Sentinel General Practitioners - Sexually transmitted infections (SGP_sti)
- Status: inactive
- How to create a CSV file for this data collection?
- Start date: 12/04/2016
- End date creation: 12/08/2024
- End date submission: 12/08/2024
- End date comments: 12/08/2024
1 Identification
Section help
Dit formulier is enkel bestemd voor artsen die deelnemen aan de huisartsenpeilpraktijken, een register bedoeld voor wetenschappelijk onderzoek.
Indien u interesse heeft om deel te nemen aan deze registratie, graag eerst contact opnemen met Viviane.VanCasteren@wiv-isp.be vooraleer te registreren.
5 SOI's
De registratie betreft elke NIEUWE episode van de volgende 5 SOI’s (seksueel overdraagbare infecties), na bevestiging van het labo, tenzij voor genitale wratten en genitale herpes:
• Chlamydia trachomatis: cultuur of PCR
• Gonorrhoea: cultuur of PCR
• Genitale wratten: klinisch
• Syfilis: klinisch en serologie
• Genitale herpes : klinisch
NIHDI number of the treating physician
Technical specs
CSV column name:
nihdi_number_of_the_treating_physician
Length:
100
Reference list:
PHYSICIAN
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Caregiver
Data element:
CareGiverIdentificationNumber
National registry ID of the patient
Help
Please encode a social security identification number (SSIN). Please note that the patient ID is always pseudonymised before being transferred to Healthdata.
Technical specs
CSV column name:
patient_id
Required:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
PatientIdentificationNumber
Validation
The validity of the national register number is checked with the mod97 check.
Fields
Section help
Please encode a social security identification number (SSIN). Please note that the patient ID is always pseudonymised before being transferred to Healthdata.
Internal patient ID
Help
This field can be used to enter an internal ID or reference number. It is available for internal use only and is not transferred to Healthdata. If there is an integration between HD4DP and your organisation's patient administration system, additional patient identification information such as date of birth, sex and SSIN can be automatically enriched based on this internal patient ID. Please do not encode the social security identification number (SSIN) in this field. The SSIN must be encoded in the field 'National registry ID of the patient'.
Technical specs
CSV column name:
patient_id|internal_patient_id
Length:
50
Required:
false
Generated
Help
The patient_id|generated column can be set to 'TRUE' for an automatically generated patient_id.This column should only be added in case the patient_id is empty. If the column is set to 'TRUE', a patient_id is automatically generated based on the name, first name, date of birth and sex of the patient.
Technical specs
CSV column name:
patient_id|generated
Required:
false
Options
| Label | Value |
| Yes | TRUE |
| No | FALSE |
Name
Help
The name of the patient is never transferred to Healthdata and is available for your information only.
Technical specs
CSV column name:
patient_id|name
Length:
50
Required:
noSSIN(Needed only if no national register number is entered)
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
LastName
First name
Help
The first name of the patient is never transferred and is available for your information only.
Technical specs
CSV column name:
patient_id|first_name
Length:
50
Required:
noSSIN(Needed only if no national register number is entered)
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
FirstNames
Date of birth
Help
If only year of birth is known, please enter the date as 01/01/yyyy.
Technical specs
Format:
DD/MM/YYYY
CSV column name:
patient_id|date_of_birth
Required:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
DateOfBirth
Validation
- This patient is older than 75 years. Please verify that the date of birth is correct. (warning)
- The date of birth cannot be in the future (error)
Sex
Help
This is the official gender as known by the National Register
Technical specs
CSV column name:
patient_id|sex
Required:
true
Options
| Label | Value |
| Male | M |
| Female | F |
| Unknown | U |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
Gender
Place of residence
Technical specs
CSV column name:
patient_id|place_of_residence
Length:
5
Reference list:
POSTAL_CODE
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
Postcode
Deceased?
Technical specs
CSV column name:
patient_id|deceased
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
DeathIndicator
Options
| Label | Value |
| Yes | TRUE |
| No | FALSE |
Date of death
Technical specs
Format:
DD/MM/YYYY
CSV column name:
patient_id|date_of_death
Only when:
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
DateOfDeath
Validation
- The date of death cannot be in the future (error)
Was patient born abroad?
Technical specs
CSV column name:
was_patient_born_abroad
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
| Unknown | 9 |
Country/region of birth of patient
Technical specs
CSV column name:
countryregion_of_birth_of_patient
Only when:
Required:
false
Options
| Label | Value |
| Other European country | 1 |
| Sub-Saharan Africa | 2 |
| North Africa | 3 |
| Asia, including Turkey | 4 |
| Central & South America | 5 |
| North America | 6 |
| Oceania | 7 |
| Unknown | 8 |
Level of education
Technical specs
CSV column name:
level_of_education
Required:
true
Options
| Label | Value |
| Primary education or less | 1 |
| Secondary education | 2 |
| Higher education | 3 |
| Unknown | 4 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Education
Data element:
SchoolType
2 Diagnosis
Diagnosis
Technical specs
CSV column name:
diagnosis
Required:
true
Options
| Label | Value |
| Chlamydial infection | chlamydial_infection |
| Gonorrhea | gonorrhea |
| Genital herpes | genital_herpes |
| Condylomata (HPV) | condylomata_hpv |
| Syphilis | syphilis |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.TransferConcern
Data element:
ProblemName
Nested option fields
- When chlamydial_infection Is selected:choice
Antecedents chlamydial infection?
Technical specs
CSV column name:
diagnosis|antecedents_chlamydial_infection
Required:
false
Options
Label Value No 1 2 ≥ 1 year 3 Unknown 4 Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.TransferConcern
Data element:
ProblemName
- When gonorrhea Is selected:choice
Antecedents gonorrhea?
Technical specs
CSV column name:
diagnosis|antecedents_gonorrhea
Required:
false
Options
Label Value No 1 2 ≥ 1 year 3 Unknown 4 Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.TransferConcern
Data element:
ProblemName
- When genital_herpes Is selected:choice
Antecedents genital herpes?
Technical specs
CSV column name:
diagnosis|antecedents_genital_herpes
Required:
false
Options
Label Value No 1 2 ≥ 1 year 3 Unknown 4 Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.TransferConcern
Data element:
ProblemName
- When condylomata_hpv Is selected:choice
Antecedents HPV?
Technical specs
CSV column name:
diagnosis|antecedents_hpv
Required:
false
Options
Label Value No 1 2 ≥ 1 year 3 Unknown 4 Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.TransferConcern
Data element:
ProblemName
- When syphilis Is selected:choice
Antecedents syphilis?
Technical specs
CSV column name:
diagnosis|antecedents_syphilis
Required:
false
Options
Label Value No 1 2 ≥ 1 year 3 Unknown 4 Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.TransferConcern
Data element:
ProblemName
3 Consultation
Reason of consultation
Technical specs
CSV column name:
reason_of_consultation
Required:
true
Options
| Label | Value |
| GP initiated screening | gp_initiated_screening |
| Patient initiated screening | patient_initiated_screening |
| STI infected partner | sti_infected_partner |
| Pregnancy follow-up | pregnancy_followup |
| STI symptom(s) | sti_symptoms |
| Other reason for consultation | reason_consultation_OTH |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Contact
Data element:
Problem::ProblemName
Nested option fields
- When reason_consultation_OTH Is selected:text
Specify
Technical specs
CSV column name:
reason_of_consultation|specify
Length:
50
Required:
false
In case of STI symptom(s), please specify
Technical specs
CSV column name:
in_case_of_sti_symptoms_please_specify
Only when:
Required:
true
Options
| Label | Value |
| Urethritis | urethritis |
| Epididymitis | epididymitis |
| Proctitis | proctitis |
| Cervicitis | cervicitis |
| Vaginitis | vaginitis |
| Genital ulcus | genital_ulcus |
| Arthritis due to STI | arthritis |
| Other | STI_symptoms_OTH |
| Unknown | STI_symptoms_UNK |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.TransferConcern
Data element:
ProblemName
Nested option fields
- When STI_symptoms_OTH Is selected:text
Specify
Technical specs
CSV column name:
in_case_of_sti_symptoms_please_specify|specify
Length:
50
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.TransferConcern
Data element:
ProblemName
Validation
- In case of STI symptom(s), please specify: the option 'Unknown' cannot be combined with other options (error)
4 Risk factors
Place of infection
Technical specs
CSV column name:
place_of_infection
Required:
true
Options
| Label | Value |
| Belgium | 1 |
| Infection acquired abroad | 2 |
| Unknown | 3 |
Sexual orientation
Technical specs
CSV column name:
sexual_orientation
Required:
true
Options
| Label | Value |
| Homosexual contacts | 1 |
| Heterosexual contacts | 2 |
| Bisexual contacts | 3 |
| Unknown | 4 |
Number of sex partners within the last 6 months
Technical specs
CSV column name:
number_of_sex_partners_within_the_last_6_months
Required:
true
Options
| Label | Value |
| 1 | |
| ≥ 3 | 2 |
| Unknown | 3 |
Did the patient have a steady relation during the last 6 months?
Technical specs
CSV column name:
did_the_patient_have_a_steady_relation_during_the_last_6_months
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
| Unknown | 9 |
Did the patient use a condom (in general) during the last 6 months?
Technical specs
CSV column name:
did_the_patient_use_a_condom_in_general_during_the_last_6_months
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
| Unknown | 9 |
Was the patient a commercial sex worker or did the patient have sexual contact with a commercial sex worker during the last 6 months?
Technical specs
CSV column name:
was_the_patient_a_commercial_sex_worker_or_did_the_patient_have_sexual_contact_with_a_commercial_sex_worker_during_the_last_6_months
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
| Unknown | 9 |
Did the patient abuse substances or did the patient have sexual contact with a person abusing substances during the last 6 months?
Technical specs
CSV column name:
did_the_patient_abuse_substances_or_did_the_patient_have_sexual_contact_with_a_person_abusing_substances_during_the_last_6_months
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
| Unknown | 9 |
Did you discuss informing and treating the sexual partner(s)?
Technical specs
CSV column name:
did_you_discuss_informing_and_treating_the_sexual_partners
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
Was patient seen for the first time, e.g. during out of hours care?
Technical specs
CSV column name:
was_patient_seen_for_the_first_time_eg_during_out_of_hours_care
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
5 HIV serological status, HPV vaccination
HIV serological status
Technical specs
CSV column name:
hiv_serological_status
Required:
true
Options
| Label | Value |
| Test was currently taken | 1 |
| Positive test | 2 |
| Negative test | 3 |
| Negative test ≥ 3 months ago | 4 |
| Unknown HIV serological status | 5 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.TransferConcern
Data element:
ProblemName
Reason for unknown HIV serological status
Technical specs
CSV column name:
reason_for_unknown_hiv_serological_status
Only when:
Required:
false
Options
| Label | Value |
| Test planned | 1 |
| Test refusal | 2 |
| Test not proposed | 3 |
| Other reason | 4 |
Nested option fields
- When 4 Is selected:text
Specify
Technical specs
CSV column name:
reason_for_unknown_hiv_serological_status|specify
Length:
50
Required:
false
HPV vaccination
Technical specs
CSV column name:
hpv_vaccination
Required:
true
Options
| Label | Value |
| Vaccinated | 1 |
| Not vaccinated | 2 |
| Unknown | 3 |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Vaccination
Data element:
ProductCode
