Postoperative evaluation (Postoperative evaluation)

  • Start date: 08/01/2020
  • End date creation: 31/12/2023
  • End date submission: 31/12/2023
  • End date comments: 31/12/2023
text

Registration code

Not to be included in the CSV.

Technical specs

CSV column name:

TX_REGN_CD

Length:

20

Computed:

Required:

false

Read only

1 Patient

patient identificator

National registry ID

Help

Please encode a social security identification number (SSIN). Please note that the patient ID is always pseudonymised before being transferred to Healthdata.

Technical specs

CSV column name:

patient_id

Required:

true

Stable:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Patient

Data element:

PatientIdentificationNumber

Validation

The validity of the national register number is checked with the mod97 check.

Fields
Section help

Please encode a social security identification number (SSIN). Please note that the patient ID is always pseudonymised before being transferred to Healthdata.

text

Internal patient identification

Help

This field can be used to enter an internal ID or reference number. It is available for internal use only and is not transferred to Healthdata. If there is an integration between HD4DP and your organisation's patient administration system, additional patient identification information such as date of birth, sex and SSIN can be automatically enriched based on this internal patient ID. Please do not encode the social security identification number (SSIN) in this field. The SSIN must be encoded in the field 'National registry ID of the patient'.

Technical specs

CSV column name:

patient_id|internal_patient_id

Length:

50

Required:

false

Stable:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Patient

Data element:

LastName

boolean

Generated

Help

The patient_id|generated column can be set to 'TRUE' for an automatically generated patient_id.This column should only be added in case the patient_id is empty. If the column is set to 'TRUE', a patient_id is automatically generated based on the name, first name, date of birth and sex of the patient.

Technical specs

CSV column name:

patient_id|generated

Required:

false

Options
LabelValue
YesTRUE
NoFALSE
text

Name

Help

The name of the patient is never transferred to Healthdata and is available for your information only.

Technical specs

CSV column name:

patient_id|name

Length:

50

Required:

true

Stable:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Patient

Data element:

FirstNames

text

First name

Help

The first name of the patient is never transferred and is available for your information only.

Technical specs

CSV column name:

patient_id|first_name

Length:

50

Required:

true

Stable:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Patient

Data element:

DateOfBirth

date

Date of birth

Technical specs

Format:

DD/MM/YYYY

CSV column name:

patient_id|date_of_birth

Required:

true

Stable:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Patient

Data element:

Gender

Validation
  • The date of birth cannot be in the future (error)
  • The date of birth need to be after 1900 (error)
  • The date of birth cannot be after the date of death (error)
  • The date of birth cannot be after the postop assessment date (error)
choice

Sex

Technical specs

CSV column name:

patient_id|sex

Required:

true

Stable:

true

Options
LabelValue
FemaleF
MaleM
UnknownU
text

Place of residence

Help

For a patient who resides in another country than Belgium the option "9999 - Residence not in Belgium" needs to be selected. If the residence is not known the option "999 - Missing data" needs to be selected

Technical specs

CSV column name:

patient_id|place_of_residence

Length:

5

Reference list:

POSTAL_CODE

Required:

true

Stable:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Patient

Data element:

Place of residence

Validation
  • The place of residence contains a Belgian postal code, but the country of residence is different than Belgium (error)
  • For inhabitants of Belgium (the country of residence equal to 'BE'), the place of residence should contain a valid Belgian postal code different than 999 or 9999 (error)
boolean

Deceased?

Technical specs

CSV column name:

patient_id|deceased

Required:

true

Stable:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Patient

Data element:

DeathIndicator

Options
LabelValue
YesTRUE
NoFALSE
date

Date of death

Technical specs

Format:

DD/MM/YYYY

CSV column name:

patient_id|date_of_death

Only when:

Required:

false

Stable:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Patient

Data element:

DateOfDeath

Validation
  • The date of death cannot be in the future (error)
  • The date of birth cannot be after the date of death (error)
  • The postop assessment date cannot be after the date of death (error)
text

Country of residence

Help

For a patient who's country is unknown the option "999 - Missing data" needs to be selected.

Technical specs

CSV column name:

country_of_residence

Length:

50

Reference list:

COUNTRY

Required:

true

Stable:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Patient

Data element:

Country

Validation
  • The place of residence contains a Belgian postal code, but the country of residence is different than Belgium (error)
  • For inhabitants of Belgium (the country of residence equal to 'BE'), the place of residence should contain a valid Belgian postal code different than 999 or 9999 (error)

2 Physician

text

NIHDI-code of the treating physician

Technical specs

CSV column name:

CD_RIZIV_TREAT_PHYS

Length:

50

Reference list:

PHYSICIAN

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Caregiver

Data element:

CareGiverIdentificationNumber

3 Post-op assessment

date

Postop assessment date

Technical specs

Format:

DD/MM/YYYY

CSV column name:

DT_PSTO_ASSES

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Contact

Data element:

StartDateTime

Validation
  • The postop assessment date cannot be in the future (error)
  • The date of birth cannot be after the postop assessment date (error)
  • The postop assessment date cannot be after the date of death (error)
  • De datum van postoperatieve evaluatie moet gelijk zijn aan of later zijn dan 01/01/2020 (error)
fieldset

Objective POP Q findings as per IUGA/ICS standardization

Fields
static image

POP Q

POP Q
Technical specs

CSV column name:

Obj_POPQ_1|POP_Q

Required:

false

number

Aa

Help

-3 cm to 3 cm

Technical specs

CSV column name:

Obj_POPQ_1|MS_PSTO_OPQF_MSAA

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

TextResult

Validation
  • Aa can only have 3 numbers after the decimal separator (error)
  • The minimum value is -3 cm (warning)
  • The maximum value is 3 cm (warning)
number

Ba

Help

Ba is the worst anterior wall measurement (often the same as Aa). -3 cm to 9 cm

Technical specs

CSV column name:

Obj_POPQ_1|MS_PSTO_OPQF_MSBA

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

TextResult

Validation
  • Ba can only have 3 numbers after the decimal separator (error)
  • The minimum value is -3 cm (warning)
  • The maximum value is 9 cm (warning)
number

C

Help

-10 cm to 10 cm

Technical specs

CSV column name:

Obj_POPQ_1|MS_PSTO_OPQF_MSC

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

TextResult

Validation
  • C can only have 3 numbers after the decimal separator (error)
  • The minimum value is -10 cm (warning)
  • The maximum value is 10 cm (warning)
number

Gh

Help

1.5 cm to 6 cm

Technical specs

CSV column name:

Obj_POPQ_1|MS_PSTO_OPQF_MSGH

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

TextResult

Validation
  • Gh can only have 3 numbers after the decimal separator (error)
  • The minimum value is 1,5 cm (warning)
  • The maximum value is 6 cm (warning)
number

Pb

Help

1 cm to 5 cm

Technical specs

CSV column name:

Obj_POPQ_1|MS_PSTO_OPQF_MSPB

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

TextResult

Validation
  • Pb can only have 3 numbers after the decimal separator (error)
  • The minimum value is 1 cm (warning)
  • The maximum value is 5 cm (warning)
number

TVL

Help

6 cm to 13 cm

Technical specs

CSV column name:

Obj_POPQ_1|MS_PSTO_OPQF_MSTVL

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

TextResult

Validation
  • TVL can only have 3 numbers after the decimal separator (error)
  • The minimum value is 6 cm (warning)
  • The maximum value is 13 cm (warning)
number

Ap

Help

-3 cm to 3 cm

Technical specs

CSV column name:

Obj_POPQ_1|MS_PSTO_OPQF_MSAP

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

TextResult

Validation
  • AP can only have 3 numbers after the decimal separator (error)
  • The minimum value is -3 cm (warning)
  • The maximum value is 3 cm (warning)
number

Bp

Help

-3 cm to 7 cm Bp is the worst posterior wall measurement (often the same as Ap).

Technical specs

CSV column name:

Obj_POPQ_1|MS_PSTO_OPQF_MSBP

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

TextResult

Validation
  • Bp can only have 3 numbers after the decimal separator (error)
  • The minimum value is -3 cm (warning)
  • The maximum value is 7 cm (warning)
number

D

Help

D = C-length of cervix -10 cm to 10 cm

Technical specs

CSV column name:

Obj_POPQ_1|MS_PSTO_OPQF_MSD

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

TextResult

Validation
  • D can only have 3 numbers after the decimal separator (error)
  • The minimum value is -10 cm (warning)
  • The maximum value is 10 cm (warning)
fieldset

Categorical findings as per IUGA/ICS standardization

Help

Grade 0: No descent Grade 1: Descent between normal position and ischial position and ischial spines Grade 2: Descent between ischial spines and hymen Grade 3: Descent within hymen Grade 4: Descent through hymen

Fields
Section help

Grade 0: No descent Grade 1: Descent between normal position and ischial position and ischial spines Grade 2: Descent between ischial spines and hymen Grade 3: Descent within hymen Grade 4: Descent through hymen

questionnaire

Categorical findings as per IUGA/ICS standardization

Help

Grade 0: No descent Grade 1: Descent between normal position and ischial position and ischial spines Grade 2: Descent between ischial spines and hymen Grade 3: Descent within hymen Grade 4: Descent through hymen

Technical specs

CSV column name:

categorical_findings_as_per_iugaics_standardization_2

Required:

false

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

Procedure

Questions
LabelCSV column name
CystoceleCD_PSTO_CF_CYS
Uterine / vault prolapseCD_PSTO_CF_UVP
RectoceleCD_PSTO_CF_RECT
Answers
LabelValue
00
11
22
33
44
fieldset

Subjective findings

Fields
multichoice

Subjective findings

Technical specs

CSV column name:

SF_PSTO|CD_PSTO_SF

Required:

true

Options
LabelValue
IncontinenceFL_PSTO_SF_INCT
ProlapseFL_PSTO_SF_PROLAP
Other pelvic floor disorderFL_PSTO_SF_OPFD
NoneFL_PSTO_SF_NONE
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemType

Validation
  • Subjective findings: the option 'None' cannot be combined with other options (error)
choice

Patient Global Impression of Change (PGIC):

Technical specs

CSV column name:

SF_PSTO|CD_PSTO_SF_PGIC

Required:

true

Options
LabelValue
Much worse1
Worse2
Unchanged3
Better4
Much better5
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemStatus

choice

Complications?

Technical specs

CSV column name:

CD_PSTO_COMPLIC

Required:

true

Options
LabelValue
Yes1
No0
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemType

multichoice

Complication

Technical specs

CSV column name:

CD_PSTO_COMPLIC_CH

Only when:

Required:

true

Options
LabelValue
Graft related complication occurrenceFL_PSTO_COMPLIC_GRCO
Native tissue repair complicationFL_PSTO_COMPLIC_NTR
OtherFL_PSTO_COMPLIC_OTH
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemType

multiline

Voor welk(e) implantaat/implantaten zijn er complicaties (notificatiecode of identificatiecode vermelden) en leg de link uit

Technical specs

CSV column name:

TX_PSTO_COMPLIC_IMPLANT

Length:

250

Only when:

Required:

true

choice

Category

Help

Option 1: Include prominence (e.g. due to wrinkling or folding), mesh fibre palpation or contraction (shrinkage) Option 4: Compromise or perforation. Including prosthesis (graft) perforation, fistula and calculus Option 5: Compromise or perforation. Including prosthesis (graft) perforation and fistula Option 6: Complications including discharge pain lump or sinus tract formation Option 7: Including hematoma or systemic compromise

Technical specs

CSV column name:

CD_PSTO_COMPLIC_CAT

Only when:

Required:

true

Options
LabelValue
1 vaginal, no epithelial separation1
2 vaginal separation ≤1 cm2
3 vaginal separation >1cm3
4 urinary tract compromise or perforation4
5 intestinal compromise or perforation5
6 skin compromise6
7 patient compromise7
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemName

choice

Time

Technical specs

CSV column name:

CD_PSTO_COMPLIC_TM

Only when:

Required:

true

Options
LabelValue
T1 intraoperative till 48 hours1
T2 48 hours 2 months2
T3 2 to 12 months3
T4 over 12 months4
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemStartDate

choice

Division

Help

Option A: Or graft finding on clinical examination Option B: e.g. Unusual discomfort / pain; dyspareunia (either partner); bleeding

Technical specs

CSV column name:

CD_PSTO_COMPLIC_DVSN

Only when:

Required:

true

Options
LabelValue
A Abnormal prosthesis1
B symptomatic2
C infection (suspection or actual)3
D abcess4
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemName

choice

Pain

Technical specs

CSV column name:

CD_PSTO_COMPLIC_PAIN

Only when:

Required:

true

Options
LabelValue
Unspecified1
b provoked pain only during vaginal examination2
c during sexual intercourse3
d during physical activities4
e spontaneous5
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemName

choice

Site

Technical specs

CSV column name:

CD_PSTO_COMPLIC_SITE

Only when:

Required:

true

Options
LabelValue
S1 vaginal: suture line1
S2 vaginal, away suture line2
S3 trocar passage3
S4 other skin site4
S5 intra abdominal5