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Table 1. Definitions
Term Definition
Nonscheduled
transmission
• Patient-initiated
interrogation
Nonscheduled data transmission initiated by the patient due
to experiencing real or perceived clinical events, for which the
patient is seeking expert evaluation.
• Alert-initiated
Interrogation
Nonscheduled data transmission initiated by predefined
programmed parameters for alerting the clinic of a potentially
actionable event.
Actionable event Device-related or clinical event that requires intervention prior to
the next scheduled in-person clinic visit.
Continuous
connectivity
Continuous data collection within the device with automatic
transmission using manufacturer-specific transmission frequency,
which oen occurs once daily. While the data collection
is continuous, the transmissions and monitoring are not
continuous.
Noncontinuous
monitoring
Noncontinuous data collection requiring manual transmission
using manufacturer-specific transmission either scheduled by the
clinic or initiated by the patient.
(cont'd)
RM considerations
COR LOE Recommendations
1 A 1. In patients with CIEDs, RM is recommended as part of the
standard of care.
1 B-R 2. In patients with CIEDs on RM, routine surveillance of lead
function and battery status is recommended to ensure device
integrity.
1 C-EO 3. In patients with CIEDs on RM with a device capable of
continuous connectivity, connectivity should be maintained.
RM payment/reimbursement models
COR LOE Recommendation
1 B-NR 1. For the care of patients with CIEDs on RM, it is recommended
that health care payers adopt adequate reimbursement for
RM that is tailored to regional health system care patterns and
facilitates sustainable and cost-effective CIED follow-up care.
