Continuous recording device Up to 24 Not Triggered On return of 11708 (early Holter devices without full hours (Continuous) device to disclosure) clinic Continuous recording device Up to 24 Not Triggered On return of 11709 (Holter devices with full hours (Continuous) device to disclosure) clinic External loop recorder or event Pre-post Largely patient triggered Periodically 11710 loop recorder (ELR) event but some devices by patient are auto triggered OR telemetry Event recorder (handheld) Post Patient triggered Periodically 11711 event by patient Real-time cardiac Pre-post Auto-triggered Telemetry 11708 telemetry (e.g. V-Patch) event (can also be patient triggered) Implantable loop recorder (ILR)* Pre-post Auto-triggered Telemetry 38285, for event (can also be patient implantation and triggered) 11722 for reading at follow-up consultation Source: DOH (2015a) Abbreviations: AECG, ambulatory electrocardiography, MBS, Medical Benefits Schedule *Note: ILRs have been added in italics for comparison with the other devices, however the current MBS item for implantation is for use in recurrent unexplained syncope only. The above mentioned monitoring strategies can be for one-time use or for repetitive external monitoring. Figure 4 provides an illustration of how these various devices might be used (Choe et al., 2015). Note, ILRs, which would monitor continuously for 3 years, are not represented in this figure. Figure 4 Simulation of strategies for one-time and repetitive periodic external monitoring Source: Choe et al., 2015
Continuous recording device (early Holter devices without full disclosure) Up to 24 hours Not Triggered (Continuous) On return of device to clinic 11708 Continuous recording device (Holter devices with full disclosure) Up to 24 hours Not Triggered (Continuous) On return of device to clinic 11709 External loop recorder or event loop recorder (ELR) Pre-post event Largely patient triggered but some devices are auto triggered Periodically by patient OR telemetry 11710 Event recorder (handheld) Post event Patient triggered Periodically by patient 11711 Real-time cardiac telemetry (e.g. V-Patch) Pre-post event Auto-triggered (can also be patient triggered) Telemetry 11708 Implantable loop recorder (ILR)* Pre-post event Auto-triggered (can also be patient triggered) Telemetry 38285, for implantation and 11722 for reading at follow-up consultation Source: DOH (2015a) Abbreviations: AECG, ambulatory electrocardiography, MBS, Medical Benefits Schedule *Note: ILRs have been added in italics for comparison with the other devices, however the current MBS item for implantation is for use in recurrent unexplained syncope only. The above mentioned monitoring strategies can be for one-time use or for repetitive external monitoring. Figure 4 provides an illustration of how these various devices might be used (Choe et al., 2015). Note, ILRs, which would monitor continuously for 3 years, are not represented in this figure. Figure 4 Simulation of strategies for one-time and repetitive periodic external monitoring Source: Choe et al., 2015
1443-ConsultationProtocol-Accessible.docx