Belgium – Software package and information systems – Gebruik en onderhoud van CIED software

There is a growing population of patients with a cardiac implantable electronic device (CIED), such as pacemakers, defibrillators and loop recorders. The medical and technical follow-up of these patients and devices requires good structural data collection. The legally mandated establishment of the contact points for materiovigilance (KB15/11/2017) within healthcare institutions also requires good follow-up of all incidents with these implants. The follow-up of these devices is increasingly shifting towards remote telecardiological follow-up, which requires good documentation of data traffic and medical actions. Currently, there is no structural data storage and workflow for this information for patients with a CIED within the KWS. A project is underway with NexuzHealth to design a structural CIED file within the KWS that can be used in various hospitals. In this project, we want to collect and present the various information streams from hospitalisation, outpatient and telecardiological care in a "patient-centered" manner within a uniform dashboard. By coding the information from these different data streams unambiguously, they can all end up in the same place. This ensures that the most recent information is always centrally available. With NexuzHealth, a mapping was carried out of the desired fields and the corresponding definitions in the internationally recognised IEEE standard (IEEE Std 11073‐10103) that structures the data export across different CIED manufacturers. This translation must take place on multiple platforms, both for in-house control and via web portals where the data from home monitoring comes in. However, a preliminary study by NexuzHealth showed that the manufacturers do not yet apply this standard uniformly. A 'translation' of the data supplied by the different manufacturers cannot be incorporated by NexuzHealth and requires the involvement of a third party ('middle ware vendor').