| 
Boolan (Yes/No)
 | 
                
Select
 | 
                
1
 | 
                
vb1
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
Conjonctive
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
Boolan (Yes/No)
 | 
                
Select
 | 
                
2
 | 
                
vb2
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
Œdème
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
Boolan (Yes/No)
 | 
                
Select
 | 
                
3
 | 
                
vb3
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
Varices
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
Boolan (Yes/No)
 | 
                
Select
 | 
                
4
 | 
                
vb5
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
écoulement vagina
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
Numeric
 | 
                
Text box
 | 
                
5
 | 
                
vn1
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
height of the fundus
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
Boolan (Yes/No)
 | 
                
Select
 | 
                
7
 | 
                
vb4
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
BDCF (battement fœtal)
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
String
 | 
                
Text box
 | 
                
8
 | 
                
vt1
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
BDCF (freq.)
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
Large text
 | 
                
Text area
 | 
                
9
 | 
                
vm1
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
Observation
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
Large text
 | 
                
Text area
 | 
                
10
 | 
                
vm2
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
CAT (Conduite à tenir)
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
String
 | 
                
Select
 | 
                
11
 | 
                
vt2
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
Fetal presentation
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |     
    
            | 
Boolan (Yes/No)
 | 
                
Select
 | 
                
12
 | 
                
vb6
 | 
                
0
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
The mother perceives fetal movements:
 | 
                
 | 
                
 | 
                
 | 
                
 | 
                
 | 
     |  |  |  |