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Monarch Antenatal & Delivery MCR 02

South Africa, 2015 - 2016
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MO-02.Antenatal.and.Delivery.MCR
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Jun 06, 2017
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Jun 06, 2017
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Data file: MO-02 Monarch Antenatal & Delivery MCR

Cases: 2551
Variables: 576

Variables

Syphscrt6Ad
Did the mother receive a rapid syphilis test?
SyphScr6Ad
If yes what was the result?
ResrprSyph6Ad
If the syphilis screen was positive what was the RPR (titre)?
ArtStarComb6Fixed
Fixed dose combination (TDF/FTC/EFV)
ArtStarComb6TDF
TDF (tenofovir)
ArtStarComb6FTC
FTC (emtricitabine)
ArtStarComb6AZT
AZT (zidovudine)
ArtStarComb63TC
3TC (lamivudine)
ArtStarComb6ABC
ABC (abacavir)
ArtStarComb6d4T
d4T (stavudine)
ArtStarComb6EFV
EFV (efavirenz)
ArtStarComb6NVP
NVP (nevirapine)
ArtStarComb6LPV
LPV/r (lopinavir/ritonavir, aluvia)
ArtStarComb6ATV
ATV/r (atazanavir/ritonavir)
ArtStarComb6RAL
RAL (raltegravir)
ArtStarComb6Unknown
Unknown
Tphasyph6Ad
If syphilis screen was positive what was the TPHA?
SyphTreatment6Ad
If syphilis positive did the mother receive treatment?
Date6tbScrAd
For Date 6, was the mother screened for Tb during pregnancy?
Date6TbScrResultAd
For Date 6, if yes to above, what was the result?
Date6TbpxAd
For Date 6, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi
Date6TbTreatAd
For Date 6, was the mother started on Tb treatment?
Date6TbTreatNot
Not screened for Tb
Date6TbTreatNeg
Tb screen negative
Date6TbTreatIsoniazid
Isoniazid (INH or H)
Date6TbTreatRifampicin
Rifampicin (RIF, or R)
Date6TbTreatRifabutin
Rifabutin
Date6TbTreatEthambutol
Ethambutol (E)
Date6TbTreatPyrazinamide
Pyrazinamide (Z)
Date6TbTreatPyridoxine
Pyridoxine (vitamin for INH side effects)
Date6TbTreatStreptomycin
Streptomycin
Date6TbTreatAmikacin
Amikacin
Date6TbTreatClarithromycin
Clarithromycin
Date6TbTreatAzithromycin
Azithromycin
Date6TbTreatCiprofloxacin
Ciprofloxacin
Date6TbTreatMoxifloxacin
Moxifloxacin
Date6TbTreatPAS
Para Amino Salicylic acid (PAS)
Date6TbTreatCapreomycin
Capreomycin
Date6TbTreatEthionamide
Ethionamide
Date6TbTreatCycloserine
Cycloserine
Date6TbTreatBedaquiline
Bedaquiline
Date6TbTreatUnknown
Unknown
Date6Suppl1Multi
Multi-vitamins (mvt)
Date6Suppl1Ferrous
Ferrous Sulphate/FeSO4/Iron
Date6Suppl1Folic
Folic Acid
Date6Suppl1Calcium
Calcium Suppl
Date6Suppl1Pregamal
Pregamal
Date6Suppl1VitaminB
Vitamin B-Complex
Date6Suppl1Other
Other
OtherSuppl6Ad
On Date 6, which other supplements were prescribed?
Date6AdviceContracepAd
For Date 6, was any advice/information/counselling on contraception/safe sex give
AdviceInfDate6Ad
For Date 6, was there any advice/counselling/information given with regards to in
Date6AddAdviceAd
For Date 6, was there anything else in clinical notes not covered by the above?
AntenatalUss6Ad
Did the mother have an ultrasound during pregnancy?
UssResult6Ad
If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other
Date6PalpitationsAd
For Date 6 were there any palpitations reported?
Date6IxPalpnsAd
What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date
Date6TxPalpnsAd
Was any treatment prescribed for palpitations?
Date6HypertensionAd
For Date 6 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH)
Date6OtherHypertensionAd
If Other, please specify
IxhtDate6Ad
What investigations were performed for hypertension?
Date6hyperAldomet
Aldomet (methyldopa)
Date6hyperAdalat
Adalat (nifedipine)
Date6hyperNil
Nil Treatment prescribed
Date6hyperOther
Other (specify)
Date6hyperBeta
Beta blocker (e.g. labetalol)
Date6HypertxAd
If Other treatment for hypertension related conditions, please specify.
Headache6Ad
Date 6: Was there any headache recorded?
HeadacheInvest6Ad
What investigations were performed for headache?
RxHeadache6Ad
Date 6: Was there any treatment prescribed for the headache?
GestDiabScrdate6Ad
Was the mother screened for diabetes in pregnancy?
Gest6DiabUrine
Urine dipstick (glucose)
Gest6DiabRandom
Random blood glucose (blood test)
Gest6DiabFasting
Fasting blood glucose (blood test)
Gest6DiabGlucose
Glucose tolerance test, OGTT (blood tests over 3 hours)
Gest6DiabUnknown
Unknown
GestDiabResult6Ad
If yes, what was the result of the diabetes screening test?
TxGestDiabDate6Ad
What treatment and/or advice was the mother given for diabetes (or glucose intole
Date6OtherCondAd
Were any additional investigations performed for Other Conditions listed above?
ixdate6othercondAd
For Date 6, please list other conditions not listed above.
Date6OtherMedPrescAd
For Date 6, were there any other medications prescribed? eg. Amoxil, Panado
IxOtherProt6Ad
Which other investigations/protocols were followed according to the Maternity Cas
OtherLab6Ad
Date 6: Were there other lab results available?
OtherLabRes6Sodium
Sodium
OtherLabRes6Potassium
Potassium
OtherLabRes6Chloride
Chloride
OtherLabRes6Bicarbonate
Bicarbonate
OtherLabRes6Urea
Urea
OtherLabRes6Creatinine
Creatinine
OtherLabRes6Albumin
Albumin
OtherLabRes6ALT
ALT (alanine aminotransferase)
OtherLabRes6ALP
ALP (alkaline phosphatase)
OtherLabRes6GGT
GGT (gamma glutamyl transferase)
OtherLabRes6AST
AST (aspartate aminotransferase)
OtherLabRes6Bilirubin
Bilirubin
OtherLabRes6HepatitisB
Hepatitis B tests
OtherLabRes6HepatitisC
Hepatitis C tests
OtherLabRes6CMV
CMV
OtherLabRes6Virology
Other virology
OtherLabRes6Hb
Haemoglobin (Hb)
OtherLabRes6WBC
White blood cells
OtherLabRes6Platelets
Platelets
HbDate6Ad
Date 6: What was the Hb value on this result?
MrnHema6Ad
Date 6: If Yes to any of the above lab tests, what was the MRN for Haematology?
LabnoHaem6Ad
Date 6: If yes to any of the above lab tests, what is the lab number for Haematol
MrnChempath6Ad
Date 6: If yes to any of the above lab tests, what was the MRN for Chemical Patho
LabnoChempath6Ad
If yes to any of the above lab tests, what is the lab number for Chemical Patholo
MrnVirol6Ad
Date 6: If yes to any of the above lab tests, what was the MRN for Virology?
LabnoVirol6Ad
Date 6: If yes to any of the above lab tests, what is the lab number for Virology
MrnImmunol6Ad
Date 6: Is there an MRN for Immunology?
LabnoImmunol6Ad
Date 6: Is there a lab number for Immunology?
BarcodeDate6Ad
For Date 6, is there any barcoded sticker for lab tests on the clinical notes?
AnnrBarcode6Ad
Date 6: What are the AA codes underneath the barcode?
ConfirmDate7AncAd
Did the mother attend ANC a seventh time during pregnancy?
AncVisitDates7Ad
SEVENTH ANC Visit (Date 7)
GestageAge7Ad
For Date 7, what was the gestational age? Review MCR for entries.
Bp1Anc7Ad
Blood pressure at Seventh ANC (Date 7) examination
Bp2Date7Ad
For Date 7, what was the recorded BP2 ? (If more than one BP available for one da
Bp3Date7Ad
For Date 7, what was the recorded BP3 ? (If more than one BP available for one da
PulseRate7Ad
Pulse rate Date 7
Weight1Dt7Ad
Weight (kg) at Date 7
Weight2Dt7Ad
For Date 7, what was the weight2? (If more than one weight available for one day,
SfDate7Ad
SF Measurement at Seventh ANC Visit (Date 7)
UrineTest7Ad
Date 7: Was an urine test done?
UrineDip7Protein
P (protein): nil
UrineDip7Ptrace
P trace
UrineDip7P2Plus
P 1+
UrineDip7P3Plus
P 2+
UrineDip7P4Plus
P 3+
UrineDip7Sugar
S (sugar): nil
UrineDip7Strace
S trace
UrineDip7S1Plus
S 1+
UrineDip7S2Plus
S 2+
UrineDip7S3Plus
S 3+
UrineDip7Unknown
Unknown
UrineDip7Other
Other (specify)
PhdoneDate7Ad
Date 7: was the pH of the urine recorded?
PhDate7Ad
If yes, what was the pH for Date 7?
OtherUrineDate7Ad
For Date 7 were there any other urine results noted?
ResultOtherUrine7Ad
If other urine results (eg Bilirubin) were recorded, what was the results?
Papsmear7Ad
For Date 7: Pap smear done?
ResultPapsmear7Ad
Date 7: Result of pap smear
PapsmearOtherRes7Ad
If Other, please specify
AbnormalPapmng7Ad
Date 7: If abnormal pap smear result (CIN I, II,III,Cervical Cancer, indeterminat
Date7RvdTestAd
Date 7: Did the mother have a HIV Antibody (RVD) test?
RvdResult7Ad
If Yes, what was the result?
Cd4Date7Ad
Date 7: Was the CD4 count determined?
ResultCd4Date7Ad
If Yes, what was the CD4 count?
ViralDate7RequestAd
Date 7: Was there any viral load requested or done?
ViraLoad7Ad
If Yes, what was the viral load?
Artrx7Ad
On Date 7, was she initiated on ART? (antiretroviral therapy) at THIS antenatal v
SyphScrt7Ad
Did the mother receive a rapid syphilis test?
SyphScr7Ad
If yes what was the result?
ResrprSyph7Ad
If the syphilis screen was positive what was the RPR (titre)?
TphaSyph7Ad
If syphilis screen was positive what was the TPHA?
SyphTreatment7Ad
If syphilis positive did the mother receive treatment?
Date7TbScrAd
For Date 7, was the mother screened for Tb during pregnancy?
ArtStarComb7Fixed
Fixed dose combination (TDF/FTC/EFV)
ArtStarComb7TDF
TDF (tenofovir)
ArtStarComb7FTC
FTC (emtricitabine)
ArtStarComb7AZT
AZT (zidovudine)
ArtStarComb73TC
3TC (lamivudine)
ArtStarComb7ABC
ABC (abacavir)
ArtStarComb7d4T
d4T (stavudine)
ArtStarComb7EFV
EFV (efavirenz)
ArtStarComb7NVP
NVP (nevirapine)
ArtStarComb7LPV
LPV/r (lopinavir/ritonavir, aluvia)
ArtStarComb7ATV
ATV/r (atazanavir/ritonavir)
ArtStarComb7RAL
RAL (raltegravir)
ArtStarComb7Unknown
Unknown
Date7TbScrResultAd
For Date 7, was the mother screened for Tb during pregnancy?
Date7TbpxAd
For Date 7, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi
Date7TbTreatAd
For Date 7, was the mother started on Tb treatment?
Date7TbTreatNot
Not screened for Tb
Date7TbTreatNeg
Tb screen negative
Date7TbTreatIsoniazid
Isoniazid (INH or H)
Date7TbTreatRifampicin
Rifampicin (RIF, or R)
Date7TbTreatRifabutin
Rifabutin
Date7TbTreatEthambutol
Ethambutol (E)
Date7TbTreatPyrazinamide
Pyrazinamide (Z)
Date7TbTreatPyridoxine
Pyridoxine (vitamin for INH side effects)
Date7TbTreatStreptomycin
Streptomycin
Date7TbTreatAmikacin
Amikacin
Date7TbTreatClarithromycin
Clarithromycin
Date7TbTreatAzithromycin
Azithromycin
Date7TbTreatCiprofloxacin
Ciprofloxacin
Date7TbTreatMoxifloxacin
Moxifloxacin
Date7TbTreatPAS
Para Amino Salicylic acid (PAS)
Date7TbTreatCapreomycin
Capreomycin
Date7TbTreatEthionamide
Ethionamide
Date7TbTreatCycloserine
Cycloserine
Date7TbTreatBedaquiline
Bedaquiline
Date7TbTreatUnknown
Unknown
Date7Suppl1Multi
Multi-vitamins (mvt)
Date7Suppl1Ferrous
Ferrous Sulphate/FeSO4/Iron
Date7Suppl1Folic
Folic Acid
Date7Suppl1Calcium
Calcium Suppl
Date7Suppl1Pregamal
Pregamal
Date7Suppl1VitaminB
Vitamin B-Complex
Date7Suppl1Other
Other
OtherSuppl7Ad
On Date 7, which other supplements were prescribed?
Date7AdviceContracepAd
For Date 7, was any advice/information/counselling on contraception/safe sex give
AdviceInfDate7Ad
For Date 7, was there any advice/counselling/information given with regards to in
Date7AddAdviceAd
For Date 7, was there anything else in clinical notes not covered by the above?
AntenatalUss7Ad
Did the mother have an ultrasound during pregnancy?
UssResult7Ad
If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other
Date7PalpitationsAd
For Date 7 were there any palpitations reported?
Date7IxpalpnsAd
What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date
Date7TxpalpnsAd
Was any treatment prescribed for palpitations?
Date7HypertensionAd
For Date 7 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH)
Date7OtherHypertensionAd
If Other, please specify
IxhtDate7Ad
What investigations were performed for hypertension?
Date7hyperAldomet
Aldomet (methyldopa)
Date7hyperAdalat
Adalat (nifedipine)
Date7hyperNil
Nil Treatment prescribed
Date7hyperOther
Other (specify)
Date7hyperBeta
Beta blocker (e.g. labetalol)
Date7HypertxAd
If Other treatment for hypertension related conditions, please specify.
Headache7Ad
Date 7: Was there any headache recorded?
HeadacheInvest7Ad
What investigations were performed for headache?
RxHeadache7Ad
Date 7: Was there any treatment prescribed for the headache?
GestDiabscrDate7Ad
Was the mother screened for diabetes in pregnancy?
Gest7DiabUrine
Urine dipstick (glucose)
Gest7DiabRandom
Random blood glucose (blood test)
Gest7DiabFasting
Fasting blood glucose (blood test)
Gest7DiabGlucose
Glucose tolerance test, OGTT (blood tests over 3 hours)
Gest7DiabUnknown
Unknown
GestDiabResult7Ad
If yes, what was the result of the diabetes screening test?
TxGestDiabDate7Ad
What treatment and/or advice was the mother given for diabetes (or glucose intole
Date7OtherCondAd
For Date 7, please list other conditions not listed above.
ixdate7othercondAd
Were any additional investigations performed for Other Conditions listed above?
Date7OtherMedPrescAd
For Date 7, were there any other medications prescribed? eg. Amoxil, Panado
IxOtherProt7Ad
Which other investigations/protocols were followed according to the Maternity Cas
OtherLab7Ad
Date 7: Were there other lab results available?
OtherLabRes7Sodium
Sodium
OtherLabRes7Potassium
Potassium
OtherLabRes7Chloride
Chloride
OtherLabRes7Bicarbonate
Bicarbonate
OtherLabRes7Urea
Urea
OtherLabRes7Creatinine
Creatinine
OtherLabRes7Albumin
Albumin
OtherLabRes7ALT
ALT (alanine aminotransferase)
OtherLabRes7ALP
ALP (alkaline phosphatase)
OtherLabRes7GGT
GGT (gamma glutamyl transferase)
OtherLabRes7AST
AST (aspartate aminotransferase)
OtherLabRes7Bilirubin
Bilirubin
OtherLabRes7HepatitisB
Hepatitis B tests
OtherLabRes7HepatitisC
Hepatitis C tests
OtherLabRes7CMV
CMV
OtherLabRes7Virology
Other virology
OtherLabRes7Hb
Haemoglobin (Hb)
OtherLabRes7WBC
White blood cells
OtherLabRes7Platelets
Platelets
HbDate7Ad
Date 7: What was the Hb value on this result?
MrnHema7Ad
Date 7: If Yes to any of the above lab tests, what was the MRN for Haematology?
LabnoHaem7Ad
Date 7: If yes to any of the above lab tests, what is the lab number for Haematol
MrnChempath7Ad
Date 7: If yes to any of the above lab tests, what was the MRN for Chemical Patho
LabnoChempath7Ad
If yes to any of the above lab tests, what is the lab number for Chemical Patholo
MrnVirol7Ad
Date 7: If yes to any of the above lab tests, what was the MRN for Virology?
LabnoVirol7Ad
Date 7: If yes to any of the above lab tests, what is the lab number for Virology
MrnImmunol7Ad
Date 7: Is there an MRN for Immunology?
LabnoImmunol7Ad
Date 7: Is there a lab number for Immunology?
BarcodeDate7Ad
For Date 7, is there any barcoded sticker for lab tests on the clinical notes?
AnnrBarcode7Ad
Date 7: What are the AA codes underneath the barcode?
ConfirmDate8AncAd
Did the mother attend ANC eight times during the pregnancy?
AncVisitDates8Ad
EIGHTH ANC Visit (Date 8)
GestageAge8Ad
For Date 8, what was the gestational age? Review MCR for entries.
Bp1Anc8Ad
Blood pressure at Eighth ANC (Date 8) examination
Bp2Date8Ad
For Date 8, what was the recorded BP2 ? (If more than one BP available for one da
Bp3Date8Ad
For Date 8, what was the recorded BP3 ? (If more than one BP available for one da
PulseRate8Ad
Pulse rate Date 8
Weight1Dt8Ad
Weight (kg) at Date 8
Weight2Dt8Ad
For Date 8, what was the weight2? (If more than one weight available for one day,
SfDate8Ad
SF Measurement at Eighth ANC Visit (Date 8)
UrineTest8Ad
Date 8: Was an urine test done?
McrComplete
MCR Complete
Total: 576
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