base | required | PM_STIMULATION_4 (353) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR1 | Base | required | BILLING_CODE_384 (384) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR2 | Base | required | BILLING_CODE_382 (382) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_2 (395) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-INTVNT-SUBTPE | Base | required | PM_PROCEDURE_2 (399) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ELECT-REPLAC-REAS | Base | required | PM_REPL_ELEC (375) Value Set | 📦0.1.0 | This IG |
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | Pacemakers - Primo-implantation | |
![]() ![]() |
0..1 | string | DCD status | |
![]() ![]() |
0..1 | string | Ce formulaire n’est disponible qu’en néerlandais ou français. Veuillez sélectionner le néerlandais ou français comme langue dans vos paramètres lorsque vous remplissez ce formulaire. | |
![]() ![]() |
0..1 | string | Auteur de l'enregistrement | |
![]() ![]() |
1..1 | string | Groupe d'auteurs | |
![]() ![]() |
1..1 | string | Auteur | |
![]() ![]() |
1..1 | string | Co-auteur | |
![]() ![]() |
0..1 | string | Study design | |
![]() ![]() |
0..1 | string | Program | |
![]() ![]() |
0..1 | string | Project | |
![]() ![]() |
0..1 | string | Event | |
![]() ![]() |
0..1 | string | DCD | |
![]() ![]() |
0..1 | string | ID unique, Business key | |
![]() ![]() |
0..1 | string | Type de registre | |
![]() ![]() |
0..1 | string | Code d’enregistrement | |
![]() ![]() |
0..1 | string | Identification du patiënt | |
![]() ![]() |
1..1 | Identifier | Numéro de registre national du patient | |
![]() ![]() |
0..1 | string | Numéro d’identification interne du patient | |
![]() ![]() |
1..1 | Identifier | Numéro d’identification généré du patient | |
![]() ![]() |
0..1 | string | Prénom | |
![]() ![]() |
0..1 | string | Nom de famille | |
![]() ![]() |
1..1 | string | Date de naissance | |
![]() ![]() |
1..1 | code | Sexe Binding: PM_SEX (390) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu de résidence Binding: PLACE_OF_RESIDENCE (12) Value Set (required) | |
![]() ![]() |
0..1 | string | Professionnel de santé | |
![]() ![]() |
1..1 | code | Responsable pour la pose d’indication Binding: HPIN (15) Value Set (required) | |
![]() ![]() |
0..1 | string | Informations générales | |
![]() ![]() |
1..1 | string | Date d'implantation | |
![]() ![]() |
1..1 | code | Type de remboursement Binding: PM_REIMBURSEMENT (355) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_1 (377) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_2 (378) Value Set (required) | |
![]() ![]() |
1..1 | code | Avez-vous utilisé une enveloppe antibactérienne résorbable? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Indication Binding: PM_ABANTENV (385) Value Set (required) | |
![]() ![]() |
1..1 | code | Critère complémentaire patient immunodéprimé Binding: PM_CRIT_IMMCOMP (386) Value Set (required) | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | code | Critère complémentaire PADIT ≥ 6 points Binding: PM_CRIT_PADIT (397) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autre indication | |
![]() ![]() |
0..1 | string | Données médicales | |
![]() ![]() |
0..1 | string | Indications | |
![]() ![]() |
1..1 | code | Symptôme Binding: PM_SYMP_PACE (392) Value Set (required) | |
![]() ![]() |
1..1 | code | ECG Binding: PM_ECG_PACE (379) Value Set (required) | |
![]() ![]() |
1..1 | code | Etiologie Binding: PM_ETIO_PACE (350) Value Set (required) | |
![]() ![]() |
1..1 | code | Type de stimulateur intracardiaque transcathéter implantable Binding: PM_DEVICE_8 (364) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu d’implantation du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_3 (394) Value Set (required) | |
![]() ![]() |
1..1 | code | Indications Binding: PM_INDICATION (383) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autres indications | |
![]() ![]() |
0..* | code | Critères spécifiques Binding: PM_SPECIFIC_CRITERIA (359) Value Set (required) | |
![]() ![]() |
1..1 | string | Justification du risque infectieux | |
![]() ![]() |
1..1 | code | L’estimation générale de l’espérance de vie après l’intervention au moyen du dispositif, est-il au minimum de deux ans? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Le patient est-il porteur d'un des types de dispositifs médicaux suivants? Binding: PM_DEVICE_3 (374) Value Set (required) | |
![]() ![]() |
0..1 | string | Données patient spécifiques | |
![]() ![]() |
1..1 | string | Poids (kg) | |
![]() ![]() |
1..1 | string | Taille (cm) | |
![]() ![]() |
0..1 | string | Urée (g/dL) | |
![]() ![]() |
0..1 | string | Creatinine (mg/dL) | |
![]() ![]() |
0..1 | string | GFR (mL/min/1,73 m²) | |
![]() ![]() |
0..* | code | Caractéristiques spécifiques du patient Binding: PM_DISORDER_1 (368) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier maladie valvulaire | |
![]() ![]() |
1..1 | string | Spécifier insuffisance respiratoire chronique | |
![]() ![]() |
1..1 | code | Spécifier antécédent de radiothérapie thoracique Binding: PM_LATERALITY (358) Value Set (required) | |
![]() ![]() |
1..1 | string | Raison antécédent de radiothérapie thoracique | |
![]() ![]() |
1..1 | string | LVEF [%] | |
![]() ![]() |
0..1 | string | Données de procédure d'implant | |
![]() ![]() |
1..1 | string | Dose de radiation (DAP - mGy/cm²) | |
![]() ![]() |
1..1 | code | Acquisition d'un vénogramme Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | decimal | Nombre de tentatives de positionnement du système de stimulation sans sonde | |
![]() ![]() |
1..1 | string | Si plus de 10, éxpliquer pourquoi: | |
![]() ![]() |
1..1 | code | Position finale du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_1 (396) Value Set (required) | |
![]() ![]() |
0..* | code | Complications aiguës Binding: PM_DISORDER_2 (369) Value Set (required) | |
![]() ![]() |
1..1 | code | Spécifier épanchement péricardique nécessitant une intervention Binding: PM_PROCEDURE_1 (393) Value Set (required) | |
![]() ![]() |
1..1 | code | Spécifier complication vasculaire Binding: PM_DISORDER_3 (366) Value Set (required) | |
![]() ![]() |
1..1 | string | Raison du décès | |
![]() ![]() |
1..1 | code | Procédure réussie Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier procédure non réussie | |
![]() ![]() |
0..1 | string | Données pour CRT-P | |
![]() ![]() |
1..1 | code | Cardiopathie Binding: PM_QUALIFIER (352) Value Set (required) | |
![]() ![]() |
1..1 | code | Classe NYHA Binding: PM_NYHA (371) Value Set (required) | |
![]() ![]() |
1..1 | string | Durée QRS (80-350 ms) | |
![]() ![]() |
1..1 | string | LVEF % (0-80) | |
![]() ![]() |
1..1 | string | Diamètre ventricule gauche télédiastolique (35-100 mm) | |
![]() ![]() |
1..1 | code | Trouble de la conduction Binding: PM_DISORDER_4 (367) Value Set (required) | |
![]() ![]() |
1..1 | code | Présence d'un asynchronisme au moyen d'une échographie Binding: PM_YN_NA (361) Value Set (required) | |
![]() ![]() |
0..1 | string | 5. Boîtier et électrode(s) | |
![]() ![]() |
0..1 | string | Boîtier | |
![]() ![]() |
1..1 | string | SADMI implant notification code | |
![]() ![]() |
0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
![]() ![]() |
0..1 | string | Référence | |
![]() ![]() |
0..1 | string | Distributeur | |
![]() ![]() |
0..1 | string | Classification (INAMI) | |
![]() ![]() |
1..1 | code | Modèle single, dual ou plugged triple Binding: QERMID_IMPLT_322_34901_34902_34903 (389) Value Set (required) | |
![]() ![]() |
1..1 | code | Modèle CRT-P Binding: QERMID_IMPLT_323 (380) Value Set (required) | |
![]() ![]() |
1..1 | code | Modèle stimulateur intracardiaque transcathéter implantable Binding: QERMID_IMPLT_34904_34905 Value Set (required) | |
![]() ![]() |
1..1 | string | Numéro de série | |
![]() ![]() |
1..1 | string | Numéro de série | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | code | Date valable du | |
![]() ![]() |
0..1 | code | Date valable jusqu'au | |
![]() ![]() |
0..1 | string | Mode de stimulation | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 1 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 2 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 3 Binding: PM_STIMULATION_2 (357) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 4 Binding: PM_STIMULATION_3 (356) Value Set (required) | |
![]() ![]() |
1..1 | code | Mode de stimulation – Valeur 5 Binding: PM_STIMULATION_4 (353) Value Set (required) | |
![]() ![]() |
0..1 | string | Remarques | |
![]() ![]() |
0..1 | string | Electrodes | |
![]() ![]() |
0..1 | code | Numéro de prestation Binding: BILLING_CODE_384 (384) Value Set (required) | |
![]() ![]() |
0..1 | code | Numéro de prestation Binding: BILLING_CODE_382 (382) Value Set (required) | |
![]() ![]() |
0..1 | code | Lieu d’implantation Binding: PM_ANATOMICAL LOCATION_2 (395) Value Set (required) | |
![]() ![]() |
0..1 | string | SADMI implant notification code | |
![]() ![]() |
0..1 | string | Nom | |
![]() ![]() |
0..1 | string | Fabricant | |
![]() ![]() |
0..1 | string | Référence | |
![]() ![]() |
0..1 | string | Distributeur | |
![]() ![]() |
0..1 | string | Classification (INAMI) | |
![]() ![]() |
0..1 | string | Numéro de série | |
![]() ![]() |
0..1 | code | Sous-type d'intervention Binding: PM_PROCEDURE_2 (399) Value Set (required) | |
![]() ![]() |
0..1 | code | Raison du remplacement Binding: PM_REPL_ELEC (375) Value Set (required) | |
![]() ![]() |
0..1 | string | Remarques | |
![]() ![]() |
0..1 | string | Statut | |
![]() ![]() |
0..1 | string | La source de données | |
![]() ![]() |
0..1 | string | Langue | |
![]() ![]() |
0..1 | string | Nom technique du DCD | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| pacemakers-primo-implantation.CD-PAT-SEX | Base | required | PM_SEX (390) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-PLC-RESDC | Base | required | PLACE_OF_RESIDENCE (12) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-RIZIV-TREAT-PHYS | Base | required | HPIN (15) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-REIMBURS-TPE | Base | required | PM_REIMBURSEMENT (355) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-1 | Base | required | PM_DEVICE_1 (377) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE | Base | required | PM_DEVICE_2 (378) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV-INDICATN | Base | required | PM_ABANTENV (385) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-IMMCOMP | Base | required | PM_CRIT_IMMCOMP (386) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-PADIT | Base | required | PM_CRIT_PADIT (397) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-SYMP | Base | required | PM_SYMP_PACE (392) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ECG | Base | required | PM_ECG_PACE (379) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ETIO | Base | required | PM_ETIO_PACE (350) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-2 | Base | required | PM_DEVICE_8 (364) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_3 (394) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-INDICATN | Base | required | PM_INDICATION (383) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CRIT | Base | required | PM_SPECIFIC_CRITERIA (359) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-LIFE-EXPECT-MIN-2Y | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-CARRIER-MED-DEVICE | Base | required | PM_DEVICE_3 (374) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CHARC | Base | required | PM_DISORDER_1 (368) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-HISTY-RADIO-THOR-SPECIF | Base | required | PM_LATERALITY (358) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACQN-VENGR | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-FINL-POSTN-ITI | Base | required | PM_ANATOMICAL LOCATION_1 (396) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP | Base | required | PM_DISORDER_2 (369) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-PCEFF-INTVNT-SPECIF | Base | required | PM_PROCEDURE_1 (393) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-VASC-COMPLIC-SPECIF | Base | required | PM_DISORDER_3 (366) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PROC-SUCCES | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CARDIOP | Base | required | PM_QUALIFIER (352) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NYHA-CLASS | Base | required | PM_NYHA (371) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CNDCTN-DISO | Base | required | PM_DISORDER_4 (367) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-ASYN-ULTRSND | Base | required | PM_YN_NA (361) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SDP-NOMLIST | Base | required | QERMID_IMPLT_322_34901_34902_34903 (389) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NOMLIST | Base | required | QERMID_IMPLT_323 (380) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-NOMLIST | Base | required | QERMID_IMPLT_34904_34905 Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-1 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-2 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-3 | Base | required | PM_STIMULATION_2 (357) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-4 | Base | required | PM_STIMULATION_3 (356) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-5 | Base | required | PM_STIMULATION_4 (353) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR1 | Base | required | BILLING_CODE_384 (384) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR2 | Base | required | BILLING_CODE_382 (382) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_2 (395) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-INTVNT-SUBTPE | Base | required | PM_PROCEDURE_2 (399) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ELECT-REPLAC-REAS | Base | required | PM_REPL_ELEC (375) Value Set | 📦0.1.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | Pacemakers - Primo-implantation | |
![]() ![]() |
0..1 | string | DCD status | |
![]() ![]() |
0..1 | string | Ce formulaire n’est disponible qu’en néerlandais ou français. Veuillez sélectionner le néerlandais ou français comme langue dans vos paramètres lorsque vous remplissez ce formulaire. | |
![]() ![]() |
0..1 | string | Auteur de l'enregistrement | |
![]() ![]() |
1..1 | string | Groupe d'auteurs | |
![]() ![]() |
1..1 | string | Auteur | |
![]() ![]() |
1..1 | string | Co-auteur | |
![]() ![]() |
0..1 | string | Study design | |
![]() ![]() |
0..1 | string | Program | |
![]() ![]() |
0..1 | string | Project | |
![]() ![]() |
0..1 | string | Event | |
![]() ![]() |
0..1 | string | DCD | |
![]() ![]() |
0..1 | string | ID unique, Business key | |
![]() ![]() |
0..1 | string | Type de registre | |
![]() ![]() |
0..1 | string | Code d’enregistrement | |
![]() ![]() |
0..1 | string | Identification du patiënt | |
![]() ![]() |
1..1 | Identifier | Numéro de registre national du patient | |
![]() ![]() |
0..1 | string | Numéro d’identification interne du patient | |
![]() ![]() |
1..1 | Identifier | Numéro d’identification généré du patient | |
![]() ![]() |
0..1 | string | Prénom | |
![]() ![]() |
0..1 | string | Nom de famille | |
![]() ![]() |
1..1 | string | Date de naissance | |
![]() ![]() |
1..1 | code | Sexe Binding: PM_SEX (390) Value Set (required) | |
![]() ![]() |
1..1 | code | Lieu de résidence Binding: PLACE_OF_RESIDENCE (12) Value Set (required) | |
![]() ![]() |
0..1 | string | Professionnel de santé | |
![]() ![]() |
1..1 | code | Responsable pour la pose d’indication Binding: HPIN (15) Value Set (required) | |
![]() ![]() |
0..1 | string | Informations générales | |
![]() ![]() |
1..1 | string | Date d'implantation | |
![]() ![]() |
1..1 | code | Type de remboursement Binding: PM_REIMBURSEMENT (355) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_1 (377) Value Set (required) | |
![]() ![]() |
1..1 | code | Type d'appareil Binding: PM_DEVICE_2 (378) Value Set (required) | |
![]() ![]() |
1..1 | code | Avez-vous utilisé une enveloppe antibactérienne résorbable? Binding: PM_YN (360) Value Set (required) | |
![]() ![]() |
1..1 | code | Indication Binding: PM_ABANTENV (385) Value Set (required) | |
![]() ![]() |
1..1 | code | Critère complémentaire patient immunodéprimé Binding: PM_CRIT_IMMCOMP (386) Value Set (required) | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | string | Score | |
![]() ![]() |
1..1 | code | Critère complémentaire PADIT ≥ 6 points Binding: PM_CRIT_PADIT (397) Value Set (required) | |
![]() ![]() |
1..1 | string | Spécifier autre indication | |
![]() ![]() |
0..1 | string | Données médicales | |
![]() ![]() |
0..1 | string | Indications | |
![]() ![]() |
1..1 | code | Symptôme Binding: PM_SYMP_PACE (392) Value Set (required) | |
![]() ![]() |
1..1 | code | ECG Binding: PM_ECG_PACE (379) Value Set (required) | |
![]() ![]() |
1..1 | code | Etiologie Binding: PM_ETIO_PACE (350) Value Set (required) | |
![]() ![]() |
1..1 | code | Type de stimulateur intracardiaque transcathéter implantable Binding: PM_DEVICE_8 (364) Value Set (required) | |
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1..1 | code | Lieu d’implantation du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_3 (394) Value Set (required) | |
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1..1 | code | Indications Binding: PM_INDICATION (383) Value Set (required) | |
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1..1 | string | Spécifier autres indications | |
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0..* | code | Critères spécifiques Binding: PM_SPECIFIC_CRITERIA (359) Value Set (required) | |
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1..1 | string | Justification du risque infectieux | |
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1..1 | code | L’estimation générale de l’espérance de vie après l’intervention au moyen du dispositif, est-il au minimum de deux ans? Binding: PM_YN (360) Value Set (required) | |
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1..1 | code | Le patient est-il porteur d'un des types de dispositifs médicaux suivants? Binding: PM_DEVICE_3 (374) Value Set (required) | |
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0..1 | string | Données patient spécifiques | |
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1..1 | string | Poids (kg) | |
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1..1 | string | Taille (cm) | |
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0..1 | string | Urée (g/dL) | |
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0..1 | string | Creatinine (mg/dL) | |
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0..1 | string | GFR (mL/min/1,73 m²) | |
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0..* | code | Caractéristiques spécifiques du patient Binding: PM_DISORDER_1 (368) Value Set (required) | |
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1..1 | string | Spécifier maladie valvulaire | |
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1..1 | string | Spécifier insuffisance respiratoire chronique | |
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1..1 | code | Spécifier antécédent de radiothérapie thoracique Binding: PM_LATERALITY (358) Value Set (required) | |
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1..1 | string | Raison antécédent de radiothérapie thoracique | |
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1..1 | string | LVEF [%] | |
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0..1 | string | Données de procédure d'implant | |
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1..1 | string | Dose de radiation (DAP - mGy/cm²) | |
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1..1 | code | Acquisition d'un vénogramme Binding: PM_YN (360) Value Set (required) | |
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1..1 | decimal | Nombre de tentatives de positionnement du système de stimulation sans sonde | |
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1..1 | string | Si plus de 10, éxpliquer pourquoi: | |
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1..1 | code | Position finale du stimulateur intracardiaque transcathéter implantable Binding: PM_ANATOMICAL LOCATION_1 (396) Value Set (required) | |
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0..* | code | Complications aiguës Binding: PM_DISORDER_2 (369) Value Set (required) | |
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1..1 | code | Spécifier épanchement péricardique nécessitant une intervention Binding: PM_PROCEDURE_1 (393) Value Set (required) | |
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1..1 | code | Spécifier complication vasculaire Binding: PM_DISORDER_3 (366) Value Set (required) | |
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1..1 | string | Raison du décès | |
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1..1 | code | Procédure réussie Binding: PM_YN (360) Value Set (required) | |
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1..1 | string | Spécifier procédure non réussie | |
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0..1 | string | Données pour CRT-P | |
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1..1 | code | Cardiopathie Binding: PM_QUALIFIER (352) Value Set (required) | |
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1..1 | code | Classe NYHA Binding: PM_NYHA (371) Value Set (required) | |
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1..1 | string | Durée QRS (80-350 ms) | |
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1..1 | string | LVEF % (0-80) | |
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1..1 | string | Diamètre ventricule gauche télédiastolique (35-100 mm) | |
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1..1 | code | Trouble de la conduction Binding: PM_DISORDER_4 (367) Value Set (required) | |
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1..1 | code | Présence d'un asynchronisme au moyen d'une échographie Binding: PM_YN_NA (361) Value Set (required) | |
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0..1 | string | 5. Boîtier et électrode(s) | |
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0..1 | string | Boîtier | |
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1..1 | string | SADMI implant notification code | |
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0..1 | string | Nom | |
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0..1 | string | Fabricant | |
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0..1 | string | Référence | |
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0..1 | string | Distributeur | |
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0..1 | string | Classification (INAMI) | |
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1..1 | code | Modèle single, dual ou plugged triple Binding: QERMID_IMPLT_322_34901_34902_34903 (389) Value Set (required) | |
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1..1 | code | Modèle CRT-P Binding: QERMID_IMPLT_323 (380) Value Set (required) | |
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1..1 | code | Modèle stimulateur intracardiaque transcathéter implantable Binding: QERMID_IMPLT_34904_34905 Value Set (required) | |
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1..1 | string | Numéro de série | |
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1..1 | string | Numéro de série | |
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0..1 | code | Date valable du | |
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0..1 | code | Date valable jusqu'au | |
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0..1 | code | Date valable du | |
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0..1 | code | Date valable jusqu'au | |
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0..1 | code | Date valable du | |
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0..1 | code | Date valable jusqu'au | |
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0..1 | string | Mode de stimulation | |
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1..1 | code | Mode de stimulation – Valeur 1 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
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1..1 | code | Mode de stimulation – Valeur 2 Binding: PM_STIMULATION_1 (354) Value Set (required) | |
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1..1 | code | Mode de stimulation – Valeur 3 Binding: PM_STIMULATION_2 (357) Value Set (required) | |
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1..1 | code | Mode de stimulation – Valeur 4 Binding: PM_STIMULATION_3 (356) Value Set (required) | |
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1..1 | code | Mode de stimulation – Valeur 5 Binding: PM_STIMULATION_4 (353) Value Set (required) | |
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0..1 | string | Remarques | |
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0..1 | string | Electrodes | |
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0..1 | code | Numéro de prestation Binding: BILLING_CODE_384 (384) Value Set (required) | |
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0..1 | code | Numéro de prestation Binding: BILLING_CODE_382 (382) Value Set (required) | |
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0..1 | code | Lieu d’implantation Binding: PM_ANATOMICAL LOCATION_2 (395) Value Set (required) | |
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0..1 | string | SADMI implant notification code | |
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0..1 | string | Nom | |
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0..1 | string | Fabricant | |
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0..1 | string | Référence | |
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0..1 | string | Distributeur | |
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0..1 | string | Classification (INAMI) | |
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0..1 | string | Numéro de série | |
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0..1 | code | Sous-type d'intervention Binding: PM_PROCEDURE_2 (399) Value Set (required) | |
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0..1 | code | Raison du remplacement Binding: PM_REPL_ELEC (375) Value Set (required) | |
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0..1 | string | Remarques | |
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0..1 | string | Statut | |
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0..1 | string | La source de données | |
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0..1 | string | Langue | |
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0..1 | string | Nom technique du DCD | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| pacemakers-primo-implantation.CD-PAT-SEX | Base | required | PM_SEX (390) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-PLC-RESDC | Base | required | PLACE_OF_RESIDENCE (12) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-RIZIV-TREAT-PHYS | Base | required | HPIN (15) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-REIMBURS-TPE | Base | required | PM_REIMBURSEMENT (355) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-1 | Base | required | PM_DEVICE_1 (377) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE | Base | required | PM_DEVICE_2 (378) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ABANTENV-INDICATN | Base | required | PM_ABANTENV (385) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-IMMCOMP | Base | required | PM_CRIT_IMMCOMP (386) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRIT-PADIT | Base | required | PM_CRIT_PADIT (397) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-SYMP | Base | required | PM_SYMP_PACE (392) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ECG | Base | required | PM_ECG_PACE (379) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ETIO | Base | required | PM_ETIO_PACE (350) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-DEVICE-TPE-2 | Base | required | PM_DEVICE_8 (364) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_3 (394) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-INDICATN | Base | required | PM_INDICATION (383) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CRIT | Base | required | PM_SPECIFIC_CRITERIA (359) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-LIFE-EXPECT-MIN-2Y | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-CARRIER-MED-DEVICE | Base | required | PM_DEVICE_3 (374) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SPECFC-CHARC | Base | required | PM_DISORDER_1 (368) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAT-HISTY-RADIO-THOR-SPECIF | Base | required | PM_LATERALITY (358) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACQN-VENGR | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-FINL-POSTN-ITI | Base | required | PM_ANATOMICAL LOCATION_1 (396) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP | Base | required | PM_DISORDER_2 (369) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-PCEFF-INTVNT-SPECIF | Base | required | PM_PROCEDURE_1 (393) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ACOMP-VASC-COMPLIC-SPECIF | Base | required | PM_DISORDER_3 (366) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PROC-SUCCES | Base | required | PM_YN (360) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CARDIOP | Base | required | PM_QUALIFIER (352) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NYHA-CLASS | Base | required | PM_NYHA (371) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-CNDCTN-DISO | Base | required | PM_DISORDER_4 (367) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-ASYN-ULTRSND | Base | required | PM_YN_NA (361) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-SDP-NOMLIST | Base | required | QERMID_IMPLT_322_34901_34902_34903 (389) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-CRTP-NOMLIST | Base | required | QERMID_IMPLT_323 (380) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ITP-NOMLIST | Base | required | QERMID_IMPLT_34904_34905 Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-1 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-2 | Base | required | PM_STIMULATION_1 (354) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-3 | Base | required | PM_STIMULATION_2 (357) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-4 | Base | required | PM_STIMULATION_3 (356) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-PAC-STIM-MODE-5 | Base | required | PM_STIMULATION_4 (353) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR1 | Base | required | BILLING_CODE_384 (384) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-SVC-NR2 | Base | required | BILLING_CODE_382 (382) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-LOC-IMPLTN | Base | required | PM_ANATOMICAL LOCATION_2 (395) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.CD-ELECT-INTVNT-SUBTPE | Base | required | PM_PROCEDURE_2 (399) Value Set | 📦0.1.0 | This IG |
| pacemakers-primo-implantation.TX-ELECT-REPLAC-REAS | Base | required | PM_REPL_ELEC (375) Value Set | 📦0.1.0 | This IG |
This structure is derived from Base