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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

BarcodeStickerId
Barcoded sticker ID number (M10.........)
ArtStarComb4Fixed
Fixed dose combination (TDF/FTC/EFV)
ArtStarComb4TDF
TDF (tenofovir)
ArtStarComb4FTC
FTC (emtricitabine)
ArtStarComb4AZT
AZT (zidovudine)
ArtStarComb43TC
3TC (lamivudine)
ArtStarComb4ABC
ABC (abacavir)
ArtStarComb4d4T
d4T (stavudine)
ArtStarComb4EFV
EFV (efavirenz)
ArtStarComb4NVP
NVP (nevirapine)
ArtStarComb4LPV
LPV/r (lopinavir/ritonavir, aluvia)
ArtStarComb4ATV
ATV/r (atazanavir/ritonavir)
ArtStarComb4RAL
RAL (raltegravir)
ArtStarComb4Unknown
Unknown
TphaSyph4Ad
If syphilis screen was positive what was the TPHA?
SyphTreatment4Ad
If syphilis positive did the mother receive treatment?
Date4TbScrAd
For date 4, was the mother screened for Tb during pregnancy?
Date4TbScrResultAd
For date 4, if yes to above, what was the result?
Date4TbpxAd
For date 4, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi
Date4TbTreatAd
For date 4, was the mother started on Tb treatment?
OtherSuppl4Ad
On Date 4, which other supplements were prescribed?
Date4AdviceContrAd
For Date 4, was any advice/information/counselling on contraception/safe sex give
AdviceInfDate4Ad
For Date 4, was there any advice/counselling/information given with regards to in
Date4AddAdviceAd
For date 4, was there anything else in clinical notes not covered by the above? (
AntenatalUss4Ad
Did the mother have an ultrasound during pregnancy?
UssResult4Ad
If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other
Date4TbTreatNot
Not screened for Tb
Date4TbTreatNeg
Tb screen negative
Date4TbTreatIsoniazid
Isoniazid (INH or H)
Date4TbTreatRifampicin
Rifampicin (RIF, or R)
Date4TbTreatRifabutin
Rifabutin
Date4TbTreatEthambutol
Ethambutol (E)
Date4TbTreatPyrazinamide
Pyrazinamide (Z)
Date4TbTreatPyridoxine
Pyridoxine (vitamin for INH side effects)
Date4TbTreatStreptomycin
Streptomycin
Date4TbTreatAmikacin
Amikacin
Date4TbTreatClarithromycin
Clarithromycin
Date4TbTreatAzithromycin
Azithromycin
Date4TbTreatCiprofloxacin
Ciprofloxacin
Date4TbTreatMoxifloxacin
Moxifloxacin
Date4TbTreatPAS
Para Amino Salicylic acid (PAS)
Date4TbTreatCapreomycin
Capreomycin
Date4TbTreatEthionamide
Ethionamide
Date4TbTreatCycloserine
Cycloserine
Date4TbTreatBedaquiline
Bedaquiline
Date4TbTreatUnknown
Unknown
Date4Suppl1Multi
Multi-vitamins (mvt)
Date4Suppl1Ferrous
Ferrous Sulphate/FeSO4/Iron
Date4Suppl1Folic
Folic Acid
Date4Suppl1Calcium
Calcium Suppl
Date4Suppl1Pregamal
Pregamal
Date4Suppl1VitaminB
Vitamin B-Complex
Date4Suppl1Other
Other
Date4PalpitationsAd
For Date 4 were there any palpitations reported?
Date4IxPalpnsAd
What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date
Date4TxPalpnsAd
Was any treatment prescribed for palpitations?
Date4HypertensionAd
For date 4 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH)
Date4OtherHypertensionAd
If Other, please specify
IxhtDate4Ad
What investigations were performed for hypertension?
Date4hyperAldomet
Aldomet (methyldopa)
Date4hyperAdalat
Adalat (nifedipine)
Date4hyperNil
Nil Treatment prescribed
Date4hyperOther
Other (specify)
Date4hyperBeta
Beta blocker (e.g. labetalol)
Date4HypertxAd
If Other treatment for hypertension related conditions, please specify.
Headache4Ad
Date 4: Was there any headache recorded?
HeadacheInvest4Ad
What investigations were performed for headache?
RxHeadache4Ad
Date 4: Was there any treatment prescribed for the headache?
GestDiabScrDate4Ad
Was the mother screened for diabetes in pregnancy?
Gest4DiabUrine
Urine dipstick (glucose)
Gest4DiabRandom
Random blood glucose (blood test)
Gest4DiabFasting
Fasting blood glucose (blood test)
Gest4DiabGlucose
Glucose tolerance test, OGTT (blood tests over 3 hours)
Gest4DiabUnknown
Unknown
GestDiabResult4Ad
If yes, what was the result of the diabetes screening test?
TxGestDiabDate4Ad
What treatment and/or advice was the mother given for diabetes (or glucose intole
Date4OtherCondAd
For Date 4, please list other conditions not listed above.
Date4OtherMedPrescAd
For Date 4, were there any other medications prescribed? eg. Amoxil, Panado
IxOtherProt4Ad
Which other investigations/protocols were followed according to the Maternity Cas
OtherLab4Ad
Date 4: Were there other lab results available?
OtherLabRes4Sodium
Sodium
OtherLabRes4Potassium
Potassium
OtherLabRes4Chloride
Chloride
OtherLabRes4Bicarbonate
Bicarbonate
OtherLabRes4Urea
Urea
OtherLabRes4Creatinine
Creatinine
OtherLabRes4Albumin
Albumin
OtherLabRes4ALT
ALT (alanine aminotransferase)
OtherLabRes4ALP
ALP (alkaline phosphatase)
OtherLabRes4GGT
GGT (gamma glutamyl transferase)
OtherLabRes4AST
AST (aspartate aminotransferase)
OtherLabRes4Bilirubin
Bilirubin
OtherLabRes4HepatitisB
Hepatitis B tests
OtherLabRes4HepatitisC
Hepatitis C tests
OtherLabRes4CMV
CMV
OtherLabRes4Virology
Other virology
OtherLabRes4Hb
Haemoglobin (Hb)
OtherLabRes4WBC
White blood cells
OtherLabRes4Platelets
Platelets
HbDate4Ad
Date 4: What was the Hb value on this result?
Mrnhema4Ad
Date 4: If Yes to any of the above lab tests, what was the MRN for Haematology?
Labnohaem4Ad
Date 4: If yes to any of the above lab tests, what is the lab number for Haematol
Labnochempath4Ad
If yes to any of the above lab tests, what is the lab number for Chemical Patholo
Mrnchempath4Ad
Date 4: If yes to any of the above lab tests, what was the MRN for Chemical Patho
MrnVirol4Ad
Date 4: If yes to any of the above lab tests, what was the MRN for Virology?
LabnoVirol4Ad
Date 4: If yes to any of the above lab tests, what is the lab number for Virology
MrnImmunol4Ad
Date 4: Is there an MRN for Immunology?
LabnoImmunol4Ad
Date 4: Is there a lab number for Immunology?
BarcodeDate4Ad
For Date 4, is there any barcoded sticker for lab tests on the clinical notes?
AnnrBarcode4Ad
Date 4: What are the AA codes underneath the barcode?
AnnrBarcode4Ad2
Date 4: What are the AA codes underneath the barcode?
ConfirmDate5AncAd
Did the mother attend ANC a fifth time in pregnancy?
AncVisitDates5Ad
Fifth ANC Visit (Date 5)
GestageAge5Ad
For Date 5, what was the gestational age? Review MCR for entries.
Bp1Anc5Ad
Blood pressure at Fifth ANC (Date 5) examination
Bp2Date5Ad
For Date 5, what was the recorded BP2 ? (If more than one BP available for one da
Bp3Date5Ad
For Date 5, what was the recorded BP3 ? (If more than one BP available for one da
PulseRate5Ad
Pulse rate Date 5
Weight1Dt5Ad
Weight (kg) at Date5
Weight2Dt5Ad
For Date 5, what was the weight2? (If more than one weight available for one day,
SfDate5Ad
SF Measurement at Fifth ANC Visit (Date 5)
UrineTest5Ad
Date 5: Was a urine test done?
PhdoneDate5Ad
Date 5: was the pH of the urine recorded?
PhDate5Ad
If yes, what was the pH for Date 5?
OtherUrineDate5Ad
For Date 5 were there any other urine results noted?
ResultOtherUrine5Ad
If other urine results (eg Bilirubin) were recorded, what was the result?
Papsmear5Ad
For Date 5: Pap smear done?
ResultPapsmear5Ad
Result of pap smear
PapsmearOtherRes5Ad
If Other, please specify
UrineDip5Protein
P (protein): nil
UrineDip5P2Plus
P 1+
UrineDip5P3Plus
P 2+
UrineDip5P4Plus
P 3+
UrineDip5Sugar
S (sugar): nil
UrineDip5Strace
S trace
UrineDip5S1Plus
S 1+
UrineDip5S2Plus
S 2+
UrineDip5S3Plus
S 3+
UrineDip5Ptrace
P trace
UrineDip5Other
Other (specify)
UrineDip5Unknown
Unknown
AbnormalPapmng5Ad
Date 5: If abnormal pap smear result (CIN I, II,III,Cervical Cancer, indeterminat
Date5RvdTestAd
Date 5: Did the mother have a HIV Antibody (RVD) test?
RvdResult5Ad
If Yes, what was the result?
Cd4Date5Ad
Date 5: Was the CD4 count determined?
ResultCd4Date5Ad
If Yes, what was the CD4 count?
ViralDate5RequestAd
Date 5: Was there any viral load requested or done?
ViraLoad5Ad
If Yes, what was the viral load?
Artrx5Ad
On Date 5, was she initiated on ART? (antiretroviral therapy) at THIS antenatal v
SyphScrt5Ad
Did the mother receive a rapid syphilis test?
SyphScr5Ad
If yes what was the result?
ResrprSyph5Ad
If the syphilis screen was positive what was the RPR (titre)?
TphaSyph5Ad
If syphilis screen was positive what was the TPHA?
SyphTreatment5Ad
If syphilis positive did the mother receive treatment?
ArtStarComb5Fixed
Fixed dose combination (TDF/FTC/EFV)
ArtStarComb5TDF
TDF (tenofovir)
ArtStarComb5FTC
FTC (emtricitabine)
ArtStarComb5AZT
AZT (zidovudine)
ArtStarComb53TC
3TC (lamivudine)
ArtStarComb5ABC
ABC (abacavir)
ArtStarComb5d4T
d4T (stavudine)
ArtStarComb5EFV
EFV (efavirenz)
ArtStarComb5NVP
NVP (nevirapine)
ArtStarComb5LPV
LPV/r (lopinavir/ritonavir, aluvia)
ArtStarComb5ATV
ATV/r (atazanavir/ritonavir)
ArtStarComb5RAL
RAL (raltegravir)
ArtStarComb5Unknown
Unknown
Date5TbScrAd
For date 5, was the mother screened for Tb during pregnancy?
Date5TbScrResultAd
For date 5, if yes to above, what was the result?
Date5TbpxAd
For date 5, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi
Date5TbTreatAd
For date 5, was the mother started on Tb treatment?
OtherSuppl5Ad
On Date 5, which other supplements were prescribed?
Date5AdviceContracepAd
For Date 5, was any advice/information/counselling on contraception/safe sex give
AdviceInfDate5Ad
For Date 5, was there any advice/counselling/information given with regards to in
Date5AddAdviceAd
For Date 5, was there anything else in clinical notes not covered by the above?
AntenatalUss5Ad
Did the mother have an ultrasound during pregnancy?
UssResult5Ad
If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other
Date5PalpitationsAd
For Date 5 were there any palpitations reported?
Date5IxPalpnsAd
What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date
Date5TxPalpnsAd
Was any treatment prescribed for palpitations?
Date5HypertensionAd
For date 5 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH)
Date5OtherHypertensionAd
If Other, please specify
IxhtDate5Ad
What investigations were performed for hypertension?
Date5TbTreatNot
Not screened for Tb
Date5TbTreatNeg
Tb screen negative
Date5TbTreatIsoniazid
Isoniazid (INH or H)
Date5TbTreatRifampicin
Rifampicin (RIF, or R)
Date5TbTreatRifabutin
Rifabutin
Date5TbTreatEthambutol
Ethambutol (E)
Date5TbTreatPyrazinamide
Pyrazinamide (Z)
Date5TbTreatPyridoxine
Pyridoxine (vitamin for INH side effects)
Date5TbTreatStreptomycin
Streptomycin
Date5TbTreatAmikacin
Amikacin
Date5TbTreatClarithromycin
Clarithromycin
Date5TbTreatAzithromycin
Azithromycin
Date5TbTreatCiprofloxacin
Ciprofloxacin
Date5TbTreatMoxifloxacin
Moxifloxacin
Date5TbTreatPAS
Para Amino Salicylic acid (PAS)
Date5TbTreatCapreomycin
Capreomycin
Date5TbTreatEthionamide
Ethionamide
Date5TbTreatCycloserine
Cycloserine
Date5TbTreatBedaquiline
Bedaquiline
Date5TbTreatUnknown
Unknown
Date5Suppl1Multi
Multi-vitamins (mvt)
Date5Suppl1Ferrous
Ferrous Sulphate/FeSO4/Iron
Date5Suppl1Folic
Folic Acid
Date5Suppl1Calcium
Calcium Suppl
Date5Suppl1Pregamal
Pregamal
Date5Suppl1VitaminB
Vitamin B-Complex
Date5Suppl1Other
Other
Date5hyperAldomet
Aldomet (methyldopa)
Date5hyperAdalat
Adalat (nifedipine)
Date5hyperNil
Nil Treatment prescribed
Date5hyperOther
Other (specify)
Date5hyperBeta
Beta blocker (e.g. labetalol)
Date5HypertxAd
If Other treatment for hypertension related conditions, please specify.
Headache5Ad
Date 5: Was there any headache recorded?
HeadacheInvest5Ad
What investigations were performed for headache?
RxHeadache5Ad
Date 5: Was there any treatment prescribed for the headache?
GestDiabScrdate5Ad
Was the mother screened for diabetes in pregnancy?
Gest5DiabUrine
Urine dipstick (glucose)
Gest5DiabRandom
Random blood glucose (blood test)
Gest5DiabFasting
Fasting blood glucose (blood test)
Gest5DiabGlucose
Glucose tolerance test, OGTT (blood tests over 3 hours)
Gest5DiabUnknown
Unknown
GestDiabResult5Ad
If yes, what was the result of the diabetes screening test?
TxGestDiabDate5Ad
What treatment and/or advice was the mother given for diabetes (or glucose intole
Date5OtherCondAd
For Date 5, please list other conditions not listed above.
ixdate5othercondAd
Were any additional investigations performed for Other Conditions listed above?
Date5OtherMedPrescAd
For Date 5, were there any other medications prescribed? eg. Amoxil, Panado
IxOtherProt5Ad
Which other investigations/protocols were followed according to the Maternity Cas
OtherLab5Ad
Date 5: Were there other lab results available?
OtherLabRes5Sodium
Sodium
OtherLabRes5Potassium
Potassium
OtherLabRes5Chloride
Chloride
OtherLabRes5Bicarbonate
Bicarbonate
OtherLabRes5Urea
Urea
OtherLabRes5Creatinine
Creatinine
OtherLabRes5Albumin
Albumin
OtherLabRes5ALT
ALT (alanine aminotransferase)
OtherLabRes5ALP
ALP (alkaline phosphatase)
OtherLabRes5GGT
GGT (gamma glutamyl transferase)
OtherLabRes5AST
AST (aspartate aminotransferase)
OtherLabRes5Bilirubin
Bilirubin
OtherLabRes5HepatitisB
Hepatitis B tests
OtherLabRes5HepatitisC
Hepatitis C tests
OtherLabRes5CMV
CMV
OtherLabRes5Virology
Other virology
OtherLabRes5Hb
Haemoglobin (Hb)
OtherLabRes5WBC
White blood cells
OtherLabRes5Platelets
Platelets
HbDate5Ad
Date 5: What was the Hb value on this result?
Mrnhema5Ad
Date 5: If Yes to any of the above lab tests, what was the MRN for Haematology?
LabnoHaem5Ad
Date 5: If yes to any of the above lab tests, what is the lab number for Haematol
MrnChempath5Ad
Date 5: If yes to any of the above lab tests, what was the MRN for Chemical Patho
LabnoChempath5Ad
If yes to any of the above lab tests, what is the lab number for Chemical Patholo
MrnVirol5Ad
Date 5: If yes to any of the above lab tests, what was the MRN for Virology?
LabnoVirol5Ad
Date 5: If yes to any of the above lab tests, what is the lab number for Virology
MrnImmunol5Ad
Date 5: Is there an MRN for Immunology?
LabnoImmunol5Ad
Date 5: Is there a lab number for Immunology?
BarcodeDate5Ad
For Date 5, is there any barcoded sticker for lab tests on the clinical notes?
AnnrBarcode5Ad2
Date 5: What are the AA codes underneath the barcode?
ConfirmDate6AncAd
Did the mother attend ANC a sixth time?
AncVisitDates6Ad
Sixth ANC Visit (Date 6)
GestageAge6Ad
For Date 6, what was the gestational age? Review MCR for entries.
Bp1Anc6Ad
Blood pressure at Sixth ANC (Date 6) examination
Bp2Date6Ad
For Date 6, what was the recorded BP2 ? (If more than one BP available for one da
Bp3Date6Ad
For Date 6, what was the recorded BP3 ? (If more than one BP available for one da
PulseRate6Ad
Pulse rate Date 6
Weight1Dt6Ad
Weight (kg) at Date 6
Weight2Dt6Ad
For Date 6, what was the weight2? (If more than one weight available for one day,
SfDate6Ad
SF Measurement at Sixth ANC Visit (Date 6)
UrineTest6Ad
Date 6: Was an urine test done?
PhdoneDate6Ad
Date 6: was the pH of the urine recorded?
PhDate6Ad
If yes, what was the pH for Date 6?
OtherUrineDate6Ad
For Date 6 were there any other urine results noted?
ResultOtherUrine6Ad
If other urine results (eg Bilirubin) were recorded, what was the result?
UrineDip6Protein
P (protein): nil
UrineDip6Ptrace
P trace
UrineDip6P2Plus
P 1+
UrineDip6P3Plus
P 2+
UrineDip6P4Plus
P 3+
UrineDip6Sugar
S (sugar): nil
UrineDip6Strace
S trace
UrineDip6S1Plus
S 1+
UrineDip6S2Plus
S 2+
UrineDip6S3Plus
S 3+
UrineDip6Unknown
Unknown
UrineDip6Other
Other (specify)
Papsmear6Ad
For Date 6: Pap smear done?
ResultPapsmear6Ad
Date 6: Result of pap smear
PapsmearOtherRes6Ad
If Other, please specify
AbnormalPapmng6Ad
Date 6: If abnormal pap smear result (CIN I, II,III,Cervical Cancer, indeterminat
Date6RvdTestAd
Date 6: Did the mother have a HIV Antibody (RVD) test?
RvdResult6Ad
If Yes, what was the result?
Cd4Date6Ad
Date 6: Was the CD4 count determined?
ResultCd4Date6Ad
If Yes, what was the CD4 count?
ViralDate6RequestAd
Date 6: Was there any viral load requested or done?
ViraLoad6Ad
If Yes, what was the viral load?
Artrx6Ad
On Date 6, was she initiated on ART? (antiretroviral therapy) at THIS antenatal v
Total: 576
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