Spine Tango form for surgical treatment (Spine Tango Surgery)
- from 01/09/2019 - 31/03/2021
- Status: inactive
- Unique ID: National registry ID and date of surgery
- How to create a CSV file for this data collection?
- Start date: 06/04/2020
- End date creation: 31/12/2023
- End date submission: 31/12/2023
- End date comments: 31/12/2023
1 Format
Format
Technical specs
CSV column name:
CD_FMT
Required:
false
Options
| Label | Value |
| Basic data | 1 |
| Extended data | 2 |
2 Patient identification
National registry ID of the patient
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.
Internal patient ID
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
Only when:
Required:
false
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
| Label | Value |
| Yes | TRUE |
| No | FALSE |
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
Only when:
Required:
noSSIN(Needed only if no national register number is entered)
Stable:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
LastName
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
Only when:
Required:
noSSIN(Needed only if no national register number is entered)
Stable:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
FirstNames
Date of birth
Technical specs
Format:
DD/MM/YYYY
CSV column name:
patient_id|date_of_birth
Required:
noSSIN(Needed only if no national register number is entered)
Stable:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
DateOfBirth
Validation
- The date of birth cannot be in the future (error)
- The date of birth cannot be after the date of death (error)
- The date of birth cannot be after the admission date (error)
- The date of birth cannot be after the date of surgery (error)
- The date of birth cannot be after the discharge date (error)
- The date of birth needs to be after 1900 (error)
Sex
Technical specs
CSV column name:
patient_id|sex
Required:
noSSIN(Needed only if no national register number is entered)
Stable:
true
Options
| Label | Value |
| Female | F |
| Male | M |
| Unknown | U |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
Gender
Place of residence
Technical specs
CSV column name:
patient_id|place_of_residence
Length:
5
Reference list:
POSTAL_CODE
Only when:
Required:
false
Stable:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
Postcode
Deceased?
Technical specs
CSV column name:
patient_id|deceased
Only when:
Required:
false
Stable:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
DeathIndicator
Options
| Label | Value |
| Yes | TRUE |
| No | FALSE |
Date of death
Technical specs
Format:
DD/MM/YYYY
CSV column name:
patient_id|date_of_death
Only when:
Required:
false
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 admission date cannot be after the date of death (error)
- The date of surgery cannot be after the date of death (error)
- The discharge date cannot be after the date of death (error)
3 Admission / pathology
Section help
Only answer questions related to Main Pathology (Main Pathology "other" requires no specification.).
Admission date
Technical specs
Format:
DD/MM/YYYY
CSV column name:
DT_ADMI_START
Only when:
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Encounter
Data element:
StartDateTime
Validation
- The admission date cannot be in the future (error)
- The date of birth cannot be after the admission date (error)
- The admission date cannot be after the date of death (error)
- The date of admission cannot be after the date of surgery (error)
- The admission date cannot be after the discharge date (error)
Main pathology
Technical specs
CSV column name:
CD_MAIN_PATH
Required:
true
Options
| Label | Value |
| Degenerative disease | 1 |
| Non-degenerative deformity | 2 |
| Fracture/trauma | 3 |
| Pathological fracture | 4 |
| Spondylolisthesis (non-degenerative) | 5 |
| Chiari | 6 |
| Infection | 7 |
| Tumor | 8 |
| Repeat surgery | 9 |
| Other | 10 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Validation
- The Main Pathology's option 'degenerative disease' cannot be combined with option 'degenerative disease' (error)
- The Main Pathology's option 'non degenerative deformity' cannot be combined with option 'non degenerative deformity' (error)
Nested option fields
- When 10 Is selected:text
Specify other main pathology
Technical specs
CSV column name:
CD_MAIN_PATH|TX_MAIN_PATH
Length:
100
Required:
false
Type of primary degeneration
Technical specs
CSV column name:
CD_PRM_DEGNRTN
Only when:
Required:
true
Options
| Label | Value |
| Disc hernia | 1 |
| Central stenosis | 2 |
| Lateral stenosis | 3 |
| Foraminal stenosis | 4 |
| Degenerative disc disease | 5 |
| Degenerative deformity | 6 |
| Degenerative spondylolisthesis | 7 |
| Other instability | 8 |
| Myelopathy | 9 |
| Facet joint arthrosis | 10 |
| Synovial cyst | 11 |
| SI joint | 12 |
| Other | 13 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Validation
- The Type of degeneration - primary's option 'disc herniation' cannot be combined with option 'disc herniation' (error)
- The Type of degeneration - primary's option 'central stenosis' cannot be combined with option 'central stenosis' (error)
- The Type of degeneration - primary's option 'lateral stenosis' cannot be combined with option 'lateral stenosis' (error)
- The Type of degeneration - primary's option 'foraminal stenosis' cannot be combined with option 'foraminal_stenosis' (error)
- The Type of degeneration - primary's option 'degen disc disease' cannot be combined with option 'degen disc disease' (error)
- The Type of degeneration - primary's option 'degen deformity' cannot be combined with option 'degen deformity' (error)
- The Type of degeneration - primary's option 'degen spondylolisthesis' cannot be combined with option 'degen spondylolisthesis' (error)
- The Type of degeneration - primary's option 'other instability' cannot be combined with option 'other instability' (error)
- The Type of degeneration - primary's option 'myelopathy' cannot be combined with option 'myelopathy' (error)
- The Type of degeneration - primary's option 'facet joint arthrosis' cannot be combined with option 'facet joint arthrosis' (error)
- The Type of degeneration - primary's option 'synovial cyst' cannot be combined with option 'synovial cyst' (error)
- The Type of degeneration - primary's option 'si joint' cannot be combined with option 'si joint' (error)
Nested option fields
- When 13 Is selected:text
Specify
Technical specs
CSV column name:
CD_PRM_DEGNRTN|TX_PRM_DEGNRTN
Length:
100
Required:
false
Type of secondary degeneration
Technical specs
CSV column name:
CD_SEC_DEGNRTN
Only when:
Required:
true
Options
| Label | Value |
| None | none |
| Disc hernia | disc_hernia |
| Central stenosis | central_stenosis |
| Lateral stenosis | lateral_stenosis |
| Foraminal stenosis | foraminal_stenosis |
| Degenerative disc disease | degen_disc_disease |
| Degenerative deformity | degen_deformity |
| Degenerative spondylolisthesis | degen_spondylolisthesis |
| Other instability | other_instability |
| Myelopathy | myelopathy |
| Facet joint arthrosis | facet_joint_arthrosis |
| Synovial cyst | synovial_cyst |
| SI joint | si_joint |
| Other | other |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When other Is selected:text
Specify other degenerative disease
Technical specs
CSV column name:
CD_SEC_DEGNRTN|TX_SEC_DEGNRTN
Length:
100
Required:
false
Validation
- Type of secondary degeneration: the option 'None' cannot be combined with other options (error)
- The Type of degeneration - primary's option 'disc herniation' cannot be combined with option 'disc herniation' (error)
- The Type of degeneration - primary's option 'central stenosis' cannot be combined with option 'central stenosis' (error)
- The Type of degeneration - primary's option 'lateral stenosis' cannot be combined with option 'lateral stenosis' (error)
- The Type of degeneration - primary's option 'foraminal stenosis' cannot be combined with option 'foraminal_stenosis' (error)
- The Type of degeneration - primary's option 'degen disc disease' cannot be combined with option 'degen disc disease' (error)
- The Type of degeneration - primary's option 'degen deformity' cannot be combined with option 'degen deformity' (error)
- The Type of degeneration - primary's option 'degen spondylolisthesis' cannot be combined with option 'degen spondylolisthesis' (error)
- The Type of degeneration - primary's option 'other instability' cannot be combined with option 'other instability' (error)
- The Type of degeneration - primary's option 'myelopathy' cannot be combined with option 'myelopathy' (error)
- The Type of degeneration - primary's option 'facet joint arthrosis' cannot be combined with option 'facet joint arthrosis' (error)
- The Type of degeneration - primary's option 'synovial cyst' cannot be combined with option 'synovial cyst' (error)
- The Type of degeneration - primary's option 'si joint' cannot be combined with option 'si joint' (error)
Type of spondylolisthesis
Technical specs
CSV column name:
CD_SPL
Only when:
Required:
true
Options
| Label | Value |
| Type I (congenital or dysplastic spondylolisthesis) | 1 |
| Type II (isthmic spondylolisthesis) | 2 |
| Type IV (traumatic spondylolisthesis) | 3 |
| Type V (pathologic spondylolisthesis) | 4 |
| Type VI (postsurgical spondylolisthesis) | 5 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Grade of spondylolisthesis
Technical specs
CSV column name:
CD_SPL_GRD
Only when:
Required:
true
Options
| Label | Value |
| Spondylolisthesis, grade 0 | 1 |
| Spondylolisthesis, grade 1 | 2 |
| Spondylolisthesis, grade 2 | 3 |
| Spondylolisthesis, grade 3 | 4 |
| Spondylolisthesis, grade 4 | 5 |
| Spondyloptosis (V) | 6 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Type of deformity
Technical specs
CSV column name:
CD_DEFRMY
Only when:
Required:
false
Options
| Label | Value |
| Scoliosis | scoliosis |
| Kyphosis | kyphosis |
| Frontal imbalance | frontal_imbalance |
| Sagittal imbalance | sagittal_imbalance |
| Other | other |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When other Is selected:text
Specify other type of deformity
Technical specs
CSV column name:
CD_DEFRMY|TX_DEFRMY
Length:
100
Required:
false
Predominant etiology
Technical specs
CSV column name:
CD_PREDOMI_ETIO
Only when:
Required:
true
Options
| Label | Value |
| Idiopathic | 1 |
| Congenital deformity | 2 |
| Neuromuscular disorder | 3 |
| Posttraumatic | 4 |
| M. Scheuermann | 5 |
| Syndromic | 6 |
| Other | 7 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When 7 Is selected:text
Specify other predominant etiology
Technical specs
CSV column name:
CD_PREDOMI_ETIO|TX_PREDOMI_ETIO
Length:
100
Required:
false
Type of (pathological) fracture/trauma
Technical specs
CSV column name:
CD_FRACT_TRAUM
Only when:
Required:
true
Options
| Label | Value |
| Condylar (C0) | 1 |
| C0/1 dissociation | 2 |
| C1 fracture | 3 |
| C1/2 instability | 4 |
| C2 dens fracture | 5 |
| C2 other fracture | 6 |
| Soft tissue injury neck | 7 |
| Fracture C3-C7 | 8 |
| Fracture Th1-L5/S1 | 9 |
| Sacrum fracture | 10 |
| Other | 11 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When 11 Is selected:text
Specify other type of fracture/trauma
Technical specs
CSV column name:
CD_FRACT_TRAUM|TX_FRACT_TRAUM
Length:
100
Required:
false
Fracture age
Technical specs
CSV column name:
CD_FRAC_AGE
Only when:
Required:
true
Options
| Label | Value |
| Fresh fracture | 1 |
| Old fracture | 2 |
Dens fracture type
Technical specs
CSV column name:
CD_DENS_FRAC
Only when:
Required:
true
Options
| Label | Value |
| Type I fracture of dens | 1 |
| Type II fracture of dens | 2 |
| Type III fracture of dens | 3 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Type of scoliosis
Technical specs
CSV column name:
CD_SCOL
Only when:
Required:
true
Options
| Label | Value |
| Single curve | 1 |
| Double curve | 2 |
Pathological fracture due to...
Technical specs
CSV column name:
CD_FRAC_REAS
Only when:
Required:
true
Options
| Label | Value |
| Osteoporosis | 1 |
| Tumor | 2 |
| Other | 3 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When 3 Is selected:text
Specify
Technical specs
CSV column name:
CD_FRAC_REAS|TX_FRAC_REAS
Length:
100
Required:
false
Osteoporotic vertebral fractures classification
Help
Additional fractures w/different treatments require separate forms
Technical specs
CSV column name:
CD_OSTEOPR_VERTBRL_FRAC
Only when:
Required:
true
Options
| Label | Value |
| OF1 - No deformation | 1 |
| OF2 - Deformation of posterior wall | 2 |
| OF3 - Deformation of posterior wall > 1/5 | 3 |
| OF4 - Loss of vertebral frame structure (body collapse, pincer type Fx) | 4 |
| OF5 - Injuries with distraction/rotation. | 5 |
C3-L5/S1 AO fracture type
Help
AO Classification applies to the most severely affected VB
Technical specs
CSV column name:
CD_AO_FRAC
Only when:
Required:
true
Options
| Label | Value |
| A0 | 1 |
| A1 | 2 |
| A2 | 3 |
| A3 | 4 |
| A4 | 5 |
| B1 | 6 |
| B2 | 7 |
| B3 | 8 |
| C | 9 |
AO Neurologic injury
Help
AO Classification applies to the most severely affected VB
Technical specs
CSV column name:
CD_AO_NEURO_INJRY
Only when:
Required:
true
Options
| Label | Value |
| N0 | 1 |
| N1 | 2 |
| N2 | 3 |
| N3 | 4 |
| N4 | 5 |
| NX | 6 |
AO Modifiers
Technical specs
CSV column name:
CD_AO_MODS_1
Only when:
Required:
true
Options
| Label | Value |
| No modifiers | no_modifiers |
| M1 | m1 |
| M2 | m2 |
Validation
- AO Modifiers: the option 'No modifiers' cannot be combined with other options (error)
AO Modifiers
Technical specs
CSV column name:
CD_AO_MODS_2
Only when:
Required:
true
Options
| Label | Value |
| No modifiers | no_modifiers |
| M3 | m3 |
| M4 | m4 |
| F1 | f1 |
| F2 | f2 |
| F3 | f3 |
| F4 | f4 |
| BL | bl |
Validation
- AO Modifiers: the option 'No modifiers' cannot be combined with other options (error)
Infection specification
Technical specs
CSV column name:
CD_INFECT_SPEC
Only when:
Required:
true
Options
| Label | Value |
| Pyogenic | pyogenic |
| Tuberculotic | tuberculotic |
| Multi-resistant | multiresistant |
| Other | other |
| Unknown | unknown |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When other Is selected:text
Specify other type of infection
Technical specs
CSV column name:
CD_INFECT_SPEC|TX_INFECT_SPEC
Length:
100
Required:
false
Validation
- Infection specification: the option 'Unknown' cannot be combined with other options (error)
Affected structure(s)
Technical specs
CSV column name:
CD_AFFECT_STRUCT
Only when:
Required:
true
Options
| Label | Value |
| Spondylitis | spondylitis |
| Discitis | discitis |
| Epidural space | epidural_space |
| Paravertebral infection | paravertebral_infection |
| Other | other |
Nested option fields
- When other Is selected:text
Specify other type of affected structure
Technical specs
CSV column name:
CD_AFFECT_STRUCT|TX_AFFECT_STRUCT
Length:
100
Required:
false
Type of tumor
Technical specs
CSV column name:
CD_TUMOR
Only when:
Required:
true
Options
| Label | Value |
| Primary malignant | 1 |
| Primary benign | 2 |
| Secondary malignant | 3 |
| Tumor like lesion | 4 |
| Other | 5 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When 5 Is selected:text
Specify type of tumor
Technical specs
CSV column name:
CD_TUMOR|TX_LOC_TUMOR
Length:
100
Required:
false
Localization tumor
Technical specs
CSV column name:
CD_LOC_TUMOR
Only when:
Required:
true
Options
| Label | Value |
| Extraosseous soft tissues | extraosseous_soft_tissues |
| Intraosseous | intraosseous |
| Extraosseous (extradural) | extrasosseous_extradural |
| Intradural intramedullary | intradural_intramedullary |
| Intradural extramedullary | intradural_extramedullary |
| Other | other |
Nested option fields
- When other Is selected:text
Specify other localization
Technical specs
CSV column name:
CD_LOC_TUMOR|TX_LOC_TUMOR
Length:
100
Required:
false
Specify type of tumor
Technical specs
CSV column name:
TX_TUMOR_SPEC
Length:
100
Only when:
Required:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Reason of repeat surgery
Technical specs
CSV column name:
CD_REAS_REPEAT_SURGE
Only when:
Required:
true
Options
| Label | Value |
| Hardware removal | hardware_removal |
| Non-union | nonunion |
| Instability | instability |
| Failure to reach therapeutic goals | failure_to_reach_therapeutic_goals |
| Spinal cord compression and/or nerve root compression | neurocompression |
| Postoperative wound infection-superficial | postop_infection_superficial |
| Postoperative wound infection-deep | postop_infect_deep |
| Implant malposition | implant_malposition |
| Failure of spinal implant | implant_failure |
| Sagittal imbalance | sagittal_imbalance |
| Adjacent segment pathology | adjac_segment_pathology |
| Other | other |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
Indication::Problem
Nested option fields
- When other Is selected:text
Specify other type of repeat surgery
Technical specs
CSV column name:
CD_REAS_REPEAT_SURGE|TX_REAS_REPEAT_SURGE
Length:
100
Required:
false
Most severely affected segment / vertebral body
Help
For segments, indicate cranial vertebral body only SA = sacrum (S2-5) CO = coccyx
Technical specs
CSV column name:
CD_SEVLY_AFFECT
Required:
true
Options
| Label | Value |
| Entire occipital bone | 1 |
| Bone structure of atlas | 2 |
| Bone structure of axis | 3 |
| Bone structure of C3 | 4 |
| Bone structure of C4 | 5 |
| Bone structure of C5 | 6 |
| Bone structure of C6 | 7 |
| Bone structure of C7 | 8 |
| Bone structure of T1 | 9 |
| Bone structure of T2 | 10 |
| Bone structure of T3 | 11 |
| Bone structure of T4 | 12 |
| Bone structure of T5 | 13 |
| Bone structure of T6 | 14 |
| Bone structure of T7 | 15 |
| Bone structure of T8 | 16 |
| Bone structure of T9 | 17 |
| Bone structure of T10 | 18 |
| Bone structure of T11 | 19 |
| Bone structure of T12 | 20 |
| Bone structure of L1 | 21 |
| Bone structure of L2 | 22 |
| Bone structure of L3 | 23 |
| Bone structure of L4 | 24 |
| Bone structure of L5 | 25 |
| Structure of first sacral vertebra | 26 |
| Entire sacrum | 27 |
| Bone structure of coccyx | 28 |
| Bone structure of ilium | 29 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureAnatomicalLocation
Extent of lesion (segments/vertebral bodies)
Technical specs
CSV column name:
CD_EXTEN_LES
Required:
true
Options
| Label | Value |
| 1 | 1 |
| 2 | 2 |
| 3 | 3 |
| 4 | 4 |
| >4 | 5 |
Additional pathology
Help
Answer to question "Main pathology" is excluded.
Technical specs
CSV column name:
CD_ADD_PATHO
Required:
true
Options
| Label | Value |
| None | none |
| Degenerative disease | degenerative_disease |
| Non-degenerative deformity | non_degen_deformity |
| Fracture/trauma | fracturetrauma |
| Pathological fracture | pathological_fracture |
| Spondylolisthesis (non-degenerative) | spondylolisthesis_non_degen |
| Chiari | chiari |
| Infection | infection |
| Tumor | tumor |
| Repeat surgery | repeat_surgery |
| Other | other |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When other Is selected:text
Specify other additional pathology
Technical specs
CSV column name:
CD_ADD_PATHO|TX_ADD_PATHO
Length:
100
Required:
false
Validation
- Additional pathology: the option 'None' cannot be combined with other options (error)
- The Main Pathology's option 'degenerative disease' cannot be combined with option 'degenerative disease' (error)
- The Main Pathology's option 'non degenerative deformity' cannot be combined with option 'non degenerative deformity' (error)
Number of previous spine surgeries
Technical specs
Required:
false
Questions
| Label | CSV column name |
| At same/adjacent levels | CD_PREV_SPINE_SURG_SAME_LVL |
| At other levels | CD_PREV_SPINE_SURG_OTH_LVL |
Answers
| Label | Value |
| 0 | 0 |
| 1 | 1 |
| 2 | 2 |
| 3 | 3 |
| 4 | 4 |
| >4 | 5 |
Duration of symptoms requiring treatment
Technical specs
CSV column name:
CD_DUR_SYMP_TREAT
Required:
true
Options
| Label | Value |
| 1 | |
| 3-12 months | 2 |
| > 12 months | 3 |
Height (cm)
Technical specs
CSV column name:
MS_PAT_HGHT
Only when:
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
Be.en.hd.BodyHeight
Data element:
HeightValue
Validation
- The minimum value is 50 (error)
- The maximum value is 280 (error)
Weight (kg)
Technical specs
CSV column name:
MS_PAT_WGHT
Only when:
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
Be.en.hd.BodyWeight
Data element:
WeightValue
Validation
- The minimum value is 4 (error)
- The maximum value is 399 (error)
Current smoker
Technical specs
CSV column name:
CD_SMOK
Only when:
Required:
false
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
| Unknown | 9 |
Mapping of the clinical building blocks (indicative only)
Concept:
Be.en.hd.TobaccoUse
Data element:
TobaccoUseStatus
ASIA impairment scale
Technical specs
CSV column name:
asia_impairment_scale
Required:
false
Options
| Label | Value |
| A | 1 |
| B | 2 |
| C | 3 |
| D | 4 |
| E | 5 |
| Not assessable/ applicable | 6 |
4 Surgery
Surgeon
Technical specs
CSV column name:
CD_SURGN
Length:
100
Reference list:
PHYSICIAN
Required:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.HealthProfessional
Data element:
HealthProfessionalIdentificationNumber
Assistant
Technical specs
CSV column name:
CD_ASST
Length:
100
Reference list:
PHYSICIAN
Only when:
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.HealthProfessional
Data element:
HealthProfessionalIdentificationNumber
Date of surgery
Technical specs
Format:
DD/MM/YYYY
CSV column name:
DT_SURG_START
Required:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureStartDate
Validation
- The date of surgery cannot be in the future (error)
- The date of birth cannot be after the date of surgery (error)
- The date of surgery cannot be after the date of death (error)
- The date of admission cannot be after the date of surgery (error)
Therapeutic goals
Technical specs
CSV column name:
CD_THERPC_GOA
Required:
true
Options
| Label | Value |
| Axial pain relief | axial_pain_relief |
| Peripheral pain relief | peripheral_pain_relief |
| Functional improvement | functional_improvement |
| Motor improvement | motor_improvement |
| Sensory improvement | sensory_improvement |
| Spinal stabilization | spinal_stabilization |
| Stop deformity progression | stop_deformity_progression |
| Prophylactic decompression | prophylactic_decompression |
| Cosmetic improvement | cosmetic_improvement |
| Diagnostic measures | diagnostic_measures |
| Deformity correction | deformity_correction |
| Other | other |
Nested option fields
- When other Is selected:text
Specify other surgery goal
Technical specs
CSV column name:
CD_THERPC_GOA|TX_THERPC_GOA
Length:
100
Required:
false
Anterior access
Technical specs
CSV column name:
CD_ANT_ACC
Required:
true
Options
| Label | Value |
| No anterior access | no_anterior_access |
| Transoral | transoral |
| Anterolateral | anterolateral |
| Cervicothoracic anterolateral | cervicothoracic_anterolateral |
| Cervicothoracic with sternotomy | cervicothoracic_with_sternotomy |
| Thoracotomy | thoracotomy |
| Thoracoabdominal | thoracoabdominal |
| Retroperitoneal | retroperitoneal |
| Transperitoneal | transperitoneal |
| Trans-psoas (XLIF) | transpsoas_xlif |
| Other | OTH |
Nested option fields
- When OTH Is selected:text
Specify
Technical specs
CSV column name:
CD_ANT_ACC|TX_ANT_ACC
Length:
100
Required:
false
Validation
- Anterior access: the option 'No anterior access' cannot be combined with other options (error)
Posterior access
Technical specs
CSV column name:
CD_POST_ACC
Required:
true
Options
| Label | Value |
| No posterior access | no_posterior_access |
| Midline | midline |
| Paramedian | paramedian |
| Posterolateral | posterolateral |
| Percutaneous | percutaneous |
| Para-coccygeal (AxiALIF) | paracoccygeal_axialif |
| Other | other |
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
CD_POST_ACC|TX_POST_ACC
Length:
100
Required:
false
Validation
- Posterior access: the option 'No posterior access' cannot be combined with other options (error)
Morbidity state
Technical specs
CSV column name:
CD_MORB_STATE
Required:
true
Options
| Label | Value |
| Unknown | 1 |
| ASA1 (no disturbance) | 2 |
| ASA2 (mild/moderate) | 3 |
| ASA3 (severe) | 4 |
| ASA4 (life threatening) | 5 |
| ASA5 (moribund) | 6 |
Surgeon credentials
Technical specs
CSV column name:
CD_SURGN_CRED
Only when:
Required:
false
Options
| Label | Value |
| Specialized spine | 1 |
| Board certified orthopaedic surgeon | 2 |
| Board certified neurosurgeon | 3 |
| Orthopaedic surgeon in training | 4 |
| Neurosurgeon in training | 5 |
| Other | 6 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.HealthProfessional
Data element:
Specialty
Nested option fields
- When 6 Is selected:text
Specify
Technical specs
CSV column name:
CD_SURGN_CRED|TX_SURGN_CRED
Length:
100
Required:
false
Technology
Help
MISS = Minimally Invasive Spine Surgery LISS = Less Invasive Spine Surgery CASS = Computer-Assisted Spine Surgery
Technical specs
CSV column name:
CD_TECH
Only when:
Required:
false
Options
| Label | Value |
| Conventional | conventional |
| MISS/LISS | missliss |
| Intraoperative 3D-imaging | intraop_3dimaging |
| Endoscope | endoscope |
| CASS/navigation | cassnavigation |
| Microscope | microscope |
| Neuromonitoring | neuromonitoring |
| Other | other |
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
CD_TECH|TX_TECH
Length:
100
Required:
false
Operation time (hrs)
Technical specs
CSV column name:
CD_OP_TM
Only when:
Required:
false
Options
| Label | Value |
| Unknown | 1 |
| 2 | |
| 1-2 h | 3 |
| 2-3 h | 4 |
| 3-4 h | 5 |
| 4-5 h | 6 |
| 5-6 h | 7 |
| 6-8 h | 8 |
| 8-10 h | 9 |
| > 10 h | 10 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureType
Blood loss (ml)
Technical specs
CSV column name:
CD_BLD_LOSS
Only when:
Required:
false
Options
| Label | Value |
| Unknown | 1 |
| 2 | |
| 100 - 500 ml | 3 |
| 500 - 1000 ml | 4 |
| 1000 - 2000 ml | 5 |
| > 2000 ml | 6 |
Blood transfusion
Technical specs
CSV column name:
CD_BLD_TRNSF
Only when:
Required:
false
Options
| Label | Value |
| None | none |
| Less than 2 units | less_than_two_units |
| Greater than or equal to 2 units | greater_than_or_equal_to_2_units |
| Cell saver | cell_saver |
| Unknown | unknown |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.MedicationAdministration
Data element:
AdministrationProduct::Product
Validation
- Blood transfusion: the option 'None' cannot be combined with other options (error)
- Blood transfusion: less than 2 units cannot be combined with greater than or equal to 2 units (error)
5 Implants
Implant(s) used?
Technical specs
CSV column name:
CD_IMPLANT_USE
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.MedicalDevice
Data element:
ProductType
Implant
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
List items
Type of implant
Technical specs
CSV column name:
implant|CD_IMPLANT
Required:
true
Options
| Label | Value |
| Implant with notification code | 1 |
| Implant without notification code | 2 |
Nested option fields
- When 1 Is selected:sadmi
SADMI implant notification code
Technical specs
CSV column name:
implant|CD_IMPLANT|CD_PAC_SADMI_NOTIFIC
Required:
true
- When 2 Is selected:choice
Category
Technical specs
CSV column name:
implant|CD_IMPLANT|CD_IMPLANT_CAT
Required:
true
Options
Label Value Custom-made 1 Without a CE mark 2 Other 3 textProduct name
Technical specs
CSV column name:
implant|CD_IMPLANT|CD_IMPLANT_PRD_NM
Length:
50
Required:
true
textProducer
Technical specs
CSV column name:
implant|CD_IMPLANT|TX_IMPLANT_PRODUC
Length:
50
Required:
true
textDistributor
Technical specs
CSV column name:
implant|CD_IMPLANT|TX_IMPLANT_DSTRBTR
Length:
50
Required:
true
textDescription
Technical specs
CSV column name:
implant|CD_IMPLANT|TX_IMPLANT_DESC
Length:
250
Required:
false
6 Surgical measures
Section help
Mark all treated segments/vertebral bodies. For each segment indicate cranial vertebral body only.
Decompression
Fields
Decompression
Help
Location in spine, choose at least one!
Technical specs
CSV column name:
decompression_1|CD_DECOMPRES
Required:
true
Options
| Label | Value |
| None | none |
| Discectomy partial/total | discectomy_partialtotal |
| Vertebrectomy partial | vertebrectomy_partial |
| Vertebrectomy full | vertebrectomy_full |
| Laminotomy | laminotomy |
| Hemi-laminectomy | hemilaminectomy |
| Laminectomy | laminectomy |
| Facet joint resection partial | facet_joint_resec_partial |
| Facet joint resection full | facet_joint_resection_full |
| Sequestrectomy | sequestrectomy |
| Flavectomy | flavectomy |
| Foraminotomy | foraminotomy |
| Laminoplasty | laminoplasty |
| Uncoforaminotomy | uncoforaminotomy |
| Other | other |
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
decompression_1|CD_DECOMPRES|TX_DECOMPRESS
Length:
100
Required:
false
Validation
- Decompression: the option 'None' cannot be combined with other options (error)
Extent of surgery
Help
For segment indicate cranial vertebral body SA = sacrum (S2-5); CO = coccyx
Technical specs
CSV column name:
decompression_1|CD_DECOMPRESS_EXTEN_SURG
Only when:
Required:
true
Options
| Label | Value |
| Entire occipital bone | c0 |
| Bone structure of atlas | c1 |
| Bone structure of axis | c2 |
| Bone structure of C3 | c3 |
| Bone structure of C4 | c4 |
| Bone structure of C5 | c5 |
| Bone structure of C6 | c6 |
| Bone structure of C7 | c7 |
| Bone structure of T1 | t1 |
| Bone structure of T2 | t2 |
| Bone structure of T3 | t3 |
| Bone structure of T4 | t4 |
| Bone structure of T5 | t5 |
| Bone structure of T6 | t6 |
| Bone structure of T7 | t7 |
| Bone structure of T8 | t8 |
| Bone structure of T9 | t9 |
| Bone structure of T10 | t10 |
| Bone structure of T11 | t11 |
| Bone structure of T12 | t12 |
| Bone structure of L1 | l1 |
| Bone structure of L2 | l2 |
| Bone structure of L3 | l3 |
| Bone structure of L4 | l4 |
| Bone structure of L5 | l5 |
| Structure of first sacral vertebra | s1 |
| Entire sacrum | sa |
| Bone structure of coccyx | co |
| Bone structure of ilium | ilium |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureAnatomicalLocation
Fusion
Fields
Fusion promoting measures
Help
Location in spine, choose at least one!
Technical specs
CSV column name:
fusion|CD_FSN_PROM_MEAS
Required:
true
Options
| Label | Value |
| None | none |
| Interbody fusion (A-IF) | interbody_fusion_aif |
| Interbody fusion (PLIF) | interbody_fusion_plif |
| Interbody fusion (TLIF) | interbody_fusion_tlif |
| Interbody fusion (XLIF) | interbody_fusion_xlif |
| Other interbody fusion | other_interbody_fusion |
| Posterolateral fusion | posterolat_fusion |
| Posterior fusion | posterior_fusion |
| Ilio-sacral fusion | iliosacral_fusion |
| Other | other |
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
fusion|CD_FSN_PROM_MEAS|TX_FSN_PROM_MEAS
Length:
100
Required:
false
Validation
- Fusion promoting measures: the option 'None' cannot be combined with other options (error)
Fusion material
Technical specs
CSV column name:
fusion|CD_FSN_MAT
Only when:
Required:
true
Options
| Label | Value |
| None | none |
| Autologous bone, harvested | autol_bone_harvested |
| Autologous bone, locally procured | autol_bone_locally_procured |
| Allogeneic bone | allog_bone |
| Bone substitute | bone_subst |
| Cement | cement |
| BMP or similar | bmp_or_similar |
| Other | other |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureType
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
fusion|CD_FSN_MAT|TX_FSN_MAT
Length:
100
Required:
false
Validation
- Fusion promoting measures: the option 'None' cannot be combined with other options (error)
Extent of surgery
Help
SA = sacrum (S2-5); CO = coccyx
Technical specs
CSV column name:
fusion|CD_FSN_EXTEN_SURG
Only when:
Required:
true
Options
| Label | Value |
| Entire occipital bone | c0 |
| Bone structure of atlas | c1 |
| Bone structure of axis | c2 |
| Bone structure of C3 | c3 |
| Bone structure of C4 | c4 |
| Bone structure of C5 | c5 |
| Bone structure of C6 | c6 |
| Bone structure of C7 | c7 |
| Bone structure of T1 | t1 |
| Bone structure of T2 | t2 |
| Bone structure of T3 | t3 |
| Bone structure of T4 | t4 |
| Bone structure of T5 | t5 |
| Bone structure of T6 | t6 |
| Bone structure of T7 | t7 |
| Bone structure of T8 | t8 |
| Bone structure of T9 | t9 |
| Bone structure of T10 | t10 |
| Bone structure of T11 | t11 |
| Bone structure of T12 | t12 |
| Bone structure of L1 | l1 |
| Bone structure of L2 | l2 |
| Bone structure of L3 | l3 |
| Bone structure of L4 | l4 |
| Bone structure of L5 | l5 |
| Structure of first sacral vertebra | s1 |
| Entire sacrum | sa |
| Bone structure of coccyx | co |
| Bone structure of ilium | ilium |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureAnatomicalLocation
Stabilization rigid
Fields
Stabilization rigid
Help
Location in spine, choose at least one!
Technical specs
CSV column name:
stabilization_rigid_1|CD_STABLZTN_RIGD
Required:
true
Options
| Label | Value |
| None | none |
| Interbody stabilization with cage | interbody_stabil_with_cage |
| Interbody stabilization with auto-/allograft | interbody_stabil_with_autoallograft |
| Vertebral body replacement by cage | vertebral_body_replacement_by_cage |
| Vertebral body replacment by auto-/allograft | vertebral_body_replacment_by_autoallograft |
| Plates | plates |
| Pedicle screws cemented | pedicle_screws_cemented |
| Pedicle screws uncemented | pedicle_screws_uncemented |
| Facet screws | facet_screws |
| Use of fusion of atlantoaxial joint using transarticular screw | transarticular_screws_c1c2 |
| Laminar hooks | laminar_hooks |
| Pedicle hooks | pedicle_hooks |
| Sublaminar band/wire | sublaminar_bandwire |
| Lateral mass screw | lateral_mass_screw |
| Odontoid screws | odontoid_screws |
| Laminar screws | laminar_screws |
| Iliac screws | iliac_screws |
| Other | other_1 |
Nested option fields
- When other_1 Is selected:text
Specify
Technical specs
CSV column name:
stabilization_rigid_1|CD_STABLZTN_RIGD|TX_STABLZTN_RIGD
Length:
100
Required:
false
Validation
- Stabilization rigid: the option 'None' cannot be combined with other options (error)
Extent of surgery
Help
SA = sacrum (S2-5); CO = coccyx
Technical specs
CSV column name:
stabilization_rigid_1|CD_STABLZTN_RIGD_EXTEN_SURG
Only when:
Required:
true
Options
| Label | Value |
| Entire occipital bone | c0 |
| Bone structure of atlas | c1 |
| Bone structure of axis | c2 |
| Bone structure of C3 | c3 |
| Bone structure of C4 | c4 |
| Bone structure of C5 | c5 |
| Bone structure of C6 | c6 |
| Bone structure of C7 | c7 |
| Bone structure of T1 | t1 |
| Bone structure of T2 | t2 |
| Bone structure of T3 | t3 |
| Bone structure of T4 | t4 |
| Bone structure of T5 | t5 |
| Bone structure of T6 | t6 |
| Bone structure of T7 | t7 |
| Bone structure of T8 | t8 |
| Bone structure of T9 | t9 |
| Bone structure of T10 | t10 |
| Bone structure of T11 | t11 |
| Bone structure of T12 | t12 |
| Bone structure of L1 | l1 |
| Bone structure of L2 | l2 |
| Bone structure of L3 | l3 |
| Bone structure of L4 | l4 |
| Bone structure of L5 | l5 |
| Structure of first sacral vertebra | s1 |
| Entire sacrum | sa |
| Bone structure of coccyx | co |
| Bone structure of ilium | ilium |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureAnatomicalLocation
Deformity correction
Fields
Deformity correction
Technical specs
CSV column name:
deformity_correction|CD_DEFRM_CORRN
Required:
true
Options
| Label | Value |
| None | none |
| Ponte/Smith-Petersen | pontesmithpetersen |
| PSO | pso |
| VCR | vcr |
| Other | other |
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
deformity_correction|CD_DEFRM_CORRN|TX_DEFRM_CORRN
Length:
100
Required:
true
Validation
- Deformity correction: the option 'None' cannot be combined with other options (error)
Extent of surgery
Help
SA = sacrum (S2-5); CO = coccyx
Technical specs
CSV column name:
deformity_correction|CD_DEFRM_CORRN_EXTEN_SURG
Only when:
Required:
true
Options
| Label | Value |
| Entire occipital bone | c0 |
| Bone structure of atlas | c1 |
| Bone structure of axis | c2 |
| Bone structure of C3 | c3 |
| Bone structure of C4 | c4 |
| Bone structure of C5 | c5 |
| Bone structure of C6 | c6 |
| Bone structure of C7 | c7 |
| Bone structure of T1 | t1 |
| Bone structure of T2 | t2 |
| Bone structure of T3 | t3 |
| Bone structure of T4 | t4 |
| Bone structure of T5 | t5 |
| Bone structure of T6 | t6 |
| Bone structure of T7 | t7 |
| Bone structure of T8 | t8 |
| Bone structure of T9 | t9 |
| Bone structure of T10 | t10 |
| Bone structure of T11 | t11 |
| Bone structure of T12 | t12 |
| Bone structure of L1 | l1 |
| Bone structure of L2 | l2 |
| Bone structure of L3 | l3 |
| Bone structure of L4 | l4 |
| Bone structure of L5 | l5 |
| Structure of first sacral vertebra | s1 |
| Entire sacrum | sa |
| Bone structure of coccyx | co |
| Bone structure of ilium | ilium |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureAnatomicalLocation
Stabilization motion preserving
Fields
Stabilization motion preserving
Technical specs
CSV column name:
stabil_motion_preserving_1|CD_STAB_MOTN
Required:
true
Options
| Label | Value |
| None | none |
| Disc replacement | disc_replacement |
| Spinal dynamic stabilization system | dynamic_stabilization |
| Interspinous spacer | interspin_spacer |
| Other | other_2 |
Nested option fields
- When other_2 Is selected:text
Specify
Technical specs
CSV column name:
stabil_motion_preserving_1|CD_STAB_MOTN|TX_STAB_MOTN
Length:
100
Required:
false
Validation
- Stabilization motion preserving: the option 'None' cannot be combined with other options (error)
Extent of surgery
Help
For segment indicate cranial vertebral body SA = sacrum (S2-5); CO = coccyx
Technical specs
CSV column name:
stabil_motion_preserving_1|CD_STAB_MOTN_EXTEN_SURG
Only when:
Required:
true
Options
| Label | Value |
| Entire occipital bone | c0 |
| Bone structure of atlas | c1 |
| Bone structure of axis | c2 |
| Bone structure of C3 | c3 |
| Bone structure of C4 | c4 |
| Bone structure of C5 | c5 |
| Bone structure of C6 | c6 |
| Bone structure of C7 | c7 |
| Bone structure of T1 | t1 |
| Bone structure of T2 | t2 |
| Bone structure of T3 | t3 |
| Bone structure of T4 | t4 |
| Bone structure of T5 | t5 |
| Bone structure of T6 | t6 |
| Bone structure of T7 | t7 |
| Bone structure of T8 | t8 |
| Bone structure of T9 | t9 |
| Bone structure of T10 | t10 |
| Bone structure of T11 | t11 |
| Bone structure of T12 | t12 |
| Bone structure of L1 | l1 |
| Bone structure of L2 | l2 |
| Bone structure of L3 | l3 |
| Bone structure of L4 | l4 |
| Bone structure of L5 | l5 |
| Structure of first sacral vertebra | s1 |
| Entire sacrum | sa |
| Bone structure of coccyx | co |
| Bone structure of ilium | ilium |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureAnatomicalLocation
Other surgical measures
Fields
Other surgical measures
Technical specs
CSV column name:
other_surgical_measures|CD_OTH_SURGL_MEASRS
Required:
true
Options
| Label | Value |
| None | none |
| Vertebral body augmentation with body restoration | vb_augmentation_with_body_restoration |
| Vertebral body augmentation without body restoration | vb_augmentation_wo_body_restorat |
| Hardware removal | hardware_removal |
| Wound drain | wound_drain |
| Other | other |
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
other_surgical_measures|CD_OTH_SURGL_MEASRS|TX_OTH_SURGL_MEASRS
Length:
100
Required:
true
Validation
- Other surgical measures: the option 'None' cannot be combined with other options (error)
Extent of surgery
Help
SA = sacrum (S2-5); CO = coccyx
Technical specs
CSV column name:
other_surgical_measures|CD_OTH_SURGL_MEASRS_EXTEN_SURG
Only when:
Required:
true
Options
| Label | Value |
| Entire occipital bone | c0 |
| Bone structure of atlas | c1 |
| Bone structure of axis | c2 |
| Bone structure of C3 | c3 |
| Bone structure of C4 | c4 |
| Bone structure of C5 | c5 |
| Bone structure of C6 | c6 |
| Bone structure of C7 | c7 |
| Bone structure of T1 | t1 |
| Bone structure of T2 | t2 |
| Bone structure of T3 | t3 |
| Bone structure of T4 | t4 |
| Bone structure of T5 | t5 |
| Bone structure of T6 | t6 |
| Bone structure of T7 | t7 |
| Bone structure of T8 | t8 |
| Bone structure of T9 | t9 |
| Bone structure of T10 | t10 |
| Bone structure of T11 | t11 |
| Bone structure of T12 | t12 |
| Bone structure of L1 | l1 |
| Bone structure of L2 | l2 |
| Bone structure of L3 | l3 |
| Bone structure of L4 | l4 |
| Bone structure of L5 | l5 |
| Structure of first sacral vertebra | s1 |
| Entire sacrum | sa |
| Bone structure of coccyx | co |
| Bone structure of ilium | ilium |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureAnatomicalLocation
Intraoperative adverse event
Fields
Intraoperative adverse event
Technical specs
CSV column name:
intraop_adverse_event_1|CD_IORT_ADVRS_EVENT
Required:
true
Options
| Label | Value |
| None | none |
| Nerve root damage | nerve_root_damage |
| Spinal cord damage | spinal_cord_damage |
| Dura lesion | dura_lesion |
| Vascular injury | vascular_injury |
| Fx vertebral structures | fx_vertebral_structures |
| Other | other |
| Not documented | not_documented |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemType
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
intraop_adverse_event_1|CD_IORT_ADVRS_EVENT|TX_IORT_ADVRS_EVENT
Length:
100
Required:
false
Validation
- Intraoperative adverse event: the option 'None' cannot be combined with other options (error)
Surgical measures during index surgery
Fields
Surgical measures during index surgery
Technical specs
CSV column name:
surgical_measures_during_index_surgery_1|CD_SURGL_MEASRS_IDX_SURG
Required:
true
Options
| Label | Value |
| None | none |
| Suture | suture |
| Glue | glue |
| Implant reposition | implant_reposition |
| Other | other |
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
surgical_measures_during_index_surgery_1|CD_SURGL_MEASRS_IDX_SURG|TX_SURGL_MEASRS_IDX_SURG
Length:
100
Required:
false
Validation
- Surgical measures during index surgery: the option 'None' cannot be combined with other options (error)
Intraoperative general complications
Fields
Intraoperative general complications
Technical specs
CSV column name:
intraop_general_complications_1|CD_IORT_GEN_COMPLIC
Required:
true
Options
| Label | Value |
| None | none |
| Complication due to anesthesia during surgery | anaesthesiological |
| Cardiovascular system complication of procedure | cardiovascular |
| Respiratory complication | pulmonary |
| Thrombembolism | thrombembolism |
| Death | death |
| Other | other |
| Not documented | not_documented |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemType
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
intraop_general_complications_1|CD_IORT_GEN_COMPLIC|TX_IORT_GEN_COMPLIC
Length:
100
Required:
false
Validation
- Intraoperative general complications: the option 'None' cannot be combined with other options (error)
7 Hospital stay
Postoperative surgical complications before discharge
Technical specs
CSV column name:
CD_POSTOP_SURG_COMPLIC
Required:
true
Options
| Label | Value |
| None | none |
| Epidural hematoma | epidural_hematoma |
| Other hematoma | other_hematoma |
| Radiculopathy | radiculopathy |
| CSF leak / pseudomeningocele | csf_leak__pseudomeningocele |
| Motor dysfunction | motor_dysfunction |
| Sensory dysfunction | sensory_dysfunction |
| Bowel / bladder dysfunction | bowel__bladder_dysfunction |
| Postoperative wound infection-superficial | wound_infect_superficial |
| Postoperative wound infection-deep | wound_infection_deep |
| Implant malposition | implant_malposition |
| Failure of spinal implant | implant_failure |
| Wrong level | wrong_level |
| Recurrent nerve paresis | recurrent_nerve_paresis |
| Other | other |
| Not documented | not_documented |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
CD_POSTOP_SURG_COMPLIC|TX_POSTOP_SURG_COMPLIC
Length:
100
Required:
true
Validation
- Postoperative surgical complications before discharge: the option 'None' cannot be combined with other options (error)
Postoperative general complications before discharge
Technical specs
CSV column name:
CD_POSTOP_GEN_COMPLIC
Required:
true
Options
| Label | Value |
| None | none |
| Cardiovascular disorder | cardiovascular |
| Pulmonary disease | pulmonary |
| Cerebral disorder | cerebral |
| Kidney / urinary disease | kidney__urinary |
| Liver / GI disorder | liver__gi |
| Thrombembolism | thrombembolism |
| Positioning-related | positioningrelated |
| Death | death |
| Other | other |
| Not documented | not_documented |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Problem
Data element:
ProblemName
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
CD_POSTOP_GEN_COMPLIC|TX_POSTOP_GEN_COMPLIC
Length:
100
Required:
false
Validation
- Postoperative general complications before discharge: the option 'None' cannot be combined with other options (error)
Re-intervention after index surgery
Technical specs
CSV column name:
CD_REINTVENT_IDX_SURG
Required:
true
Options
| Label | Value |
| None | none |
| Hematoma evacuation | hematoma_evacuation |
| Suture | suture |
| Glue | glue |
| Hardware removal | hardware_removal |
| Hardware re-implantation | hardware_reimplantation |
| Abscess drainage | abscess_drainage |
| (Further) decompression | further_decompression |
| Other | other |
| Not documented | not_documented |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Procedure
Data element:
ProcedureType
Nested option fields
- When other Is selected:text
Specify
Technical specs
CSV column name:
CD_REINTVENT_IDX_SURG|TX_REINTVENT_IDX_SURG
Length:
100
Required:
false
Validation
- Re-intervention after index surgery: the option 'None' cannot be combined with other options (error)
Hospital stay
Technical specs
CSV column name:
CD_HOSP_STAY
Only when:
Required:
false
Options
| Label | Value |
| Uneventful | uneventful |
| ICU > 2 days | icu__2_days |
| Extended stay | extended_stay |
Validation
- Hospital stay: the option 'Uneventful' cannot be combined with other options (error)
Status of surgical complications
Technical specs
CSV column name:
CD_STA_SURG_COMPLIC
Only when:
Required:
false
Options
| Label | Value |
| Resolved | 1 |
| Improved | 2 |
| Persisting | 3 |
Therapeutic goals upon discharge
Technical specs
CSV column name:
CD_THERPC_GOA_DISCH
Only when:
Required:
false
Options
| Label | Value |
| Achieved | 1 |
| Partially achieved | 2 |
| Not achieved | 3 |
Discharge date
Technical specs
Format:
DD/MM/YYYY
CSV column name:
DT_DISCH
Only when:
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Encounter
Data element:
EndDateTime
Validation
- The discharge date cannot be in the future (error)
- The date of birth cannot be after the discharge date (error)
- The discharge date cannot be after the date of death (error)
- The admission date cannot be after the discharge date (error)