Postoperative Arrhythmias in Congenital Heart Disease

Data Specifications Manual

Becky Grando, LPN Database Administrator

08/27/2007 Finalized

04/04/2008

Page 1 of 59

Table of Contents Page

Title Page………………………………………………………………..1

Table of Contents………………………………………………………..2

Baseline Date Entry……………………………………………………..3

Postoperative Data Entry………………………………………………..7

Postoperative Arrhythmia Study Information………………………….15

Author Becky Grando, LPN

Database Administrator On behalf of

The Pediatric Heart Institute at Vanderbilt Children’s Hospital

Page 2 of 59

Table Name: Postoperative Arrhythmia Field Name: Subject ID Short Name: SubjID Format: Text Datasource: User Definition: An arbitrary identification number separate from the patient’s medical record and social security numbers that is assigned for those patients enrolled in the PACS study. If a patient is not enrolled in the PACS study, then the default “XXXX” should be entered by the user. ParentField: ParentShortName: Valid Data: Field Name: Preoperative Electrocardiogram Short Name: PreopECG Format: Integer Datasource: User Definition: Indicate whether or not a preoperative ECG was performed. ParentField: ParentShortName: Valid Data: 1-2 Coding: 1 = Yes 2 = No Field Name: Preoperative Arrhythmia Short Name: PreopArrhythmia Format: Integer Datasource: User Definition: Indicate whether or not a preoperative arrhythmia is present. ParentField: ParentShortName: Valid Data: 1-2

Page 3 of 59

Coding: 1 = Yes 2 = No Field Name: Preoperative Arrhythmia Type Short Name: PreopArrhyType Format: Integer Datasource: User Definition: Indicate what specific type of preoperative arrhythmia is present. ParentField: Preoperative Arrhythmia ParentShortName: PreopArrhythmia If set to 1 or “Yes” Valid Data: 1-4, 10-14, 100-103, 110, 1101-1102, 120, 130-132, 20-22, 210, 30-31, 310-312, 3110-3111 Coding: 1 = Supraventricular tachycardia (SVT) 10 = Atrial Tachycardia 100 = Atrial Flutter 101 = Atrial Fibrillation 102 = Multifocal/chaotic atrial tachycardia 103 = Atrial Tachycardia NOS 11 = AV nodal tachycardia 110 = AV nodal re-entrant tachycardia (AVNRT) 1101 = Typical AVNRT 1102 = Atypical AVNRT 12 = AV junctional tachycardia 120 = Junctional Ectopic Tachycardia (JET) 13 = Accessory connection mediated 130 = Orthodromic reciprocating tachycardia (ORT) 131 = Permanent junctional reciprocating tachycardia (PJRT) 132 = Antidromic reciprocating tachycardia (ART) 14 = Narrow-complex tachycardia NOS 2 = Ventricular tachycardia (VT) 20 = Monomorphic ventricular tachycardia 21 = Polymorphic ventricular tachycardia 210 = Torsades des pointes 22 = Wide-complex tachycardia NOS 3 = Conduction disorder 30 = Sinus node dysfunction 31 = Atrioventricular (AV) nodal dysfunction 310 = First degree AV block 311 = Second degree AV block 3110 = Mobitz Type I (Wenkebach)

Page 4 of 59

3111 = Mobitz Type II 312 = Third degree AV block (complete) 4 = Bradyarrhythmia NOS Field Name: Preoperative Non-Arrhythmia Medications Short Name: PreopMeds Format:Text Datasource: User Definition: List all preoperative non arrhythmia medications the patient is receiving at the time of surgery. ParentField: ParentShortName: Valid Data: Coding: Field Name: Preoperative Anti Arrhythmic Medications Short Name: PreopAntiArryhMeds Format:Integer Datasource: User Definition: List all preoperative antiarrhythmic medications the patient is receiving at the time of surgery. ParentField: Preoperative arrhythmia therapy ParentShortName: Preoptherapy Answer = 1 or Medical Therapy Valid Data: (from medication table) Coding: Field Name: Preoperative arrhythmia therapy Short Name: Preoptherapy Format:Integer Datasource: User Definition: List all arrhythmia specific therapy occurring prior to the date of surgery

Page 5 of 59

ParentField: ParentShortName: Valid Data: 0-4 Coding: 0 = None

1 = Medical Therapy 2 = History of temp pacing 3 = Permanent pacing 4 = Implantable cardioverter/defibrillator Field Name: Family history of arrhythmia Short Name: Fmlyhx Format:Integer Datasource: User Definition: Is there a history of familial history of arrhythmia? ***Family is defined as siblings, parents, grandparents*** ParentField: ParentShortName: Valid Data: 1-2 Coding: 1 = Yes 2 = No 3 = Unknown Field Name: Family history of arrhythmia Short Name: Fmlyhx1 Format:string Datasource: User Definition: List all pertinent family history. ParentField: Family history of arrhythmia ParentShortName: Familyhx Answer = 1 or “Yes”. Valid Data: Coding:

Page 6 of 59

Table Name: Postoperative Arrhythmia Field Name: Postoperative ECG Short Name: PostopECG Format:Integer Datasource: User Definition: Indicate whether or not a postoperative ECG was obtained. ParentField: ParentShortName: Valid Data: 1-2 Coding: 1 = Yes 2 = No Field Name: Postoperative pH Short Name: PostoppH Format:float Datasource: User Definition: Record the first pH lab value obtained in the ICU ParentField: ParentShortName: Valid Data: 6.8-7.8 Coding: Field Name: Postoperative pCO2 Short Name: PostoppCO2 Format:float Datasource: User Definition: Record the first pCO2 lab value obtained in the ICU

Page 7 of 59

ParentField: ParentShortName: Valid Data: 0 - 100 Coding: Field Name: Postoperative PO2 Short Name: PostopPO2 Format:float Datasource: User Definition: Record the first pO2 lab value obtained in the ICU ParentField: ParentShortName: Valid Data: 0 - 200 Coding: Field Name: Postoperative BE Short Name: PostopBE Format:float Datasource: User Definition: Record the first BE lab value obtained in the ICU ParentField: ParentShortName: Valid Data:-5 - 5 Coding: Field Name: Postoperative Lactate Short Name: PostopLac Format:float Datasource: User

Page 8 of 59

Definition: Record the first Lactate lab value obtained in the ICU ParentField: ParentShortName: Valid Data: 0 – 15 Coding: Field Name: Postoperative HCT Short Name: PostopHCT Format:float Datasource: User Definition: Record the first hematocrit (HCT) lab value obtained in the ICU ParentField: ParentShortName: Valid Data: 0 - 100 Coding: Field Name: Postoperative Na Short Name: PostopNa Format:float Datasource: User Definition: Record the first sodium (Na) lab value obtained in the ICU ParentField: ParentShortName: Valid Data: 100 - 200 Coding: Field Name: Postoperative K Short Name: PostopK

Page 9 of 59

Format:float Datasource: User Definition: Record the first potassium (K) lab value obtained in the ICU ParentField: ParentShortName: Valid Data: 0 - 5 Coding: Field Name: Postoperative iCa Short Name: PostopCa Format:float Datasource: User Definition: Record the first calcium (iCa) lab value obtained in the ICU ParentField: ParentShortName: Valid Data: 0 - 15 Coding: Field Name: Immediate Postoperative Aprotinin Short Name: IPAprotinin Format:Integer Datasource: User Definition: Record if Aprotinin was used within the first 24 hours postoperatively and what dosage ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No

Page 10 of 59

Field Name: Immediate Postoperative Calcium Chloride Short Name: IPCalChloride Format:Integer Datasource: User Definition: Record if Calcium Chloride was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Immediate Postoperative Dopamine Short Name: IPDopamine Format:Integer Datasource: User Definition: Record if Dopamine was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Immediate Postoperative Dobutamine Short Name: IPDobutamine Format:Integer Datasource: User

Page 11 of 59

Definition: Record if Dobutamine was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Immediate Postoperative Epinephrine Short Name: IPEpinephrine Format:Integer Datasource: User Definition: Record if Epinephrine was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Immediate Postoperative Insulin Short Name: IPInsulin Format:Integer Datasource: User Definition: Record if Insulin was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No

Page 12 of 59

Field Name: Immediate Postoperative Isoproterenol Short Name: IPIsoproterenol Format:Integer Datasource: User Definition: Record if Isoproterenol was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Immediate Postoperative Lidocaine Short Name: IPLidocaine Format:Integer Datasource: User Definition: Record if Lidocaine was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Immediate Postoperative Milrinone Short Name: IPMilrinone Format:Integer Datasource: User

Page 13 of 59

Definition: Record if Milrinone was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Immediate Postoperative Nitroglycerin Short Name: IPNitroglycerin Format:Integer Datasource: User Definition: Record if Nitroglycerin was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Immediate Postoperative Norepinephrine Short Name: IPNorepinephrine Format:Integer Datasource: User Definition: Record if Norepinephrine was used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes

Page 14 of 59

2 = No Field Name: Immediate Postoperative Other Short Name: IPOther Format:Integer Datasource: User Definition: Record if Other medications were used within the first 24 hours postoperatively and what dosage. ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Documented Postoperative Arrhythmia Short Name: DPostopArrhythmia Format:Integer Datasource: User Definition: Did the patient have an arrhythmia occurring during the postoperative period? ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Postoperative Arrhythmia Count Short Name: PostopArrhythmiaCnt Format:Integer Datasource: User Definition: What arrhythmia number is this, i.e. Instance number 1, number 2, etc.? ParentField: Documented Postoperative Arrhythmia ParentShortName: DPostopArrhythmia Answer set to 1 or “Yes” Valid Data: 0 - 10

Page 15 of 59

Coding: Field Name: Electrocardiogram Short Name: Electrocardiogram Format:Integer Datasource: User Definition: Was an electrocardiogram obtained? ParentField: Documented Postoperative Arrhythmia ParentShortName: DPostopArrhythmia Answer set to 1 or “Yes” Valid Data: 1-2 Coding: 1 = Yes 2 = No Field Name: Telemetry Strip Short Name: TeleStrip Format:Integer Datasource: User Definition: Was a telemetry strip obtained? ParentField: Documented Postoperative Arrhythmia ParentShortName: DPostopArrhythmia Answer set to 1 or “Yes” Valid Data: 1-2 Coding: 1 = Yes 2 = No Field Name: Bedside Pacing Study Short Name: BPacingStudy Format:Integer Datasource: User Definition: Was a bedside pacing study performed? ParentField: Documented Postoperative Arrhythmia ParentShortName: DPostopArrhythmia Answer set to 1 or “Yes”

Page 16 of 59

Valid Data: 1-2 Coding: 1 = Yes 2 = No Field Name: Intracardiac EP Study Short Name: IEPStudy Format:Integer Datasource: User Definition: Was an intracardiac EP study performed? ParentField: Documented Postoperative Arrhythmia ParentShortName: DPostopArrhythmia Answer set to 1 or “Yes” Valid Data: 1-2 Coding: 1 = Yes 2 = No Field Name: Arrhythmia Onset Short Name: ArrhyOnset Format:Time Datasource: User Definition: Record the time of Arrhythmia onset. ParentField: Documented Postoperative Arrhythmia ParentShortName: DPostopArrhythmia Answer set to 1 or “Yes” Valid Data: Coding: Field Name: Arrhythmia Resolution Short Name: ArrhyResolve Format:Time Datasource: User Definition: Record the time of Arrhythmia onset. ParentField: Documented Postoperative Arrhythmia

Page 17 of 59

ParentShortName: DPostopArrhythmia Answer set to 1 or “Yes” Valid Data: Coding: Field Name: Arrhythmia Duration Short Name: ArrhythmiaDuration Format:float Datasource: Calculation Definition: How many hours did the arrhythmia last? ParentField: Documented Postoperative Arrhythmia ParentShortName: DPostopArrhythmia Answer set to 1 or “Yes” Valid Data: 0 - 200 Coding: Field Name: Arrhythmia Type Short Name: ArrhythmiaType Format: Integer Datasource: User Definition: Indicate what specific type of arrhythmia is present. ParentField: Documented Postoperative Arrhythmia ParentShortName: DPostopArrhythmia Answer set to 1 or “Yes” Valid Data: 1-4, 10-14, 100-103, 110, 1101-1102, 120, 130-132, 20-22, 210, 30-31, 310-312, 3110-3111 Coding: 1 = Supraventricular tachycardia (SVT) 10 = Atrial Tachycardia 100 = Atrial Flutter 101 = Atrial Fibrillation 102 = Multifocal/chaotic atrial tachycardia 103 = Atrial Tachycardia NOS 11 = AV nodal tachycardia

Page 18 of 59

110 = AV nodal re-entrant tachycardia (AVNRT) 1101 = Typical AVNRT 1102 = Atypical AVNRT 12 = AV junctional tachycardia 120 = Junctional Ectopic Tachycardia (JET) 13 = Accessory connection mediated 130 = Orthodromic reciprocating tachycardia (ORT) 131 = Permanent junctional reciprocating tachycardia (PJRT) 132 = Antidromic reciprocating tachycardia (ART) 14 = Narrow-complex tachycardia NOS 2 = Ventricular tachycardia (VT) 20 = Monomorphic ventricular tachycardia 21 = Polymorphic ventricular tachycardia 210 = Torsades des pointes 22 = Wide-complex tachycardia NOS 3 = Conduction disorder 30 = Sinus node dysfunction 31 = Atrioventricular (AV) nodal dysfunction 310 = First degree AV block 311 = Second degree AV block 3110 = Mobitz Type I (Wenkebach) 3111 = Mobitz Type II 312 = Third degree AV block (complete) 4 = Bradyarrhythmia NOS Field Name: Medications at arrhythmia onset Short Name: MedsAO Format: string Datasource: User Definition: Record the medications and dosages the patient was receiving at the time of the arrhythmia onset. ParentField: ParentShortName: Valid Data: Coding: Default Value = 0 Field Name: Arrhythmia Onset pH Short Name: AOpH

Page 19 of 59

Format:float Datasource: User Definition: Record the most recent pH lab value obtained prior to arrhythmia onset. ParentField: ParentShortName: Valid Data: 6.8-7.8 Coding: Default Value = 0 Field Name: Arrhythmia Onset pCO2 Short Name: AOpCO2 Format:float Datasource: User Definition: Record the most recent pCO2 lab value obtained prior to arrhythmia onset. ParentField: ParentShortName: Valid Data: 0 - 100 Coding: Default Value = 0 Field Name: Arrhythmia Onset PO2 Short Name: AOPO2 Format:float Datasource: User Definition: Record the most recent pO2 lab value obtained prior to arrhythmia onset ParentField: ParentShortName: Valid Data: 0 - 200 Coding: Default Value = 0 Field Name: Arrhythmia Onset BE

Page 20 of 59

Short Name: AOBE Format:float Datasource: User Definition: Record the most recent BE lab value obtained prior to arrhythmia onset. ParentField: ParentShortName: Valid Data: -5 - 5 Coding: Default Value = 0 Field Name: Arrythmia Onset Na Short Name: AONa Format:float Datasource: User Definition: Record the most recent sodium (Na) lab value obtained prior to arrhythmia onset. ParentField: ParentShortName: Valid Data: 100 - 200 Coding: Default Value = 0 Field Name: Arrhythmia Onset K Short Name: AOK Format:float Datasource: User Definition: Record the most recent potassium (K) lab value obtained prior to arrhythmia onset.

Page 21 of 59

ParentField: ParentShortName: Valid Data: 0 - 5 Coding: Default Value = 0 Field Name: Arrhythmia Onset iCa Short Name: AOiCa Format:float Datasource: User Definition: Record the most recent calcium (iCa) lab value obtained prior to arrhythmia onset. ParentField: ParentShortName: Valid Data: 0 - 15 Coding: Default Value = 0 Field Name: Arrhythmia Onset Mg Short Name: AOMg Format:float Datasource: User Definition: Record the most recent magnesium (Mg) lab value obtained prior to arrhythmia onset. ParentField: ParentShortName: Valid Data: 0 - 10 Coding: Default Value = 0 Field Name: Arrhythmia Onset PCV Short Name: AOPCV

Page 22 of 59

Format:float Datasource: User Definition: Record the most recent PCV (hematocrit)lab value obtained prior to arrhythmia onset. ParentField: ParentShortName: Valid Data: 0 - 100 Coding: Default Value = 0 Field Name: Therapy Administered Short Name: TherapyAdmin Format:Integer Datasource: User Definition: Was any therapy administered to this patient for this arrhythmia disturbance? ParentField: ParentShortName: Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Cooling Short Name: Cooling Format:Integer Datasource: User Definition: Did the patient receive cooling therapy for this arrhythmia disturbance? ParentField: Therapy Administered ParentShortName: TherapyAdmin If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Cooling Date/Time Initiated Short Name: CoolTmInit

Page 23 of 59

Format:Time Datasource: User Definition: Record the time the cooling therapy was started. ParentField: Cooling ParentShortName: Cooling If set to 1 or “Yes” Valid Data: Coding: Field Name: Cooling Date/Time Stopped Short Name: CoolTmStop Format:Time Datasource: User Definition: Record the time the cooling therapy ended. ParentField: Cooling ParentShortName: Cooling If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Cooling Time Short Name: TotalCoolTm Format:float Datasource: Calculation Definition: The total time the patient received cooling therapy for arrhythmia treatment. ParentField: Cooling ParentShortName: Cooling If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: CoolingCSI Format:Integer Datasource: User

Page 24 of 59

Definition: Was there clinically significant improvement following cooling therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField:Cooling ParentShortName: Cooling If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Medical Therapy Short Name: MedicalTherapy Format:Integer Datasource: User Definition: Did the patient receive medication therapy for this arrhythmia disturbance? ParentField: Therapy Administered ParentShortName: TherapyAdmin If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Amiodarone Short Name: Amiodarone Format:Integer Datasource: User Definition: Did the patient receive Amiodarone therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No

Page 25 of 59

Field Name: Amiodarone Date/Time Initiated Short Name: AmioTmInit Format:Time Datasource: User Definition: Record the time the Amiodarone therapy was started. ParentField: Amiodarone ParentShortName: Amiodarone If set to 1 or “Yes” Valid Data: Coding: Field Name: Amiodarone Date/Time Stopped Short Name: AmioTmStop Format:Time Datasource: User Definition: Record the time the Amiodarone therapy ended. ParentField: Amiodarone ParentShortName: Amiodarone If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Amiodarone Time Short Name:TotalAmioTm Format:float Datasource: Calculation Definition: The total time the patient received amiodarone therapy. ParentField: Amiodarone ParentShortName: Amiodarone If set to 1 or “Yes” Valid Data: Coding:

Page 26 of 59

Field Name: Clinically Significant Improvement Short Name: AmioCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Amiodarone therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Amiodarone ParentShortName: Amiodarone If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Calcium Short Name: Calcium Format:Integer Datasource: User Definition: Did the patient receive Amiodarone therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Calcium Date/Time Initiated Short Name: CalTmInit Format:Time Datasource: User Definition: Record the time the Calcium therapy was started. ParentField: Calcium ParentShortName: Calcium

Page 27 of 59

If set to 1 or “Yes” Valid Data: Coding: Field Name: Calcium Date/Time Stopped Short Name: CalTmStop Format:Time Datasource: User Definition: Record the time the Calcium therapy ended. ParentField: Calcium ParentShortName: Calcium If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Calcium Time Short Name:TotalCalTm Format:float Datasource: Calculation Definition: The total time the patient received Calcium therapy. ParentField: Calcium ParentShortName: Calcium If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: CalciumCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following calcium therapy?

Page 28 of 59

****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField:Calcium ParentShortName: Calcium If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Digoxin Short Name: Digoxin Format:Integer Datasource: User Definition: Did the patient receive Digoxin therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Digoxin Date/Time Initiated Short Name: DigTmInit Format:Time Datasource: User Definition: Record the time the Digoxin therapy was started. ParentField: Digoxin ParentShortName: Digoxin If set to 1 or “Yes” Valid Data: Coding: Field Name: Digoxin Date/Time Stopped

Page 29 of 59

Short Name: DigTmStop Format:Time Datasource: User Definition: Record the time the Digoxin therapy ended. ParentField: Digoxin ParentShortName: Digoxin If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Digoxin Time Short Name:TotalDigTm Format:float Datasource: Calculation Definition: The total time the patient received Digoxin therapy. ParentField: Digoxin ParentShortName: Digoxin If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: DigCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Digoxin therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Digoxin ParentShortName: Digoxin If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No

Page 30 of 59

Field Name: Esmolol Short Name: Esmolol Format:Integer Datasource: User Definition: Did the patient receive Esmolol therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Esmolol Date/Time Initiated Short Name: EsmoTmInit Format:Time Datasource: User Definition: Record the time the Esmolol therapy was started. ParentField: Esmolol ParentShortName: Esmolol If set to 1 or “Yes” Valid Data: Coding: Field Name: Esmolol Date/Time Stopped Short Name: EsmoTmStop Format:Time Datasource: User Definition: Record the time the Esmolol therapy ended. ParentField: Esmolol ParentShortName: Esmolol If set to 1 or “Yes” Valid Data: Coding:

Page 31 of 59

Field Name: Total Esmolol Time Short Name:TotalEsmoTm Format:float Datasource: Calculation Definition: The total time the patient received Esmolol therapy. ParentField: Esmolol ParentShortName: Esmolol If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: EsmoCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Esmolol therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Esmolol ParentShortName: Esmolol If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Flecanide Short Name: Flecanide Format:Integer Datasource: User Definition: Did the patient receive Flecanide therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes”

Page 32 of 59

Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Flecanide Date/Time Initiated Short Name: FlecTmInit Format:Time Datasource: User Definition: Record the time the Flecanide therapy was started. ParentField: Flecanide ParentShortName: Flecanide If set to 1 or “Yes” Valid Data: Coding: Field Name: Flecanide Date/Time Stopped Short Name: FlecTmStop Format:Time Datasource: User Definition: Record the time the Flecanide therapy ended. ParentField: Flecanide ParentShortName: Flecanide If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Flecanide Time Short Name:TotalFlecTm Format:float Datasource: Calculation Definition: The total time the patient received Flecanide therapy. ParentField: Flecanide ParentShortName: Flecanide If set to 1 or “Yes” Valid Data:

Page 33 of 59

Coding: Field Name: Clinically Significant Improvement Short Name: FlecCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Flecanide therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Flecanide ParentShortName: Flecanide If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Isoproterenol Short Name: Isoproterenol Format:Integer Datasource: User Definition: Did the patient receive Isoproterenol therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Isoproterenol Date/Time Initiated Short Name: IsoproTmInit Format:Time Datasource: User

Page 34 of 59

Definition: Record the time the Isoproterenol therapy was started. ParentField: Isoproterenol ParentShortName: Isoproterenol If set to 1 or “Yes” Valid Data: Coding: Field Name: Isoproterenol Date/Time Stopped Short Name: IsoproTmStop Format:Time Datasource: User Definition: Record the time the Isoproterenol therapy ended. ParentField: Isoproterenol ParentShortName: Isoproterenol If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Isoproterenol Time Short Name:TotalIsoproTm Format:float Datasource: Calculation Definition: The total time the patient received Isoproterenol therapy. ParentField: Isoproterenol ParentShortName: Isoproterenol If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: IsoproCSI Format:Integer Datasource: User

Page 35 of 59

Definition: Was there clinically significant improvement following Isoproterenol therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Isoproterenol ParentShortName: Isoproterenol If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Magnesium Short Name: Magnesium Format:Integer Datasource: User Definition: Did the patient receive Magnesium therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Magnesium Date/Time Initiated Short Name: MagTmInit Format:Time Datasource: User Definition: Record the time the Magnesium therapy was started. ParentField: Magnesium ParentShortName: Magnesium If set to 1 or “Yes” Valid Data: Coding:

Page 36 of 59

Field Name: Magnesium Date/Time Stopped Short Name: MagTmStop Format:Time Datasource: User Definition: Record the time the Magnesium therapy ended. ParentField: Magnesium ParentShortName: Magnesium If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Magnesium Time Short Name:TotalMagTm Format:float Datasource: Calculation Definition: The total time the patient received Magnesium therapy. ParentField: Magnesium ParentShortName: Magnesium If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: MagCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Magnesium therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Magnesium ParentShortName: Magnesium If set to 1 or “Yes” Valid Data: 1 - 2

Page 37 of 59

Coding: 1 = Yes 2 = No Field Name: Potassium Short Name: Potassium Format:Integer Datasource: User Definition: Did the patient receive Potassium therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Potassium Date/Time Initiated Short Name: PotasTmInit Format:Time Datasource: User Definition: Record the time the Potassium therapy was started. ParentField: Potassium ParentShortName: Potassium If set to 1 or “Yes” Valid Data: Coding: Field Name: Potassium Date/Time Stopped Short Name: PotasTmStop Format:Time Datasource: User Definition: Record the time the Potassium therapy ended. ParentField: Magnesium ParentShortName: Magnesium If set to 1 or “Yes” Valid Data:

Page 38 of 59

Coding: Field Name: Total Potassium Time Short Name:TotalPotasTm Format:float Datasource: Calculation Definition: The total time the patient received Potassium therapy. ParentField: Potassium ParentShortName: Potassium If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: PotasCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Potassium therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Potassium ParentShortName: Potassium If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Procainamide Short Name:Procainamide Format:Integer Datasource: User Definition: Did the patient receive Procainamide therapy for this arrhythmia disturbance?

Page 39 of 59

ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Procainamide Date/Time Initiated Short Name: ProcainTmInit Format:Time Datasource: User Definition: Record the time the Procainamide therapy was started. ParentField: Procainamide ParentShortName: Procainamide If set to 1 or “Yes” Valid Data: Coding: Field Name: Procainamide Date/Time Stopped Short Name: ProcainTmStop Format:Time Datasource: User Definition: Record the time the Procainamide therapy ended. ParentField: Procainamide ParentShortName: Procainamide If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Procainamide Time Short Name:TotalProcainTm Format:float Datasource: Calculation Definition: The total time the patient received Procainamide therapy. ParentField: Procainamide ParentShortName: Procainamide If set to 1 or “Yes”

Page 40 of 59

Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: ProcainCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Procainamide therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Procainamide ParentShortName: Procainamide If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Propafenone Short Name:Propafenone Format:Integer Datasource: User Definition: Did the patient receive Propafenone therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Propafenone Date/Time Initiated Short Name: PropaTmInit

Page 41 of 59

Format:Time Datasource: User Definition: Record the time the Propa therapy was started. ParentField: Propafenone ParentShortName: Propafenone If set to 1 or “Yes” Valid Data: Coding: Field Name: Propafenone Date/Time Stopped Short Name: PropaTmStop Format:Time Datasource: User Definition: Record the time the Propafenone therapy ended. ParentField: Propafenone ParentShortName: Propafenone If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Propafenone Time Short Name:TotalPropaTm Format:float Datasource: Calculation Definition: The total time the patient received Procainamide therapy. ParentField: Propafene ParentShortName: Propafene If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: PropaCSI Format:Integer Datasource: User

Page 42 of 59

Definition: Was there clinically significant improvement following Propafenone therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Propafenone ParentShortName: Propafenone If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Propranolol Short Name: Propranolol Format:Integer Datasource: User Definition: Did the patient receive Propranolol therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Propranolol Date/Time Initiated Short Name: PlolTmInit Format:Time Datasource: User Definition: Record the time the Propranolol therapy was started. ParentField: Propranolol ParentShortName: Propranolol If set to 1 or “Yes” Valid Data: Coding:

Page 43 of 59

Field Name: Propranolol Date/Time Stopped Short Name: PlolTmStop Format:Time Datasource: User Definition: Record the time the Propranolol therapy ended. ParentField: Propranolol ParentShortName: Propranolol If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Propranolol Time Short Name:TotalPlolTm Format:float Datasource: Calculation Definition: The total time the patient received Propranolol therapy. ParentField: Propranolol ParentShortName: Propranolol If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: PrlolCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Propranolol therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Propranolol ParentShortName: Propranolol If set to 1 or “Yes” Valid Data: 1 - 2

Page 44 of 59

Coding: 1 = Yes 2 = No Field Name: Sotalol Short Name:Sotalol Format:Integer Datasource: User Definition: Did the patient receive Sotalol therapy for this arrhythmia disturbance? ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Sotalol Date/Time Initiated Short Name: SotaTmInit Format:Time Datasource: User Definition: Record the time the Sotalol therapy was started. ParentField: Sotalol ParentShortName: Sotalol If set to 1 or “Yes” Valid Data: Coding: Field Name: Sotalol Date/Time Stopped Short Name: SotaTmStop Format:Time Datasource: User Definition: Record the time the Sotalol therapy ended. ParentField: Sotalol ParentShortName: Sotalol If set to 1 or “Yes” Valid Data:

Page 45 of 59

Coding: Field Name: Total Sotalol Time Short Name:TotalSotaTm Format:float Datasource: Calculation Definition: The total time the patient received Sotalol therapy. ParentField: Sotalol ParentShortName: Sotalol If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: SotaCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Sotalol therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Sotalol ParentShortName: Sotalol If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Other Medication Short Name: OtherMed Format:Integer Datasource: User Definition: Did the patient receive other medication therapy for this arrhythmia disturbance?

Page 46 of 59

ParentField: Medical Therapy ParentShortName: MedicalTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Other Date/Time Initiated Short Name: OtherTmInit Format:Time Datasource: User Definition: Record the time the other therapy was started. ParentField: Other Medication ParentShortName: OtherMed If set to 1 or “Yes” Valid Data: Coding: Field Name: Other Date/Time Stopped Short Name: OtherTmStop Format:Time Datasource: User Definition: Record the time the Other therapy ended. ParentField: Other Medication ParentShortName: OtherMed If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Other Time Short Name:TotalOtherTm Format:float Datasource: Calculation Definition: The total time the patient received Other therapy. ParentField: Other Medication ParentShortName: OtherMed If set to 1 or “Yes”

Page 47 of 59

Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: OtherCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Other therapy? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Other Medication ParentShortName: OtherMed If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Procedural Therapy Short Name: ProcTherapy Format:Integer Datasource: User Definition: Did the patient receive procedural therapy for this arrhythmia disturbance? ParentField: Therapy Administered ParentShortName: TherapyAdmin If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Cardioversion Short Name: Cardioversion

Page 48 of 59

Format:Integer Datasource: User Definition: Did the patient receive other cardioversion therapy for this arrhythmia disturbance? ParentField: Procedural Therapy ParentShortName: ProcTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Cardioversion Date/Time Initiated Short Name: CardVsTmInit Format:Time Datasource: User Definition: Record the time the Cardioversion was started. ParentField: Cardioversion ParentShortName: Cardioversion If set to 1 or “Yes” Valid Data: Coding: Field Name: Cardioversion Date/Time Stopped Short Name: CardVsTmStop Format:Time Datasource: User Definition: Record the time the Cardioversion ended. ParentField: Cardioversion ParentShortName: Cardioversion If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Cardioversion Time Short Name:TotalCardVsTm Format:float Datasource: Calculation

Page 49 of 59

Definition: The total time the patient received Cardioversion therapy. ParentField: Cardioversion ParentShortName: Cardioversion If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: CardVsCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Cardioversion? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Cardioversion ParentShortName: Cardioversion If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Defibrillation Short Name: Defibrillation Format:Integer Datasource: User Definition: Did the patient receive Defibrillation therapy for this arrhythmia disturbance? ParentField: Procedural Therapy ParentShortName: ProcTherapy If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes

Page 50 of 59

2 = No Field Name: Defibrillation Date/Time Initiated Short Name: DefibTmInit Format:Time Datasource: User Definition: Record the time the Defibrillation was started. ParentField: Defibrillation ParentShortName: Defibrillation If set to 1 or “Yes” Valid Data: Coding: Field Name: Defibrillation Date/Time Stopped Short Name: DefibTmStop Format:Time Datasource: User Definition: Record the time the Defibrillation ended. ParentField: Defibrillation ParentShortName: Defibrillation If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Defibrillation Time Short Name:TotalDefibTm Format:float Datasource: Calculation Definition: The total time the patient received Defibrillation therapy. ParentField: Defibrillation ParentShortName: Defibrillation If set to 1 or “Yes” Valid Data: Coding:

Page 51 of 59

Field Name: Clinically Significant Improvement Short Name: DefibCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Defibrillation? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Defibrillation ParentShortName: Defibrillation If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Pace Termination Short Name: PaceTermination Format:Integer Datasource: User Definition: Did the patient receive pace termination therapy for this arrhythmia disturbance? ParentField: Procedural Therapy ParentShortName: ProcTherapy If set to 1 or “Yes Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Pace Termination Date/Time Initiated Short Name: PaceTermTmInit Format:Time Datasource: User Definition: Record the time the Pace Termination was started. ParentField: Pace Termination ParentShortName: PaceTermination If set to 1 or “Yes”

Page 52 of 59

Valid Data: Coding: Field Name: Pace Termination Date/Time Stopped Short Name: PaceTermTmStop Format:Time Datasource: User Definition: Record the time the Pace Termination ended. ParentField: Pace Termination ParentShortName: PaceTermination If set to 1 or “Yes” Valid Data: Coding: Field Name: Total Pace Termination Time Short Name:TotalPaceTermTm Format:float Datasource: Calculation Definition: The total time the patient received Pace Termination therapy. ParentField: Pace Termination ParentShortName: Pace Termination If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: PaceTermCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following Pace Termination? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Pace Termination ParentShortName: PaceTermination

Page 53 of 59

If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Intracardiac study with ablation Short Name: ICSAblation Format:Integer Datasource: User Definition: Did the patient receive an intracardiac study with ablation for this arrhythmia disturbance? ParentField: Procedural Therapy ParentShortName: ProcTherapy If set to 1 or “Yes Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Intracardiac study with ablation Date/Time Initiated Short Name: ICSAblatTmInit Format:Time Datasource: User Definition: Record the time the intracardiac study/ablation was started. ParentField: Intracardiac study with ablation ParentShortName: ICSAblation Valid Data: Coding: Field Name: Intracardiac study with ablation Date/Time Stopped Short Name: ICSAblatTmStop Format:Time Datasource: User Definition: Record the time the intracardiac study/ablation ended. ParentField: Intracardiac study with ablation

Page 54 of 59

ParentShortName: ICSAblation Valid Data: Coding: Field Name: Total Intracardiac study with ablation Time Short Name:TotalICSAblatTm Format:float Datasource: Calculation Definition: The total time the patient received intracardiac study/ablation therapy. ParentField:Intracardiac study with ablation ParentShortName: ICSAblation If set to 1 or “Yes” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: ICSAblatCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following intracardiac study/ablation? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Intracardiac study with ablation ParentShortName: ICSAblation If set to 1 or “Yes” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No

Page 55 of 59

Field Name: Pacing Short Name: Pacing Format:Integer Datasource: User Definition: Did the patient receive pacing for this arrhythmia disturbance? ParentField: Procedural Therapy ParentShortName: ProcTherapy If set to 1 or “Yes Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Pacing Type Short Name: PacingType Format:Integer Datasource: User Definition: What type of pacing was used for this arrhythmia disturbance? ParentField: Pacing ParentShortName: Pacing If set to 1 or “Yes Valid Data: 1 - 2 Coding: 1 = Temporary 2 = Permanent Field Name: Temporary Pacing Date/Time Initiated Short Name: TempPaceTmInit Format:Time Datasource: User Definition: Record the time the temporary pacing was started. ParentField: Pacing Type ParentShortName: PacingType If set to 1 or “Temporary” Valid Data: Coding: Field Name: Temporary Pacing Date/Time Stopped Short Name: TempPaceTmStop Format:Time Datasource: User

Page 56 of 59

Definition: Record the time the temporary pacing ended. ParentField: Pacing Type ParentShortName: PacingType If set to 1 or “Temporary” Valid Data: Coding: Field Name: Total Temporary Pacing Time Short Name:TotalTempPaceTm Format:float Datasource: Calculation Definition: The total time the patient received temporary pacing therapy. ParentField: Pacing Type ParentShortName: PacingType If set to 1 or “Temporary” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: TempPaceCSI Format:Integer Datasource: User Definition: Was there clinically significant improvement following temporary pacing? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Pacing Type ParentShortName: PacingType If set to 1 or “Temporary” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Permanent Pacing Date/Time Initiated

Page 57 of 59

Short Name: PermPaceTmInit Format:Time Datasource: User Definition: Record the time the permanent pacing was started. ParentField: Pacing Type ParentShortName: PacingType If set to 2 or “Permanent” Valid Data: Coding: Field Name: Permanent Pacing Date/Time Stopped Short Name: PermPaceTmStop Format:Time Datasource: User Definition: Record the time the permanent pacing ended. ParentField: Pacing Type ParentShortName: PacingType If set to 2 or “Permanent” Valid Data: Coding: Field Name: Total Permanent Pacing Time Short Name:TotalPermPaceTm Format:float Datasource: Calculation Definition: The total time the patient received permanent pacing therapy. ParentField: Pacing Type ParentShortName: PacingType If set to 2 or “Permanent” Valid Data: Coding: Field Name: Clinically Significant Improvement Short Name: PermPaceCSI

Page 58 of 59

Format:Integer Datasource: User Definition: Was there clinically significant improvement following permanent pacing? ****Clinically significant improvement is dependent upon the particular arrhythmia disturbance, defined as ability to wean on vasopressors or ventilatory support, improvement in acidosis, etc.***** ParentField: Pacing Type ParentShortName: PacingType If set to 2 or “Permanent” Valid Data: 1 - 2 Coding: 1 = Yes 2 = No Field Name: Other Therapy Short Name: OtherTherapy Format:Integer Datasource: User Definition: Did the patient receive other therapy for this arrhythmia disturbance? Specify in the comments section. ParentField: Therapy Administered ParentShortName: TherapyAdmin If set to 1 or “Yes Valid Data: 1 - 2 Coding: 1 = Yes 2 = No

Page 59 of 59