Identification of the centre |
Q1 |
Name of the centre |
In all versions |
In all versions |
Q2 |
Name of the unit/program/satellite |
In all versions |
In all versions |
Q3 |
Type of unit/program/satellite |
In all versions |
In all versions |
Q4 |
Type of hospital bed where the patient is hospitalized |
/ |
Version Hospitals |
Q5 |
Arrondissement where the patient is treated |
In all versions |
In all versions |
Q6 |
Distance between centre and residence place |
Version NIHDI |
Version NIHDI + Walloon region |
Identification of the patient |
Q7 |
Type of identification |
In all versions |
In all versions |
Q8 |
Identification number |
In all versions |
In all versions |
Description of the client |
Q9 |
Sex |
In all versions |
In all versions |
Q10 |
Age at beginning of the treatment episode |
In all versions |
In all versions |
Q11 |
Nationality |
In all versions |
Version NIHDI + Walloon region |
Q12 |
Main type of accommodation during the last 30 days |
In all versions |
In all versions |
Q13 |
Main type of household during the last 30 days |
In all versions |
In all versions |
Q14 |
Responsibility of children during the last 30 days |
In all versions |
In all versions |
Q15 |
Highest educational level achieved |
In all versions |
In all versions |
Q16 |
Main work situation during the last 30 days |
In all versions |
In all versions |
Q17 |
Main income situation during the last 30 days |
/ |
In all versions |
Description of the treatment |
Q18 |
Date of the start of treatment |
In all versions |
In all versions |
Q19 |
Status of previous addiction treatment |
In all versions |
In all versions |
Q20 |
Source of referral for this treatment episode |
In all versions |
In all versions |
Q21 |
Lifetime substitution treatment |
In all versions |
In all versions |
Q22 |
Kind of substitution treatment |
In all versions |
In all versions |
Q23 |
Age at first substitution treatment |
/ |
In all versions |
Q24 |
Main diagnosis of substance use |
Version Hospitals |
Version Hospitals |
Q25 |
Treatment objectives |
Version Hospitals |
Version Hospitals |
Substance use patterns |
Q26 |
Current problematic substances |
/ |
In all versions |
Q27 |
Existence of primary substance |
/ |
In all versions |
Q28 |
Primary substance |
In all versions |
In all versions |
Q29 |
Other substances used |
In all versions |
/ |
Q30 |
Polydrug use problem |
/ |
In all versions |
Q31 |
Age at first use of primary substance |
In all versions |
In all versions |
Q32 |
Main route of administration of primary substance |
In all versions |
In all versions |
Q33 |
Main frequency of use of the primary substance |
In all versions |
In all versions |
Q34 |
Injecting status |
In all versions |
In all versions |
Q35 |
Age at first injecting |
/ |
In all versions |
Q36 |
Last injecting occurrence |
/ |
In all versions |
Q37 |
Share of needle status |
/ |
In all versions |
Q38 |
Last share of needle occurrence |
/ |
In all versions |
Q39 |
Share of paraphernalia |
/ |
Version Walloon Region |
Q40 |
Last share of paraphernalia occurrence |
/ |
Version Walloon Region |