Read me first Implantable Heart Monitor Database
- If you already have a login and password for the ablation database you can use the same codes unless you have changed them.
- The login and password will be valid for both the Implantable Heart Monitor and the ablation database. However if you wish to change the password and/or login you will need to do this for both databases.
Warning: the login and password are valid for one hospital only. If you work in many hospitals you need to ask one login and password for each hospital . Peer Review is based on hospitals, not on cardiologists ! You should never use the same password for two different hospitals.
Only those Behra validated Emails will receive a login and a password. In order to get access to the database the center has to have an agreement from the Riziv/Inami. In order to get this agreement the center has to be an E center and has to fill out the documents send by the Inami/riziv.
- Sensitive data including first name, last name, birthdate, national security number, etc.. will be encrypted on the server. This is done in two ways. An irreversible encryption occurs (hashing) for the data that will be transmitted to the Peer Review group. A reversible encryption using a function of the password as a key (Data Encryption System) will be used to encrypt the data available to the different centers. Since the password is unique to each center, even if the very unlikely situation in which a center would have access to another center data they will always be unreadable. Furthermore the clear passwords can be found nowhere on any server. So in the very unlikely situation in which the whole database was stolen not a single piece of encrypted data could possibly be unencrypted. Finally exchanges between the server and the client will be done though a secured server (SSL technology).
- Basically a center will be asked to fill out three different forms
- a preimplant administrative form with the patient information.
- an implant form containing clinical and device data.
- an explant/closure form to be filled out one time at the time of Implantable Heart Monitor file closure (end diagnosis reached or patient death or lost to follow-up or heartmonitor explant)
In order to print the implant form and the preimplant form use only the provided print menu. Otherwise the receipt number will not be printed on the forms and they will be invalid.
The preimplant and the implant form with the receipt numbers on them need to be send to the counseling physician of the mutuality of the patient and will be stored in the patient mutuality file.
This has to be done before sending the heartmonitor invoice.
NB: no information has to be send to the Inami/Riziv. The counseling physician may or may not acknowledge receipt of the forms.
NEWS (2012)
In order to increase the diagnostic yield of the database and in relation
with the low percentage of encoded follow-up (+/- 15 %) the Inami has decided to
make follow-up encoding mandatory.
As a consequence
- follow-up encoding fees have been suppressed
- new fields have been added
- "second year follow-up"
- a syncope yes/no field in order to tackle difficult situations
such as syncope without activeted ILR, activated ILR without syncope
- two years after implantion 80 % of follow-up data/center have o be filled out.
Otherwise the center may loos its agreement. This % will be checked by the Inami
itself.
- the two years follow-up may consist of an intermediate follow-up (ak second
year follow-up) or a closure form.
- we expect to have a majority of closure forms after two years rather than
intermediate forms.
- in case an intermediate follow-up form has been filled out the closure form
may be encoded later when a final diagnosis is reached.
- the intermediate and the closure form may also be edited.
- delays between implantation and follow-ups and information about lacking
follow-ups will be provided together with the local patient listing.
- a maximum of two follow-up/patient will be allowed: either a closure form
alone or a closure form and an intermediate form.
It is critically important that a closure form be encoded or each patient so
that we can calculate the exact diagnostic yield of the technique in order to
keep the reimbursement of the device.
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- All accesses are logged.
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