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SGP_ALI

Registration of new episode of ALI and ILI and acute diarrhea
Identification
(This question is mandatory)
GP code
(This question is mandatory)
Startdate of registration week (monday)
Open date/time selector
(This question is mandatory)
Activity code
(This question is mandatory)

How is your workload at present with caring for patients with (suspected) COVID-19?

ALI
(This question is mandatory)
Cases of ALI this week?
Number of cases ALI
ILI
(This question is mandatory)
Cases of ILI this week?

Number of cases ILI

*Deaths among ILI patients diagnosed in recent weeks

< 1 year
1 - 4 year
5 - 14 year
15 - 19 year
20 - 64 year
65 - 84 year
>= 85 year
GE
Acute diarrhea
(This question is mandatory)
Cases of acute diarrhea this week?
Number of cases acute diarrhea
< 1 year
1 - 4 year
5 - 14 year
15 - 19 year
20 - 64 year
65 - 84 year
>= 85 year