Type of cardiopathy (ischemic, valvular, viral, idiopathic
…
Device used : Type of assistance : univentricular biventricular Indication : BTT BTD
…
https://www.inami.fgov.be/SiteCollectionDocuments/formulaire_implants_assist_device.pdf
(month/year) Aetiology: Rheumatic ischeamic dilated non ischaemic hypertrophic hypertensive Hypertrophic idiopathic congestive heart failure unknown
…
https://www.inami.fgov.be/SiteCollectionDocuments/formulaire_implants_sonde_peroperatoire_fibrillation_auriculaire.pdf
Type of cardiopathy (ischemic, valvular, viral, idiopathic
…
Device used : Type of assistance : univentricular biventricular Indication : BTT BTD
…
https://www.inami.fgov.be/SiteCollectionDocuments/formulier_implantaten_assist_device.pdf
(month/year) Aetiology: Rheumatic ischeamic dilated non ischaemic hypertrophic hypertensive Hypertrophic idiopathic congestive heart failure unknown
…
https://www.inami.fgov.be/SiteCollectionDocuments/formulier_implantaten_disposable_probe_peroperatieve_voorkamerfibrillatie.pdf
Patient study ID: …. Number Centre: … FORM 1 HOSPITAL IDENTIFICATION Name: Address: Riziv‐nr: PATIENT IDENTIFICATION First name
…
https://www.inami.fgov.be/SiteCollectionDocuments/formulaire_implants_tavi.pdf
Patient study ID: …. Number Centre: … FORM 1 HOSPITAL IDENTIFICATION Name: Address: Riziv‐nr: PATIENT IDENTIFICATION First name
…
https://www.inami.fgov.be/SiteCollectionDocuments/formulier_implantaten_tavi.pdf
D'UN DEFIBRILLATEUR CARDIAQUE IMPLANTABLE DE LA LISTE DANS LE CADRE DE LA CONVENTION DE REVALIDATION EN CE QUI CONCERNE LES DEFIBRILLATEURS CARDIAQUES IMPLANTABLES
…
O il y a encore du
…
https://www.inami.fgov.be/SiteCollectionDocuments/formulaire_implants_defibrilateur_cardiaque_suppression.docx
AANVRAAGFORMULIER VOOR DE SCHRAPPING VAN EEN IMPLANTEERBARE HARTDEFIBRILLATOR VAN DE LIJST IN HET KADER VAN DE REVALIDATIEOVEREENKOMST INZAKE DE IMPLANTEERBARE HARTDEFIBRILLATOREN
…
https://www.inami.fgov.be/SiteCollectionDocuments/formulier_implantaten_hartdefibrillatoren_schrapping.docx