Preoperative assessment and intervention (Preoperative assessment and intervention)

  • 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 preop assessment date (error)
  • The date of birth cannot be after the operation 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 preop assessment date cannot be after the date of death (error)
  • The operation 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

text

NIHDI-code of the surgeon

Technical specs

CSV column name:

CD_RIZIV_SURGN

Length:

50

Reference list:

PHYSICIAN

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Caregiver

Data element:

CareGiverIdentificationNumber

3 Preop assessment

date

Preop Assessment date

Technical specs

Format:

DD/MM/YYYY

CSV column name:

DT_PREO_ASSES

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.Contact

Data element:

StartDateTime

Validation
  • The date of preop assessment cannot be in the future (error)
  • Preop assessment date cannot be after Operation date (error)
  • The date of birth cannot be after the preop assessment date (error)
  • The preop assessment date cannot be after the date of death (error)
number

Weight (kg)

Help

Dependent on the browser that's been used, a comma or a point needs to be used as decimal separator.

Technical specs

CSV column name:

MS_PREO_PAT_WGHT

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.BodyWeight

Data element:

WeightValue

Validation
  • The weight can only have 3 numbers after the decimal separator (error)
  • The minimum value is 10 kg (warning)
  • The maximum value is 250 kg (warning)
number

Length (cm)

Help

Dependent on the browser that's been used, a comma or a point needs to be used as decimal separator.

Technical specs

CSV column name:

MS_PREO_PAT_LEN

Length:

20,3

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.BodyHeight

Data element:

HeightValue

Validation
  • The length can only have 3 numbers after the decimal separator (error)
  • The minimum value is 70 cm (warning)
  • The maximum value is 270 cm (warning)
number

Body Mass Index, calculated (kg/m²)

Not to be included in the CSV.

Technical specs

CSV column name:

MS_PREO_PAT_BMI

Length:

20,3

Computed:

Required:

false

Read only

multichoice

Known risk factors known by the time of operation

Technical specs

CSV column name:

CD_PRO_RF

Required:

true

Options
LabelValue
Previous pelvic floor surgeryFL_PREO_RF_PPFS
Actual SmokingFL_PREO_RF_AS
Actual DiabetesFL_PREO_RF_AD
Any other co morbidityFL_PREO_RF_AOCM
COPDFL_PREO_RF_COPD
Number of vaginal deliveriesFL_PRO_RF_NVD
NoneFL_PRO_RF_NONE
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemType

Validation
  • Known risk factors known by the time of operation: the option 'None' cannot be combined with other options (error)
number

Number of vaginal deliveries

Technical specs

CSV column name:

MS_PRO_RF_NVD

Length:

20

Only when:

Required:

true

Validation
  • The number of vaginal deliveries should be an integer value (error)
  • The minimum value is 0 (error)
  • The maximum value is 100 (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|POP_Q

Required:

false

number

Aa

Help

-3 cm to 3 cm

Technical specs

CSV column name:

Obj_POPQ|MS_PREO_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|MS_PREO_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|MS_PREO_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|MS_PREO_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|MS_PREO_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|MS_PREO_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|MS_PREO_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

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

Technical specs

CSV column name:

Obj_POPQ|MS_PREO_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|MS_PREO_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

Fields
choice

Uterus

Technical specs

CSV column name:

categorical_findings_as_per_iugaics_standardization|CD_PREO_CF_UT

Required:

true

Options
LabelValue
Yes1
No0
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

Required:

false

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferTextResult

Data element:

Procedure

Questions
LabelCSV column name
CystoceleCD_PREO_CF_CYS
Uterine / vault prolapseCD_PREO_CF_UVP
RectoceleCD_PREO_CF_RECT
Answers
LabelValue
00
11
22
33
44
fieldset

Subjective findings

Fields
multichoice

Subjective findings

Technical specs

CSV column name:

subjective_findings|CD_PREO_SF

Required:

true

Options
LabelValue
IncontinenceFL_PREO_SF_INC
ProlapseFL_PREO_SF_PROLAP
Other pelvic floor disorderFL_PREO_SF_OTH_PFD
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferConcern

Data element:

ProblemType

4 Operation

date

Operation date

Technical specs

Format:

DD/MM/YYYY

CSV column name:

DT_OP

Required:

true

Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferProcedure

Data element:

ProcedureStartDate

Validation
  • Preop assessment date cannot be after Operation date (error)
  • The operation date cannot be in the future (error)
  • The date of birth cannot be after the operation date (error)
  • The operation date cannot be after the date of death (error)
  • De datum van ingreep moet gelijk zijn aan of later zijn dan 01/01/2020 (error)
choice

Does the patient have also incontinence?

Technical specs

CSV column name:

CD_OP_INCT

Required:

true

Options
LabelValue
Yes1
No0
multichoice

Welke verstrekking(en) gaat u attesteren ?

Technical specs

CSV column name:

CD_OP_MESH

Required:

true

Options
LabelValue
182070-182081: Ensemble des filets pour la réparation d'un prolapsus, pour un placement par voie vaginaleFL_OP_MESH_1
180751-180762: Ensemble des filets pour la réparation d'un prolapsus, pour un placement par voie vaginale lorsqu'il n'est pas satisfait aux conditions de la prestation 182070-182081FL_OP_MESH_2
Validation
  • Er moet minstens anterior vaginal wall prolapse aangeduid worden (error)
multichoice

Prolapse

Technical specs

CSV column name:

CD_OP_PROLAP

Only when:

Required:

true

Options
LabelValue
Anterior vaginal wall prolapseFL_OP_PROLAP_AVW
Middle compartment prolapseFL_OP_PROLAP_MCP
Posterior vaginal prolapseFL_OP_PROLAP_PVP
Mapping of the clinical building blocks (indicative only)

Concept:

be.en.hd.TransferProcedure

Data element:

Indication::Problem

Validation
  • Er moet minstens anterior vaginal wall prolapse aangeduid worden (error)
multiline

Operation Type

Technical specs

CSV column name:

TX_OP_TPE

Only when:

Required:

true

fieldset

Geïmplanteerd(e) netje(s)

Fields
list

Code

This is a container for multiple answers. See the reference documentation for more details. Below you can find the information about the fields of the container

Element conditions
MessageExpression
Het geselecteerde model is niet opgenomen in de nominatieve lijst op de implantatiedatum die u hebt ingegeven. Gelieve de ingevoerde implantatiedatum en het geselecteerde model te controleren.$$.document.target.value.DT_OP && $.CD_OP_VFROM? moment($$.propertyManipulators.CD_OP_VFROM.getQuery().value, 'DD/MM/YYYY')
Het geselecteerde model is niet meer opgenomen in de nominatieve lijst op de implantatiedatum die u hebt ingegeven. Gelieve de ingevoerde implantatiedatum en het geselecteerde model te controleren.$$.document.target.value.DT_OP && $.CD_OP_VTO? moment($$.propertyManipulators.CD_OP_VTO.getQuery().value, 'DD/MM/YYYY') >= moment($$.document.target.value.DT_OP, 'YYYY-MM-DD') : true
List items
text

Code d'identification

Technical specs

CSV column name:

gemplanteerde_netjes|code|0|CD_OP_AVW_IU_NTCOD

Reference list:

PROLAPSE_FIRMMOD

Required:

true

text

ValidFrom_nomlist

Technical specs

CSV column name:

gemplanteerde_netjes|code|0|CD_OP_VFROM

Reference list:

VFROM

Only when:

Required:

false

text

ValidTo_nomlist

Technical specs

CSV column name:

gemplanteerde_netjes|code|0|CD_OP_VTO

Reference list:

VTO

Only when:

Required:

false

fieldset

Geïmplanteerd(e) netje(s)

Fields
list

Code

This is a container for multiple answers. See the reference documentation for more details. Below you can find the information about the fields of the container

Element conditions
MessageExpression
List items
sadmi

SADMI implant notification code

Technical specs

CSV column name:

gemplanteerde_netjes_1|code|CD_OP_IMPLANT_SADMI_NOTIFIC

Required:

true

choice

Peroperative complication

Technical specs

CSV column name:

CD_OP_PREOPER_COMPLIC

Required:

true

Options
LabelValue
Yes1
No0
multichoice

Complication

Technical specs

CSV column name:

CD_OP_COMPLIC

Only when:

Required:

true

Options
LabelValue
Graft related complication occurrenceFL_OP_COMPLIC_GRCO
Native tissue repair complicationFL_OP_COMPLIC_NTR
OtherFL_OP_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_OP_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_OP_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

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_OP_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_OP_COMPLIC_PAIN

Only when:

Required:

true

Options
LabelValue
Unspecified1
b provoked pain only during vaginal examination2
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_OP_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