############################################################# ## ## Form name : SWISSNOSO_SSE_PRIM ## Form version : V6 ## ############################################################# Date : 3.10.2016 ADMISSION_DATE (1. Date d'admission) Type : date ------------------------------------------------------------------------------------ IV_DATE_QUESTION (1. Date de l'opération) Type : date ------------------------------------------------------------------------------------ MIGRATED_DATA (Collectionné dans formulaire version) Type : dropdown Data type : integer Answers: 1 = V5 2 = V4 3 = V6 Rules: Exclude question rules: Value 2 (V4) deactivates question(s) - COLORECTAL_CANCER (Cancer colorectal) - DATE_ATB1 (Date de l'antibiotique 1) - DOSIS_GIVEN_ATB1 (Dose administrée) - WEIGHT_CUT_OFF (ATB weight adapted: cut off) ------------------------------------------------------------------------------------ SCORE_SEX (2. Sexe) Type : dropdown Data type : integer Answers: 1 = m 2 = f Rules: Exclude answer rules: Value 1 (m) deactivates answer(s) - 5 (Pas applicable avant 01.10.2013) in question TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) Value 1 (m) deactivates answer(s) - 4 (abord transvaginal) in question SCOPIE (Intervention par scopie ou 'minimal invasive') Value 1 (m) deactivates answer(s) - 4 ( 4 Césarienne) in question IV_PROCEDURE_QUESTION (Intervention principale) - 30 ( 30 Hystérectomie abdominale) in question IV_PROCEDURE_QUESTION (Intervention principale) - 31 ( 31 Hystérectomie vaginale) in question IV_PROCEDURE_QUESTION (Intervention principale)Value 1 (m) deactivates answer(s) - 4 ( 4 Césarienne) in question INTERV2 (Seconde procédure) - 30 ( 30 Hystérectomie abdominale) in question INTERV2 (Seconde procédure) - 31 ( 31 Hystérectomie vaginale) in question INTERV2 (Seconde procédure)Value 1 (m) deactivates answer(s) - 4 ( 4 Césarienne) in question INTERV3 (Troisième procédure) - 30 ( 30 Hystérectomie abdominale) in question INTERV3 (Troisième procédure) - 31 ( 31 Hystérectomie vaginale) in question INTERV3 (Troisième procédure) Value 2 (f) deactivates answer(s) - 5 (Pas applicable avant 01.10.2013) in question TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) ------------------------------------------------------------------------------------ SCORE_CHECK_AGE ( Check age) Type : dropdown Data type : integer Optional question Answers: 1 = >=16 2 = <16 ------------------------------------------------------------------------------------ ASA (3. Score ASA) Type : dropdown Data type : integer Answers: 1 = ASA1 2 = ASA2 3 = ASA3 4 = ASA4 5 = ASA5 99 = non disponible ------------------------------------------------------------------------------------ IV_PROCEDURE_QUESTION (4. Intervention principale) Type : dropdown Data type : integer Answers: 2 = 2 Appendicectomie 4 = 4 Césarienne 5 = 5 Cholécystectomie 6 = 6 Chirurgie du colon 11 = 11 Cure du hernie 30 = 30 Hystérectomie abdominale 31 = 31 Hystérectomie vaginale 43 = 43 Chirurgie cardiaque 44 = 44 Pontage(s) coronarien(s) 45 = 45 Pontage(s) coronarien(s) avec greffon 50 = 50 Laminectomies et hernies discales 51 = 51 Arthrodèse de vertèbre et fusion vertébrale 81 = 81 Bypass gastrique 211 = 211 Prothèse totale de hanche 212 = 212 Prothèse totale de genou 281 = 281 Opérations du rectum, du rectosigmoïde et du tissu rectal Rules: Include question rules: Value 6 ( 6 Chirurgie du colon) activates question(s) - COLORECTAL_CANCER (Cancer colorectal) Value 281 (281 Opérations du rectum, du rectosigmoïde et du tissu rectal) activates question(s) - COLORECTAL_CANCER (Cancer colorectal) Exclude question rules: Value 2 ( 2 Appendicectomie) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 4 ( 4 Césarienne) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 5 ( 5 Cholécystectomie) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 6 ( 6 Chirurgie du colon) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 11 ( 11 Cure du hernie) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 30 ( 30 Hystérectomie abdominale) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 31 ( 31 Hystérectomie vaginale) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 43 ( 43 Chirurgie cardiaque) deactivates question(s) - BMI_NOT_AVAILABLE () - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 44 ( 44 Pontage(s) coronarien(s)) deactivates question(s) - BMI_NOT_AVAILABLE () - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 45 ( 45 Pontage(s) coronarien(s) avec greffon) deactivates question(s) - BMI_NOT_AVAILABLE () - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 50 ( 50 Laminectomies et hernies discales) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) Value 51 ( 51 Arthrodèse de vertèbre et fusion vertébrale) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) Value 81 ( 81 Bypass gastrique) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 211 (211 Prothèse totale de hanche) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 212 (212 Prothèse totale de genou) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Value 281 (281 Opérations du rectum, du rectosigmoïde et du tissu rectal) deactivates question(s) - TYPE_CARDIAC_IMPLANT (Type de l'implant (cardiaque)) - TYPE_LAMINECT_IMPLANT (Type de l'implant (du rachis)) Exclude questions from multiple answers rules: Values 43 ( 43 Chirurgie cardiaque) in question IV_PROCEDURE_QUESTION (Intervention principale) and 0 (non) in question IMPLANT (Implant) exclude question(s) - TYPE_CARDIAC_IMPLANT Values 43 ( 43 Chirurgie cardiaque) in question IV_PROCEDURE_QUESTION (Intervention principale) and 0 (non) in question IMPLANT (Implant) exclude question(s) - TYPE_CARDIAC_IMPLANT Values 43 ( 43 Chirurgie cardiaque) in question IV_PROCEDURE_QUESTION (Intervention principale) and 0 (non) in question IMPLANT (Implant) exclude question(s) - TYPE_CARDIAC_IMPLANT Values 50 ( 50 Laminectomies et hernies discales) in question IV_PROCEDURE_QUESTION (Intervention principale) and 0 (non) in question IMPLANT (Implant) exclude question(s) - TYPE_LAMINECT_IMPLANT Exclude answer rules: Value 2 ( 2 Appendicectomie) deactivates answer(s) - 1 ( I. propre) in question CLASSE (Classe de contamination) Value 2 ( 2 Appendicectomie) deactivates answer(s) - 1 (oui) in question IMPLANT (Implant) Value 4 ( 4 Césarienne) deactivates answer(s) - 1 ( I. propre) in question CLASSE (Classe de contamination) Value 4 ( 4 Césarienne) deactivates answer(s) - 1 (oui) in question SCOPIE (Intervention par scopie ou 'minimal invasive') - 3 (début en scopie puis poursuite en tomie) in question SCOPIE (Intervention par scopie ou 'minimal invasive') - 5 (abord transanal) in question SCOPIE (Intervention par scopie ou 'minimal invasive') Value 4 ( 4 Césarienne) deactivates answer(s) - 1 (oui) in question IMPLANT (Implant) Value 5 ( 5 Cholécystectomie) deactivates answer(s) - 1 (oui) in question IMPLANT (Implant) Value 5 ( 5 Cholécystectomie) deactivates answer(s) - 1 ( I. propre) in question CLASSE (Classe de contamination) Value 6 ( 6 Chirurgie du colon) deactivates answer(s) - 1 ( I. propre) in question CLASSE (Classe de contamination) Value 30 ( 30 Hystérectomie abdominale) deactivates answer(s) - 1 ( I. propre) in question CLASSE (Classe de contamination) Value 30 ( 30 Hystérectomie abdominale) deactivates answer(s) - 4 (abord transvaginal) in question SCOPIE (Intervention par scopie ou 'minimal invasive') Value 31 ( 31 Hystérectomie vaginale) deactivates answer(s) - 4 (abord transvaginal) in question SCOPIE (Intervention par scopie ou 'minimal invasive') Value 31 ( 31 Hystérectomie vaginale) deactivates answer(s) - 1 ( I. propre) in question CLASSE (Classe de contamination) Value 51 ( 51 Arthrodèse de vertèbre et fusion vertébrale) deactivates answer(s) - 0 (non) in question IMPLANT (Implant) Value 81 ( 81 Bypass gastrique) deactivates answer(s) - 1 ( I. propre) in question CLASSE (Classe de contamination) Value 211 (211 Prothèse totale de hanche) deactivates answer(s) - 0 (non) in question IMPLANT (Implant) Value 211 (211 Prothèse totale de hanche) deactivates answer(s) - 3 (début en scopie puis poursuite en tomie) in question SCOPIE (Intervention par scopie ou 'minimal invasive') Value 212 (212 Prothèse totale de genou) deactivates answer(s) - 1 (oui) in question SCOPIE (Intervention par scopie ou 'minimal invasive') - 3 (début en scopie puis poursuite en tomie) in question SCOPIE (Intervention par scopie ou 'minimal invasive') Value 212 (212 Prothèse totale de genou) deactivates answer(s) - 0 (non) in question IMPLANT (Implant) Value 281 (281 Opérations du rectum, du rectosigmoïde et du tissu rectal) deactivates answer(s) - 1 ( I. propre) in question CLASSE (Classe de contamination) ------------------------------------------------------------------------------------ COLORECTAL_CANCER (4a. Cancer colorectal) Type : radiobutton Data type : integer Answers: 1 = oui 2 = non 3 = inconnu Depends on question(s): IV_PROCEDURE_QUESTION, MIGRATED_DATA ------------------------------------------------------------------------------------ INTERV2 (5. Seconde procédure) Type : dropdown Data type : integer Answers: 0 = aucune 2 = 2 Appendicectomie 4 = 4 Césarienne 5 = 5 Cholécystectomie 6 = 6 Chirurgie du colon 11 = 11 Cure du hernie 30 = 30 Hystérectomie abdominale 31 = 31 Hystérectomie vaginale 43 = 43 Chirurgie cardiaque 44 = 44 Pontage(s) coronarien(s) 45 = 45 Pontage(s) coronarien(s) avec greffon 50 = 50 Laminectomies et hernies discales 51 = 51 Arthrodèse de vertèbre et fusion vertébrale 81 = 81 Bypass gastrique 211 = 211 Prothèse totale de hanche 212 = 212 Prothèse totale de genou 281 = 281 Opérations du rectum, du rectosigmoïde et du tissu rectal 999 = 999 autre ------------------------------------------------------------------------------------ INTERV3 (6. Troisième procédure) Type : dropdown Data type : integer Answers: 0 = aucune 2 = 2 Appendicectomie 4 = 4 Césarienne 5 = 5 Cholécystectomie 6 = 6 Chirurgie du colon 11 = 11 Cure du hernie 30 = 30 Hystérectomie abdominale 31 = 31 Hystérectomie vaginale 43 = 43 Chirurgie cardiaque 44 = 44 Pontage(s) coronarien(s) 45 = 45 Pontage(s) coronarien(s) avec greffon 50 = 50 Laminectomies et hernies discales 51 = 51 Arthrodèse de vertèbre et fusion vertébrale 81 = 81 Bypass gastrique 211 = 211 Prothèse totale de hanche 212 = 212 Prothèse totale de genou 281 = 281 Opérations du rectum, du rectosigmoïde et du tissu rectal 999 = 999 autre ------------------------------------------------------------------------------------ OP_PLANNING (7. Opération planifiée) Type : radiobutton Data type : integer Answers: 0 = non 1 = oui ------------------------------------------------------------------------------------ IMPLANT (8. Implant) Type : radiobutton Data type : integer Answers: 0 = non 1 = oui ------------------------------------------------------------------------------------ TYPE_CARDIAC_IMPLANT (8a. Type de l'implant (cardiaque)) Type : dropdown Data type : integer Answers: 1 = Cerclage (fils métalliques 2 = Valve (mécanique ou biologique) 3 = Patches (patch de la paroi cardiaque) 4 = Autre 5 = Pas applicable avant 01.10.2013 Depends on question(s): IMPLANT, IV_PROCEDURE_QUESTION ------------------------------------------------------------------------------------ TYPE_LAMINECT_IMPLANT (8b. Type de l'implant (du rachis)) Type : dropdown Data type : integer Answers: 1 = Prothèse discale 2 = Spacer interspineux 3 = Autre dispositif médical Depends on question(s): IV_PROCEDURE_QUESTION, IMPLANT ------------------------------------------------------------------------------------ SCOPIE (9. Intervention par scopie ou 'minimal invasive') Type : dropdown Data type : integer Answers: 0 = non 1 = oui 3 = début en scopie puis poursuite en tomie 4 = abord transvaginal 5 = abord transanal ------------------------------------------------------------------------------------ CLASSE (10. Classe de contamination) Type : dropdown Data type : integer Answers: 1 = I. propre 2 = II. propre-contaminée 3 = III. contaminée 4 = IV. sale et infectée ------------------------------------------------------------------------------------ DEBUTOP_1 (11. Heure du début de l'intervention) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 ------------------------------------------------------------------------------------ DEBUTOP_2 (12. Heure du début de l'intervention) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 24 = 24 25 = 25 26 = 26 27 = 27 28 = 28 29 = 29 30 = 30 31 = 31 32 = 32 33 = 33 34 = 34 35 = 35 36 = 36 37 = 37 38 = 38 39 = 39 40 = 40 41 = 41 42 = 42 43 = 43 44 = 44 45 = 45 46 = 46 47 = 47 48 = 48 49 = 49 50 = 50 51 = 51 52 = 52 53 = 53 54 = 54 55 = 55 56 = 56 57 = 57 58 = 58 59 = 59 ------------------------------------------------------------------------------------ FINOP_1 (13. Heure de fin de l'intervention) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 ------------------------------------------------------------------------------------ FINOP_2 (14. Heure de fin de l'intervention) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 24 = 24 25 = 25 26 = 26 27 = 27 28 = 28 29 = 29 30 = 30 31 = 31 32 = 32 33 = 33 34 = 34 35 = 35 36 = 36 37 = 37 38 = 38 39 = 39 40 = 40 41 = 41 42 = 42 43 = 43 44 = 44 45 = 45 46 = 46 47 = 47 48 = 48 49 = 49 50 = 50 51 = 51 52 = 52 53 = 53 54 = 54 55 = 55 56 = 56 57 = 57 58 = 58 59 = 59 ------------------------------------------------------------------------------------ SCORE_ATB_OUI (15. Administration d'un antibiotique par voie intraveineuse (dans les 24 heures avant l'incision et jusqu'à la fin de l'opération)) Type : dropdown Data type : integer Answers: 0 = aucun 1 = 1 2 = 2 3 = 3 4 = >3 Rules: Exclude question rules: Value 0 (aucun) deactivates question(s) - ATB1 (Type antibiotique 1) - ATB2 (Type antibiotique 2) - ATB3 (Type antibiotique 3) - DATE_ATB1 (Date de l'antibiotique 1) - DOSIS_GIVEN_ATB1 (Dose administrée) - TIMATB1_1 (Heure d'administration ATB1) - TIMATB1_2 (Heure d'administration ATB1) - TIMATB2_1 (Heure d'administration ATB2) - TIMATB2_2 (Heure d'administration ATB2) - TIMATB3_1 (Heure d'administration ATB3) - TIMATB3_2 (Heure d'administration ATB3) Value 1 (1) deactivates question(s) - ATB2 (Type antibiotique 2) - ATB3 (Type antibiotique 3) - TIMATB2_1 (Heure d'administration ATB2) - TIMATB2_2 (Heure d'administration ATB2) - TIMATB3_1 (Heure d'administration ATB3) - TIMATB3_2 (Heure d'administration ATB3) Value 2 (2) deactivates question(s) - ATB3 (Type antibiotique 3) - TIMATB3_1 (Heure d'administration ATB3) - TIMATB3_2 (Heure d'administration ATB3) ------------------------------------------------------------------------------------ ATB1 (16. Type antibiotique 1) Type : dropdown Data type : integer Answers: 10 = 10 Amoxicilline 11 = 11 Flucloxacilline 12 = 12 Pénicilline 13 = 13 Pipéracilline 20 = 20 Amoxicilline + Clavulanate 21 = 21 Piperacilline + Tazobactam 22 = 22 Ticercilline + Clavulanate 30 = 30 Céfazoline 31 = 31 Céfépime 32 = 32 Céfetamet 33 = 33 Céfoxitine 34 = 34 Ceftacidime 35 = 35 Ceftriaxone 36 = 36 Céfuroxime 37 = 37 Cefpodoxime 38 = 38 Céfaclor 39 = 39 Céfixime 40 = 40 Imipénème 41 = 41 Méropénème 42 = 42 Ertapénème 50 = 50 Amikacine 51 = 51 Gentamicine 52 = 52 Nétilmicine 53 = 53 Tobramycine 60 = 60 Ciprofloxacine 61 = 61 Norfloxacine 62 = 62 Ofloxacine 63 = 63 Lévofloxacine 64 = 64 Moxifloxacine 65 = 65 Lémofloxacine 70 = 70 Clarythromycine 71 = 71 Erythromycine 72 = 72 Azithromycine 80 = 80 Teicoplanine 81 = 81 Vancomycine 90 = 90 Cotrimoxazole 100 = 100 Doxycycline 101 = 101 Chloramphénicol 102 = 102 Clindamycine 103 = 103 Métronidazole 104 = 104 Rifampicine 105 = 105 Thiamphénicole 106 = 106 Acide Fusidique 107 = 107 Minocycline 108 = 108 Nitrofurantoine 109 = 109 Linezolid 110 = 110 Fluconazole 111 = 111 Amphotéricine B 112 = 112 Caspofungine 120 = 120 autre substance non définie 390 = 390 Ceftobiprole 391 = 391 Aztreonam 1091 = 1091 Tigecycline 1092 = 1092 Daptomycine 1093 = 1093 Ornidazol 1101 = 1101 Itraconazole 1102 = 1102 Voriconazole 3901 = 3901 Cefamandole Rules: Include question rules: Value 30 (30 Céfazoline) activates question(s) - DOSIS_GIVEN_ATB1 (Dose administrée) Value 36 (36 Céfuroxime) activates question(s) - DOSIS_GIVEN_ATB1 (Dose administrée) Value 51 (51 Gentamicine) activates question(s) - DOSIS_GIVEN_ATB1 (Dose administrée) Value 81 (81 Vancomycine) activates question(s) - DOSIS_GIVEN_ATB1 (Dose administrée) Value 102 (102 Clindamycine) activates question(s) - DOSIS_GIVEN_ATB1 (Dose administrée) Depends on question(s): SCORE_ATB_OUI ------------------------------------------------------------------------------------ DATE_ATB1 (16a. Date de l'antibiotique 1) Type : date Depends on question(s): SCORE_ATB_OUI, MIGRATED_DATA ------------------------------------------------------------------------------------ DOSIS_GIVEN_ATB1 (16b. Dose administrée) Type : integer Min-Max answers : 1 to 5000 Data type : integer Depends on question(s): SCORE_ATB_OUI, ATB1, MIGRATED_DATA ------------------------------------------------------------------------------------ TIMATB1_1 (17. Heure d'administration ATB1) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 Depends on question(s): SCORE_ATB_OUI ------------------------------------------------------------------------------------ TIMATB1_2 (18. Heure d'administration ATB1) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 24 = 24 25 = 25 26 = 26 27 = 27 28 = 28 29 = 29 30 = 30 31 = 31 32 = 32 33 = 33 34 = 34 35 = 35 36 = 36 37 = 37 38 = 38 39 = 39 40 = 40 41 = 41 42 = 42 43 = 43 44 = 44 45 = 45 46 = 46 47 = 47 48 = 48 49 = 49 50 = 50 51 = 51 52 = 52 53 = 53 54 = 54 55 = 55 56 = 56 57 = 57 58 = 58 59 = 59 Depends on question(s): SCORE_ATB_OUI ------------------------------------------------------------------------------------ ATB2 (19. Type antibiotique 2) Type : dropdown Data type : integer Answers: 10 = 10 Amoxicilline 11 = 11 Flucloxacilline 12 = 12 Pénicilline 13 = 13 Pipéracilline 20 = 20 Amoxicilline + Clavulanate 21 = 21 Piperacilline + Tazobactam 22 = 22 Ticercilline + Clavulanate 30 = 30 Céfazoline 31 = 31 Céfépime 32 = 32 Céfetamet 33 = 33 Céfoxitine 34 = 34 Ceftacidime 35 = 35 Ceftriaxone 36 = 36 Céfuroxime 37 = 37 Cefpodoxime 38 = 38 Céfaclor 39 = 39 Céfixime 40 = 40 Imipénème 41 = 41 Méropénème 42 = 42 Ertapénème 50 = 50 Amikacine 51 = 51 Gentamycine 52 = 52 Nétilmicine 53 = 53 Tobramycine 60 = 60 Ciprofloxacine 61 = 61 Norfloxacine 62 = 62 Ofloxacine 63 = 63 Lévofloxacine 64 = 64 Moxifloxacine 65 = 65 Lémofloxacine 70 = 70 Clarythromycine 71 = 71 Erythromycine 72 = 72 Azithromycine 80 = 80 Teicoplanine 81 = 81 Vancomycine 90 = 90 Cotrimoxazole 100 = 100 Doxycycline 101 = 101 Chloramphénicol 102 = 102 Clindamycine 103 = 103 Métronidazole 104 = 104 Rifampicine 105 = 105 Thiamphénicole 106 = 106 Acide Fusidique 107 = 107 Minocycline 108 = 108 Nitrofurantoine 109 = 109 Linezolid 110 = 110 Fluconazole 111 = 111 Amphotéricine B 112 = 112 Caspofungine 120 = 120 autre substance non définie 390 = 390 Ceftobiprole 391 = 391 Aztreonam 1091 = 1091 Tigecycline 1092 = 1092 Daptomycine 1093 = 1093 Ornidazol 1101 = 1101 Itraconazole 1102 = 1102 Voriconazole 3901 = 3901 Cefamandole Depends on question(s): SCORE_ATB_OUI ------------------------------------------------------------------------------------ TIMATB2_1 (20. Heure d'administration ATB2) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 Depends on question(s): SCORE_ATB_OUI ------------------------------------------------------------------------------------ TIMATB2_2 (21. Heure d'administration ATB2) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 24 = 24 25 = 25 26 = 26 27 = 27 28 = 28 29 = 29 30 = 30 31 = 31 32 = 32 33 = 33 34 = 34 35 = 35 36 = 36 37 = 37 38 = 38 39 = 39 40 = 40 41 = 41 42 = 42 43 = 43 44 = 44 45 = 45 46 = 46 47 = 47 48 = 48 49 = 49 50 = 50 51 = 51 52 = 52 53 = 53 54 = 54 55 = 55 56 = 56 57 = 57 58 = 58 59 = 59 Depends on question(s): SCORE_ATB_OUI ------------------------------------------------------------------------------------ ATB3 (22. Type antibiotique 3) Type : dropdown Data type : integer Answers: 10 = 10 Amoxicilline 11 = 11 Flucloxacilline 12 = 12 Pénicilline 13 = 13 Pipéracilline 20 = 20 Amoxicilline + Clavulanate 21 = 21 Piperacilline + Tazobactam 22 = 22 Ticercilline + Clavulanate 30 = 30 Céfazoline 31 = 31 Céfépime 32 = 32 Céfetamet 33 = 33 Céfoxitine 34 = 34 Ceftacidime 35 = 35 Ceftriaxone 36 = 36 Céfuroxime 37 = 37 Cefpodoxime 38 = 38 Céfaclor 39 = 39 Céfixime 40 = 40 Imipénème 41 = 41 Méropénème 42 = 42 Ertapénème 50 = 50 Amikacine 51 = 51 Gentamycine 52 = 52 Nétilmicine 53 = 53 Tobramycine 60 = 60 Ciprofloxacine 61 = 61 Norfloxacine 62 = 62 Ofloxacine 63 = 63 Lévofloxacine 64 = 64 Moxifloxacine 65 = 65 Lémofloxacine 70 = 70 Clarythromycine 71 = 71 Erythromycine 72 = 72 Azithromycine 80 = 80 Teicoplanine 81 = 81 Vancomycine 90 = 90 Cotrimoxazole 100 = 100 Doxycycline 101 = 101 Chloramphénicol 102 = 102 Clindamycine 103 = 103 Métronidazole 104 = 104 Rifampicine 105 = 105 Thiamphénicole 106 = 106 Acide Fusidique 107 = 107 Minocycline 108 = 108 Nitrofurantoine 109 = 109 Linezolid 110 = 110 Fluconazole 111 = 111 Amphotéricine B 112 = 112 Caspofungine 120 = 120 autre substance non définie 390 = 390 Ceftobiprole 391 = 391 Aztreonam 1091 = 1091 Tigecycline 1092 = 1092 Daptomycine 1093 = 1093 Ornidazol 1101 = 1101 Itraconazole 1102 = 1102 Voriconazole 3901 = 3901 Cefamandole Depends on question(s): SCORE_ATB_OUI ------------------------------------------------------------------------------------ TIMATB3_1 (23. Heure d'administration ATB3) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 Depends on question(s): SCORE_ATB_OUI ------------------------------------------------------------------------------------ TIMATB3_2 (24. Heure d'administration ATB3) Type : dropdown Data type : integer Answers: 0 = 00 1 = 01 2 = 02 3 = 03 4 = 04 5 = 05 6 = 06 7 = 07 8 = 08 9 = 09 10 = 10 11 = 11 12 = 12 13 = 13 14 = 14 15 = 15 16 = 16 17 = 17 18 = 18 19 = 19 20 = 20 21 = 21 22 = 22 23 = 23 24 = 24 25 = 25 26 = 26 27 = 27 28 = 28 29 = 29 30 = 30 31 = 31 32 = 32 33 = 33 34 = 34 35 = 35 36 = 36 37 = 37 38 = 38 39 = 39 40 = 40 41 = 41 42 = 42 43 = 43 44 = 44 45 = 45 46 = 46 47 = 47 48 = 48 49 = 49 50 = 50 51 = 51 52 = 52 53 = 53 54 = 54 55 = 55 56 = 56 57 = 57 58 = 58 59 = 59 Depends on question(s): SCORE_ATB_OUI ------------------------------------------------------------------------------------ WEIGHT_CUT_OFF (ATB weight adapted: cut off) Type : dropdown Data type : integer Optional question Answers: 80 = bei Grenzwert 80 kg 120 = bei Grenzwert 120 kg Depends on question(s): MIGRATED_DATA ------------------------------------------------------------------------------------ TAILLE (25. Taille) Type : integer Min-Max answers : 40 to 250 Data type : integer ------------------------------------------------------------------------------------ POIDS (26. Poids) Type : integer Min-Max answers : 1 to 300 Data type : integer ------------------------------------------------------------------------------------ DISCHARGE_DATE (1. Date de sortie (ou décès)) Type : date ------------------------------------------------------------------------------------ DESTINATION (2. Destination) Type : dropdown Data type : integer Answers: 1 = domicile ou EMS 2 = autre hôpital de soins aigus 3 = hôpital de réadaptation 4 = patient décédé 9 = autre Rules: Include question rules: Value 9 (autre) activates question(s) - OTHER_DESTINATION (Spécifiez destination: autre) ------------------------------------------------------------------------------------ OTHER_DESTINATION (Spécifiez destination: autre) Type : string Depends on question(s): DESTINATION ------------------------------------------------------------------------------------