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EMR Integration Technical Application Overview – 357729-003
Page 1
LATITUDE® Patient Management
Contents
Purpose.................................................1 Objectives .............................................1 Application Overview ............................2
Component Definitions.................3 Follow-up Information Retrieval ...4 Patient Record Dismissal.............6 Follow-up Information Transfer ..10 Patient Record Sign-off..............12
Appendix A – HL7 Message Structures............................................................16
LATITUDE HL7 Message Specification...............................16 GE CPO HL7 Message Specification...............................25
Appendix B – LATITUDE Terms.........26 Appendix C – Patient Matching ..........40
Purpose This document provides a high-level description of the technical architecture and data flows of the Boston Scientific LATITUDE Patient Management System to GE Healthcare Centricity® Physician Office (CPO) (formerly Logician) integration solution.
CPO is GE Healthcare’s outpatient electronic medical record (EMR) system. LATITUDE is Boston Scientific’s remote patient monitoring system. Personnel that are responsible for administering CPO at a clinic can use this document to understand the technical components of the integration solution. A base understanding of the system components, processes, and associated terminology can help administrators support the system and troubleshoot problems.
Objectives The objective of the LATITUDE EMR Integration software is to provide a quick and easy mechanism for downloading implanted cardiac device follow-up summary data from LATITUDE into the EMR and also to provide quick access from the EMR back into LATITUDE to review detailed cardiac device data for a patient.
Your existing Logician / CPO technical and user documentation should be used to understand the proper use of the Logician / CPO product.
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LATITUDE® Patient Management
Application Overview The following diagram is a model that depicts the major technology components and data flows of the integration solution.
Technology components are defined in “Table 1 - Component Definitions” below.
There are four major data flow processes that are described in subsequent sections of this document.
− Follow-up information retrieval
− Patient record dismissal
− Follow-up information transfer
− Patient record sign-off
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LATITUDE® Patient Management
Component Definitions
Table 1 - Component Definitions
Component or Actor Name Definition Clinic Environment The clinic where the CPO applications are installed and used.
Clinician This person has the role of following the patient with the implanted device. This could be a physician or an allied health professional.
DTS CPO Data Transfer Station (DTS). DTS is the CPO software component responsible for transferring data from external systems into the CPO database.
Home Environment The patient’s home (or other location) where remote follow-ups of the implanted cardiac device takes place.
Implanted Cardiac Device Implanted Cardiac Devices operate within the human body in both monitoring and therapy delivery capacities. These devices are categorized as Pacemakers, Implantable Cardioverter Defibrillators (ICDs), and Cardiac Resynchronization Therapy (CRT) devices. Each of these electronic devices delivers a controlled electric shock to the heart to return the heart back to a normal rhythm.
Internet The public network that is used to securely transfer data. NOTE: All data flows in this system are secured and encrypted using standard encryption and data transfer techniques.
LATITUDE Communicator A communications device that interrogates the implanted cardiac device, collects information from the device, and transfers collected data to the LATITUDE server.
LATITUDE Secure Server The LATITUDE secure server is a centralized computer database that stores patient data, implanted device data sent from patients’ LATITUDE Communicators, and physician and clinician configuration information. The LATITUDE secure server provides the data for presentation on the LATITUDE website, which is readily available over the Internet to authorized users.
LinkLogic Inbox Folder The local file system on the LTS / DTS server that stages the transformed LATITUDE download files prior to DTS processing.
Logician / CPO Client The CPO software component that provides a user interface for physicians to access EMR information.
Logician / CPO Database The relational database that contains and manages the CPO system data.
Logician / CPO Server The CPO server component that hosts the LTS and DTS software processes.
LTS LATITUDE Transfer Station (LTS). LTS is responsible for periodically polling the LATITUDE WebDAV Service and securely transferring and transforming new information for input into CPO.
Patient The person that has the implanted cardiac device that is being followed.
Web Browser The Internet browser used by the clinician to access the LATITUDE system.
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LATITUDE® Patient Management
Follow-up Information Retrieval LATITUDE retrieves information from the Home Environment
LATITUDE - GE Logician / CPO IntegrationInterrogation Clinic Environment
Boston Scientific
Home Environment
LATITUDECommunicator
Logician / CPO Database
LATITUDE Secure Server
Internet
Patientwith ImplantedCardiac Device
Logician / CPO Server
DTSLTS
LinkLogic InboxFolder
Logician / CPO Client
Web Browser
Clinician
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LATITUDE® Patient Management
Assumptions: − Patient has implanted cardiac device. − LATITUDE Communicator has been installed and configured.
1 At defined periods the LATITUDE Communicator interrogates the implanted
device.
2 The implanted device sends data, concerning device and patient status, to the LATITUDE Communicator.
3 The LATITUDE Communicator processes the device data and utilizes a phone line to establish a secured Internet network connection to the LATITUDE server.
4 The LATITUDE Communicator securely transfers the device data to the LATITUDE server.
5 The LATITUDE secure server processes the device data and stores it into the patient’s record in the LATITUDE database.
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LATITUDE® Patient Management
Patient Record Dismissal Patient records on the Patient for Review screen are reviewed by a clinician or clinicians and subsequently dismissed.
Clinic Environment
Boston Scientific
Home Environment
LATITUDECommunicator
Logician / CPO Database
LATITUDE Secure Server
Internet
Patientwith ImplantedCardiac Device
Logician / CPO Server
DTSLTS
LinkLogic InboxFolder
Logician / CPO Client
Web Browser
Clinician
LATITUDE - GE Logician / CPO IntegrationDismissal
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LATITUDE® Patient Management
1 The clinician logs into the LATITUDE web application…
2 And navigates to the Patients For Review screen.
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LATITUDE® Patient Management
3 The clinician selects a patient follow-up record and reviews patient data on the clinically appropriate LATITUDE screens.
4 The clinician dismisses the patient, triggering the creation of a LATITUDE HL7 device summary message, which is stored in the LATITUDE secure server.
Patient is selected using check box.
Patients are dismissed by clicking on the Dismiss patient icon. This function can also be performed from the Patient Detail screens.
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LATITUDE® Patient Management
There may be circumstances where a download of a patient follow-up record needs to be rerun. LATITUDE has a mechanism for rerunning a patient follow-up record download. By clicking on the menu options Patient Utilities / EMR Log a page will be displayed that contains a function to place already downloaded Patient follow-up records into the EMR outbox. This will cause LTS to see and transfer the HL7 file again. The data will be identical to the initial download.
Select patient record using the check box.
Move previously downloaded records into the EMR Outbox by clicking on icon
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LATITUDE® Patient Management
Follow-up Information Transfer Follow-up information is transferred from LATITUDE to CPO.
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LATITUDE® Patient Management
Assumptions: − The LATITUDE HL7 Device Summary message files have been written to
storage on the LATITUDE secure server that is accessible from the clinic. Each file includes summary follow-up information and a direct URL link to the corresponding patient detail summary screen in LATITUDE.
1 LTS running on the CPO server in the clinic monitors the clinic’s LATITUDE-hosted web folder for new HL7 files by polling the LATITUDE secure server on a periodic basis using a secure WebDAV protocol. The frequency of polling is specified in the LTS configuration file LTS.INI which should be set to 60 seconds.
2 When LTS polling finds a new HL7 file on the LATITUDE secure server, it transfers the file using a secure WebDAV protocol.
3 LTS performs the processing needed to generate appropriate files for importing into the EMR. LTS creates two CPO HL7 files for every LATITUDE HL7 file. One file is a lab report (HL7 ORU message) and has an extension HR. The other file is an image file (HL7 MDM message) and has an extension HT. Once the HL7 file is transferred, the LATITUDE secure server automatically removes access, but retains the data for retransmission purposes. If specified in LTS.INI, a copy of the HL7 file will be saved on the Logician CPO server. NOTE: Details concerning the content of the HL7 files are contained in Appendix A – HL7 Message Structures of this document.
4 LTS writes the CPO HL7 files to the LinkLogic Inbox Folder.
5 DTS imports the data from the LinkLogic inbox folder into the CPO Database. The HL7 ORU message file is first imported into a CPO lab report document. Next, the HL7 MDM message file, which contains the specified URL, is imported and attached to the lab report.
6 During the import process lab codes, document types, physician information, and
patient information are cross-referenced and mapped from LATITUDE to CPO. See Appendix C for more information on Patient Matching.
7 DTS writes the device follow-up information to the CPO Database.
8 DTS changes the extensions of processed files in the LinkLogic Inbox Folder
from HR to HRQ and from HT to HTQ.
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LATITUDE® Patient Management
Patient Record Sign-off Clinician reviews and signs the EMR record in CPO.
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LATITUDE® Patient Management
1 The clinician logs into the CPO client and observes new patient documents.
2 The clinician opens up the patient’s device follow-up document and reviews the information.
The clinician performs other clinical processes that may include linking to the LATITUDE web application for further follow-up data review. The clinician will
Clicking on paperclip icon automatically links to LATITUDE Patient Detail pages
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LATITUDE® Patient Management
not need to re-enter username and password if already logged into LATITUDE, and the IE browser is configured to open a new session in an existing window.
3 The clinician signs the device follow-up report.
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LATITUDE® Patient Management
The flow sheet is available in the patient record after sign off.
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LATITUDE® Patient Management
Appendix A – HL7 Message Structures The LATITUDE to EMR Integration solution relies on HL7 structured messages for the transferring of information. The out-of-box solution provides mappings and transformations of HL7 messages to internal GE CPO data structures. This section provides details concerning the structure and semantics of the HL7 messages for those doing custom work.
It is assumed that readers of this section are familiar with HL7 2.x terminology, specification syntax, data types, message structures and semantics for ORU messages. For more information concerning HL7 messaging visit HL7’s web site at www.hl7.org.
The LATITUDE to GE Healthcare EMR Integration solution consists of two sets of HL7 messages.
− HL7 messages generated by LATITUDE
− HL7 messages created by the LTS component for consumption by GE CPO
LATITUDE HL7 Message Specification The LATITUDE application generates one HL7 message for each remote device follow-up. These messages are retrieved by LTS for use within GE CPO. See the Follow-up Information Transfer section of this document for details concerning this process.
The LATITUDE HL7 file is structured according to the HL7 2.3.1 Observation Result Unsolicited (ORU) message type, which provides for the transmission of new observation information about patients in the form of a lab report document.
LATITUDE’s ORU message will contain useful follow-up summary data, including information from LATITUDE’s Quick Notes report plus leads information and device counters. The message consists of the following segment structures.
Message Structure
Segment Description Usage MSH Message Header The MSH segment contains information about the
Sender and Receiver of the message, the type of the message, a time stamp, etc., and is the first segment in each ORU message.
PID Patient Identification The PID segment contains demographic information about the patient such as name, id codes, zip code, and so on. This information is used for patient matching.
[{ NTE }] Notes and comments THE NTE segment contains alerts and events that have occurred for a particular patient.
PV1 Patient Visit The PV1 (Patient Visit) segment contains information regarding the patient's encounter, such as location assigned, referring doctor, etc.
{ --- grouping BEGIN OBR Observations Request The OBR segment contains information regarding
the characteristics of the last interrogation observation.
{[OBX]} Observation result The OBX segment contains the parameters and values of the last interrogation observation.
} --- grouping END
ZU1 Custom Segment The ZU1 custom segment contains a URL link description.
ZU2 Custom Segment The ZU2 custom segment contains the LATITUDE message version.
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LATITUDE® Patient Management
MSH Segment
ELEMENT NAME SEQ SUB SEQ
DT LEN USAGE CARD TBL# ITEM # Fixed Example Value
Field Separator 1 ST 1 R [1..1] 00001 Y |
Encoding Characters
2 ST 4 R [1..1] 00002 Y ^~\&
Sending Application
3 HD 180 R [1..1] 00003 Y LATITUDE
Sending Facility 4 HD 180 R [1..1] 00004 Y Boston Scientific
Receiving Facility 6 HD 180 RE [0..1] 00006 Clinic Name
Date/Time Of Message
7 TS 26 R [1..1] 00007 20060510150057+0000
Message Type 9 MSG 15 R [1..1] 00009
message code 1 ID 3 R [1..1] 0076 Y ORU
trigger event 2 ID 3 R [1..1] 0003 Y R01
Message Control ID 10 ST 20 R [1..1] 00010 2500144
Processing ID 11 ID 1 R [1..1] 0103 00011 P
Version ID 12 ID 5 R [1..1] 0104 00012 Y 2.3.1
Accept Acknowledgement Type
15 ID 2 R [1..1] 0155 00015 Y NE
Character Set 18 ID 6 R [1..1] 0211 00692 Y 8859/1
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LATITUDE® Patient Management
PID Segment
ELEMENT NAME SEQ SUB SEQ
DT LEN USAGE CARD TBL# ITEM # Fixed Example Value
Set ID – PID 1 SI 1 R [1..1] 00104 Y 1
Patient ID 2 CX 20 R [1..1] 00105
ID 1 ST 20 R [1..1] 4234793618 see NOTE 2
Patient Identifier List
3 CX 20 R [1..1] 00106
ID 1 ST 20 R [1..1] 4234793618~ abc123456 see NOTE 2 & 3
Patient Name 5 XPN 140 R [1..1] 00108
family+last name prefix
1 CM 40 R [1..1] Doe
given name 2 ST 40 R [1..1] John
middle initial or name
3 ST 40 RE [0..1] Jimmy
suffix 4 ST 20 RE [0..1] Jr.
Date/Time Of Birth 7 TS 1 RE [0..1] 00110 19271209
Sex 8 IS 1 RE [0..1] 0001 00111 M
zip or postal code 5 ST 10 RE [0..1] 55408
PID NOTES
1. The PID segment contains data used for patient matching (see Appendix C – Patient Matching)
2. Patient ID and Patient Identifier List contains a unique patient number that is generated and maintained by LATITUDE.
3. LATITUDE allows an authorized user to enter their own patient identifier. The Patient Identifier List may contain the user entered patient identifier as a second patient identifier.
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LATITUDE® Patient Management
NTE Segment
ELEMENT NAME SEQ SUB SEQ
DT LEN USAGE CARD TBL# ITEM # Fixed Example Value
Set ID - NTE 1 SI 1 R [1..1] 00096 1
Source of comment 2 ID 8 R [1..1] 00097 Y LATITUDE
Comment 3 FT 65536 R [1..*] 00098 See content descriptions in NOTE 1
NTE NOTES
1. There is the potential for 4 NTE segments within each device follow-up message. The Set ID and description for these segments will be as follows:
o Set ID 1 – This NTE segment contains a report consisting of an array of alerts that have occurred for a particular patient. There may be more than one alert associated with the given patient/physician pair. The alerts are sorted such that all red alerts appear first followed by yellow alerts. Secondary sorting within each alert type is newest to oldest.
o Set ID 2 – This NTE segment contains information concerning the LATITUDE patient record dismissal. It will contain information about who performed the dismissal and when it was performed.
o Set ID 3 – This NTE segment contains a report consisting of an array of events (stored episodes) that have occurred for a particular patient since the last device follow-up. There may be more than one event associated with the given patient/physician pair. Events are sorted newest to oldest.
o Set ID 4 – This NTE segment contains information about the device if it is in a fault condition. It will contain a fault warning statement and information concerning the fallback mode.
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LATITUDE® Patient Management
PV1 Segment
ELEMENT NAME SEQ SUB SEQ
DT LEN USAGE CARD TBL# ITEM # Fixed Example Value
Set ID - PV1 1 SI 4 R [1..1] 00131 Y 1
Patient Class 2 IS 1 R [1..1] 00132 Y R
Attending Doctor 7 XCN 60 RE [0..1] 00137
ID Number (ST) 1 ST 8 R [1..1]
JHopkins see NOTE 1
family+last name prefix 2 CM 40 R [1..1] Hopkins
given name 3 ST 40 RE [0..1] John
middle initial or name 4 ST 1 RE [0..1] L
suffix 5 ST 20 RE [0..1] Sr.
PV1 NOTES
1. Attending Doctor ID Number is the LATITUDE login name of the responsible physician.
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LATITUDE® Patient Management
OBR Segment
ELEMENT NAME SEQ SUB SEQ
DT LEN USAGE CARD TBL# ITEM # Fixed Example Value
Set ID – OBR 1 SI 4 R [1..1] 00237 Y 1 thru 4 see NOTE 1
Filler Order Number 3 EI 22 R [1..1] 00217
entity identifier 1 ST 10 R [1..1] Unique identifier see NOTE 2
Universal Service ID 4 CE 200 R [1..1] 00238
identifier 1 ST 10 R [1..1]
Boston Scientific -LastInterrogationsee NOTE 1
text 2 ST 50 R [1..1]
Last Interrogation see NOTE 1
Observation Date/Time # 7 TS 26 R [1..1] 00241
20060429080005+0000
Observation End Date/Time # 8 TS 26 RE [0..1] 00242
20060429080005+0000
Ordering Provider 16 XCN 120 RE [0..1] 00226
ID Number 1 ST 10 RE [0..1] JHopkins see NOTE 3
Placer Field 1 18 ST 2 R [1..1] 00253 Y DR see Note 4
Results Rpt/Status Chng – Date/Time + 22 TS 26 RE [0..1] 00255
20060429080005+0000
Result Status + 25 ID 1 R [1..1] 0123 00258 Y F
OBR Notes
1. The LATITUDE ORU message supports four OBRs (Observation Reports). Each OBR will contain multiple OBX records with context specific observations. Details concerning the specific OBX observations are listed in the OBX Segment section of this documentation. CPO will initially support two flow sheet views for the LATITUDE interface – one for the Lead Information OBR, and one for the remaining three OBRs. The CPO flow sheet groups observation results into columns by date/time stamp of the observation. As a result, one LATITUDE HL7 export file will be disbursed into separate CPO flow sheet columns for each Last Interrogation, Implant, and Leads Information OBR, plus each unique last in-office lead test date. The four types of OBRs will have different Set IDs, and Universal Service IDs as follows.
ORU Name Description Set ID Universal Service ID identifier
Universal Service ID text
Last Interrogation
This OBR contains observations from the last remote monitoring session.
1 Boston Scientific-LastInterrogation
Last Interrogation
Implant This OBR contains observations generated at the time the PG was implanted.
2 Boston Scientific-Implant
Implant
Last In-Office Lead Test
This OBR contains observations from the latest in-office Lead Test.
3 Boston Scientific-LastInOffice
Lead Test: In-Office
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LATITUDE® Patient Management
ORU Name Description Set ID Universal Service ID identifier
Universal Service ID text
Lead Information
This OBR contains information about implanted leads.
4 Boston Scientific-Leads
Lead Information
2. Filler Order Number is a unique identifier generated by LATITUDE for all four OBRs. The Filler Order Number will not change for observations that are resent.
3. Ordering Provider is the LATITUDE login name of the responsible physician.
4. Placer Field 1 is a value that CPO uses to identify the type of observation being sent. It is always set to DR which stands for Diagnostic Report.
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LATITUDE® Patient Management
OBX Segment
ELEMENT NAME SEQ SUB SEQ
DT LEN USAGE CARD TBL# ITEM # Fixed Example Values
Set ID - OBX 1 SI 4 R [1..1] 00569
Sequential Integer starting with 1
Value Type 2 ID 2 R [1..1] 0125 00570 ST or NM or DT see NOTE 1
Observation Identifier 3 CE 80 R [1..1] 00571
identifier 1 ST 80 R [1..1] see NOTE 2
text 2 ST 256 R [1..1] see NOTE 2
name of coding system 3 ST 20 R [1..1] Y GDT-LATITUDE
Observation Value 5 -- 4000 RE [0..1] see NOTE 3
Units 6 CE 60 RE [0..1]
identifier 1 ST 20 RE [0..1] see NOTE 4
Observation Result Status 11 ID 1 R [1..1] 0085 00579 Y F
Date/Time of the Observation 14 TS 26 R [0..1] 00582
20060317170000+0006
OBX Notes
1. The value types will be ST – String, NM – Number, or DT – Date.
2. All observations are coded using LATITUDE specific terms. Specifications concerning these terms are in Appendix B – LATITUDE Terms.
3. Observation Value is the value of the observation and will be of the type Value Type.
4. Units of the observation if applicable.
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LATITUDE® Patient Management
Z Segments
ELEMENT NAME SEQ SUB SEQ
DT LEN USAGE CARD TBL# ITEM # Fixed Example Value
Segment Type 1 ST 3 R [1..1] Y ZU1 or ZU2 see NOTE 1
Value 2 ST 40 R [1..1] URL or Report Type see NOTE 1
Z NOTES
1. The Z Segments are customized segments used to transfer LATITUDE specific information. The two types of Z segments used are described below.
o ZU1 – Value contains the URL string that allows a system user to link to the Patient Details screen. Ex. https://www.test.bostonscientific.com/access/physician/patientDetails?=123456789
o ZU2 – Value contains Latitude message description and version. Ex. Device Summary Report Version 1
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LATITUDE® Patient Management
GE CPO HL7 Message Specification The LATITUDE HL7 message is transferred and transformed by the LTS component (see section Follow-up Information Transfer for details). Refer to the GE CPO documentation for specifics concerning the structure of the resulting HL7 ORU and MDM messages that are imported directly into CPO.
The terms used in the LTS transformed OBX records generally remain unchanged from the original LATITUDE HL7 message. Some conversions such as unit identifiers are performed. The ZU1 segment is transformed into an MDM message. Refer to Appendix B – LATITUDE Terms for detailed information concerning OBX terminology.
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emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
Cou
nter
s S
ince
Th
e st
artin
g da
te th
at th
e co
unte
r val
ues
are
calc
ulat
ed fr
om
T
CO
UN
TRS
SIN
CE
M
LI-9
0643
G
DT-
0009
7 X
X
VF
Epi
sode
s To
tal V
entri
cula
r Fib
rilla
tion
Epi
sode
s: T
he
num
ber o
f epi
sode
s in
the
high
est t
achy
zo
ne d
etec
ted
sinc
e th
e C
ount
ers
Sin
ce d
ate
T
VF
EP
ISO
DE
S
MLI
-906
44
GD
T-00
013
X
VT
Epi
sode
s V
T E
piso
des:
VT
Zone
arr
hyth
mia
s de
tect
ed
sinc
e th
e C
ount
ers
Sin
ce d
ate
T
VT
EP
ISO
DE
S
MLI
-906
45
GD
T-00
014
X
VT-
1 E
piso
des
VT-
1 E
piso
des:
VT-
1 Zo
ne a
rrhy
thm
ias
dete
cted
sin
ce th
e C
ount
ers
Sin
ce d
ate
T
VT1
EP
ISO
DE
S
MLI
-906
46
GD
T-00
015
X
Non
-Sus
tain
ed V
entri
cula
r Epi
sode
s To
tal V
entri
cula
r Tac
hyca
rdia
Non
-Sus
tain
ed
Epi
sode
s: T
he n
umbe
r of N
on-S
usta
ined
VT
epis
odes
det
ecte
d si
nce
the
Cou
nter
s S
ince
da
te
T
NS
VTE
PIS
OD
ES
M
LI-9
0647
G
DT-
0001
6 X
ATR
Mod
e S
witc
hes
ATR
Mod
e S
witc
hes:
The
num
ber o
f mod
e sw
itche
s de
tect
ed s
ince
the
"Cou
nter
s S
ince
" dat
e
T
ATR
MO
DE
SW
CH
S
MLI
-906
48
GD
T-00
017
X
AFi
b E
piso
des
Atri
al F
ibril
latio
n E
piso
des:
Atri
al F
ibril
latio
n ep
isod
es d
etec
ted
sinc
e th
e "C
ount
ers
Sin
ce" d
ate
T
AF
EP
ISO
DE
S
MLI
-906
49
GD
T-00
018
X
SV
T E
piso
des
Sup
rave
ntric
ular
(Atri
al) T
achy
card
ia
Epi
sode
s: S
VT
(AT)
epi
sode
s de
tect
ed s
ince
th
e "C
ount
ers
Sin
ce" d
ate
T
AT
EP
ISO
DE
S
MLI
-906
50
GD
T-00
019
X
Atri
al P
erce
nt P
aced
R
ight
Atri
al P
acin
g P
erce
nt: T
he p
erce
nt o
f al
l Rig
ht a
trial
eve
nts
dete
cted
sin
ce th
e C
ount
ers
Sin
ce d
ate
that
wer
e pa
ced.
N
%
RA
% P
AC
ED
M
LI-9
0651
G
DT-
0002
0 X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
28
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
RV
Per
cent
Pac
ed
Rig
ht V
entri
cula
r Pac
ing
Per
cent
: The
pe
rcen
t of a
ll R
ight
ven
tricu
lar e
vent
s de
tect
ed s
ince
the
Cou
nter
s S
ince
dat
e th
at
wer
e pa
ced.
N
%
RV
% P
AC
ED
M
LI-9
0652
G
DT-
0002
1 X
LV P
erce
nt P
aced
Le
ft V
entri
cula
r Pac
ing
Per
cent
: The
per
cent
of
all
left
vent
ricul
ar e
vent
s de
tect
ed s
ince
th
e C
ount
ers
Sin
ce d
ate
that
wer
e pa
ced.
N
%
LV %
PA
CE
D
MLI
-906
53
GD
T-00
022
X
Rig
ht A
trial
Lea
d S
tatu
s Th
e cu
rren
t sta
tus
of th
e R
ight
Atri
al L
ead
dete
rmin
ed b
y th
e de
vice
bas
ed o
n an
alys
is
of th
e le
ad a
mpl
itude
and
impe
danc
e. If
a
valu
e en
coun
tere
d is
out
side
of t
he e
xpec
ted
rang
e, it
s st
atus
is p
rese
nted
.
T
RA
LEA
DS
TATU
S
MLI
-906
54
GD
T-00
023
X
RA
Intri
nsic
Am
plitu
de
Rig
ht A
trial
Intri
nsic
Am
plitu
de (P
-Wav
e)
mea
sure
d du
ring
an In
trins
ic A
mpl
itude
Tes
t. T
mV
R
A IN
TRN
SA
MP
M
LI-9
0692
G
DT-
0002
4G
DT-
0009
8G
DT-
0010
9
X
X
RA
Pac
e Im
peda
nce
Rig
ht A
trial
Lea
d Im
peda
nce
mea
sure
d du
ring
a Le
ad Im
peda
nce
Test
. T
ohm
s R
A P
AC
E IM
PD
M
LI-9
0693
G
DT-
0002
5G
DT-
0009
9G
DT-
0011
0
X
X
Rig
ht V
entri
cula
r Lea
d S
tatu
s Th
e cu
rren
t sta
tus
of th
e R
ight
Ven
tricu
lar
Lead
det
erm
ined
by
the
devi
ce b
ased
on
anal
ysis
of t
he le
ad a
mpl
itude
and
im
peda
nce.
If a
val
ue e
ncou
nter
ed is
out
side
of
the
expe
cted
rang
e, it
s st
atus
is
pres
ente
d.
T
RV
LEA
DS
TATU
S
MLI
-906
55
GD
T-00
026
X
RV
Intri
nsic
Am
plitu
de
Rig
ht V
entri
cula
r Int
rinsi
c A
mpl
itude
(R-
Wav
e) m
easu
red
durin
g an
Intri
nsic
A
mpl
itude
Tes
t.
T m
V
RV
INTR
NS
AM
P
MLI
-906
95
GD
T-00
027
GD
T-00
101
GD
T-00
112
X
X
X
RV
Pac
e Im
peda
nce
Rig
ht V
entri
cula
r Lea
d Im
peda
nce
mea
sure
d du
ring
a Le
ad Im
peda
nce
Test
. T
ohm
s R
V P
AC
E IM
PD
M
LI-9
0696
G
DT-
0002
8G
DT-
0010
2G
DT-
0011
3
X
X
X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
29
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
LV L
ead
Sta
tus
The
curr
ent s
tatu
s of
the
Left
Ven
tricu
lar
Lead
det
erm
ined
by
the
devi
ce b
ased
on
anal
ysis
of t
he le
ad a
mpl
itude
and
im
peda
nce.
If a
val
ue e
ncou
nter
ed is
out
side
of
the
expe
cted
rang
e, it
s st
atus
is
pres
ente
d.
T
LVLE
AD
STA
TUS
M
LI-9
0656
G
DT-
0002
9 X
LV In
trins
ic A
mpl
itude
Le
ft V
entri
cula
r Int
rinsi
c A
mpl
itude
(R-W
ave)
m
easu
red
durin
g an
Intri
nsic
Am
plitu
de T
est.
T m
V
LV IN
TRN
SA
MP
M
LI-9
0685
G
DT-
0003
0G
DT-
0010
4G
DT-
0011
5
X
X
X
LV P
ace
Impe
danc
e Le
ft V
entri
cula
r Lea
d Im
peda
nce
mea
sure
d du
ring
a Le
ad Im
peda
nce
Test
. T
ohm
s LV
PA
CE
IMP
D
MLI
-906
58
GD
T-00
031
GD
T-00
105
GD
T-00
116
X
X
X
Sho
ck V
ecto
r Sta
tus
The
curr
ent s
tatu
s of
the
Sho
ck V
ecto
r de
term
ined
by
the
devi
ce b
ased
on
anal
ysis
of
the
impe
danc
e. If
a v
alue
enc
ount
ered
is
outs
ide
of th
e ex
pect
ed c
onfig
urat
ion,
its
stat
us is
pre
sent
ed.
T
SH
CK
VC
TRS
TAT
MLI
-906
59
GD
T-00
032
X
Sho
ck Im
peda
nce
Last
Del
iver
ed V
entri
cula
r Sho
ck L
ead
Impe
danc
e: T
he s
hock
ing
impe
danc
e fro
m
the
last
ven
tricu
lar s
hock
del
iver
ed.
T oh
ms
SH
CK
LEA
DIM
PD
M
LI-9
0699
G
DT-
0003
3G
DT-
0010
7G
DT-
0011
8
X
X
X
V-T
achy
Mod
e V
entri
cula
r Tac
hy th
erap
y m
ode
T
V-T
AC
HY
MO
DE
M
LI-9
0660
G
DT-
0003
4 X
A-T
achy
Mod
e A
trial
Tac
hy th
erap
y m
ode
T
A-T
AC
HY
MO
DE
M
LI-9
0661
G
DT-
0003
5 X
Bra
dy M
ode
Bra
dy M
ode
(i.e.
, pac
ing
mod
e): T
he m
anne
r in
whi
ch a
dev
ice
prov
ides
rate
and
rhyt
hm
supp
ort.
T
BR
AD
Y M
OD
E
MLI
-906
62
GD
T-00
036
X
Low
er R
ate
Lim
it Lo
wer
Rat
e Li
mit
(LR
L) is
the
rate
at w
hich
th
e im
plan
ted
devi
ce p
aces
the
atriu
m a
nd/o
r ve
ntric
le in
the
abse
nce
of s
ense
d in
trins
ic
activ
ity.
N
bpm
LR
L M
LI-7
5540
G
DT-
0003
7 X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
30
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
Max
imum
Tra
ckin
g R
ate
Max
imum
Tra
ckin
g R
ate:
In th
e D
DD
(R) a
nd
VD
D(R
) mod
es, t
he M
axim
um T
rack
ing
Rat
e (M
TR) i
s th
e m
axim
um ra
te a
t whi
ch th
e ve
ntric
ular
pac
ing
will
trac
k 1:
1 w
ith
nonr
efra
ctor
y se
nsed
atri
al e
vent
s.
T bp
m
MTR
UR
L M
LI-9
6739
G
DT-
0003
8 X
Max
imum
Sen
sor R
ate
The
fast
est s
enso
r-dr
iven
pac
ing
rate
that
ca
n be
ach
ieve
d in
a ra
te-a
dapt
ive
paci
ng
syst
em.
T bp
m
MA
XS
EN
SR
ATE
M
LI-9
6740
G
DT-
0003
9 X
Sen
sitiv
ity R
A
Rig
ht A
trial
Sen
sitiv
ity: T
he A
trial
Sen
sitiv
ity
para
met
er in
dica
tes
the
smal
lest
sig
nal t
hat
will
be
sens
ed in
the
right
atri
um.
T
SE
NS
TVTY
-RA
M
LI-9
0700
G
DT-
0004
0 X
Sen
sitiv
ity R
V
Rig
ht V
entri
cula
r Sen
sitiv
ity: T
he R
ight
V
entri
cula
r Sen
sitiv
ity p
aram
eter
indi
cate
s th
e sm
alle
st s
igna
l tha
t will
be
sens
ed in
the
right
ven
tricl
e.
T
SE
NS
TVTY
-RV
M
LI-9
0701
G
DT-
0004
1 X
Sen
sitiv
ity L
V
Left
Ven
tricu
lar S
ensi
tivity
: The
Lef
t V
entri
cula
r Sen
sitiv
ity p
aram
eter
indi
cate
s th
e sm
alle
st s
igna
l tha
t will
be
sens
ed in
the
left
vent
ricle
.
T
SE
NS
TVTY
-LV
M
LI-9
0702
G
DT-
0004
2 X
Pac
ed A
V D
elay
Th
e va
lue
of th
e A
V D
elay
set
ting.
T
ms
PA
CE
DA
VD
ELA
Y M
LI-9
4268
G
DT-
0004
3 X
Sen
sed
AV
Offs
et
Sen
sed
AV
Offs
et: T
he A
V D
elay
is
shor
tene
d by
the
prog
ram
med
Sen
sed
AV
O
ffset
afte
r a s
ense
d at
rial e
vent
.
T m
s S
EN
SE
DA
VO
FFS
M
LI-9
0687
G
DT-
0004
4 X
AV
Sea
rch
Hys
tere
sis
Sea
rch
Inte
rval
N
umbe
r of p
aced
AV
cyc
les
betw
een
A-V
ra
te s
earc
hes
T
AV
SR
CH
HYS
-SI
MLI
-906
63
GD
T-00
045
X
AV
Sea
rch
Hys
tere
sis
AV
Incr
ease
Th
e pe
rcen
tage
incr
ease
in A
V d
elay
to b
e ap
plie
d to
the
next
car
diac
cyc
le w
hen
AV
S
earc
h is
act
ive.
T %
A
VS
RC
HH
YSA
VI
MLI
-906
64
GD
T-00
046
X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
31
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
A-R
efra
ctor
y (P
VA
RP
) P
ost-V
entri
cula
r Atri
al R
efra
ctor
y P
erio
d (P
VA
RP
) is
the
time
perio
d af
ter a
ven
tricu
lar
even
t, ei
ther
pac
ed o
r sen
sed,
whe
n ac
tivity
in
the
atriu
m d
oes
not r
eset
the
card
iac
cycl
e no
r trig
ger a
ven
tricu
lar s
timul
us.
T m
s P
VA
RP
M
LI-9
0665
G
DT-
0004
7 X
RV
-Ref
ract
ory
(RV
RP
) R
ight
Ven
tricu
lar R
efra
ctor
y P
erio
d is
the
time
perio
d fo
llow
ing
a rig
ht v
entri
cula
r ev
ent,
eith
er p
aced
or s
ense
d, w
hen
sens
ed
elec
tric
activ
ity in
the
right
ven
tricl
e do
es n
ot
rese
t the
tim
ing
cycl
es.
T m
s R
VR
P
MLI
-906
66
GD
T-00
048
X
LV-R
efra
ctor
y (L
VR
P)
Left
Ven
tricu
lar R
efra
ctor
y P
erio
d (L
VR
P) i
s de
fined
as
the
time
perio
d fo
llow
ing
a le
ft ve
ntric
ular
eve
nt, e
ither
pac
ed o
r sen
sed,
w
hen
intri
nsic
LV
eve
nts
will
not
be
used
to
rese
t the
tim
ing
cycl
es.
T m
s L
VR
P
MLI
-967
41
GD
T-00
049
X
LV P
rote
ctio
n P
erio
d Le
ft V
entri
cula
r Pro
tect
ion
Per
iod
(LV
PP
): LV
PP
is th
e pe
riod
afte
r a le
ft ve
ntric
ular
ev
ent,
eith
er p
aced
or s
ense
d, w
hen
the
devi
ce w
ill n
ot p
ace
the
left
vent
ricle
T m
s L
VP
P
MLI
-967
42
GD
T-00
050
X
Ven
tricu
lar P
acin
g C
ham
ber
Pac
ing
Cha
mbe
r: Th
is p
aram
eter
det
erm
ines
th
e ve
ntric
ular
pac
ing
conf
igur
atio
n - e
ither
rig
ht o
r bi-v
entri
cula
r pac
ing.
T
CH
MB
R P
AC
ED
M
LI-7
5554
G
DT-
0005
1 X
Ven
tricu
lar P
acin
g C
ham
ber L
V
Offs
et
Offs
et b
etw
een
deliv
ery
of R
V a
nd L
V p
acin
g pu
lses
. The
offs
et is
app
lied
to th
e LV
pac
ing
puls
e, b
ased
on
the
timin
g of
the
RV
pac
ing
puls
e. T
he o
ffset
may
hav
e a
nega
tive
or
posi
tive
valu
e.
T m
s LV
PC
ELV
OFF
ST
MLI
-906
67
GD
T-00
052
X
Pac
ing
Out
put -
RA
Th
e co
mbi
natio
n of
the
Rig
ht A
trial
A
mpl
itude
and
the
Rig
ht A
trial
Pul
se W
idth
. T
P
AC
EO
UTP
UTR
A
MLI
-906
88
GD
T-00
053
X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
32
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
Pac
ing
Out
put -
RV
Th
e co
mbi
natio
n of
the
Rig
ht V
entri
cula
r A
mpl
itude
and
the
Rig
ht V
entri
cula
r Pul
se
Wid
th.
T
PA
CE
OU
TPU
TRV
M
LI-9
0689
G
DT-
0005
4 X
Pac
ing
Out
put -
LV
Th
e co
mbi
natio
n of
the
Left
Ven
tricu
lar
Am
plitu
de a
nd th
e Le
ft V
entri
cula
r Pul
se
Wid
th.
T
PA
CE
OU
TPU
TLV
M
LI-9
0690
G
DT-
0005
5 X
ATR
Mod
e S
witc
h M
ode
ATR
Mod
e S
witc
h M
ode:
Non
-trac
king
pa
cing
mod
e ch
ange
whe
n pa
tient
ex
perie
nces
atri
al ta
chya
rrhy
thm
ia.
T
MO
DE
SW
TCH
ST
MLI
-755
67
GD
T-00
056
X
ATR
Mod
e S
witc
h R
ate
Atri
al T
achy
Res
pons
e R
ate
is th
e pa
cing
ra
te to
whi
ch th
e m
ode
switc
hes
in a
new
th
erap
y se
tting
.
T bp
m
MO
DE
SW
CH
RA
TE
MLI
-906
91
GD
T-00
057
X
AFi
b Zo
ne
AFi
b R
ate
Thre
shol
d: T
he ra
te a
bove
whi
ch
an A
-A in
terv
al is
cla
ssifi
ed in
the
AFi
b zo
ne.
T bp
m
AFI
B Z
ON
E
MLI
-906
68
GD
T-00
058
X
AFi
b Zo
ne A
TP1
Type
A
TP T
hera
py fo
r the
firs
t the
rapy
set
T
A
FATP
1TYP
E
MLI
-906
69
GD
T-00
059
X
AFi
b Zo
ne A
TP1
Num
ber o
f Bur
sts
The
prog
ram
med
num
ber o
f atri
al A
ntita
chy
Pac
ing
burs
ts d
eliv
ered
in th
e A
Fib
Zone
by
an im
plan
ted
devi
ce fo
r the
firs
t pro
gram
med
at
rial t
hera
py s
et.
T
AFA
TP1
#BR
ST
MLI
-906
70
GD
T-00
060
X
AFi
b Zo
ne A
TP2
Type
A
TP T
hera
py fo
r the
sec
ond
prog
ram
med
th
erap
y se
t. T
A
FATP
2TYP
E
MLI
-906
71
GD
T-00
061
X
AFi
b Zo
ne A
TP2
Num
ber o
f Bur
sts
The
prog
ram
med
num
ber o
f atri
al A
ntita
chy
Pac
ing
burs
ts d
eliv
ered
in th
e A
Fib
Zone
by
an im
plan
ted
devi
ce fo
r the
sec
ond
prog
ram
med
atri
al th
erap
y se
t.
T
AFA
TP2
#BR
ST
MLI
-906
72
GD
T-00
062
X
AFi
b Zo
ne S
hock
1 E
nerg
y A
Fib
Sho
ck 1
Ene
rgy:
The
am
ount
of e
nerg
y de
liver
ed in
the
first
sho
ck o
f the
AFi
b zo
ne.
T jo
ules
A
FIB
SH
OC
K 1
M
LI-9
0703
G
DT-
0006
3 X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
33
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
AFi
b Zo
ne S
hock
2 E
nerg
y A
Fib
Sho
ck 2
Ene
rgy:
The
am
ount
of e
nerg
y de
liver
ed in
the
seco
nd s
hock
of t
he A
Fib
zone
.
T jo
ules
A
FIB
SH
OC
K 2
M
LI-9
0704
G
DT-
0006
4 X
AFi
b Zo
ne S
hock
3 E
nerg
y A
Fib
Sho
ck 3
Ene
rgy:
The
am
ount
of e
nerg
y de
liver
ed in
the
third
sho
ck o
f the
AFi
b zo
ne.
T jo
ules
A
FIB
SH
OC
K 3
M
LI-9
0705
G
DT-
0006
5 X
SV
T Zo
ne
SV
T (A
T) R
ate
Thre
shol
d: T
he ra
te a
bove
w
hich
an
A-A
inte
rval
is c
lass
ified
in th
e S
VT
Zone
(i.e
., A
T Zo
ne).
N
bpm
A
T ZO
NE
M
LI-7
5573
G
DT-
0006
6 X
SV
T Zo
ne A
TP1
Type
Th
e ty
pe o
f atri
al A
ntita
chy
Pac
ing
burs
ts
deliv
ered
in th
e S
VT
Zone
(i.e
., A
T Zo
ne) b
y an
impl
ante
d de
vice
for t
he fi
rst p
rogr
amm
ed
atria
l the
rapy
set
.
T
ATA
TP1T
YPE
M
LI-9
0673
G
DT-
0006
7 X
SV
T Zo
ne A
TP1
Num
ber o
f Bur
sts
The
num
ber o
f atri
al A
ntita
chy
Pac
ing
burs
ts
deliv
ered
in th
e S
VT
Zone
(i.e
., A
T Zo
ne) b
y an
impl
ante
d de
vice
for t
he fi
rst p
rogr
amm
ed
atria
l the
rapy
set
.
T
ATA
TP1
#BR
ST
MLI
-906
74
GD
T-00
068
X
SV
T Zo
ne A
TP2
Type
Th
e ty
pe o
f atri
al A
ntita
chy
Pac
ing
burs
ts
deliv
ered
in th
e S
VT
Zone
(i.e
., A
T Zo
ne) b
y an
impl
ante
d de
vice
for t
he s
econ
d pr
ogra
mm
ed a
trial
ther
apy
set.
T
ATA
TP2T
YPE
M
LI-9
0675
G
DT-
0006
9 X
SV
T Zo
ne A
TP2
Num
ber o
f Bur
sts
The
num
ber o
f atri
al A
ntita
chy
Pac
ing
burs
ts
deliv
ered
in th
e S
VT
Zone
(i.e
., A
T Zo
ne) b
y an
impl
ante
d de
vice
for t
he s
econ
d pr
ogra
mm
ed a
trial
ther
apy
set.
T
ATA
TP2
#BR
ST
MLI
-906
76
GD
T-00
070
X
SV
T Zo
ne S
hock
1 E
nerg
y S
VT
(AT)
Sho
ck 1
Ene
rgy:
The
am
ount
of
ener
gy d
eliv
ered
in th
e fir
st s
hock
of t
he S
VT
Zone
(i.e
., A
T Zo
ne).
T jo
ules
A
T S
HO
CK
1 M
LI-9
0706
G
DT-
0007
1 X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
34
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
SV
T Zo
ne S
hock
2 E
nerg
y S
VT
(AT)
Sho
ck 2
Ene
rgy:
The
am
ount
of
ener
gy d
eliv
ered
in th
e se
cond
sho
ck o
f the
S
VT
Zone
(i.e
., A
T Zo
ne).
T jo
ules
A
T S
HO
CK
2 M
LI-9
0707
G
DT-
0007
2 X
SV
T Zo
ne S
hock
3 E
nerg
y S
VT
(AT)
Sho
ck 3
Ene
rgy:
The
am
ount
of
ener
gy d
eliv
ered
in th
e th
ird s
hock
of t
he
SV
T Zo
ne (i
.e.,
AT
Zone
).
T jo
ules
A
T S
HO
CK
3 M
LI-9
0708
G
DT-
0007
3 X
VF
Zone
V
F R
ate
Thre
shol
d: T
he ra
te a
bove
whi
ch a
n R
-R in
terv
al is
cla
ssifi
ed in
the
VF
zone
N
bp
m
VF
ZON
E
MLI
-755
78
GD
T-00
074
X
VF
Sho
ck 1
Ene
rgy
VF
Sho
ck 1
Ene
rgy:
The
am
ount
of e
nerg
y de
liver
ed in
the
first
sho
ck o
f the
VF
zone
. N
jo
ules
V
F S
HO
CK
1
MLI
-755
80
GD
T-00
075
X
VF
Sho
ck 2
Ene
rgy
VF
Sho
ck 2
Ene
rgy:
The
am
ount
of e
nerg
y de
liver
ed in
the
seco
nd s
hock
of t
he V
F zo
ne.
N
joul
es
VF
SH
OC
K 2
M
LI-7
5581
G
DT-
0007
6 X
VF
Max
Sho
ck E
nerg
y V
F M
axim
um S
hock
Ene
rgy:
The
am
ount
of
ener
gy d
eliv
ered
in e
ach
rem
aini
ng s
hock
af
ter t
he s
econ
d sh
ock
of th
e V
F zo
ne.
N
joul
es
VF
MA
X S
HO
CK
M
LI-7
5582
G
DT-
0007
7 X
VF
Num
ber O
f Add
ition
al S
hock
s V
F N
umbe
r Of A
dditi
onal
Sho
cks:
The
nu
mbe
r of a
dditi
onal
max
ene
rgy
shoc
ks in
th
e V
F zo
ne p
rogr
amm
ed fo
r del
iver
y.
T
VF
AD
DL
SH
KS
M
LI-9
0709
G
DT-
0007
8 X
VT
Zone
V
T R
ate
Thre
shol
d: T
he ra
te a
bove
whi
ch a
n R
-R in
terv
al is
cla
ssifi
ed in
the
VT
zone
N
bp
m
VT
ZON
E
MLI
-755
84
GD
T-00
079
X
VT
Zone
ATP
1 Ty
pe
The
type
of v
entri
cula
r Ant
itach
y P
acin
g bu
rsts
del
iver
ed in
the
VT
Zone
by
an
impl
ante
d de
vice
for t
he fi
rst p
rogr
amm
ed
vent
ricul
ar th
erap
y se
t.
T
VTA
TP1T
YPE
M
LI-9
0677
G
DT-
0008
0 X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
35
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
VT
Zone
ATP
1 N
umbe
r of B
urst
s Th
e nu
mbe
r of v
entri
cula
r Ant
itach
y P
acin
g bu
rsts
del
iver
ed in
the
VT
Zone
by
an
impl
ante
d de
vice
for t
he fi
rst p
rogr
amm
ed
vent
ricul
ar th
erap
y se
t.
T
VTA
TP1
#BR
ST
MLI
-906
78
GD
T-00
081
X
VT
Zone
ATP
2 Ty
pe
The
type
of v
entri
cula
r Ant
itach
y P
acin
g bu
rsts
del
iver
ed in
the
VT
Zone
by
an
impl
ante
d de
vice
for t
he s
econ
d pr
ogra
mm
ed v
entri
cula
r the
rapy
set
.
T
VTA
TP2T
YPE
M
LI-9
0679
G
DT-
0008
2 X
VT
Zone
ATP
2 N
umbe
r of B
urst
s Th
e nu
mbe
r of v
entri
cula
r Ant
itach
y P
acin
g bu
rsts
del
iver
ed in
the
VT
Zone
by
an
impl
ante
d de
vice
for t
he s
econ
d pr
ogra
mm
ed v
entri
cula
r the
rapy
set
.
T
VTA
TP2
#BR
ST
MLI
-906
80
GD
T-00
083
X
VT
Sho
ck 1
Ene
rgy
VT
Sho
ck 1
Ene
rgy:
The
am
ount
of e
nerg
y de
liver
ed in
the
first
sho
ck o
f the
VT
zone
. T
joul
es
VT
SH
OC
K1
MLI
-907
10
GD
T-00
084
X
VT
Sho
ck 2
Ene
rgy
VT
Sho
ck 2
Ene
rgy:
The
am
ount
of e
nerg
y de
liver
ed in
the
seco
nd s
hock
of t
he V
T zo
ne.
T jo
ules
V
T S
HO
CK
2 M
LI-9
0711
G
DT-
0008
5 X
VT
Max
Sho
ck E
nerg
y V
T M
axim
um S
hock
Ene
rgy:
The
am
ount
of
ener
gy d
eliv
ered
in e
ach
rem
aini
ng s
hock
af
ter t
he s
econ
d sh
ock
of th
e V
T zo
ne.
T jo
ules
V
T M
AX
SH
OC
K
MLI
-907
12
GD
T-00
086
X
VT
Num
ber O
f Add
ition
al M
ax
Ene
rgy
Sho
cks
VT
Num
ber O
f Add
ition
al S
hock
s: T
he
num
ber o
f add
ition
al m
ax e
nerg
y sh
ocks
in
the
VT
zone
pro
gram
med
for d
eliv
ery.
T
VT
AD
DL
SH
KS
M
LI-9
0713
G
DT-
0008
7 X
VT-
1 Zo
ne
VT-
1 R
ate
Thre
shol
d: T
he ra
te a
bove
whi
ch
an R
-R in
terv
al is
cla
ssifi
ed in
the
VT-
1 zo
ne
N
bpm
V
T1 Z
ON
E
MLI
-936
13
GD
T-00
088
X
VT-
1 A
TP1
Type
Th
e ty
pe o
f ven
tricu
lar A
ntita
chy
Pac
ing
burs
ts d
eliv
ered
in th
e V
T-1
Zone
by
an
impl
ante
d de
vice
for t
he fi
rst v
entri
cula
r th
erap
y se
t
T
VT1
ATP
1TYP
E
MLI
-906
81
GD
T-00
089
X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
36
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
VT-
1 A
TP1
Num
ber o
f Bur
sts
The
num
ber o
f ven
tricu
lar A
ntita
chy
Pac
ing
burs
ts d
eliv
ered
in th
e V
T-1
Zone
by
an
impl
ante
d de
vice
for t
he fi
rst v
entri
cula
r th
erap
y se
t
T
VT1
ATP
1#B
RS
T M
LI-9
0682
G
DT-
0009
0 X
VT-
1 A
TP2
Type
Th
e ty
pe o
f ven
tricu
lar A
ntita
chy
Pac
ing
burs
ts d
eliv
ered
in th
e V
T-1
Zone
by
an
impl
ante
d de
vice
for t
he s
econ
d ve
ntric
ular
A
TP th
erap
y se
t.
T
VT1
ATP
2TYP
E
MLI
-906
83
GD
T-00
091
X
VT-
1 A
TP2
Num
ber o
f Bur
sts
The
num
ber o
f ven
tricu
lar A
ntita
chy
Pac
ing
burs
ts d
eliv
ered
in th
e V
T-1
Zone
by
an
impl
ante
d de
vice
for t
he s
econ
d ve
ntric
ular
A
TP th
erap
y se
t.
T
VT1
ATP
2#B
RS
T M
LI-9
0684
G
DT-
0009
2 X
VT-
1 S
hock
1 E
nerg
y V
T-1
Sho
ck 1
Ene
rgy:
The
am
ount
of e
nerg
y de
liver
ed in
the
first
sho
ck o
f the
VT-
1 zo
ne.
T jo
ules
V
T1 S
HO
CK
1
MLI
-907
14
GD
T-00
093
X
VT-
1 S
hock
2 E
nerg
y V
T-1
Sho
ck 2
Ene
rgy:
The
am
ount
of e
nerg
y de
liver
ed in
the
seco
nd s
hock
of t
he V
T-1
zone
.
T jo
ules
V
T1 S
HO
CK
2
MLI
-907
15
GD
T-00
094
X
VT-
1 M
ax S
hock
Ene
rgy
VT-
1 M
axim
um S
hock
Ene
rgy:
The
am
ount
of
ene
rgy
deliv
ered
in e
ach
rem
aini
ng s
hock
af
ter t
he s
econ
d sh
ock
of th
e V
T-1
zone
.
T jo
ules
V
T1 M
AX
SH
OC
K
MLI
-907
16
GD
T-00
095
X
VT-
1 N
umbe
r Of A
dditi
onal
Max
E
nerg
y S
hock
s V
T-1
Num
ber O
f Add
ition
al S
hock
s: T
he
num
ber o
f sho
cks
in th
e V
T-1
zone
pr
ogra
mm
ed fo
r del
iver
y.
T
VT1
AD
DL
SH
KS
M
LI-9
0717
G
DT-
0009
6 X
RA
Pac
e Th
resh
old
The
min
imum
ele
ctric
al s
timul
atio
n (p
acem
aker
out
put p
ulse
) req
uire
d to
co
nsis
tent
ly in
itiat
e R
ight
Atri
al
depo
lariz
atio
n.
T
RA
PA
CE
THR
SH
M
LI-9
0694
G
DT-
0010
0G
DT-
0011
1 X
X
X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
37
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
RV
Pac
e Th
resh
old
The
min
imum
ele
ctric
al s
timul
atio
n (p
acin
g ou
tput
pul
se) r
equi
red
to c
onsi
sten
tly in
itiat
e R
ight
Ven
tricu
lar d
epol
ariz
atio
n.
T
RV
PA
CE
THR
SH
M
LI-9
0697
G
DT-
0010
3G
DT-
0011
4 X
X
X
LV P
ace
Thre
shol
d Th
e m
inim
um e
lect
rical
stim
ulat
ion
(pac
ing
outp
ut p
ulse
) req
uire
d to
con
sist
ently
initi
ate
Left
Ven
tricu
lar d
epol
ariz
atio
n.
T
LV P
AC
ETH
RS
H
MLI
-906
98
GD
T-00
106
GD
T-00
117
X
X
Lead
1: I
mpl
ant D
ate
The
Impl
ant D
ate
of th
is le
ad.
T
LEA
D1-
IMP
TDT
MLI
-905
89
GD
T-00
120
X
Lead
1: M
anuf
actu
rer
The
Man
ufac
ture
r of t
his
lead
. T
LE
AD
1-M
NFC
TR
MLI
-905
90
GD
T-00
121
X
Lead
1: M
odel
Num
ber
The
Mod
el o
f thi
s le
ad.
T
LEA
D1-
MO
DE
L#
MLI
-905
91
GD
T-00
122
X
Lead
1: S
eria
l Num
ber
The
Ser
ial n
umbe
r of t
his
lead
. T
LE
AD
1-S
ER
L#
MLI
-905
92
GD
T-00
123
X
Lead
1: P
olar
ity
The
Pol
arity
of t
his
lead
. T
LE
AD
1-P
OLR
TY
MLI
-905
93
GD
T-00
124
X
Lead
1: P
ositi
on
The
Pos
ition
of t
his
lead
. T
LE
AD
1-P
OS
TN
MLI
-905
94
GD
T-00
125
X
Lead
1: S
tatu
s Th
e st
atus
of t
his
lead
. T
LE
AD
1-S
TATU
S
MLI
-905
95
GD
T-00
126
X
Lead
2: I
mpl
ant D
ate
The
Impl
ant D
ate
of th
is le
ad.
T
LEA
D2-
IMP
TDT
MLI
-905
96
GD
T-00
130
X
Lead
2: M
anuf
actu
rer
The
Man
ufac
ture
r of t
his
lead
. T
LE
AD
2-M
NFC
TR
MLI
-905
97
GD
T-00
131
X
Lead
2: M
odel
Num
ber
The
Mod
el o
f thi
s le
ad.
T
LEA
D2-
MO
DE
L#
MLI
-905
98
GD
T-00
132
X
Lead
2: S
eria
l Num
ber
The
Ser
ial n
umbe
r of t
his
lead
. T
LE
AD
2-S
ER
L#
MLI
-905
99
GD
T-00
133
X
Lead
2: P
olar
ity
The
Pol
arity
of t
his
lead
. T
LE
AD
2-P
OLR
TY
MLI
-906
00
GD
T-00
134
X
Lead
2: P
ositi
on
The
Pos
ition
of t
his
lead
. T
LE
AD
2-P
OS
TN
MLI
-906
01
GD
T-00
135
X
Lead
2: S
tatu
s Th
e st
atus
of t
his
lead
. T
LE
AD
2-S
TATU
S
MLI
-906
02
GD
T-00
136
X
Lead
3: I
mpl
ant D
ate
The
Impl
ant D
ate
of th
is le
ad.
T
LEA
D3-
IMP
TDT
MLI
-906
03
GD
T-00
140
X
Lead
3: M
anuf
actu
rer
The
Man
ufac
ture
r of t
his
lead
. T
LE
AD
3-M
NFC
TR
MLI
-906
04
GD
T-00
141
X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
38
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
Lead
3: M
odel
Num
ber
The
Mod
el o
f thi
s le
ad.
T
LEA
D3-
MO
DE
L#
MLI
-906
05
GD
T-00
142
X
Lead
3: S
eria
l Num
ber
The
Ser
ial n
umbe
r of t
his
lead
. T
LE
AD
3-S
ER
L#
MLI
-906
06
GD
T-00
143
X
Lead
3: P
olar
ity
The
Pol
arity
of t
his
lead
. T
LE
AD
3-P
OLR
TY
MLI
-906
07
GD
T-00
144
X
Lead
3: P
ositi
on
The
Pos
ition
of t
his
lead
. T
LE
AD
3-P
OS
TN
MLI
-906
08
GD
T-00
145
X
Lead
3: S
tatu
s Th
e st
atus
of t
his
lead
. T
LE
AD
3-S
TATU
S
MLI
-906
09
GD
T-00
146
X
Lead
4: I
mpl
ant D
ate
The
Impl
ant D
ate
of th
is le
ad.
T
LEA
D4-
IMP
TDT
MLI
-906
10
GD
T-00
150
X
Lead
4: M
anuf
actu
rer
The
Man
ufac
ture
r of t
his
lead
. T
LE
AD
4-M
NFC
TR
MLI
-906
11
GD
T-00
151
X
Lead
4: M
odel
Num
ber
The
Mod
el o
f thi
s le
ad.
T
LEA
D4-
MO
DE
L#
MLI
-906
12
GD
T-00
152
X
Lead
4: S
eria
l Num
ber
The
Ser
ial n
umbe
r of t
his
lead
. T
LE
AD
4-S
ER
L#
MLI
-906
13
GD
T-00
153
X
Lead
4: P
olar
ity
The
Pol
arity
of t
his
lead
. T
LE
AD
4-P
OLR
TY
MLI
-906
14
GD
T-00
154
X
Lead
4: P
ositi
on
The
Pos
ition
of t
his
lead
. T
LE
AD
4-P
OS
TN
MLI
-906
15
GD
T-00
155
X
Lead
4: S
tatu
s Th
e st
atus
of t
his
lead
. T
LE
AD
4-S
TATU
S
MLI
-906
16
GD
T-00
156
X
Lead
5: I
mpl
ant D
ate
The
Impl
ant D
ate
of th
is le
ad.
T
LEA
D5-
IMP
TDT
MLI
-906
17
GD
T-00
160
X
Lead
5: M
anuf
actu
rer
The
Man
ufac
ture
r of t
his
lead
. T
LE
AD
5-M
NFC
TR
MLI
-906
18
GD
T-00
161
X
Lead
5: M
odel
Num
ber
The
Mod
el o
f thi
s le
ad.
T
LEA
D5-
MO
DE
L#
MLI
-906
19
GD
T-00
162
X
Lead
5: S
eria
l Num
ber
The
Ser
ial n
umbe
r of t
his
lead
. T
LE
AD
5-S
ER
L#
MLI
-906
20
GD
T-00
163
X
Lead
5: P
olar
ity
The
Pol
arity
of t
his
lead
. T
LE
AD
5-P
OLR
TY
MLI
-906
21
GD
T-00
164
X
Lead
5: P
ositi
on
The
Pos
ition
of t
his
lead
. T
LE
AD
5-P
OS
TN
MLI
-906
22
GD
T-00
165
X
Lead
5: S
tatu
s Th
e st
atus
of t
his
lead
. T
LE
AD
5-S
TATU
S
MLI
-906
23
GD
T-00
166
X
Lead
6: I
mpl
ant D
ate
The
Impl
ant D
ate
of th
is le
ad.
T
LEA
D6-
IMP
TDT
MLI
-906
24
GD
T-00
170
X
EMR
Inte
grat
ion
Tech
nica
l App
licat
ion
Ove
rvie
w –
357
729-
003
P
age
39
LATI
TUD
E® P
atie
nt M
anag
emen
t
O
BR
Sec
tion
Term
Nam
e D
escr
iptio
n D
ata
Type
U
nit
CPO
Flo
w S
heet
La
bel
CPO
MLI
C
ode
GD
T C
ode
Last Interrogation
Implant
Lead Test
Lead Information
Lead
6: M
anuf
actu
rer
The
Man
ufac
ture
r of t
his
lead
. T
LE
AD
6-M
NFC
TR
MLI
-906
25
GD
T-00
171
X
Lead
6: M
odel
Num
ber
The
Mod
el o
f thi
s le
ad.
T
LEA
D6-
MO
DE
L#
MLI
-906
26
GD
T-00
172
X
Lead
6: S
eria
l Num
ber
The
Ser
ial n
umbe
r of t
his
lead
. T
LE
AD
6-S
ER
L#
MLI
-906
27
GD
T-00
173
X
Lead
6: P
olar
ity
The
Pol
arity
of t
his
lead
. T
LE
AD
6-P
OLR
TY
MLI
-906
28
GD
T-00
174
X
Lead
6: P
ositi
on
The
Pos
ition
of t
his
lead
. T
LE
AD
6-P
OS
TN
MLI
-906
29
GD
T-00
175
X
Lead
6: S
tatu
s Th
e st
atus
of t
his
lead
. T
LE
AD
6-S
TATU
S
MLI
-906
30
GD
T-00
176
X
Lead
7: I
mpl
ant D
ate
The
Impl
ant D
ate
of th
is le
ad.
T
LEA
D7-
IMP
TDT
MLI
-906
31
GD
T-00
180
X
Lead
7: M
anuf
actu
rer
The
Man
ufac
ture
r of t
his
lead
. T
LE
AD
7-M
NFC
TR
MLI
-906
32
GD
T-00
181
X
Lead
7: M
odel
Num
ber
The
Mod
el o
f thi
s le
ad.
T
LEA
D7-
MO
DE
L#
MLI
-906
33
GD
T-00
182
X
Lead
7: S
eria
l Num
ber
The
Ser
ial n
umbe
r of t
his
lead
. T
LE
AD
7-S
ER
L#
MLI
-906
34
GD
T-00
183
X
Lead
7: P
olar
ity
The
Pol
arity
of t
his
lead
. T
LE
AD
7-P
OLR
TY
MLI
-906
35
GD
T-00
184
X
Lead
7: P
ositi
on
The
Pos
ition
of t
his
lead
. T
LE
AD
7-P
OS
TN
MLI
-906
36
GD
T-00
185
X
Lead
7: S
tatu
s Th
e st
atus
of t
his
lead
. T
LE
AD
7-S
TATU
S
MLI
-906
37
GD
T-00
186
X
EMR Integration Technical Application Overview – 357729-003
Page 40
LATITUDE® Patient Management
Appendix C – Patient Matching
Patient records sent from LATITUDE will be matched to patient records in CPO using the matching algorithm depicted in the following CPO screen. See your CPO technical documentation for details on configuring Patient Matching.
The first time data for a particular patient is sent to CPO, a demographics match will need to occur. If such a match cannot be made, the imported file goes into an exception queue waiting for the LinkLogic Manager to manually resolve the problem.
Upon a successful match (either automatically via a demographics match, or manually by the LinkLogic manager), LATITUDE's External ID for the patient will be automatically paired with the CPO Patient ID in a CPO table.1 For that patient, subsequent transmissions will then match on LATITUDE’s External ID for the patient and either Birth Date or Last Name.
There can be duplicate patient records in LATITUDE that later get combined through a merge. Prior to the merge, the duplicate records will have different external patient IDs. Thus, the interface should be configured to update the external patient ID upon a successful demographics match, in order to record the one external ID for the patient that is retained following a merge. 1 LinkLogic can be configured to create a new ID set and associate it with a specific interface.
EMR Integration Technical Application Overview – 357729-003
Page 41
LATITUDE® Patient Management
EMR Integration Technical Application Overview – 357729-003
Page 42
LATITUDE® Patient Management
Boston Scientific 4100 Hamline Avenue North St. Paul, MN 55112-5798 USA Telephone: 651.582.4000 Medical Professionals: 1.800.CARDIAC (227.3422) Patients and Families: 1.866.484.3268
www.bostonscientific.com
© 2008 Boston Scientific or its affiliates. All rights reserved. 357729-003 EN US 05/08
*357729-003*