eKOK Dokumentacja Integracyjna
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Questionnaire: Formularz kontroli urządzenia wszczepialnego do elektroterapii serca

Logiczny url: https://ezdrowie.gov.pl/ekok/fhir/Questionnaire/pl-ekok-device-inspection-form Wersja: 0.5.0
Active z dnia 2025-10-26 Nazwa:
Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnairehttps://ezdrowie.gov.pl/ekok/fhir/Questionnaire/pl-ekok-device-inspection-form#0.5.0
... device1. Aktywne urządzenie1..*group
.... device-type1. Typ aktywnego urządzenia1..1choiceOptions: 8 options
..... device-type-otherJaki?1..1stringEnable When: device-type =
.... device-manufacturer2. Producent1..1choiceOptions: 6 options
..... device-manufacturer-otherJaki?1..1stringEnable When: device-manufacturer =
.... stimulation-mode3. Tryb stymulacji1..1choiceOptions: 5 options
.... rate-response4. Funkcja 'rate-response'1..1boolean
.... csp5. CSP1..1boolean
..... csp-typeTechnika CSP1..1choiceEnable When: csp =
Options: 3 options
.... main-complaints6. Główne skargi1..1text
.... lvef7. LVEF [%]1..1quantity
.... nyha8. NYHA1..1choiceOptions: 4 options
.... implant-inspection9. Przeprowadzono kontrolę implantowanego układu stymulującego serce0..1display
.... dominant-rhythm10. Rytm wiodący1..1choiceOptions: 3 options
..... dominant-rhythm-otherJaki?1..1stringEnable When: dominant-rhythm =
.... battery-status11. Stan baterii1..1group
..... battery-status-percentageProcentowo [%]1..1quantity
..... battery-status-voltageNapięcie [V]1..1quantity
..... battery-status-resistanceOporność baterii [Ohm]1..1quantity
..... battery-status-enduranceEstymowany czas żywotności układu [rok/lata]1..1quantity
.... electrod-params12. Parametry elektryczne elektrod1..1group
..... ra_electrod-paramsRA1..1group
...... ra-electrod-params-own-impulseImp. własny [mV]1..1quantity
...... ra-electrod-params-pacing-thresholdPróg stym. [V]1..1quantity
...... ra-electrod-params-pulse-widthCzas imp. [ms]1..1quantity
..... rv_electrod-paramsRV1..1group
...... rv-electrod-params-own-impulseImp. własny [mV]1..1quantity
...... rv-electrod-params-pacing-thresholdPróg stym. [V]1..1quantity
...... rv-electrod-params-pulse-widthCzas imp. [ms]1..1quantity
..... lv_electrod-paramsLV1..1group
...... lv-electrod-params-own-impulseImp. własny [mV]1..1quantity
...... lv-electrod-params-pacing-thresholdPróg stym. [V]1..1quantity
...... lv-electrod-params-pulse-widthCzas imp. [ms]1..1quantity
..... other_electrod-paramsInna1..1text
...... other-electrod-params-own-impulseImp. własny [mV]1..1quantity
...... other-electrod-params-pacing-thresholdPróg stym. [V]1..1quantity
...... other-electrod-params-pulse-widthCzas imp. [ms]1..1quantity
.... stimulation-and-ahre-percentages13. Odsetki stymulacji i AHRE1..1group
..... stimulation-and-ahre-percentages-apAp [%]1..1quantity
..... stimulation-and-ahre-percentages-vpVp [%]1..1quantity
..... stimulation-and-ahre-percentages-bivpBiVp [%]1..1quantity
..... stimulation-and-ahre-percentages-at-af-ahreAT/AF/AHRE [%]1..1quantity
.... apropriate-interventions14a. Interwencje adekwatne1..1groupEnable When:
..... atp-apropriate-interventionsATP0..1group
...... atp-apropriate-interventions-intervention-nN1..1integer
...... atp-apropriate-interventions-intervention-arrhythmiaArytmia1..1group
....... atp-apropriate-interventions-intervention-arrhythmia-vtVT0..1boolean
....... atp-apropriate-interventions-intervention-arrhythmia-vfVF0..1boolean
...... atp-apropriate-interventions-intervention-hrHR1..1group
....... atp-apropriate-interventions-intervention-hr-quantity[/min]1..1quantityEnable When: atp-apropriate-interventions-intervention-n =
....... atp-apropriate-interventions-intervention-hr-rangePrzedział1..1groupEnable When: atp-apropriate-interventions-intervention-n >
........ atp-apropriate-interventions-intervention-hr-range-minOd [/min]1..1quantity
........ atp-apropriate-interventions-intervention-hr-range-maxDo [/min]1..1quantity
...... atp-apropriate-interventions-intervention-efficiencySkuteczność1..1boolean
..... cv_df-apropriate-interventionsCV/DF0..1group
...... cv_df-apropriate-interventions-intervention-nN1..1integer
...... cv_df-apropriate-interventions-intervention-arrhythmiaArytmia1..1group
....... cv_df-apropriate-interventions-intervention-arrhythmia-vtVT0..1boolean
....... cv_df-apropriate-interventions-intervention-arrhythmia-vfVF0..1boolean
...... cv_df-apropriate-interventions-intervention-hrHR1..1group
....... cv_df-apropriate-interventions-intervention-hr-quantity[/min]1..1quantityEnable When: cv_df-apropriate-interventions-intervention-n =
....... cv_df-apropriate-interventions-intervention-hr-rangePrzedział1..1groupEnable When: cv_df-apropriate-interventions-intervention-n >
........ cv_df-apropriate-interventions-intervention-hr-range-minOd [/min]1..1quantity
........ cv_df-apropriate-interventions-intervention-hr-range-maxDo [/min]1..1quantity
...... cv_df-apropriate-interventions-intervention-efficiencySkuteczność1..1boolean
.... inappropriate-interventions14b. Interwencje nieadekwatne1..1groupEnable When:
..... atp-inappropriate-interventionsATP0..1group
...... atp-inappropriate-interventions-intervention-nN1..1integer
...... atp-inappropriate-interventions-intervention-couse-listPrzyczyna1..*groupEnable When: atp-inappropriate-interventions-intervention-n >
....... atp-inappropriate-interventions-intervention-cousePrzyczyna0..1choiceOptions: 1 option
...... atp-inappropriate-interventions-intervention-couse-onePrzyczyna1..1choiceEnable When: atp-inappropriate-interventions-intervention-n =
Options: 1 option
..... cv_df-inappropriate-interventionsCV/DF0..1group
...... cv_df-inappropriate-interventions-intervention-nN1..1integer
...... cv_df-inappropriate-interventions-intervention-couse-listPrzyczyna1..*groupEnable When: cv_df-inappropriate-interventions-intervention-n >
....... cv_df-inappropriate-interventions-intervention-cousePrzyczyna0..1choiceOptions: 1 option
...... cv_df-inappropriate-interventions-intervention-couse-onePrzyczyna1..1choiceEnable When: cv_df-inappropriate-interventions-intervention-n =
Options: 1 option
.... arrhythmias_rhythms_monitored_without_intervention14c. Arytmie/rytmy monitorowane w zaprogramowanych strefach, bez interwencji1..1groupEnable When:
..... sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention14c. Tachykardia zatokowa1..1group
...... sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm_typeTyp1..*choiceOptions: 1 option
....... sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-nN1..1integer
....... sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hrHR1..1group
........ sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-quantity[/min]1..1quantityEnable When: sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-n =
........ sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-rangePrzedział1..1groupEnable When: sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-n >
......... sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-range-minOd1..1quantity
......... sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-range-maxDo1..1quantity
..... svt-arrhythmias_rhythms_monitored_without_intervention14c. SVT1..1group
...... svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm_typeTyp1..*choiceOptions: 1 option
....... svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-nN1..1integer
....... svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hrHR1..1group
........ svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-quantity[/min]1..1quantityEnable When: svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-n =
........ svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-rangePrzedział1..1groupEnable When: svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-n >
......... svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-range-minOd1..1quantity
......... svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-range-maxDo1..1quantity
..... vt-arrhythmias_rhythms_monitored_without_intervention14c. VT1..1group
...... vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm_typeTyp1..*choiceOptions: 1 option
....... vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-nN1..1integer
....... vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hrHR1..1group
........ vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-quantity[/min]1..1quantityEnable When: vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-n =
........ vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-rangePrzedział1..1groupEnable When: vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-n >
......... vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-range-minOd1..1quantity
......... vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-range-maxDo1..1quantity
..... nsvt-arrhythmias_rhythms_monitored_without_intervention14c. nsVT1..1group
...... nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm_typeTyp1..*choiceOptions: 1 option
....... nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-nN1..1integer
....... nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hrHR1..1group
........ nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-quantity[/min]1..1quantityEnable When: nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-n =
........ nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-rangePrzedział1..1groupEnable When: nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-n >
......... nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-range-minOd1..1quantity
......... nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm-hr-range-maxDo1..1quantity
.... device-settings15a. Tryb i program urządzenia0..1group
..... device-settings-stimulation-modeTryb stymulacji1..1choiceOptions: 5 options
..... device-settings-rate-response4. Funkcja 'rate-response'1..1boolean
..... pacing-rateCzęstość stymulacji1..1group
...... pacing-rate-lrlOd [/min]1..1quantity
...... pacing-rate-urlDo [/min]0..1quantityEnable When: rate-response =
.... v-zone15b. Arytmie/rytmy monitorowane w zaprogramowanych strefach, bez interwencji1..1groupEnable When:
..... vt1-zoneVT11..1group
...... vt1-zone-enabledON/OFF1..1boolean
...... vt1-zone-fromStrefa od [/min]1..1quantity
...... vt1-zone--monitoringStrefa wyłącznie monitorowana1..1boolean
...... vt1-atpATP1..1boolean
...... vt1-cvCV1..1boolean
..... vt2-zoneVT21..1group
...... vt2-zone-enabledON/OFF1..1boolean
...... vt2-zone-fromStrefa od [/min]1..1quantity
...... vt2-zone--monitoringStrefa wyłącznie monitorowana1..1boolean
...... vt2-atpATP1..1boolean
...... vt2-cvCV1..1boolean
..... vf-zoneVF1..1group
...... vf-zone-enabledON/OFF0..1boolean
...... vf-zone-fromStrefa od [/min]1..1quantity
...... vf-zone--monitoringStrefa wyłącznie monitorowana0..1boolean
...... vf-atpATP1..1boolean
...... vf-cvCV1..1boolean
..... v-zone-enable-reasonPowód wyłączenia wszystkich stref0..1textEnable When:
.... device-pocketLoża urządzenia1..1choiceEnable When: device-type =
Options: 3 options
..... device-pocket-recommendationsOpis zaleceń1..1textEnable When: device-pocket =
..... device-pocket-decisionOpis decyzji1..1textEnable When: device-pocket =
... device-medicationLeki1..1choiceOptions: 6 options
... apt-oacAPT/OAC1..1boolean
.... apt-oac-typeAPT/OAC1..1choiceEnable When: apt-oac =
Options: 4 options
... device-recommendationsZalecenia1..1text
... reminders20. Reminder0..1group
.... reminder-ekg-forcrt-cspZleć 12 odpr. EKG0..1displayEnable When:
... issued-refferalWystawiono skierowanie1..1boolean
.... issued-refferal-forSkierowanie na1..1choiceEnable When: issued-refferal =
Options: 2 options

doco Documentation for this format

Options Sets

Answer options for device-type

  • Stymulator
  • LP
  • ICD
  • S-ICD
  • EV-ICD
  • CRT-P
  • CRT-D
  • Inny

Answer options for device-manufacturer

  • Abbott
  • Biotronik
  • Boston Scientific
  • Medtronic/Vitatron
  • Sorin
  • Inny

Answer options for stimulation-mode

  • AAI
  • VVI
  • DDD
  • DDI
  • VDD

Answer options for csp-type

  • HBP
  • LBBAP
  • Inne

Answer options for nyha

  • I
  • II
  • III
  • IV

Answer options for dominant-rhythm

  • Zatokowy
  • AF
  • Inny

Answer options for atp-inappropriate-interventions-intervention-couse

  • Inne

Answer options for atp-inappropriate-interventions-intervention-couse-one

  • Inne

Answer options for cv_df-inappropriate-interventions-intervention-couse

  • Inne

Answer options for cv_df-inappropriate-interventions-intervention-couse-one

  • Inne

Answer options for sinus-tachycardia-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm_type

  • nsVT

Answer options for svt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm_type

  • nsVT

Answer options for vt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm_type

  • nsVT

Answer options for nsvt-arrhythmias_rhythms_monitored_without_intervention_arrhythmia_rhythm_type

  • nsVT

Answer options for device-settings-stimulation-mode

  • AAI
  • VVI
  • DDD
  • DDI
  • VDD

Answer options for device-pocket

  • Prawidłowa
  • Odchylenia do obserwacji
  • Nieprawidłowa

Answer options for device-medication

  • BBloker
  • ACEI/AT
  • ARNI
  • Diuretyk
  • SGLT-2
  • AA

Answer options for apt-oac-type

  • SAPT
  • DAPT
  • VKA
  • NOAC

Answer options for issued-refferal-for

  • na poradę/opiekę ambulatoryjną
  • na hospitalizację