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Monarch.Antenatal.and.Delivery.MCR.03

South Africa, 2015 - 2016
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MO-03.Monarch.Antenatal.and.Delivery.MCR
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Jun 06, 2017
Last modified
Jun 06, 2017
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Data file: MO-03 Monarch Antenatal & Delivery MCR

Cases: 2551
Variables: 531

Variables

BarcodeStickerId
Barcoded sticker ID number (M10.........)
PhdoneDate8Ad
Date 8: was the pH of the urine recorded?
PhDate8Ad
If yes, what was the pH for Date 8?
UrineDip8Protein
P (protein): nil
UrineDip8Ptrace
P trace
UrineDip8P2Plus
P 1+
UrineDip8P3Plus
P 2+
UrineDip8P4Plus
P 3+
UrineDip8Sugar
S (sugar): nil
UrineDip8Strace
S trace
UrineDip8S1Plus
S 1+
UrineDip8S2Plus
S 2+
UrineDip8S3Plus
S 3+
UrineDip8Unknown
Unknown
UrineDip8Other
Other (specify)
OtherUrineDate8Ad
For Date 8 were there any other urine results noted?
ResultOtherUrine8Ad
If other urine results (eg Bilirubin) were recorded, what was the results?
Papsmear8Ad
For Date 8: Pap smear done?
ResultPapsmear8Ad
Date 8: Result of pap smear
PapsmearOtherRes8Ad
If Other, please specify
AbnormalPapmng8Ad
Date 8: If abnormal pap smear result (CIN I, II,III,Cervical Cancer, indeterminat
Date8RvdTestAd
Date 8: Did the mother have a HIV Antibody (RVD) test?
RvdResult8Ad
If Yes, what was the result?
Cd4Date8Ad
Date 8: Was the CD4 count determined?
ResultCd4Date8Ad
If Yes, what was the CD4 count?
ViralDate8RequestAd
Date 8: Was there any viral load requested or done?
ViraLoad8Ad
If Yes, what was the viral load?
Artrx8Ad
On Date 8, was she initiated on ART? (antiretroviral therapy) at THIS antenatal v
SyphScrt8Ad
Did the mother receive a rapid syphilis test?
SyphScr8Ad
If yes what was the result?
ResrprSyph8Ad
If the syphilis screen was positive what was the RPR (titre)?
TphaSyph8Ad
If syphilis screen was positive what was the TPHA?
ArtStarComb8Fixed
Fixed dose combination (TDF/FTC/EFV)
ArtStarComb8TDF
TDF (tenofovir)
ArtStarComb8FTC
FTC (emtricitabine)
ArtStarComb8AZT
AZT (zidovudine)
ArtStarComb83TC
3TC (lamivudine)
ArtStarComb8ABC
ABC (abacavir)
ArtStarComb8d4T
d4T (stavudine)
ArtStarComb8EFV
EFV (efavirenz)
ArtStarComb8NVP
NVP (nevirapine)
ArtStarComb8LPV
LPV/r (lopinavir/ritonavir, aluvia)
ArtStarComb8ATV
ATV/r (atazanavir/ritonavir)
ArtStarComb8RAL
RAL (raltegravir)
ArtStarComb8Unknown
Unknown
SyphTreatment8Ad
If syphilis positive did the mother receive treatment?
Date8TbScrAd
For Date 8, was the mother screened for Tb during pregnancy?
Date8TbpxAd
For Date 8, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi
Date8TbTreatAd
For Date 8, was the mother started on Tb treatment?
Date8TbTreatNot
Not screened for Tb
Date8TbTreatNeg
Tb screen negative
Date8TbTreatIsoniazid
Isoniazid (INH or H)
Date8TbTreatRifampicin
Rifampicin (RIF, or R)
Date8TbTreatRifabutin
Rifabutin
Date8TbTreatEthambutol
Ethambutol (E)
Date8TbTreatPyrazinamide
Pyrazinamide (Z)
Date8TbTreatPyridoxine
Pyridoxine (vitamin for INH side effects)
Date8TbTreatStreptomycin
Streptomycin
Date8TbTreatAmikacin
Amikacin
Date8TbTreatClarithromycin
Clarithromycin
Date8TbTreatAzithromycin
Azithromycin
Date8TbTreatCiprofloxacin
Ciprofloxacin
Date8TbTreatMoxifloxacin
Moxifloxacin
Date8TbTreatPAS
Para Amino Salicylic acid (PAS)
Date8TbTreatCapreomycin
Capreomycin
Date8TbTreatEthionamide
Ethionamide
Date8TbTreatCycloserine
Cycloserine
Date8TbTreatBedaquiline
Bedaquiline
Date8TbTreatUnknown
Unknown
Date8Suppl1Multi
Multi-vitamins (mvt)
Date8Suppl1Ferrous
Ferrous Sulphate/FeSO4/Iron
Date8Suppl1Folic
Folic Acid
Date8Suppl1Calcium
Calcium Suppl
Date8Suppl1Pregamal
Pregamal
Date8Suppl1VitaminB
Vitamin B-Complex
Date8Suppl1Other
Other
OtherSuppl8Ad
On Date 8, which other supplements were prescribed?
Date8AdviceContrAd
For Date 8, was any advice/information/counselling on contraception/safe sex give
AdviceInfDate8Ad
For Date 8, was there any advice/counselling/information given with regards to in
Date8AddAdviceAd
For Date 8, was there anything else in clinical notes not covered by the above?
AntenatalUss8Ad
Did the mother have an ultrasound during pregnancy?
UssResult8Ad
If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other
Date8PalpitationsAd
For Date 8 were there any palpitations reported?
Date8IxPalpnsAd
What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date
Date8TxPalpnsAd
Was any treatment prescribed for palpitations?
Date8HypertensionAd
For Date 8 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH)
Date8OtherHypertensionAd
If Other, please specify
IxhtDate8Ad
What investigations were performed for hypertension?
Date8hyperAldomet
Aldomet (methyldopa)
Date8hyperAdalat
Adalat (nifedipine)
Date8hyperNil
Nil Treatment prescribed
Date8hyperOther
Other (specify)
Date8hyperBeta
Beta blocker (e.g. labetalol)
Date8HypertxAd
If Other treatment for hypertension related conditions, please specify.
Headache8Ad
Date 8: Was there any headache recorded?
HeadacheInvest8Ad
What investigations were performed for headache?
RxHeadache8Ad
Date 8: Was there any treatment prescribed for the headache?
GestDiabScrDate8Ad
Was the mother screened for diabetes in pregnancy?
Gest8DiabUrine
Urine dipstick (glucose)
Gest8DiabRandom
Random blood glucose (blood test)
Gest8DiabFasting
Fasting blood glucose (blood test)
Gest8DiabGlucose
Glucose tolerance test, OGTT (blood tests over 3 hours)
Gest8DiabUnknown
Unknown
GestDiabResult8Ad
If yes, what was the result of the diabetes screening test?
TxGestDiabDate8Ad
What treatment and/or advice was the mother given for diabetes (or glucose intole
Date8OtherCondAd
For Date 8, please list other conditions not listed above.
ixdate8othercondAd
Were any additional investigations performed for Other Conditions listed above?
Date8OtherMedPrescAd
For Date 8, were there any other medications prescribed? eg. Amoxil, Panado
IxOtherProt8Ad
Which other investigations/protocols were followed according to the Maternity Cas
OtherLab8Ad
Date 8: Were there other lab results available?
OtherLabRes8Sodium
Sodium
OtherLabRes8Potassium
Potassium
OtherLabRes8Chloride
Chloride
OtherLabRes8Bicarbonate
Bicarbonate
OtherLabRes8Urea
Urea
OtherLabRes8Creatinine
Creatinine
OtherLabRes8Albumin
Albumin
OtherLabRes8ALT
ALT (alanine aminotransferase)
OtherLabRes8ALP
ALP (alkaline phosphatase)
OtherLabRes8GGT
GGT (gamma glutamyl transferase)
OtherLabRes8AST
AST (aspartate aminotransferase)
OtherLabRes8Bilirubin
Bilirubin
OtherLabRes8HepatitisB
Hepatitis B tests
OtherLabRes8HepatitisC
Hepatitis C tests
OtherLabRes8CMV
CMV
OtherLabRes8Virology
Other virology
OtherLabRes8Hb
Haemoglobin (Hb)
OtherLabRes8WBC
White blood cells
OtherLabRes8Platelets
Platelets
HbDate8Ad
Date 8: What was the Hb value on this result?
Mrnhema8Ad
Date8: If Yes to any of the above lab tests, what was the MRN for Haematology?
LabnoHaem8Ad
Date 8: If yes to any of the above lab tests, what is the lab number for Haematol
MrnChempath8Ad
Date 8: If yes to any of the above lab tests, what was the MRN for Chemical Patho
LabnoChempath8Ad
If yes to any of the above lab tests, what is the lab number for Chemical Patholo
MrnVirol8Ad
Date 8: If yes to any of the above lab tests, what was the MRN for Virology?
LabnoVirol8Ad
Date 8: If yes to any of the above lab tests, what is the lab number for Virology
MrnImmunol8Ad
Date 8: Is there an MRN for Immunology?
LabnoImmunol8Ad
Date 8: Is there a lab number for Immunology?
BarcodeDate8Ad
For Date 8, is there any barcoded sticker for lab tests on the clinical notes?
AnnrBarcode8Ad
Date 8: What are the AA codes underneath the barcode?
ConfirmDate9AncAd
Did the mother attend ANC for nine times during pregnancy?
AncVisitDates9Ad
NINTH ANC Visit (Date 9)
GestageAge9Ad
For Date 9, what was the gestational age? Review MCR for entries.
Bp1Anc9Ad
Blood pressure at Ninth ANC (Date 9) examination
Bp2Date9Ad
For Date 9, what was the recorded BP2 ? (If more than one BP available for one da
Bp3Date9Ad
For Date 9, what was the recorded BP3 ? (If more than one BP available for one da
PulseRate9Ad
Pulse rate Date 9
Weight1Dt9Ad
Weight (kg) at Date 9
Weight2Dt9Ad
For Date 9, what was the weight2? (If more than one weight available for one day,
SfDate9Ad
SF Measurement at Ninth ANC Visit (Date 9)
UrineTest9Ad
Date 9: Was an urine test done?
PhdoneDate9Ad
Date 9: was the pH of the urine recorded?
PhDate9Ad
If yes, what was the pH for Date 9?
OtherUrineDate9Ad
For Date 9 were there any other urine results noted?
ResultOtherUrine9Ad
If other urine results (eg Bilirubin) were recorded, what was the results?
Papsmear9Ad
For Date 9: Pap smear done?
UrineDip9Protein
P (protein): nil
UrineDip9Ptrace
P trace
UrineDip9P2Plus
P 1+
UrineDip9P3Plus
P 2+
UrineDip9P4Plus
P 3+
UrineDip9Sugar
S (sugar): nil
UrineDip9Strace
S trace
UrineDip9S1Plus
S 1+
UrineDip9S2Plus
S 2+
UrineDip9S3Plus
S 3+
UrineDip9Unknown
Unknown
UrineDip9Other
Other (specify)
ResultPapsmear9Ad
Date 9: Result of pap smear
PapsmearOtherRes9Ad
If Other, please specify
AbnormalPapmng9Ad
Date 9: If abnormal pap smear result (CIN I, II,III,Cervical Cancer, indeterminat
Date9RvdTestAd
Date 9: Did the mother have a HIV Antibody (RVD) test?
RvdResult9Ad
If Yes, what was the result?
Cd4Date9Ad
Date 9: Was the CD4 count determined?
ResultCd4Date9Ad
If Yes, what was the CD4 count?
ViralDate9RequestAd
Date 9: Was there any viral load requested or done?
ViraLoad9Ad
If Yes, what was the CD4 count?
Artrx9Ad
On Date 9, was she initiated on ART? (antiretroviral therapy) at THIS antenatal v
SyphScrt9Ad
Did the mother receive a rapid syphilis test?
SyphScr9Ad
If yes what was the result?
ResrprSyph9Ad
If the syphilis screen was positive what was the RPR (titre)?
TphaSyph9Ad
If syphilis screen was positive what was the TPHA?
ArtStarComb9Fixed
Fixed dose combination (TDF/FTC/EFV)
ArtStarComb9TDF
TDF (tenofovir)
ArtStarComb9FTC
FTC (emtricitabine)
ArtStarComb9AZT
AZT (zidovudine)
ArtStarComb93TC
3TC (lamivudine)
ArtStarComb9ABC
ABC (abacavir)
ArtStarComb9d4T
d4T (stavudine)
ArtStarComb9EFV
EFV (efavirenz)
ArtStarComb9NVP
NVP (nevirapine)
ArtStarComb9LPV
LPV/r (lopinavir/ritonavir, aluvia)
ArtStarComb9ATV
ATV/r (atazanavir/ritonavir)
ArtStarComb9RAL
RAL (raltegravir)
ArtStarComb9Unknown
Unknown
SyphTreatment9Ad
If syphilis positive did the mother receive treatment?
Date9TbScrAd
For Date 9, was the mother screened for Tb during pregnancy?
Date9TbScrResultAd
For Date 9, if yes to above, what was the result?
Date9TbpxAd
For Date 9, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi
Date9TbTreatAd
For Date 9, was the mother started on Tb treatment?
Date9TbTreatNot
Not screened for Tb
Date9TbTreatNeg
Tb screen negative
Date9TbTreatIsoniazid
Isoniazid (INH or H)
Date9TbTreatRifampicin
Rifampicin (RIF, or R)
Date9TbTreatRifabutin
Rifabutin
Date9TbTreatEthambutol
Ethambutol (E)
Date9TbTreatPyrazinamide
Pyrazinamide (Z)
Date9TbTreatPyridoxine
Pyridoxine (vitamin for INH side effects)
Date9TbTreatStreptomycin
Streptomycin
Date9TbTreatAmikacin
Amikacin
Date9TbTreatClarithromycin
Clarithromycin
Date9TbTreatAzithromycin
Azithromycin
Date9TbTreatCiprofloxacin
Ciprofloxacin
Date9TbTreatMoxifloxacin
Moxifloxacin
Date9TbTreatPAS
Para Amino Salicylic acid (PAS)
Date9TbTreatCapreomycin
Capreomycin
Date9TbTreatEthionamide
Ethionamide
Date9TbTreatCycloserine
Cycloserine
Date9TbTreatBedaquiline
Bedaquiline
Date9TbTreatUnknown
Unknown
Date9Suppl1Multi
Multi-vitamins (mvt)
Date9Suppl1Ferrous
Ferrous Sulphate/FeSO4/Iron
Date9Suppl1Folic
Folic Acid
Date9Suppl1Calcium
Calcium Suppl
Date9Suppl1Pregamal
Pregamal
Date9Suppl1VitaminB
Vitamin B-Complex
Date9Suppl1Other
Other
OtherSuppl9Ad
On Date 9, which other supplements were prescribed?
Date9AdviceContracepAd
For Date 9, was any advice/information/counselling on contraception/safe sex give
AdviceInfDate9Ad
For Date 9, was there any advice/counselling/information given with regards to in
Date9AddAdviceAd
For Date 9, was there anything else in clinical notes not covered by the above?
AntenatalUss9Ad
Did the mother have an ultrasound during pregnancy?
UssResult9Ad
If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other
Date9PalpitationsAd
For Date 9 were there any palpitations reported?
Date9IxpalpnsAd
What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date
Date9TxPalpnsAd
Was any treatment prescribed for palpitations?
Date9HypertensionAd
For Date 9 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH)
Date9OtherHypertensionAd
If Other, please specify
IxhtDate9Ad
What investigations were performed for hypertension?
Date9hyperAldomet
Aldomet (methyldopa)
Date9hyperAdalat
Adalat (nifedipine)
Date9hyperNil
Nil Treatment prescribed
Date9hyperOther
Other (specify)
Date9hyperBeta
Beta blocker (e.g. labetalol)
Date9HypertxAd
If Other treatment for hypertension related conditions, please specify.
Headache9Ad
Date 9: Was there any headache recorded?
HeadacheInvest9Ad
What investigations were performed for headache?
RxHeadache9Ad
Date 9: Was there any treatment prescribed for the headache?
GestDiabScrdate9Ad
Was the mother screened for diabetes in pregnancy?
Gest9DiabUrine
Urine dipstick (glucose)
Gest9DiabRandom
Random blood glucose (blood test)
Gest9DiabFasting
Fasting blood glucose (blood test)
Gest9DiabGlucose
Glucose tolerance test, OGTT (blood tests over 3 hours)
Gest9DiabUnknown
Unknown
GestDiabResult9Ad
If yes, what was the result of the diabetes screening test?
TxGestDiabDate9Ad
What treatment and/or advice was the mother given for diabetes (or glucose intole
Date9OtherCondAd
For Date 9, please list other conditions not listed above.
ixdate9othercondAd
Were any additional investigations performed for Other Conditions listed above?
Date9OtherMedPrescAd
For Date 9, were there any other medications prescribed? eg. Amoxil, Panado
IxOtherProt9Ad
Which other investigations/protocols were followed according to the Maternity Cas
OtherLab9Ad
Date 9: Were there other lab results available?
OtherLabRes9Sodium
Sodium
OtherLabRes9Potassium
Potassium
OtherLabRes9Chloride
Chloride
OtherLabRes9Bicarbonate
Bicarbonate
OtherLabRes9Urea
Urea
OtherLabRes9Creatinine
Creatinine
OtherLabRes9Albumin
Albumin
OtherLabRes9ALT
ALT (alanine aminotransferase)
OtherLabRes9ALP
ALP (alkaline phosphatase)
OtherLabRes9GGT
GGT (gamma glutamyl transferase)
OtherLabRes9AST
AST (aspartate aminotransferase)
OtherLabRes9Bilirubin
Bilirubin
OtherLabRes9HepatitisB
Hepatitis B tests
OtherLabRes9HepatitisC
Hepatitis C tests
OtherLabRes9CMV
CMV
OtherLabRes9Virology
Other virology
OtherLabRes9Hb
Haemoglobin (Hb)
OtherLabRes9WBC
White blood cells
OtherLabRes9Platelets
Platelets
HbDate9Ad
Date 9: What was the Hb value on this result?
Mrnhema9Ad
Date 9: If Yes to any of the above lab tests, what was the MRN for Haematology?
Labnohaem9Ad
Date 9: If yes to any of the above lab tests, what is the lab number for Haematol
MrnChempath9Ad
Date 9: If yes to any of the above lab tests, what was the MRN for Chemical Patho
LabnoChempath9Ad
If yes to any of the above lab tests, what is the lab number for Chemical Patholo
MrnVirol9Ad
Date 9: If yes to any of the above lab tests, what was the MRN for Virology?
LabnoVirol9Ad
Date 9: If yes to any of the above lab tests, what is the lab number for Virology
MrnImmunol9Ad
Date 9: Is there an MRN for Immunology?
LabnoImmunol9Ad
Date 9: Is there a lab number for Immunology?
BarcodeDate9Ad
For Date 9, is there any barcoded sticker for lab tests on the clinical notes?
AnnrBarcode9Ad
Date 9: What are the AA codes underneath the barcode?
ConfirmDate10AncAd
Did the mother attend ANC ten times during the pregnancy?
AncVisitDates10Ad
TENTH ANC Visit (Date 10)
GestageAge10Ad
For Date 10, what was the gestational age? Review MCR for entries.
Bp1Anc10Ad
Blood pressure at Tenth ANC (Date 10) examination
Bp2Date10Ad
For Date 10, what was the recorded BP2 ? (If more than one BP available for one d
Bp3date10Ad
For Date 10, what was the recorded BP3 ? (If more than one BP available for one d
PulseRate10Ad
Pulse rate Date 10
Weight1Dt10Ad
Weight (kg) at Date 10
Weight2Dt10Ad
For Date 10, what was the weight2? (If more than one weight available for one day
Total: 531
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