Monarch.Antenatal.and.Delivery.MCR.02 Sweetness H Dube 2017-06-06 NADA Monarch Antenatal & Delivery MCR 02 MO-02.Antenatal.and.Delivery.MCR NADA Monarch Data South Africa Face-to-face [f2f] MO-02 Monarch Antenatal & Delivery MCR 2551 576 Barcoded sticker ID number (M10.........) 2551 Fixed dose combination (TDF/FTC/EFV) 2551 1 TDF (tenofovir) 2551 FTC (emtricitabine) 2551 1 AZT (zidovudine) 2551 1 3TC (lamivudine) 2551 1 ABC (abacavir) 2551 d4T (stavudine) 2551 EFV (efavirenz) 2551 NVP (nevirapine) 2551 LPV/r (lopinavir/ritonavir, aluvia) 2551 1 ATV/r (atazanavir/ritonavir) 2551 RAL (raltegravir) 2551 Unknown 2551 1 If syphilis screen was positive what was the TPHA? 1 Nil If syphilis positive did the mother receive treatment? 8 2 3 4 5 For date 4, was the mother screened for Tb during pregnancy? 2163 388 1 Yes 2 No 3 Unknown 4 Already on TB treatment 5 Already on isoniazid (INH) prophylaxis (with pyridoxine) Sysmiss For date 4, if yes to above, what was the result? 1388 1163 1 Negative Tb screen 2 Positive Tb screen 3 Unknown Sysmiss For date 4, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi 1855 696 1 Yes 2 No 3 Unknown Sysmiss For date 4, was the mother started on Tb treatment? 544 2007 1 Yes 2 No 3 Unknown Sysmiss On Date 4, which other supplements were prescribed? 44 Ferovite 1 Ferrous sul Iron suppl Iron supple PC Carbonat PC carb 1g PC carbonat Prenatal 1 Prenatal 1/ Prenatal Fo Prenatal fo Supplements Vit Bco 1 P Vit C 1 dly Vit C 1 po Vit C 100mg Vitamin C 1 Zinplex Zinplex 1 d Zinplex o/s iron supple prenatal 1 prenatal 1d prenatal fo vit c vitamin c For Date 4, was any advice/information/counselling on contraception/safe sex give 253 Blood resul Couple ongo H. Educ on H/E given a H/E given o H/E on safe H/Educated Importance Important o NO Nil No No recorded Not recorde Ongoing cou Pre & Post Pre + Post Pre and pos Re-testing Retesting s Safe sex di The patient Yes - safe advise on c advised on condoms iss encourage c health educ nil no no data no record no rerecord not done not recorde safe sex di safe sex ed use of cond yes yes safe se For Date 4, was there any advice/counselling/information given with regards to in 235 Advice on e Counselled EBF EBF counsel H/E done on H/E on brea H/E on impo Importance Infant feed NO Nil No Not recorde Ongoing cou healthe edu importance infant feed nil no no record no rerecord noi not done not recorde pregnancy+n yes yes, import For date 4, was there anything else in clinical notes not covered by the above? ( 364 8 glassess Adviced to Advised abo Advised to Attended ta Breastfeedi Came for AN Client came Counselled Dangers of Encouraged Follow-up v H/E about H/E about d H/E an impo H/E done im H/E done on H/E given a H/E given d H/E given o H/E given r H/E on Mx o H/E on coun H/E on dang H/E on diet H/E on feta H/E on foll H/E on impo H/E on moni H/E on sign H/E on symp H/E on the H/E on true H/Education H/e on true HE given ab HE on FKCC Health Educ Health educ Healthy eat Hygiene is Importance Important o NO Nil No Not recorde Nutrition 1 Nutrition = Ongoing cou Previous ca Pt counsell Refer to HR TCB 06 July TCB but dat advice on c advised dri advised on advised to avoid prolo c/o PID o/e c/o Patient condom use danger sign dangers of dangers sig drink a lot education o health educ healthy eat heath educa hesalth edu importance increase fl information kick counts nil no no record no rerecord not done not recorde nutrition porridge x2 push fluids referred to signs of tr to continue true signs yes HE on c yes HE on s yes imprtan yes, danger yes, import yes, monito Did the mother have an ultrasound during pregnancy? 2163 388 1 Sysmiss If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other 237 16 19/08/2015 23w3d, sing BPD 7-90 31 BPD 71mm, F BPD 75.6 3 BPD 89MM F BPD :7,92cm BPD=4.50CM/ Client refe EDD 05/01/2 FWT 2.3 34 GESTATION 2 GESTATION 3 GESTATIONAL Gestation 2 Gestation 3 Gestation i HOF 24 WEEK IT IS RECOR U/S 32W od USS examina dates by u/ gestaional gestation gestation 1 gestation 2 gestation 3 gestation 4 gestation i gestational intro uteri low lying p transvagina unknown Not screened for Tb 2551 No 1 Yes Tb screen negative 2551 No 1 Yes Isoniazid (INH or H) 2551 No 1 Yes Rifampicin (RIF, or R) 2551 No 1 Yes Rifabutin 2551 No 1 Yes Ethambutol (E) 2551 No 1 Yes Pyrazinamide (Z) 2551 No 1 Yes Pyridoxine (vitamin for INH side effects) 2551 No 1 Yes Streptomycin 2551 No 1 Yes Amikacin 2551 No 1 Yes Clarithromycin 2551 No 1 Yes Azithromycin 2551 No 1 Yes Ciprofloxacin 2551 No 1 Yes Moxifloxacin 2551 No 1 Yes Para Amino Salicylic acid (PAS) 2551 No 1 Yes Capreomycin 2551 No 1 Yes Ethionamide 2551 No 1 Yes Cycloserine 2551 No 1 Yes Bedaquiline 2551 No 1 Yes Unknown 2551 No 1 Yes Multi-vitamins (mvt) 2551 No 1 Yes Ferrous Sulphate/FeSO4/Iron 2551 No 1 Yes Folic Acid 2551 No 1 Yes Calcium Suppl 2551 No 1 Yes Pregamal 2551 No 1 Yes Vitamin B-Complex 2551 No 1 Yes Other 2551 No 1 Yes For Date 4 were there any palpitations reported? 2157 394 No 1 Yes Sysmiss What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date 4 ECG No contrac no record not record Was any treatment prescribed for palpitations? 4 NIL P. Azithro no record not record For date 4 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH) 2059 492 1 Hypertension 2 Chronic Hypertension 3 Pregnancy Induced Hypertension 4 Other (specify) 5 Pre-eclampsia 6 No history of hypertension recorded Sysmiss If Other, please specify 1 Gestationa What investigations were performed for hypertension? 41 BP recheck CTG MRI (no re NO Nil Recheck BP Rechecked Refer to h Referred t nil no record not record unknown Aldomet (methyldopa) 2551 No 1 Yes Adalat (nifedipine) 2551 No 1 Yes Nil Treatment prescribed 2551 No 1 Yes Other (specify) 2551 No 1 Yes Beta blocker (e.g. labetalol) 2551 No 1 Yes If Other treatment for hypertension related conditions, please specify. Date 4: Was there any headache recorded? 2157 394 No 1 Yes Sysmiss What investigations were performed for headache? 13 Nil None Ref hospit examinatio give analg no none not record unknown Date 4: Was there any treatment prescribed for the headache? 12 Aldomet 1g Panado Paracetamo Yes no not record panado panado 1g paracetamo unknown Was the mother screened for diabetes in pregnancy? 2156 395 No 1 Yes Sysmiss Urine dipstick (glucose) 2551 No 1 Yes Random blood glucose (blood test) 2551 No 1 Yes Fasting blood glucose (blood test) 2551 No 1 Yes Glucose tolerance test, OGTT (blood tests over 3 hours) 2551 No 1 Yes Unknown 2551 No 1 Yes If yes, what was the result of the diabetes screening test? 12 1 3 4 What treatment and/or advice was the mother given for diabetes (or glucose intole 6 Not recorde Rationale f nil no record unknown For Date 4, please list other conditions not listed above. 516 20 y/o G1 P 20/Feb/2016 22 years G2 26/40 by da 35/40 by U/ ? Haematuri ABSCESS RT Abdominal d Abdominal e Abdominal p Anaemia Anaemia in Aneamia Ass: Acute BOM BOM+ FOM/UT Blood Hb Blood Resul Blood in ur Brought in By dates 18 By dates 33 By dates HO C/O - for P C/O LAP C/O LAP and C/O LAP, ?S C/O LAP, BO C/O LAP, fe C/O LAP,BOM C/O LAP. Fe C/O LAP. UT C/O PV blee C/O PVD. No C/O VDS. C/O acute d C/O backach C/O diarrho C/O dischar C/O headach C/O itchine C/O itchy v C/O labour C/O lower a C/O nausea C/O nil com C/O no feta C/O occasio C/O offensi C/O poor ap C/O still h C/O vaginal C/O vulval C/O worms a C/O yellowi CHEST PAIN, Came for AN Came for fo Came to col Chest infec Client c/o Client came Client has Cold and co Complaining Concern abo Cough and h DIARRHOEA Diarrheoa Diarrheoa a Diarrhoea Diarrhoea i Dizziness a F/U ANC at F/up antena F/up visit FMF +HH, BP FMF. No com Fetal movem Fetal well Follow up v Follow-up v For revisit G-01 P-00. G02 P01 at GA 34/40 by GA by dates GHPT Gastritis Gravida02, H/E done on H/E given o H/E on dang H/E on sign H/Ed on tru HB & WR res HEADACHE. L HGT - 7.9mm Haematuria Has yellowi Headache an Health educ Heart burn History of Imminent Ec Importance Induction o Itchful ras Itchy rash LAP LAP and PV LAP and yel LAP+Headach LAP, DYSURI LAP,Vaginal LAP/Haematu Leukocytes, Lower Abdom Lower abdom NIL NO Nil No foetal m None Not recorde Oedema ++ Offensive P Offensive c On P.V exam P V dischar P.V. exam: PASSING STO PERSISTANT PIH POST DATES PV BLEEDING PV discharg PV whitish Pain on low Pallor Patient is Pedal oedem Physically Post date Presented w Primigravid Pt is well RECURRENT P RH pos, WR Referred by Repeat HCT. Repeat Hb & Reporting s Runny PVD g S - patient SHARP PAINS Severe Head Severe Vagi She came fo She came to Sinusitus Snake bite Sonar 30+/4 Sonar 32/40 Sonar 36/40 Sonar 38+/4 Soner 37/40 Sore throat Specimen le Stable PIH Tetanus tox UTI UTI ,haema UTI in preg UTI/Haematu Urethral di VDS VDS in preg Vaginal D/C Vaginal Itc Vaginal war abdominal p anaemia anaemia in anemia in anemia in p c/0 general c/o sore t c/o +pvd +s c/o BOM , L c/o LAP c/o LAP and c/o LAP, ha c/o LAP, wh c/o Labour c/o Pv disc c/o VDS in c/o abdomin c/o backach c/o bdomina c/o blocked c/o decreas c/o diarrho c/o headach c/o hyperem c/o itchy r c/o itchy v c/o labor p c/o labour c/o lap c/o lap , c/o lap , a c/o lap , b c/o lap , p c/o lap bac c/o loe. la c/o lower a c/o nausea c/o of exce c/o offensi c/o painful c/o passing c/o pedal o c/o pv disc c/o rapture c/o rash on c/o sneezin c/o swallen c/o unable c/o vaginal c/o vimiti c/o vulval c/o whitish c/oblood in came in pre chest infec client came coghing pro complaing o cough and p coughing p coughing++, diarrhoea diarrhoea i diarrhoea x discripancy dizziness early labou fever,heada greenish pv history of itchiness o itching of itching ras lower abdom nil no no data no record no rerecord none not gaining not recorde numbness rt oedema 2+ offensive b post dates primigravid pv discharg reported ba reported la reporting L safer sex d twin pregna vaginal dis vomiting vulval wart whitish off yellowish For Date 4, were there any other medications prescribed? eg. Amoxil, Panado 569 (P) - Oral (P) ATT 0.5 (Rx) FDC 30 ,FDC , IN 0.5ml imi s 0.5ml vacci 20mg adalat 250mg ceftr 2nd IPT 500mg ceftr = ALDOMET 250 ALDOMET 600 ALLERGEX 10 ATT ATT 0,5ML I ATT 0,5ml i ATT 0,5mls ATT 0.5ml i ATT 0.5ml s ATT 0.5mls AZITHROMYCI Admit inANW Aldomet 1g Aldomet 250 Aldomet 500 Aldomet po Allergex 4m Amoxicillin Amoxil 500m Amoxycillin Amoxyclav 3 Amoxyl 500m Anti-emetic Att 0.5ml s Att 0.5mls Augmentin 3 Augumentin Azithromyci Azythromyci Bactrim 2 d Bactrim 2 t CD4 results CEFTRIAXONE CLOTRIMAZOL CLOXACILLIN Ceftriaxone Ceftrixone Cephalaxin Chlophenira Chlorphenir Clotrimazol Co-trimoxaz Cont - Aldo Cont Rx Ald Continue Pr Cough mixtu Cytotec Diazepam fo Erythromyci F/U visit f FDC FDC and IN FDC po noc FDC , INH 3 FDC ,PYRIDO FDC 1 TAB P FDC 1 dly,I FDC 1 nocte FDC 1 po dl FDC 1 po no FDC 1 tab n FDC 1 tab p FDC 1/1 dly FDC 1/1 noc FDC 28ablet FDC 300g po FDC 300mg FDC 300mg p FDC nocte X FDC x28 Flagyl 2g s Flagyl 400m Flu vaccine Fluclox 500 Flue vaccin Fluvax imi For MO to m Give antibi Give haemat Haematuria. Hyoscine 10 INH 1/1 dly INH 300mg d INH 300mg p INH and pyr INH300MG PO IPT 300mg d IPT, INH 30 Iron supp g LOPERAMIDE, Loperamide Loperamide, MAXOL 1/1 S MRL Maxolon 1ta Metronidazo Metyldopa 5 Moxypen 500 NO Nebulised s Nil No Not recorde Nystatin fu ORS 1 pkt P - Moxypen P. Aldomet P. Biltrici P. Ceftriax P. FDC 1/1 P: Continue P: Refer ho PANADO Panado 11/1 Panado 1g g Panado 1g p Panado 2/2 Panado 500m Panado ig p Panado syru Paracetamol Patient to Penilente 2 Plan : Refe Plan: Amoxi Plan: Bicul Plan: Ceftr Plan: Cepht Plan: Conti Plan: FDC 1 Plan: Flagy Plan:- Amox Prenatal fo Pyridoxine R/F to HRC Refer to HR Referred by Referred fo Referred to Ringer lact Rx - FDC 1g Rx Amoxycil Rx FDC 1 no Rx FDC 300m Rx given: Z Rx issued F Rx issued b Rx-Biltrici Rx: Bicilli Seen at HRC Sorol x1 pk Sorol x1 po Sorol x2 pk T/F hosp fo TTO: Condom Tetanus tox To continue Tribuss 1 t Worm stop 1 advised on aldomet 250 allergex 1 allergex 10 allergex sy alluvia ,la amoxcilin50 amoxicillin amoxiclav 3 amoxil 500m amoxycav 37 amoxycil 50 amoxycilin amoxycillin amoxyl 1 td amoxyl 500m amoxyxcilli analagesics antibitics asthavent att 0.5ml i att 0.5mls azithrom yc azithromyci bactrim 800 buscopan 10 calamine lo cefrtiaxone ceftriaxone cephalaxin co-amoxycla drip ringer fdc fdc , pyrod flaggy 2g p flagyl , lo flagyl 1 td flagyl 1/1 flagyl 2g p flagyl 2g s flagyl 400m flu vaccine flue vaccin follow up a gastrolyte haematemics hyosine 10m loperamide maxolon 10m metochlopra metoclopram metronidazo moxypen 500 nil no no data no record none not applica not recorde nystatin pe panado 1g p panado 2 ta panado ig p pen v k pyridoxine, refer HRC refer to HR refer to HS rest at hom sorol satch sorol x2 pa sorol x2 pk Which other investigations/protocols were followed according to the Maternity Cas 509 04h00 repor 32 weeks re ? Small for ? bilhazia ANC f/u at ANC follow ART collect Advised abo Advised to Amoxyl 500m Anaemia for BP rechecke BUYA 07/10/ BX present Blood for i Blood resul Bloods for Bloods take Bloods: WR: Book for V/ Buya 21/07/ Buya 23/07/ Buya if no By date 33/ By dates 24 By dates 26 By u/s 34/4 C/O passing Came for AN Came for Rx Cephalic pr Client is a Complaining Cont local Cont. ANC @ Examination F/U for HB F/U for tre F/U on HCT F/U visit f F/up visit, FBC FBC on 29/0 FBC, RPR FBC-if HB > FMF by her. Fetal movem Follow up f Follow up v Follow-up v For ANC fol For FDC For Rx coll For U/S G2 P01 Prev GA by dates GXP results GxP results H/E done on H/E on FKCC H/E on dang H/E on impo H/E true si HRC Prev C/ HRC Wednesd Had seizure Hb & WR Hx of diabe IOL; bloods Importance Impression: JACCOLD NAD JACCOLD exa Monitor fet NIL NO Needs to go Nil No signs of None Not recorde O vaginal e O/E general O/E vaginal O/E whitish P. Refer U/ PAD CHECK - PV CHECKING PV EXAM, RE PV Examinat PV exam Os PV exam, Sp PV exam: no PV examinat PVE 2cm dil PVE 3cm dil PVE Cx os c PVE D/C SEE PVE Os clos PVE admits PVE os clos PVExam os a PVExam puru Palp 35cm l Papsmear do Patient cam Patient ref Patient sta Plan: Ref h Poor clinic Prev c/s HR Pt came for Pt came to Pt reported Pt reports Pv exam, re R/F HRC due R/F for ?? R/F hospita R/F to HRC R/F to MO f R/F to hosp R/V at 19h3 REFER HRC REFERRED TO RH Neg bloo Ref to hosp Refer HCT r Refer clien Refer for F Refer to HR Referred by Referred fo Referred to Repeat Hb & Repeat Hb a Repeat Hb o Repeat bloo Reporting o Retest done Retesting d Rf to hospi Risk factor Rx issued Samples sen Seen at HRC Seen by MO She came Rx Short of FD Started on T/F to hosp TCB - 13 aU TCB 01/03/1 TCB 08/02/1 TCB 11/08/2 TCB 15.12.1 TCB 15/09/1 TCB 17/12/1 TCB 18/01/1 TCB 23/06/1 TCB 24/08/1 TCB 25.01.1 TCB 25/09/1 TCB 25/11/1 TCB 29.10.1 TCB 3/12/15 TCB 5/11/15 TCB 6/5/16 TCB for blo TCB if in t TCB if not TCB if prop Tb symptom To book HRC To go to ho To recheck To repeat H To repeat b U/S Please US done tod US visit Vagina look abdominal p admit sank avoid spicy bloods , fo bloods , ur bloods take c/o Backach c/o Headach c/o come fo came for Rx catheter in collected s ctg f/u visit f fer HRC follow up a follow up f follow up v for observa for results hb, rhesus internal ex internal va ni nil no no data no record none o/e General o/e fetal w ongoing cou patient ref patient was pt reported pv examinat pv examiona refer high refer on HR refer to HR refer to hi refer to ho refer to hs refer to u/ refered to referred to seen at HRC seen by MO sputum for take blood to attend a to be revie to bring pa treat sympt vulval heal Date 4: Were there other lab results available? 2158 393 No 1 Yes Sysmiss Sodium 2551 No 1 Yes Potassium 2551 No 1 Yes Chloride 2551 No 1 Yes Bicarbonate 2551 No 1 Yes Urea 2551 No 1 Yes Creatinine 2551 No 1 Yes Albumin 2551 No 1 Yes ALT (alanine aminotransferase) 2551 No 1 Yes ALP (alkaline phosphatase) 2551 No 1 Yes GGT (gamma glutamyl transferase) 2551 No 1 Yes AST (aspartate aminotransferase) 2551 No 1 Yes Bilirubin 2551 No 1 Yes Hepatitis B tests 2551 No 1 Yes Hepatitis C tests 2551 No 1 Yes CMV 2551 No 1 Yes Other virology 2551 No 1 Yes Haemoglobin (Hb) 2551 No 1 Yes White blood cells 2551 No 1 Yes Platelets 2551 No 1 Yes Date 4: What was the Hb value on this result? 190 10 10,3 10,8 10.1 10.2 10.4 10.5 10.6 10.7 10.8 10.9 11 11,1 11.1 11.2 11.3 11.4 11.5 11.6 11.7 11.9 12 12.1 12.2 12.3 12.4 12.5 12.6 12.7 12.7 Ward H 12.8 12.9 13.2 13.4 13.5 13.7 14.1 14.2 24.5 4.2 5.9 6.2 (post d 6.3 6.4 6.7 6.8 6.9 7 7.3 7.4 7.6 7.7 7.9g/dl 8 8,3 8,9 8.1 8.4 8.6 8.7 8.8 8.9 9 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 MRN 5710784 NO RESULTS NOT RECORDE Not recorde Ward HB 10. no record no results not done not recorde unknown Date 4: If Yes to any of the above lab tests, what was the MRN for Haematology? 153 10.5 10.6 11.4 54619261 9.6 FB00796967 MNR39880945 MNR48312547 MNR53278262 MNR62511429 MR56629259 MRN 6157938 MRN 6492963 MRN11180738 MRN13578332 MRN13600079 MRN14367905 MRN25920474 MRN4024357 MRN44194455 MRN45908166 MRN45920302 MRN45921406 MRN46513761 MRN46654117 MRN46724422 MRN46822790 MRN47324931 MRN47870243 MRN47871369 MRN48108916 MRN48916806 MRN49055230 MRN49229465 MRN4933432 MRN49599403 MRN49780987 MRN50686977 MRN50949196 MRN51183508 MRN51576166 MRN52026162 MRN52113661 MRN52241821 MRN52664386 MRN52890805 MRN53061869 MRN5344854 MRN53591823 MRN53705782 MRN54010105 MRN54800862 MRN55027761 MRN55155715 MRN55968720 MRN5598828 MRN56109366 MRN56171867 MRN56595049 MRN56716003 MRN56768101 MRN57061118 MRN57916755 MRN58322059 MRN58727584 MRN58765759 MRN59332615 MRN59792237 MRN6011295 MRN60210401 MRN60423729 MRN61030755 MRN61263607 MRN61589170 MRN61766179 MRN61873032 MRN62087513 MRN62430719 MRN62435956 MRN63244182 MRN65085616 MRN65346845 MRN65775984 MRN9901654 NO RESULTS Nil Not recorde no record no resukts no results not done unknown Date 4: If yes to any of the above lab tests, what is the lab number for Haematol 138 699580 714879 719460 724128 759629 BC00863525 BF 01951708 BF02098022 FB 00682777 FB 00691362 FB 00692368 FB 00697750 FB 00701695 FB 00705332 FB 00718180 FB 00758260 FB 00762757 FB 00771359 FB 00771625 FB 00776554 FB 00787211 FB 00791669 FB 00793536 FB 00793578 FB 00809387 FB 00813716 FB 00821744 FB 00822057 FB 00826855 FB 00827932 FB 00830031 FB 00837873 FB 00842950 FB 00844029 FB 00849119 FB 00849138 FB 00849944 FB 00852173 FB 00852529 FB 0085978 FB 00871846 FB 00875920 FB00629488 FB00682914 FB00682918 FB00690577 FB00694651 FB00703565 FB00703575 FB00706153 FB00716261 FB00741517 FB00745881 FB00746617 FB00747735 FB00752331 FB00754684 FB00756035 FB00761423 FB00763225 FB00777956 FB00778262 FB00778548 FB00787967 FB00788358 FB00812767 FB00813339 FB00813497 FB00816980 FB00818682 FB00846017 FBOO792123 GA 00592213 MNR56703466 MRN5595236 MRN5652026 Nil Not recorde RFB00835813 no results If yes to any of the above lab tests, what is the lab number for Chemical Patholo 74 CJ00514001 FB 00821744 FB 00844029 FB 00852173 FB00703570 FB00816980 FB00822226 FB00828922 FB00849087 GA 00592213 MRN59709146 MRN61766179 MRN62435956 Nil Not availab Not recorde no results Date 4: If yes to any of the above lab tests, what was the MRN for Chemical Patho 71 54619261 FB 00822872 FB 00842950 FB 00849138 MRN11180738 MRN47870243 MRN57916755 MRN61873032 MRN62426129 MRN9901654 Nil Not availab Not recorde no results Date 4: If yes to any of the above lab tests, what was the MRN for Virology? 62 49574157 MRN52004335 Nil no results Date 4: If yes to any of the above lab tests, what is the lab number for Virology 62 FB00771149 FBOO72186 Nil no results Date 4: Is there an MRN for Immunology? 153 Nil no no results Date 4: Is there a lab number for Immunology? 161 FB 00817711 FB 00841132 FB 00841209 FB 00873423 FB 00879987 FB 00881749 Nil nil no no results For Date 4, is there any barcoded sticker for lab tests on the clinical notes? 2145 406 No 1 Yes Sysmiss Date 4: What are the AA codes underneath the barcode? 197 AABL9915D AADD6902D AADD6915D AADF6255P AADF6271P AADF6281P AADF6283P AADF6289P AADF7462P AADF7485P AADF7487P AADF7490P AADK0231P AADK0240P AADY6635D AAEA3951P AAEA3971P AAEA3992P AAEC3378P AAEC6395P AAFB2353D AAFH5439D AAFS719D AAFS8653D AAFS8655D AAFS8751D AAFS8762D AAFS8786D AAHG9626P AAHH4768P AAHH7138P AAHH7587P AAHQ2967D AAJP8711D AAJP9902D AAJR4462D AAJS0682BOF AAJS0692BOF AAJT2981D AAKC9361D AAKC9876D AAKP2000BOF AALN6510BOF AALN7168BOF AAMF3596BOF AAMW2752P AAMW4269P AAMW5617P AAMY1546P AANL7937P AANM3313P AANQ8098BOF AANR3682BOF AANR3985BOF AANR3994BOF AANR8119BOF AANS0223BOF AAOK1098BOF AAOK2714BOF AAOK7628BOF AAOL7606BOF AAOL7705BOF AAOL7745BOF AAOL7749BOF AAPN5078POF AAPN5769POF AAPN6148POF AAPN7372POF AAPN7385POF AAQM6045BOF AAQY5232HOF AARH4306P AARQ9224BOF AART2905BOF AART3808BOF AART3868BBO AART3882BOF AART3902BOF AART3903BOF AART3949BOF AARU2489BOF AARU2953BOF AARU296BOF AARU2995BOF AATK217OBOF AATK3122BOF AATO9415HOF AAUW8002HOF AAUW8035HOF AAUW9817HOF AAVW9567BOF AAWG9233BOF AAYB0262NOF AAZG7687D ABAW7754R ABBZ6343A ABDB3833HOF ABGM8701HOF ABGM8720HOF ABGM8723HOF ABGS5764HOF ABHM4609HOF ABHM9688HOF ABJF9385HOF ABJF9702HOF ABJP9295HOF ABJQ1660HOF ABLC3248HOF ABLH2829HOF ABOM6789HOF ABOM7287HOF ABOM7488HOF ABOM7495HOF ABON0451HOF ABON0458HOF ABON0463HOF ABON0494HOF ABON0496HOF ABON1554HOF ABON6015HOF ABON6131HOF ABONO803HOF ABPN0142HOF ABPN1780HOF ABPN1795HOF ABPQ4822HOF ABPQ5823HOF ABRS2632HOF ABRS2646HOF ABRS3056HOF AOK1569HOF KZY013490 NIL Nil SPEC2576852 nil no no record no results not applica Date 4: What are the AA codes underneath the barcode? 73 AANL7938P AANR3985BOF AANR8121BOF AANS0230BOF AAPN7385POF AARQ9224BOF AART3868BBO AATK3437BOF AAWG9235BOF NIL Nil nil no no results none Did the mother attend ANC a fifth time in pregnancy? 2166 385 No 1 Yes Sysmiss Fifth ANC Visit (Date 5) 1866 2015-01-18 2017-01-21 2015-01-18 2015-01-22 2015-02-04 2015-02-10 2015-02-18 2015-03-06 2015-03-10 2015-03-17 2015-03-19 2015-03-25 2015-03-27 2015-04-01 2015-04-02 2015-04-08 2015-04-09 2015-04-14 2015-04-15 2015-04-16 2015-04-18 2015-04-20 2015-04-21 2015-04-23 2015-04-24 2015-04-28 2015-05-03 2015-05-04 2015-05-06 2015-05-07 2015-05-08 2015-05-12 2015-05-13 2015-05-14 2015-05-15 2015-05-18 2015-05-19 2015-05-20 2015-05-21 2015-05-22 2015-05-25 2015-05-26 2015-05-27 2015-05-28 2015-05-29 2015-06-01 2015-06-02 2015-06-03 2015-06-05 2015-06-06 2015-06-09 2015-06-10 2015-06-11 2015-06-12 2015-06-14 2015-06-15 2015-06-17 2015-06-18 2015-06-19 2015-06-21 2015-06-22 2015-06-23 2015-06-24 2015-06-25 2015-06-26 2015-06-29 2015-06-30 2015-07-02 2015-07-03 2015-07-05 2015-07-06 2015-07-07 2015-07-08 2015-07-09 2015-07-10 2015-07-12 2015-07-13 2015-07-14 2015-07-15 2015-07-16 2015-07-17 2015-07-20 2015-07-21 2015-07-22 2015-07-23 2015-07-24 2015-07-25 2015-07-26 2015-07-27 2015-07-28 2015-07-29 2015-07-30 2015-08-03 2015-08-04 2015-08-05 2015-08-06 2015-08-07 2015-08-10 2015-08-11 2015-08-12 2015-08-13 2015-08-14 2015-08-15 2015-08-17 2015-08-18 2015-08-19 2015-08-20 2015-08-21 2015-08-22 2015-08-24 2015-08-25 2015-08-26 2015-08-27 2015-08-28 2015-08-31 2015-09-01 2015-09-02 2015-09-03 2015-09-04 2015-09-07 2015-09-08 2015-09-09 2015-09-10 2015-09-11 2015-09-12 2015-09-14 2015-09-15 2015-09-17 2015-09-18 2015-09-19 2015-09-21 2015-09-22 2015-09-23 2015-09-25 2015-09-26 2015-09-28 2015-09-29 2015-09-30 2015-10-01 2015-10-02 2015-10-03 2015-10-05 2015-10-06 2015-10-07 2015-10-08 2015-10-09 2015-10-12 2015-10-13 2015-10-14 2015-10-15 2015-10-16 2015-10-19 2015-10-20 2015-10-21 2015-10-22 2015-10-23 2015-10-26 2015-10-27 2015-10-28 2015-10-29 2015-10-30 2015-10-31 2015-11-01 2015-11-02 2015-11-03 2015-11-04 2015-11-05 2015-11-07 2015-11-08 2015-11-09 2015-11-10 2015-11-11 2015-11-12 2015-11-13 2015-11-15 2015-11-16 2015-11-17 2015-11-18 2015-11-19 2015-11-20 2015-11-23 2015-11-24 2015-11-25 2015-11-26 2015-11-27 2015-11-30 2015-12-01 2015-12-02 2015-12-03 2015-12-04 2015-12-06 2015-12-07 2015-12-08 2015-12-09 2015-12-10 2015-12-11 2015-12-12 2015-12-13 2015-12-14 2015-12-15 2015-12-16 2015-12-17 2015-12-18 2015-12-21 2015-12-22 2015-12-23 2015-12-24 2015-12-27 2015-12-28 2015-12-29 2015-12-30 2015-12-31 2016-01-01 2016-01-02 2016-01-03 2016-01-04 2016-01-05 2016-01-06 2016-01-07 2016-01-11 2016-01-12 2016-01-13 2016-01-14 2016-01-15 2016-01-18 2016-01-19 2016-01-20 2016-01-21 2016-01-22 2016-01-24 2016-01-25 2016-01-26 2016-01-27 2016-01-28 2016-02-01 2016-02-02 2016-02-03 2016-02-04 2016-02-05 2016-02-06 2016-02-08 2016-02-09 2016-02-10 2016-02-11 2016-02-12 2016-02-15 2016-02-16 2016-02-17 2016-02-18 2016-02-19 2016-02-21 2016-02-22 2016-02-23 2016-02-24 2016-02-25 2016-02-26 2016-02-29 2016-03-01 2016-03-02 2016-03-03 2016-03-04 2016-03-07 2016-03-08 2016-03-09 2016-03-10 2016-03-11 2016-03-14 2016-03-15 2016-03-16 2016-03-17 2016-03-18 2016-03-19 2016-03-20 2016-03-21 2016-03-22 2016-03-23 2016-03-24 2016-03-25 2016-03-26 2016-03-28 2016-03-29 2016-03-30 2016-03-31 2016-04-01 2016-04-03 2016-04-04 2016-04-05 2016-04-06 2016-04-07 2016-04-08 2016-04-11 2016-04-12 2016-04-13 2016-04-14 2016-04-15 2016-04-16 2016-04-18 2016-04-19 2016-04-20 2016-04-21 2016-04-22 2016-04-23 2016-04-24 2016-04-25 2016-04-26 2016-04-27 2016-04-28 2016-04-29 2016-05-03 2016-05-04 2016-05-05 2016-05-06 2016-05-09 2016-05-10 2016-05-11 2016-05-12 2016-05-13 2016-05-15 2016-05-16 2016-05-17 2016-05-18 2016-05-19 2016-05-20 2016-05-21 2016-05-22 2016-05-23 2016-05-24 2016-05-25 2016-05-26 2016-05-27 2016-05-29 2016-05-30 2016-05-31 2016-06-01 2016-06-02 2016-06-03 2016-06-04 2016-06-05 2016-06-06 2016-06-07 2016-06-08 2016-06-09 2016-06-10 2016-06-11 2016-06-12 2016-06-13 2016-06-14 2016-06-15 2016-06-16 2016-06-17 2016-06-20 2016-06-21 2016-06-22 2016-06-23 2016-06-24 2016-06-26 2016-06-27 2016-06-28 2016-06-29 2016-06-30 2016-07-01 2016-07-02 2016-07-04 2016-07-05 2016-07-06 2016-07-07 2016-07-08 2016-07-09 2016-07-11 2016-07-12 2016-07-13 2016-07-14 2016-07-15 2016-07-16 2016-07-18 2016-07-19 2016-07-20 2016-07-21 2016-07-22 2016-07-25 2016-07-26 2016-07-27 2016-07-28 2016-07-31 2016-08-01 2016-08-02 2016-08-04 2016-08-05 2016-08-08 2016-08-09 2016-08-10 2016-08-11 2016-08-12 2016-08-13 2016-08-15 2016-08-16 2016-08-17 2016-08-18 2016-08-19 2016-08-20 2016-08-22 2016-08-23 2016-08-24 2016-08-25 2016-08-26 2016-08-28 2016-08-29 2016-08-30 2016-08-31 2016-09-01 2016-09-02 2016-09-04 2016-09-05 2016-09-06 2016-09-07 2016-09-08 2016-09-09 2016-09-12 2016-09-13 2016-09-14 2016-09-15 2016-09-16 2016-09-17 2016-09-20 2016-09-21 2016-09-22 2016-09-23 2016-09-24 2016-09-26 2016-09-27 2016-09-28 2016-09-29 2016-09-30 2016-10-03 2016-10-04 2016-10-05 2016-10-06 2016-10-07 2016-10-10 2016-10-11 2016-10-12 2016-10-13 2016-10-14 2016-10-16 2016-10-17 2016-10-18 2016-10-19 2016-10-20 2016-10-22 2016-10-23 2016-10-24 2016-10-25 2016-10-26 2016-10-27 2016-10-28 2016-10-30 2016-10-31 2016-11-01 2016-11-02 2016-11-03 2016-11-04 2016-11-05 2016-11-08 2016-11-09 2016-11-10 2016-11-11 2016-11-14 2016-11-16 2016-11-17 2016-11-18 2016-11-21 2016-11-22 2016-11-23 2016-11-24 2016-11-26 2016-11-28 2016-11-29 2016-11-30 2016-12-01 2016-12-05 2016-12-06 2016-12-07 2016-12-08 2016-12-10 2016-12-12 2016-12-14 2016-12-15 2016-12-16 2016-12-18 2016-12-19 2016-12-20 2016-12-21 2016-12-22 2016-12-23 2016-12-26 2016-12-27 2016-12-28 2016-12-29 2016-12-30 2017-01-03 2017-01-04 2017-01-05 2017-01-06 2017-01-09 2017-01-11 2017-01-14 2017-01-16 2017-01-21 For Date 5, what was the gestational age? Review MCR for entries. 1828 11 119/78 122/34 133/69 14 15 15+ 16 17 18 19 20 20+ 21 21+ 216 22 23 23+ 24 24+ 25 25+ 26 26+ 27 27+ 28 28+ 28dates & u 29 29+ 30 30+ 31 31+ 32 32+ 33 33+ 34 34+ 35 35+ 36 36+ 36+4 37 37+ 38 38+ 38+3 39 39+ 40 40+ 40+2 41 41+ 42 48 NOT RECORE NOT DOCUMEN NOT DONE NOT RECORDE Not documen Not done Not recorde USOD no data no record not done not recorde unknown unkown Blood pressure at Fifth ANC (Date 5) examination 1852 For Date 5, what was the recorded BP2 ? (If more than one BP available for one da 150 100/60 101/44 101/54 102/44 102/51 102/65 103/39 103/44 104/45 105/58 106/55 107/56 108/53 111/56 111/70 112/61 112/67 113/55 113/59 113/66 114/61 114/73 115/31 116/56 116/65 116/69 117/58 118/69 118/78 120/70 120/80 121/61 121/76 121/81 122/83 123/72 123/74 123/95 124/60 124/67 125/56 127/63 127/68 127/69 128/70 128/75 129/84 130/75 131/76 131/79 1312/62 132/65 132/70 132/78 132/82 134/54 134/62 134/78 134/91 135/35 135/69 135/76 135/80 136/85 137/85 139/83 140/68 140/80 140/98 141/76 141/82 141/84 142/69 143/92 144/77 144/83 145/97 146/60 147/76 148/50 149/84 149/85 150/99 151/107 152/90 153/106 154/70 155/44 156/79 156/91 157/89 160/109 160/97 162/101 163/95 164/84 170/98 179/99 75/34 91/52 95/61 97/48 Nil no record unknown For Date 5, what was the recorded BP3 ? (If more than one BP available for one da 66 104/64 109/56 114/61 117/56 124/45 128/84 130/67 136/82 139/79 141/46 153/98 154/101 159/91 160/106 166/111 192/112 , 1 96/47 Nil Pulse rate Date 5 1772 100 100 bpm 100bpm 100bpm, 111 101 101bpm 101bpm , 90 101bpm and 102 102bpm 103 103 bpm 103bpm 104 104bpm 105 105bpm 106 106bpm 107 107bpm 108 108bpm 108bpm and 109 109bpm 110 110bpm 111 111bpm 112 112bpm 113 113bpm 114 114bpm 115 115bpm 115bpm ,112 116 117 117bpm 118 118bpm 119 119bpm 120 120bpm 121 121bpm 121bpm, 135 122 122bpm 123 125 125bpm 126 127 128 128bpm 129 130 131 132 132bpm 135 136 138 138bpm 140 141bpm 148 36bpm . 39 56 57 58 59 60 61 61bpm 62 62bpm 63 63bpm 64 64bpm 65 66 66bpm 67 67bpm 68 68bpm 69 69bpm 70 70bpm 71 71bpm 72 72bpm 73 73bpm 74 74bpm 75 75bpm 76 76bpm 77 77bpm 78 78bpm 79 79BPM 79bpm 80 80bpm 81 81bpm 82 82BPM 82bpm 83 83bpm 84 84bom 84bpm 85 85bpm 86 86bpm 87 87bpm 88 88BPM 88bpm 89 89bpm 89bpm and 7 9 90 90bpm 90bpm , 91b 91 91bpm 92 92bpm 93 93bpm 93bpm and 1 94 94bpm 95 95bpm 96 96bpm 97 97bpm 98 98BPM 98bpm 99 99bpm NOT DONE NOT RECORDE Not documen Not done Not recorde Not recrded no record not done not recorde unknow unknown unkown Weight (kg) at Date5 1834 100 101 102 102.4 102.5 103 104 105 105.9 106 107 108 109 110 113 114 115 116 117 118 120 121,5 122 123 124 125 130 136 140 44 45 45,0 46 47 48 49 49.5 50 51 52 52.5 52.6 52.8 53 53.5 54 55 56 57 57.2 57.5 57.7 58 58,0 58.3 59 60 60.3 61 61,9 61.5 612 62 62.6 62.8 63 63.7 63.9 64 64.1 64.2 64.3 65 65.6 65kg 66 66,0 66.6 67 67.1 67.4 67.7 67.8 68 68.2 69 69.7 70 70.2 70.4 70.5 71 71.1 72 72.1 72.3 72.5 72bpm 73 73.95 73bpm 74 74,0 74.3 74.8 74.9 75 75.5 76 76.5 77 77,0 77,8 77.4 77.5 78 78.6 78.7 78.9 79 80 80.1 80bpm 81 82 82bpm 83 83bpm 84 84.3 84.5 84.9 85 85.5 86 86.4 86.7 86.8 87 87bpm 88 88.4 89 89.5 90 91 91.4 92 92.8 93 94 94.7 94bpm 95 95.5 96 96.4 96.5 97 98 99 99,0 NAD NOT DONE NOT RECORDE Not done Not recorde no record not done not recorde unknown unkown For Date 5, what was the weight2? (If more than one weight available for one day, 63 60 65 67 98 Nil Not recorde not done SF Measurement at Fifth ANC Visit (Date 5) 1769 14 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 30cm 31 31+ 31cm 32 33 34 34cm 35 35+ 36 37 38 39 39+ 40 41 42 43 44 48 58 66 68 N0T DONE NOT DONE NOT RECORDE NOT recorde Not documen Not done Not recorde mass palpab nil no data no record not dne not done not recorde unknown unkonwn unkown Date 5: Was a urine test done? 1864 687 No 1 Yes Sysmiss Date 5: was the pH of the urine recorded? 1863 688 No 1 Yes Sysmiss If yes, what was the pH for Date 5? 176 0.7 0.8 2 5 6 7 8 9 Blood 4+ not recorde unknown For Date 5 were there any other urine results noted? 1853 698 No 1 Yes Sysmiss If other urine results (eg Bilirubin) were recorded, what was the result? 187 BILIRUBIN 3 BLOOD2+, KE Bilirubin 1 Bilirubin 2 Blood + Blood + Le Blood ++ Blood 1+ Blood 2+ Blood 3+ Blood 3+ Le Blood 4+ Blood 4+ L Blood gluco Blood+ Blood++ Blood+++ Glucose + KET+ Ket 3+ Ketones Ketones ++ Ketones 2+ Ketones+ LEUC + LEUC ++ LEUC 1+ LEUCOCYTES+ Leuc + Leuco + Leuco ++ Leuco 1+ Leuco 2+ Leuco++ Leucocytes Leucocytes- Leuko 1+ Leukocyte 3 Leukocytes Lueco 1+,Bl Nitrate Nitrates 1+ Nitrates Po Nitrite Nitrite + , Nitrite Pos Nitrite pos Nitrites 1+ Pro + Prot 2+ Urobilinoge blood + blood + , l blood +, le blood +1 blood 1+ blood 2+ blood 2+, l blood 3+ blood 4 blood 4+ blood 4+, l blood 4+, n blood trace blood4+ ketones ketones + ketones 2+ ketones 3+ ketones 3+, ketones1+ S ketones2+,l leuc 1+ leucocytes leucocytes+ leuk + leukocyte leukocyte1+ leukocyte2+ leukocytes leukocytes+ leukocytes1 leukocytes2 leukocytes3 leukocyyes+ nitites pos nitrate ++ nitrite + nitrite 2+ nitrite pos nitrites =, nitrites po urobilinoge For Date 5: Pap smear done? 1851 700 No 1 Yes Sysmiss Result of pap smear If Other, please specify P (protein): nil 2551 No 1 Yes P 1+ 2551 No 1 Yes P 2+ 2551 No 1 Yes P 3+ 2551 No 1 Yes S (sugar): nil 2551 No 1 Yes S trace 2551 No 1 Yes S 1+ 2551 No 1 Yes S 2+ 2551 No 1 Yes S 3+ 2551 No 1 Yes P trace 2551 No 1 Yes Other (specify) 2551 No 1 Yes Unknown 2551 No 1 Yes Date 5: If abnormal pap smear result (CIN I, II,III,Cervical Cancer, indeterminat Date 5: Did the mother have a HIV Antibody (RVD) test? 1836 715 1 Yes 2 No 3 Declined 4 Unknown 5 Data not entered 6 Known positive Sysmiss If Yes, what was the result? 332 2219 1 Reactive 2 Non-reactive 3 Unknown Sysmiss Date 5: Was the CD4 count determined? 811 1740 1 Yes 2 No 3 HIV-Negative Sysmiss If Yes, what was the CD4 count? 27 1203 312 333 380 391 429 446 479 580 621 626 939 NO RESULTS NOT RECORDE Not availab Not recorde not recorde unknown Date 5: Was there any viral load requested or done? 811 1740 1 Yes 2 No 3 HIV- Negative 4 Unknown Sysmiss If Yes, what was the viral load? 103 127 177 19000 20 copies 21 26800 358 404 copies 50 copies 93 95 <150 <150 copies <20 <20 copies <40 <40 copies <47copies <50 LDL LTD NO RESULTS NOT RECORDE Not availab Not recorde Not yet bac She is Supp UNDETECTABL V/L suppres VL taken Viral load lower than not recorde not recrded suppressed unknown On Date 5, was she initiated on ART? (antiretroviral therapy) at THIS antenatal v 847 1704 1 HAART 2 DUAL 3 Unknown 4 Continued on previous ART combination 5 HIV-Negative Sysmiss Did the mother receive a rapid syphilis test? 1837 714 No 1 Yes Sysmiss If yes what was the result? 39 2512 1 Positive 2 Negative 3 Unknown Sysmiss If the syphilis screen was positive what was the RPR (titre)? If syphilis screen was positive what was the TPHA? If syphilis positive did the mother receive treatment? 2 4 5 Fixed dose combination (TDF/FTC/EFV) 2551 No 1 Yes TDF (tenofovir) 2551 No 1 Yes FTC (emtricitabine) 2551 No 1 Yes AZT (zidovudine) 2551 No 1 Yes 3TC (lamivudine) 2551 No 1 Yes ABC (abacavir) 2551 No 1 Yes d4T (stavudine) 2551 No 1 Yes EFV (efavirenz) 2551 No 1 Yes NVP (nevirapine) 2551 No 1 Yes LPV/r (lopinavir/ritonavir, aluvia) 2551 No 1 Yes ATV/r (atazanavir/ritonavir) 2551 No 1 Yes RAL (raltegravir) 2551 No 1 Yes Unknown 2551 No 1 Yes For date 5, was the mother screened for Tb during pregnancy? 1861 690 1 Yes 2 No 3 Unknown 4 Already on TB treatment 5 Already on isoniazid (INH) prophylaxis (with pyridoxine) Sysmiss For date 5, if yes to above, what was the result? 1186 1365 1 Negative Tb screen 2 Positive Tb screen 3 Unknown Sysmiss For date 5, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi 1590 961 1 Yes 2 No 3 Unknown Sysmiss For date 5, was the mother started on Tb treatment? 450 2101 1 Yes 2 No 3 Unknown Sysmiss On Date 5, which other supplements were prescribed? 32 Ca carbonat Ferovite 1 Ferrous 200 Feso 4 200m Iron sup gi Iron supp Iron supp g Iron suppl Iron supple Prenatal 1 Prenatal Fo Prenatal fo Take 1 fero Vit C po d Vit C 100mg Zinplex Zinplex 1 d ferorite 1 iron supple prenatal fo vit c vitamin c zinplex 1 t For Date 5, was any advice/information/counselling on contraception/safe sex give 249 ART follow Adherence c Counselled H/E done on H/E given a H/E on FP T H/E on dang H/E on fp m H/E on impo H/E on safe H/E on use H/E safe se HCT done re Importance NO Nil No Not recorde Ongoing cou PMTCT - Rea Pre - post Re-testing Safe sex di Safe sex; h Safer sex Safer sex e advised on condom use condoms iss encourage c encourage t encouraged health educ information nil no no data no record no rerecord not deone not done not recorde to use cond treat partn use condoms yes For Date 5, was there any advice/counselling/information given with regards to in 226 Breastfeedi EBF Educate on Group talk H/E on B/fe H/E on brea H/E on impo H/E on mart Health educ Importance NO Nil No Not recorde counselling importance important o nil no no record no rerecord not done not recorde yes yes importa For Date 5, was there anything else in clinical notes not covered by the above? 334 Advise pati Advised abo Advised low Advised on Advised to CORD AND PE For ANC rev Good appeti H/E on hea H/E about i H/E done on H/E given a H/E given d H/E given i H/E given o H/E on STI H/E on dang H/E on feta H/E on impo H/E on moni H/E on sign H/E on the H/E on true H/Education HEALTH EDUC Health educ Importance Important o LIFESTYLE M Mother gain NO Nil No Not recorde Now at 40/4 Nutrition. P: Dietary Repeat ANC She gained Signs and s True signs advised abo advised on advised to clear fluid counselled danger sig danger sign decrease sa education a exclusive b h/e on impo hea.lth edu hea;lth edu health educ healthy eat importance information lifestyle m low salt di mother coun nil no no record no rerecord not done push fluids risk and ha safe practi signs of la to drink lo yes yes danger yes signs o yes to moni yes, care o yes, import yes, on dan yes, signs Did the mother have an ultrasound during pregnancy? 1861 690 No 1 Yes Sysmiss If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other 208 19w6d singl 22w4d , sin 22w4d singl 24w 3d cep 31weeks ges 36w5d, sing BPD 21.9MM BPD 4.94, F BPD:18 FL: BPD:8.91 H Dated 02/9/ GA by sona GESTATION 3 Gestation 2 Gestation 3 Gestation i Not recorde Sonar:38+5/ The u/s was U/S was don U/S- @34/40 gestation 1 gestation 2 gestation 3 gestation 4 gestation i gestational hydrops fet placenta lo u/s 35/40 For Date 5 were there any palpitations reported? 1855 696 No 1 Yes Sysmiss What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date Was any treatment prescribed for palpitations? For date 5 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH) 1773 778 1 Hypertension 2 Chronic Hypertension 3 Pregnancy Induced Hypertension 4 Other (specify) 5 Pre-eclampsia 6 No history of hypertension recorded Sysmiss If Other, please specify What investigations were performed for hypertension? 38 Aldomet 1g BP is eleva BP rechecke NOT RECORDE Nil R/F to HRC Rechecked a Refer to ho blood press bloods nil no no record none, accor not recorde to recheck unknown Not screened for Tb 2551 No 1 Yes Tb screen negative 2551 No 1 Yes Isoniazid (INH or H) 2551 No 1 Yes Rifampicin (RIF, or R) 2551 No 1 Yes Rifabutin 2551 No 1 Yes Ethambutol (E) 2551 No 1 Yes Pyrazinamide (Z) 2551 No 1 Yes Pyridoxine (vitamin for INH side effects) 2551 No 1 Yes Streptomycin 2551 No 1 Yes Amikacin 2551 No 1 Yes Clarithromycin 2551 No 1 Yes Azithromycin 2551 No 1 Yes Ciprofloxacin 2551 No 1 Yes Moxifloxacin 2551 No 1 Yes Para Amino Salicylic acid (PAS) 2551 No 1 Yes Capreomycin 2551 No 1 Yes Ethionamide 2551 No 1 Yes Cycloserine 2551 No 1 Yes Bedaquiline 2551 No 1 Yes Unknown 2551 No 1 Yes Multi-vitamins (mvt) 2551 No 1 Yes Ferrous Sulphate/FeSO4/Iron 2551 No 1 Yes Folic Acid 2551 No 1 Yes Calcium Suppl 2551 No 1 Yes Pregamal 2551 No 1 Yes Vitamin B-Complex 2551 No 1 Yes Other 2551 No 1 Yes Aldomet (methyldopa) 2551 No 1 Yes Adalat (nifedipine) 2551 No 1 Yes Nil Treatment prescribed 2551 No 1 Yes Other (specify) 2551 No 1 Yes Beta blocker (e.g. labetalol) 2551 No 1 Yes If Other treatment for hypertension related conditions, please specify. 4 Already on Amlodipine metfon 250m on treatmen Date 5: Was there any headache recorded? 1856 695 No 1 Yes Sysmiss What investigations were performed for headache? 12 no no record none not recorde unknown Date 5: Was there any treatment prescribed for the headache? 14 PANADO Paracetamol Yes no not recorde panado 1g p paracetamol unknown yes Was the mother screened for diabetes in pregnancy? 1856 695 No 1 Yes Sysmiss Urine dipstick (glucose) 2551 No 1 Yes Random blood glucose (blood test) 2551 No 1 Yes Fasting blood glucose (blood test) 2551 No 1 Yes Glucose tolerance test, OGTT (blood tests over 3 hours) 2551 No 1 Yes Unknown 2551 No 1 Yes If yes, what was the result of the diabetes screening test? 7 1 3 4 What treatment and/or advice was the mother given for diabetes (or glucose intole 2 unknown For Date 5, please list other conditions not listed above. 511 19 yrs old, 22 years G2 30/40 by da ? IUGR ? UTI ? asthma at ? preterm l ?APH, pretr ?Early labo ?IUGR ?UTI ?UTI ?STI ?UTI in pre A 35 yrs ol ABDOMINAL D ANC follow Abdominal p Abscess Abscess R a Acute diarr Acute??? Anaemia Asthmatic BOM Breech pres By dates 32 By dates 33 By dates 42 C/O - No pr C/O BOM/ Dy C/O LABOUR C/O LAP +ba C/O LAP and C/O LAP, BO C/O LAP. Fe C/O SROM, B C/O abdomin C/O bllody C/O constip C/O decreas C/O diarrho C/O labour C/O left si C/O lower a C/O occassi C/O of lowe C/O painful C/O pains t C/O spontan C/O swollen C/O watery CENTRAL CHE COUGH, CHES COUGH, DRY Came for fo Came in for Came to col Came with C Chest infec Clear disch Client diag Client trea Complaining Cough DIZZINESS A Diarrheoa Dysentry + F/U ANC vis FHHR, FMF False labou Fetal movem Fetal well Flu Flue Follow up v Follow-up v For ANC fol For ANC no For CD4 & V For Prophyl From home c G1 P0 came G1 P0 has c G2 P1 at 40 GA by dates GXP collect Genital ulc H/E on dang H/E on sign H/E on true Hb WR Headache + History of Hypotension Itchiness o Itchy vulve LAP LAP & BACKA LAP, BACKAC LAP, BOM LAP, PV DIS LAP,pains Lap, burnin Loss of str Low HB, loo Lower abdom NO Nil None Nose conges Not recorde O/E PV disc Oedema on l PAINFUL RT PARASTHESIA PRECIPITATE PV BLEEDING PV discharg PVD PVD offensi Pains on pu Persistant Persistent Persisting Prev c/s x Pt reported R-18 T-36 Re-testing Referred by Reported la Reporting l Retroviral Rx: Fetal h STI She came fo Sonar 36+/4 Sonar 38/40 Soner 27+/4 Soner 34+/4 Sower 33+/4 Threaten mi Tight chest UTI UTI in preg Uncontrolle VDS VDS/Anaemia Vaginal itc Vomitted ye YELLOWISH P abdominal p anaemia anaemia in aneamia burning on by dates 38 c /o consti c/o LAP an c/o lap ba c/o Abd pai c/o BOM c/o BOM + F c/o BOM + L c/o GUS . V c/o LAP c/o LAP ,p c/o LAP ,bu c/o LAP x 1 c/o LAP, BO c/o LAP, pa c/o LAP. ? c/o LAP. Im c/o LoE, di c/o PV blee c/o PV disc c/o Painful c/o VDS c/o abdomin c/o backach c/o body so c/o bom , c/o bom , f c/o bom an c/o chest p c/o cough x c/o coughin c/o decreas c/o diarrhe c/o diarrho c/o dizzine c/o epigast c/o frequen c/o general c/o headach c/o itchy v c/o labour c/o lap c/o lap ,b c/o lap , B c/o lap , U c/o lap , b c/o lap , d c/o lap . u c/o lap and c/o lap, wh c/o lap,. c/o llap , c/o lower a c/o nasal b c/o nausea c/o occasio c/o passing c/o pv blee c/o rash al c/o running c/o septic c/o sharp p c/o shortne c/o sob , c/o sore th c/o swollen c/o vagina c/o vaginal c/o watery c/o white v c/o with re c/o yellowi came in at client came complained cough cough x 2/7 haematuria/ has product history of lap lower abdo lower abdom mother repo nil no no data no record none not done oedema of t oedema, epi palpitation pedal oedem preterm lab pv bleeding pv discharg pv vaginal pvd reported de reported fo reported on reporting L reports PV reports pai swollen gum trauma repo two fetal h vaginal dis vaginal sor vaginal war vaginal whi varicose ve vds vomiting an vulval itch whitish dis yellowish p Were any additional investigations performed for Other Conditions listed above? 265 (A) Stable 250mg ceftr ABDOMINAL P AZITHROMYCI Abdomen sof Asthmatic n Blood for F CTG and Ref CTG and fet Came for re Catheterise Fetal heart For CD4 blo For repeat GXP Result GXP taken H/Education HB 9.0 in J Impression: Monitor fet NO Nil No None Not recorde O/E BP elev O/E JACCOLD O/E abdomen O/E chest t O/E clinica O/E general O/E severe O/E: No VDS PV EXAM PV EXAM OS PV Exam omu PV Exam os PV Examinat PV exam PV exam os PV examinat PVE 2cm dil PVE SPECULU PVE cervix PVE os 1cm PVE os clos PVE os post PVExam cerv PVExam no d PVExam os 8 PVExam os c Palpation a Previous ca Pv examinat Reassess af Refer to HR Refer to Ho Refer to th Repeat HB a Risk factor Seen at HRC Sputum for Still bx pr TB screenin U/S Urine for M VDS Vaginal exa abdominal p blood for F bloods bloods take c/o LAP sin c/o Lower a c/o vds sin came back s ear irrigat examined for VBAC-Ho general exa hb ineternal v internal ex nil no no data no record no rerecord o/e fetal h o/e general o/e well hy patient rea plan-sput f pv examina pv examaina pv examinat pv internal tcb mane to to go for u urine for M vaginal exa vaginal int For Date 5, were there any other medications prescribed? eg. Amoxil, Panado 486 (P) Amoxil (P) For VBA (P) Honey & (P) Ref kwa (P) Refer H (P) Review (P) TCB HRC 10mg maxala 1L 0.9% sal 1g panad0 p 20mg adalat 250mg ceftr 2g flaggyl 400mg flagy A/B,Start a ADALAT 20MG AMOXIL, CEF AMOXILLIN 5 AMOXILLIN, AMOXYCLAV 3 AMOXYL 500M AMOXYLLIN 5 ATT ATT 0,5MG I ATT 0,5mg I ATT 0.5ml i ATT 0.5ml s ATT, AMOXIL ATT0,5ml im ATT0.5mls I Aldomet Aldomet 1g Aldomet 250 Amethocaine Amoxicilin Amoxicillin Amoxil Amoxil 500g Amoxil 500m Amoxill/Clo Amoxuil 500 Amoxycillin Amoxyclac 3 Amoxyclav 3 Amoxyl 500m Amoxyllin 5 Analgesics Anusol supp Att 0.5ml i Att 0.5ml s Att 0.5mls Azithromayc Azithromyci Bactrim 2ta Benzoa acid Bicillin 1. Biltricide CEFTRIAXONE CLOTRIMAZOL Calamine lo Cefriaxone Ceftriaxone Clotrimazol Co-trimoxaz Cont with R Continue wi Cotrimaxazo Cotrimoxazo FDC FDC ,INH 30 FDC 1 dly X FDC 1 dly p FDC 1 nocte FDC 1/1 dly FDC 1/1 noc FDC 300mg p FDC AND INH Flagyl 2g s Flagyl 400m Flagyl and Flu vaccine Flucloxacil Flue vaccin For hyperte For prophyl Haematinics INH 1 tab p INH 300MG , INH 300MG P INH 300mg d INH 300mg p Iliadin nos Impression: Influenza v Innorspore Loperamide MRI 1L ivi MRL 1000ml MRL 1lt Maxolon 10m Metholdopa Metronidazo Mexalon Monitor fet NO Nebulisers; Nil No Not recorde Omeprazole On 12/08/15 P - Amoxyll P - Nebuliz P - Zimplex P- INH 300m P-Flagyl 2g P. Aldomet P. Biltrici P. FDC 1/1 P: Ceftriaz P: FDC 1/1 P: FDC 1g d P: SSS X 1p P:Amoxyl 50 P:Continue PIH - Haema Panado 1g p Panado 1g s Panado 2 td Panado 2/2 Paracetamol Penilente 2 Penillent 2 Plan FDC 1/ Plan-Nutrit Plan: Busco Plan: Ceftr Plan: Flagy Plan: Parac Plan: Refer Plan: Repea Plan: start Plasmalyte Prenatal fo Push fluid, Pyridoxine Pyrodoxine R/F to HRC R/L 1000ml Ref HRC 14/ Refer to HR Refer to hi Rehydration Rhineton 1 Rx FDC 300m Rx ceftriax Rx issued F Rx still av Rx:- (FDC) Rx:Ceftriax SSS x 1 pkt Sorol 2 pkt Sorol x1 Sorol x2 Tetanus tox To go to Si adalat 10mg adalat 20mg aldomet 50 aldomet 500 amooxycilli amoxicillin amoxil 500m amoxycili , amoxycillin amoxyl 500m amoxyllin 5 amxycillin att 0,5ml att 0,5ml i att 0.5ml i att 0.5mls augmentine azithromyci basctrim 2 berotec neb biccilin 8m candizole cefftriaxon ceftriaxone cephalixine dorlon fort fdc fdc and INH flaggyl 2g flagy 2g po flagyl 2g p flagyl2g . flue vaccin given antib haematemics hydrol sach hyoscine 10 loperamide metronidazo moxypen 500 ni nil no no record panado 1 da panado 1g b panado 1g p panado 2 panado 2 ta panado 500m panadox2 td paracetamol penlent 6ml pvd in pre pyrodoxine reassured sorol sorol 1pk , sorol, lope to go to ho yes amoxyxi Which other investigations/protocols were followed according to the Maternity Cas 492 1g ceftriao 21 yr old G 26 y/o came 35+/40 by u ANC bloods ANC follow Abdominal t Admit SANW Advised to Appears to Art collect At High Ris BP controll Blood for H Blood resul Bloods for Booked for Buya 06/07/ Buya 17/08/ Buya 20.7.2 Buya 23/07/ Buya if not By U/S 28+/ By dates 28 By dates 33 C/O f/up vi C/O no comp C/O passing CTG trace Came for AN Came to che D/C home D/C on Haem Do obstetri F/U ANC vis F/U for HCT F/U for Iro F/U for tre F/U visit f FALSE LABOU FBC taken t FBC, RPR FBC, RPR TC FBC, RRN FH 128 FHH 146bpm FHRH and re FMF by the FOR REVIEW Fetal movem Follow up a Follow up v Follow-up v For Rx coll For deliver For observa For treatme G/A 30+/40 G1 P0, 18 y GA by dates GXP results Gravida 03, GxP results H/E ON DIET H/E done on H/E done re H/E in dang H/E on dang H/E on taki H/E on true HB + WR spe HB and WR b HB taken HOF 18/40 b Had neonata Has come fo IMPRESSION Imp:Early l JACCOLD :NA LAP, Sexual Letter to v Must come f N/A NIL NO Next collec Nil No dizzines No signs of Not recorde O/ abdomina O/E abdomen P:Amoxyl 50 P:to take b PV EXAM, RE Patient ref Plan:Admit Plan:Bookin Plan:for VB Pre and pos Primigravid Pt to deliv Put up revi R/F to HRC R/F to Hlab R/F to hosp REF HRC REFER HRC REFER HRC 1 REFER TO DR REFER TO HO REST AND IM RETURN 28-1 Recheck VL Ref U/S for Ref high ri Refer HRC C Refer for u Refer hosp Refer hospi Refer to hi Refer to ho Refer:refer Referral fr Referred t Referred fo Referred to Referrred t Repeat in 8 Retest HCT Retesting a Rf to hospi Risk factor SEEN BY MO SFH 40/40, Seen at HRC Seen by MO Seen byMO a T/F to hosp TB screenin TCB 04/12/1 TCB 06/01/2 TCB 12.01.1 TCB 14 Marc TCB 14/09/1 TCB 17/12/1 TCB 19/10/1 TCB 26/11/1 TCB 3/6 for TCB 31/12/1 TCB for blo TCB on 14/0 TCB to repe TCB tommorr TCB weekly TCB whwn in TCB: 08/09/ TCB: 16 Jul To attend h To refer if To repeat H To repeat b To take Hb Transfer to Treatment o V/L, FBC, L VL 1559 - r VL blood re Visit Date attended ad bloods for client refe complaining counselled fbc follow appo follow up a follow up f follow up v follow visi follow-up 2 followup vi for result for HB for referra for review for rx coll hb hospital if monitor fet nil no no data no record no rerecord none o/e low BP, patient ref pv examinat re assured refer HRC refer for u refer hospi refer tgo h refer to H refer to HR refer to hi refer to ho refered to referred fo referred to requested t retesting d seen at HRC seen at hig seen by MO seen by mo slept over t/f hospita tcb 17/12/1 urgent refe urine for M Date 5: Were there other lab results available? 1855 696 No 1 Yes Sysmiss Sodium 2551 No 1 Yes Potassium 2551 No 1 Yes Chloride 2551 No 1 Yes Bicarbonate 2551 No 1 Yes Urea 2551 No 1 Yes Creatinine 2551 No 1 Yes Albumin 2551 No 1 Yes ALT (alanine aminotransferase) 2551 No 1 Yes ALP (alkaline phosphatase) 2551 No 1 Yes GGT (gamma glutamyl transferase) 2551 No 1 Yes AST (aspartate aminotransferase) 2551 No 1 Yes Bilirubin 2551 No 1 Yes Hepatitis B tests 2551 No 1 Yes Hepatitis C tests 2551 No 1 Yes CMV 2551 No 1 Yes Other virology 2551 No 1 Yes Haemoglobin (Hb) 2551 No 1 Yes White blood cells 2551 No 1 Yes Platelets 2551 No 1 Yes Date 5: What was the Hb value on this result? 251 10 10,8 10.1 10.2 10.2g/dl 10.3 10.4 10.5 10.6 10.7 10.8 10.9 11 11,1 11.1 11.2 11.3 11.4 11.5 11.6 11.6g/dl 11.7 11.8 12 12.1 12.2 12.3 12.4 12.5 12.6 13 13.1 13.5 14 14.4 14.6 5.7 6.3 6.4 6.5 6.7 6.8 6.9 7,5 ( ward 7.0g/dl 7.1 7.4 ( rapid 7.5 7.6 7.8 7.9 8 8.1 8.1g/dl 8.2 8.3 8.5 8.6 8.7 8.8 8.9 9 9,5 9.1 9.2 9.3 9.3g/dl 9.5 9.6 9.7 9.8 NO RESULTS Nil None Not recorde UNKNOWN nil no record no results not done not recorde unknown Date 5: If Yes to any of the above lab tests, what was the MRN for Haematology? 141 4442420 53414873 MNR 5776761 MNR1680990 MNR5039147 MNR60936104 MNR62407843 MRN 3408432 MRN 4169890 MRN 4365782 MRN 4481982 MRN 4616602 MRN 4902048 MRN 5284811 MRN 5512931 MRN12015472 MRN13223713 MRN15232622 MRN15632137 MRN25043757 MRN34168047 MRN41823708 MRN44236983 MRN44699183 MRN45457503 MRN46757701 MRN47110030 MRN47624386 MRN48117899 MRN48312547 MRN48324263 MRN48476520 MRN48999478 MRN49998355 MRN51203096 MRN51790851 MRN51958270 MRN52118524 MRN52393104 MRN52667164 MRN53074454 MRN53705744 MRN53705782 MRN540650 MRN54334566 MRN55465097 MRN56207221 MRN56228207 MRN56433801 MRN56447982 MRN56458773 MRN56463479 MRN56958480 MRN56961331 MRN56962617 MRN57676450 MRN57771283 MRN58089391 MRN58510387 MRN58727441 MRN58885600 MRN58982302 MRN5939005 MRN59868497 MRN59956991 MRN60068837 MRN60128070 MRN60529047 MRN61023075 MRN62196503 MRN62430828 MRN62555279 MRN62763893 MRN65537690 MRN65600261 MRN65835161 MRN65835773 MRNOOO96499 N O RESULTS Nil Not recorde no results no tesults results not Date 5: If yes to any of the above lab tests, what is the lab number for Haematol 130 746720 760113 781059 FB 0085863 FB 00636748 FB 00681708 FB 00685598 FB 00691686 FB 00695376 FB 00716106 FB 00726318 FB 00771359 FB 00777563 FB 00780898 FB 00790221 FB 00791508 FB 00794656 FB 00795571 FB 00802751 FB 00804834 FB 00810640 FB 00811353 FB 00813487 FB 00815299 FB 00820452 FB 00824475 FB 00824508 FB 00825118 FB 00827071 FB 00830076 FB 00835018 FB 00836746 FB 00840529 FB 00841180 FB 00849121 FB 00851663 FB 00852199 FB 00878332 FB 00880465 FB M0004463 FB M0006081 FB003404 FB00701032 FB00702960 FB00706206 FB00708575 FB00717216 FB00717546 FB00725228 FB00729509 FB0073257 FB00748426 FB00749457 FB00757667 FB00771360 FB00784746 FB00790597 FB00790625 FB00792321 FB00799926 FB00803581 FB00806562 FB00806649 FB00811353 FB00819485 FB00822322 FB00827050 FB00835813 FB00839791 FB00842317 FB00850288 FB00860419 FB0088849 MRN45699936 NO RESULTS Nil Not recorde fb00752560 nil no resuls a no results Date 5: If yes to any of the above lab tests, what was the MRN for Chemical Patho 61 MRN 4169890 MRN25043757 MRN56207221 MRN56958480 MRN57676450 MRN60128070 MRN62169941 Nil Not recorde no results If yes to any of the above lab tests, what is the lab number for Chemical Patholo 59 FB 00636748 FB 00802751 FB 00827071 FB 00830076 FB 00840529 FB006012807 Nil Not recorde no results Date 5: If yes to any of the above lab tests, what was the MRN for Virology? 58 MRN 4169890 MRN 4969636 MRN43981220 N/A Nil Not recorde no results Date 5: If yes to any of the above lab tests, what is the lab number for Virology 60 CG02871853 FB 00636749 FB 00723093 FB 00900209 N/A Nil Not recorde no results Date 5: Is there an MRN for Immunology? 138 Nil Not recorde no no results not recorde Date 5: Is there a lab number for Immunology? 144 FB 00457757 FB 00826453 FB 00877764 FB 00880471 FB 00884622 Nil Not recorde no no results For Date 5, is there any barcoded sticker for lab tests on the clinical notes? 1841 710 No 1 Yes Sysmiss Date 5: What are the AA codes underneath the barcode? 192 AADC1624D AADD6527D AADD6931D AADD6943D AADD6980D AADF7486P AADK0219P AADK0228P AADK0235P AADK1463P AADY6610D AADY6641D AAEA3526P AAEA3531P AAEC2061P AAEE9585D AAFQ4222D AAFS87080 AAFS8717D AAFS8746D AAFS8761D AAFS8779D AAFS8807D AAGS5396R AAHG9150P AAHH4764P AAHH5707P AAHI8890BOF AAHQ2981D AAIW0205P AAIW0225P AAJB1764BOF AAJP6138D AAJP6144D AAJP9819D AAJR4124D a AAJR4283D AAJR4476D AAJR4933D AAJT2652D AAJT2740D AAJU1246D AAKC7761D AAKC9874D AAKD2547D AALJ3728B0F AALN7357BOF AAMF1495BOF AAMF3570BOF AAMS7616HOF AAMW4065P AANA3221P AANM5608P AANQ8099BOF AANR3742BOF AANR3957BOF AAOK1077BOF AAOK1084BOF AAOK1688BOF AAOK2732BOF AAOK7147BOF AAOL7372BOF AAOL7601BOF AAOL7603BOF AAOL7613BOF AAOL7630B0F AAOL7747BOF AAPN5753POF AAPN5771POF AAPN5773POF AAQC1726HOF AAQM4401BOF AAQN4832BOF AAQN8957BOF AAQN8980BOF AAQN8990BOF AAQN8991BOF AAQY5280HOF AAQY5731HOF AART3806BOF AART3809BOF AART3880BOF AART3927BOF AARU2406BOF AARU2573BOF AARU2967BOF AARU3958BOF AARUI3986BO AATL7382BOF AATO8906HOF AATO8939HOF AATO9436HOF AATP3930HOF AAUE9605BOF AAUW1274HOF AAUW1744HOF AAUW6037HOF AAUW8043HOF AAUX4187HOF AAUX7891HOF AAUZ3090BOF AAVV7900BOF AAVW8710BOF AAVW9555BOF AAWH8864BOF AAYB979HOF AAZG7687D AAZG8547D ABBZ6320A ABGQ5987HOF ABHM5786HOF ABJF9357HOF ABJF9378HOF ABJF9389HOF ABJF9390HOF ABJP8074HOF ABJQ1612HOF ABLH2820HOF ABLH4251HOF ABLH5103HOF ABOM7267HOF ABOM7287HOF ABOM7288HOF ABOM7452HOF ABON0809HOF ABON0812HOF ABON0818HOF ABON1058HOF ABON1563HOF ABON1566HOF ABON1574HOF ABON1933HOF ABON6134HOF ABON6176HOF ABPN1765HOF ABPN1796HOF ABPQ4813HOF ABPQ5773HOF ABPQ5842HOF ABRG6512HOF ABRS2727HOF ABRS3608HOF AHBN2091HOF NO Nil nil no no record Did the mother attend ANC a sixth time? 1864 687 No 1 Yes Sysmiss Sixth ANC Visit (Date 6) 1461 2014-07-22 2017-01-18 2014-07-22 2015-01-19 2015-02-04 2015-02-07 2015-03-02 2015-03-07 2015-03-23 2015-04-07 2015-04-09 2015-04-15 2015-04-20 2015-04-21 2015-04-23 2015-04-24 2015-04-28 2015-05-04 2015-05-12 2015-05-13 2015-05-14 2015-05-18 2015-05-19 2015-05-21 2015-05-22 2015-05-24 2015-05-27 2015-05-28 2015-06-02 2015-06-03 2015-06-04 2015-06-05 2015-06-06 2015-06-08 2015-06-09 2015-06-11 2015-06-12 2015-06-15 2015-06-17 2015-06-18 2015-06-19 2015-06-22 2015-06-23 2015-06-24 2015-06-25 2015-06-29 2015-06-30 2015-07-01 2015-07-02 2015-07-03 2015-07-04 2015-07-06 2015-07-07 2015-07-08 2015-07-09 2015-07-10 2015-07-11 2015-07-13 2015-07-14 2015-07-15 2015-07-16 2015-07-17 2015-07-19 2015-07-20 2015-07-21 2015-07-22 2015-07-23 2015-07-24 2015-07-26 2015-07-27 2015-07-28 2015-07-29 2015-07-30 2015-08-01 2015-08-03 2015-08-04 2015-08-05 2015-08-06 2015-08-07 2015-08-11 2015-08-12 2015-08-13 2015-08-14 2015-08-16 2015-08-17 2015-08-18 2015-08-19 2015-08-20 2015-08-21 2015-08-23 2015-08-24 2015-08-25 2015-08-26 2015-08-27 2015-08-28 2015-08-31 2015-09-01 2015-09-02 2015-09-03 2015-09-04 2015-09-07 2015-09-08 2015-09-09 2015-09-10 2015-09-11 2015-09-14 2015-09-15 2015-09-16 2015-09-17 2015-09-18 2015-09-21 2015-09-22 2015-09-23 2015-09-24 2015-09-25 2015-09-26 2015-09-27 2015-09-28 2015-09-29 2015-09-30 2015-10-01 2015-10-02 2015-10-05 2015-10-06 2015-10-07 2015-10-08 2015-10-09 2015-10-11 2015-10-13 2015-10-14 2015-10-15 2015-10-16 2015-10-19 2015-10-20 2015-10-21 2015-10-22 2015-10-24 2015-10-25 2015-10-26 2015-10-27 2015-10-28 2015-10-29 2015-10-30 2015-11-02 2015-11-03 2015-11-04 2015-11-05 2015-11-06 2015-11-09 2015-11-11 2015-11-12 2015-11-13 2015-11-15 2015-11-16 2015-11-17 2015-11-18 2015-11-19 2015-11-20 2015-11-23 2015-11-24 2015-11-25 2015-11-26 2015-11-27 2015-11-28 2015-11-29 2015-11-30 2015-12-01 2015-12-02 2015-12-03 2015-12-04 2015-12-05 2015-12-07 2015-12-08 2015-12-09 2015-12-10 2015-12-14 2015-12-15 2015-12-17 2015-12-18 2015-12-21 2015-12-22 2015-12-23 2015-12-24 2015-12-25 2015-12-28 2015-12-29 2015-12-30 2015-12-31 2016-01-04 2016-01-05 2016-01-06 2016-01-07 2016-01-08 2016-01-12 2016-01-13 2016-01-14 2016-01-15 2016-01-17 2016-01-18 2016-01-19 2016-01-20 2016-01-21 2016-01-22 2016-01-25 2016-01-26 2016-01-28 2016-01-29 2016-02-01 2016-02-02 2016-02-03 2016-02-04 2016-02-05 2016-02-07 2016-02-08 2016-02-09 2016-02-10 2016-02-11 2016-02-12 2016-02-13 2016-02-14 2016-02-15 2016-02-16 2016-02-17 2016-02-18 2016-02-19 2016-02-20 2016-02-21 2016-02-22 2016-02-23 2016-02-24 2016-02-25 2016-02-26 2016-02-28 2016-02-29 2016-03-01 2016-03-02 2016-03-03 2016-03-04 2016-03-05 2016-03-06 2016-03-07 2016-03-08 2016-03-09 2016-03-10 2016-03-11 2016-03-14 2016-03-16 2016-03-17 2016-03-18 2016-03-19 2016-03-21 2016-03-22 2016-03-23 2016-03-24 2016-03-25 2016-03-28 2016-03-29 2016-03-30 2016-03-31 2016-04-01 2016-04-02 2016-04-03 2016-04-04 2016-04-05 2016-04-06 2016-04-07 2016-04-08 2016-04-09 2016-04-11 2016-04-12 2016-04-13 2016-04-14 2016-04-15 2016-04-18 2016-04-19 2016-04-20 2016-04-21 2016-04-22 2016-04-23 2016-04-24 2016-04-25 2016-04-27 2016-04-28 2016-04-29 2016-05-01 2016-05-03 2016-05-04 2016-05-05 2016-05-06 2016-05-09 2016-05-10 2016-05-11 2016-05-12 2016-05-13 2016-05-16 2016-05-17 2016-05-18 2016-05-19 2016-05-20 2016-05-23 2016-05-24 2016-05-25 2016-05-26 2016-05-30 2016-05-31 2016-06-01 2016-06-02 2016-06-03 2016-06-04 2016-06-05 2016-06-06 2016-06-07 2016-06-08 2016-06-09 2016-06-10 2016-06-12 2016-06-13 2016-06-14 2016-06-15 2016-06-17 2016-06-18 2016-06-20 2016-06-21 2016-06-22 2016-06-23 2016-06-24 2016-06-27 2016-06-28 2016-06-29 2016-06-30 2016-07-01 2016-07-02 2016-07-03 2016-07-04 2016-07-05 2016-07-06 2016-07-07 2016-07-08 2016-07-09 2016-07-11 2016-07-12 2016-07-13 2016-07-14 2016-07-15 2016-07-18 2016-07-19 2016-07-20 2016-07-21 2016-07-22 2016-07-25 2016-07-26 2016-07-27 2016-07-28 2016-07-29 2016-07-30 2016-07-31 2016-08-01 2016-08-02 2016-08-03 2016-08-04 2016-08-05 2016-08-06 2016-08-07 2016-08-08 2016-08-10 2016-08-11 2016-08-12 2016-08-15 2016-08-16 2016-08-17 2016-08-18 2016-08-19 2016-08-22 2016-08-24 2016-08-25 2016-08-26 2016-08-27 2016-08-29 2016-08-30 2016-08-31 2016-09-01 2016-09-02 2016-09-03 2016-09-05 2016-09-07 2016-09-08 2016-09-09 2016-09-10 2016-09-12 2016-09-13 2016-09-14 2016-09-15 2016-09-16 2016-09-17 2016-09-19 2016-09-20 2016-09-21 2016-09-22 2016-09-23 2016-09-24 2016-09-26 2016-09-27 2016-09-28 2016-09-29 2016-09-30 2016-10-01 2016-10-02 2016-10-03 2016-10-04 2016-10-05 2016-10-06 2016-10-10 2016-10-11 2016-10-12 2016-10-13 2016-10-14 2016-10-15 2016-10-16 2016-10-17 2016-10-18 2016-10-19 2016-10-20 2016-10-21 2016-10-23 2016-10-24 2016-10-26 2016-10-27 2016-10-28 2016-10-30 2016-10-31 2016-11-01 2016-11-02 2016-11-03 2016-11-04 2016-11-06 2016-11-07 2016-11-08 2016-11-09 2016-11-10 2016-11-11 2016-11-12 2016-11-14 2016-11-15 2016-11-16 2016-11-17 2016-11-19 2016-11-21 2016-11-22 2016-11-23 2016-11-24 2016-11-25 2016-11-28 2016-11-29 2016-12-01 2016-12-03 2016-12-05 2016-12-06 2016-12-07 2016-12-08 2016-12-09 2016-12-10 2016-12-12 2016-12-13 2016-12-14 2016-12-16 2016-12-19 2016-12-20 2016-12-23 2016-12-27 2016-12-28 2016-12-29 2016-12-30 2017-01-03 2017-01-04 2017-01-05 2017-01-06 2017-01-08 2017-01-09 2017-01-11 2017-01-12 2017-01-13 2017-01-14 2017-01-16 2017-01-17 2017-01-18 For Date 6, what was the gestational age? Review MCR for entries. 1435 115/70 12 13 130/68 15 16 18 18+ 19 20 20+4/40 21 22 23 24 24+ 25 25+ 26 27 27+ 27/40 28 29 30 30+ 30+6 31 31+ 32 32 by dates 32+ 33 33+ 34 34+ 35 35+ 36 36+ 37 37+ 37+/40 37+6 38 38+ 39 39+ 40 40+ 40+4 41 41+/40 42 NOT DNE NOT DONE NOT RECORDE Not record Not recorde Not reorded no data no record not done not rceorde not record not recorde noty done unknow unknown unknwon Blood pressure at Sixth ANC (Date 6) examination 1453 10/64 100/36 100/37 100/40 100/45 100/46 100/49 100/51 100/52 100/53 100/56 100/57 100/59 100/60 100/64 100/65 100/68 100/70 100/72 100/90 101/43 101/45 101/48 101/50 101/51 101/53 101/55 101/57 101/58 101/59 101/62 101/63 101/64 101/66 101/68 101/72 101/73 102/49 102/51 102/52 102/53 102/55 102/56 102/57 102/58 102/59 102/60 102/62 102/64 102/66 102/69 102/70 103/32 103/40 103/42 103/44 103/46 103/49 103/53 103/54 103/56 103/57 103/59 103/60 103/61 103/64 103/65 103/66 103/67 103/68 103/79 104/44 104/47 104/48 104/49 104/52 104/53 104/54 104/55 104/56 104/57 104/59 104/61 104/62 104/64 104/69 104/72 105/45 105/46 105/49 105/50 105/51 105/52 105/53 105/54 105/55 105/56 105/57 105/58 105/59 105/60 105/61 105/62 105/64 105/65 105/66 106/31 106/49 106/53 106/54 106/55 106/56 106/57 106/58 106/59 106/60 106/61 106/64 106/66 106/70 106/71 106/76 106/90 107/44 107/49 107/50 107/52 107/54 107/56 107/57 107/58 107/59 107/60 107/63 107/65 107/67 107/68 107/69 107/72 107/73 107/85 108/43 108/47 108/48 108/50 108/51 108/52 108/53 108/55 108/56 108/57 108/58 108/60 108/61 108/62 108/64 108/65 108/66 108/67 108/69 108/72 108/75 108/78 108/79 108/80 109/53 109/54 109/55 109/56 109/57 109/58 109/62 109/65 109/66 109/67 109/68 109/70 109/72 109/89 11/51 11/57 11/72 110/53 110/54 110/56 110/57 110/58 110/60 110/61 110/62 110/63 110/64 110/65 110/66 110/68 110/69 110/70 110/71 110/74 110/76 110/77 110/79 110/80 111/41 111/46 111/50 111/51 111/52 111/53 111/54 111/55 111/57 111/58 111/59 111/60 111/62 111/63 111/65 111/66 111/68 111/70 111/71 111/74 111/75 111/76 111/77 111/78 112/44 112/46/ 112/48 112/50 112/52 112/55 112/56 112/60 112/61 112/64 112/65 112/68 112/70 112/74 113/33 113/46 113/51 113/52 113/53 113/55 113/56 113/57 113/59 113/61 113/62 113/63 113/64 113/65 113/67 113/69 113/71 113/72 113/73 113/76 113/79 113/82 1130/83 114/39 114/52 114/54 114/55 114/56 114/57 114/58 114/59 114/60 114/61 114/62 114/63 114/64 114/67 114/68 114/69 114/70 114/71 114/72 114/73 114/79 114/80 115/5 115/52 115/53 115/54 115/55 115/56 115/58 115/59 115/60 115/62 115/63 115/64 115/65 115/66 115/68 115/69 115/70 115/72 115/73 115/74 115/75 115/76 115/77 115/80 116/107 116/31 116/40 116/45 116/49 116/53 116/54 116/55 116/56 116/58 116/59 116/5y6 116/60 116/61 116/62 116/63 116/65 116/66 116/67 116/68 116/70 116/71 116/72 116/73 116/74 116/75 116/82 117/45 117/50 117/54 117/56 117/57 117/58 117/59 117/60 117/61 117/62 117/63 117/64 117/65 117/66 117/68 117/69 117/71 117/72 117/80 118/47 118/48 118/49 118/52 118/53 118/54 118/57 118/59 118/62 118/63 118/64 118/65 118/66 118/67 118/69 118/70 118/71 118/72 118/74 118/75 118/78 118/79 119 119/37 119/48 119/53 119/54 119/55 119/56 119/58 119/60 119/62 119/63 119/64 119/65 119/66 119/74 119/75 119/76 119/79 119/81 120/44 120/51 120/53 120/54 120/55 120/57 120/58 120/59 120/61 120/62 120/63 120/65 120/66 120/70 120/71 120/72 120/73 120/74 120/75 120/77 120/78 120/79 120/80 120/90 12054 121/47 121/51 121/55 121/56 121/58 121/59 121/60 121/62 121/63 121/64 121/65 121/67 121/68 121/69 121/72 121/73 121/74 121/76 121/80 122/40 122/48 122/55 122/60 122/62 122/63 122/64 122/65 122/66 122/67 122/69 122/70 122/73 122/74 122/80 122/92 123/41 123/42 123/52 123/54 123/55 123/57 123/58 123/61 123/62 123/63 123/64 123/65 123/67 123/69 123/70 123/71 123/72 123/74 123/77 123/78 123/80 123/81 123/83 124/53 124/56 124/57 124/59 124/60 124/62 124/63 124/64 124/65 124/68 124/70 124/71 124/72 124/73 124/74 124/75 124/76 124/78 124/79 124/80 124/84 124/85 12469/ 125/51 125/56 125/58 125/59 125/60 125/61 125/62 125/64 125/67 125/68 125/71 125/76 125/84 125/85 125/86 126/52 126/54 126/56 126/58 126/60 126/62 126/64 126/65 126/66 126/68 126/69 126/70 126/71 126/72 126/73 126/75 126/76 126/77 126/78 126/80 126/82 126/87 126/88 126/92 126/95 127/44 127/52 127/55 127/61 127/62 127/64 127/65 127/66 127/68 127/71 127/72 127/73 127/75 127/81 127/83 127/88 127/89 128/38 128/54 128/55 128/57 128/60 128/61 128/62 128/63 128/64 128/65 128/66 128/67 128/68 128/69 128/72 128/73 128/74 128/75 128/80 128/82 128/83 128/85 128/89 129/49 129/50 129/54 129/56 129/60 129/61 129/62 129/63 129/66 129/67 129/68 129/70 129/72 129/73 129/74 129/75 129/76 129/80 129/82 129/83 129/84 129/88 130/119 130/50 130/60 130/61 130/63 130/64 130/65 130/66 130/67 130/68 130/70 130/72 130/73 130/75 130/76 130/77 130/78 130/79 130/80 130/81 130/90 131/56 131/60 131/61 131/62 131/63 131/66 131/69 131/71 131/72 131/74 131/77 131/79 131/81 131/82 131/88 132/54 132/65 132/66 132/68 132/70 132/72 132/73 132/74 132/75 132/78 132/84 132/85 132/86 132/88 133/60 133/66 133/69 133/70 133/72 133/73 133/74 133/75 133/77 133/79 133/83 134/60 134/62 134/63 134/67 134/70 134/72 134/74 134/77 134/80 134/82 134/83 134/87 134/93 134/97 135/59 135/65 135/66 135/67 135/69 135/70 135/72 135/73 135/74 135/75 135/80 135/81 135/84 135/85 135/90 136/63 136/70 136/72 136/74 136/76 136/78 136/79 136/82 136/84 136/86 136/90 136/92 136/95 137/65 137/68 137/69 137/71 137/73 137/74 137/76 137/77 137/83 137/86 137/91 137/95 138/61 138/62 138/63 138/68 138/72 138/73 138/76 138/78 138/81 138/85 138/86 138/93 139/52 139/60 139/64 139/74 139/76 139/79 139/80 139/89 139/90 140/60 140/62 140/68 140/70 140/71 140/72 140/74 140/75 140/77 140/78 140/80 140/81 140/84 140/87 140/90 140/93 140/95 141/71 141/77 141/80 142/72 142/75 142/77 142/80 142/81 142/82 143/58 143/67 143/72 143/76 143/84 143/85 143/88 144/67 144/68 144/70 144/79 144/80 144/81 145/57 145/71 145/74 145/77 145/80 145/83 146/70 146/77 147/73 147/76 148/73 148/84 148/89 148/90 150/101 150/85 152/79 152/83 154/86 155/86 157/106 158/97 158/99 159/92 160/107 161/84 163/85 166/84 167/97 168/89 168/97 171/113 172/95 175/88 178/98 179/151 180/110 181/118 183/64 36 38 49/26 57/29 66/47 70/57 80/31 80/40 80/50 83/52 85/32 86/35 86/43 86/45 86/46 86/48 87/45 87/46 87/47 87/57 87/68 88/42 88/43 88/51 88/54 88/55 88/58 89/49 89/50 89/54 89/55 90/43 90/44 90/58 90/63 90/65 91/41 91/49 91/57 92/32 92/40 92/42 92/44 92/48 92/53 92/59 92/62 93/29 93/52 93/56 93/57 93/62 94/43 94/44 94/50 94/51 94/55 94/58 94/60 94/61 94/62 95/50 95/52 95/53 95/54 95/55 96/43 96/46 96/48 96/52 96/53 96/65 96/66 96/67 96/69 97 97/42 97/44 97/47 97/50 97/51 97/52 97/53 97/54 97/55 97/58 97/62 97/65 98/40 98/41 98/46 98/47 98/49 98/50 98/53 98/55 98/56 98/57 98/58 98/60 98/66 99/42 99/50 99/52 99/54 99/55 99/58 99/59 99/61 99/62 99/63 99/64 99/66 99/69 99/96 Apr-76 BP machine NOT DONE NOT RECORDE Not record Not recorde no data no record no record, not record not recorde unknown For Date 6, what was the recorded BP2 ? (If more than one BP available for one da 114 102/52 104/46 104/48 107/57 108/79 109/63 111/48 112/57 114/59 114/65 115/72 116/54 116/58 116/66 117//63 117/51 117/63 117/72 118/52 119/67 119/81 120/30 120/60 120/67 120/70 120/80 121/69 122/67 123/79 124/70 124/76 125/52 125/69 125/84 126/59 126/62 126/84 127/57 127/71 129/76 129/88 130/70 130/82 130/86 130/90 131/74 131/83 131/90 132/90 133/69 133/78 135/65 136/69 136/72 137/68 138/80 139/86 140/76 140/77 140/89 143/73 143/78 146/87 152/111 152/81 152/86 160/95 162/102 163/98 164/96 169/105 169/74 172/102 194/122 90/40 93/52 93/63 99/56 BP machine Nil no record not recorde unknown For Date 6, what was the recorded BP3 ? (If more than one BP available for one da 55 100/70 102/58 105/47 111/61 , a 117/55 123/78 125/75 131/69 139/81 140/100 140/77 144/87 145/86 148/99 151/86 155/88 158/86 173/121 181/125 192/111 BP machine Nil Pulse rate Date 6 1399 100 100-bpm , 100bpm 101 101bpm 102 102bpm 102pbm 103 103bpm 104 104bpm 105 105bpm 106 106bpm 107 107bpm 107bpm , 10 108 108bpm 109 110 110bpm 111 111bpm 112 112bpm 113 113bpm 114 114bpm 115 115bpm 116 116bpm 117 118 119 119bpm 119bpm and 120 120bpm 121 122 122bpm 123 124 125 126 128 129 130 130bpm 132 133 135bm 136 138 142 144 148 275 53bpm 57bpm 60 60bpm 61bpm 62 62bpm 63 64 64bpm 65bpm 66 67 67bpm 68 68bpm 69 69bpm 70 70bpm 70bpm , 106 71 71bpm 72 72bpm 73 73bpm 74 74bpm 75 75bpm 76 76BPM 76bpm 77 77bpm 78 78bpm 79 79bpm 80 80bpm 81 81bpm 82 83 83BPM 83bpm 84 84bpm 85 85.bpm 85bpm 85pbm 86 86bpm 87 87bpm 88 88bpm 89 89bpm 90 90bpm 91 91bpm 92 92bpm 92bpm , 78b 93 93BPM 93bpm 94 94bpm 95 95bpm 96 96bpm 97 97bpm 98 98bpm 99 99bpm NOT DONE NOT RECORDE Nil Not record Not recorde no data no record no recorded not done not record not recorde unknown unkown Weight (kg) at Date 6 1432 100 101 101.2 102 103 104 105 106 107 108 109 110 110/60 112 113 114 115 116 117 118 119 122 123 126 127 128 135 137 139 44 45 46 47 48 49 49.5 50 51 52 53 53.5 54 54.3 54.8 55 55.6 56 57 57,0 57.4 57.5 58 59 59.1 59.8 60 61 61.5 61.8 62 63 63.5 64 64.2 64.6 64.9 65 65,0 65.2 65.5 65.9 66 66.6 67 67.5 67kg 68 68.5 68.8 69 69.3 69.5 69.6 70 70,0 70.7 71 71.5 71.8 71.9 72 72.1 73 74 74.6 75 75.8 76 76.4 76.8 76bpm , 102 77 77,0 77.38 77.5 78 78.8 79 79.3 79.4 79.5 79.7 80 80,3 80.2 80.5 81 82 82.2 83 83.5 84 84.1 84bpm 85 86 86.4 87 87.7 88 89 89.8 90 91 92 93 93.2 94 94.5 95 95bpm 96 97 97.4 97.9 98 98.9 99 99.6 NOT DONE NOT RECORDE Nil Not done Not record Not recorde no data no record not done not record not recorde nt recorded u70 unknown For Date 6, what was the weight2? (If more than one weight available for one day, 41 57 82 Nil Not done not done not recorde SF Measurement at Sixth ANC Visit (Date 6) 1383 113 14 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 33cm 34 34.5 35 36 37 38 38cm 39 39+ 40 41 42 43 44 45 47 NOT DONE NOT RECORDE Not done Not record Not recorde no data no record no rerecord not done not recorde unknow unknown unknwon Date 6: Was an urine test done? 1461 1090 No 1 Yes Sysmiss Date 6: was the pH of the urine recorded? 1454 1097 No 1 Yes Sysmiss If yes, what was the pH for Date 6? 158 +++ 0.7 0.8 5 6 7 8 9 URINE BLOOD For Date 6 were there any other urine results noted? 1451 1100 No 1 Yes Sysmiss If other urine results (eg Bilirubin) were recorded, what was the result? 168 BIRILUBIN+, BLOOD 4+, BLOOD3+ Bilirubin2+ Billirubin Blood + Le Blood ++ Blood +++ Blood +++ L Blood 1+ Blood 2+ Blood 2+ K Blood 2+, L Blood 3+ Blood 3+ Gl Glucose 4+ KET++ KETONES + KLEPN, leuc Ketones 1+ Ketones 2+ Ketones 2+, Ketones 3+ Ketones 3+, LEUC 1+ LEUC++ LEUCOCYTES+ Leekocytes Leuc 2+ Leuckocytes Leuco Leuco + Leuco 1+ Leuco 2+ Leuco 3+ Leucocytes Leucocytes+ Leuko+ Leukocycte Leukocytes NITRATE+ NITRITE POS Nitrates Po Nitrite Pos Nitrite: Po Protein 1+ Urobillinog blood 4+ , blood + blood ++ blood +++ blood 2+ blood 2+, l blood 3+ blood 3+, l blood 4+ blood 4+ , blood 4+, l blood+ blood3+ blood4+ blood4+ . l ketones ketones + ketones ++ ketones +++ ketones 1+ ketones 2+ ketones 3+ ketones2+ leucocytes leucocytes+ leuko 3+ leukocyte 1 leukocytes leukocytes1 leukocytes2 nitrite 3+ nitrite pos nitrites ++ nitrites po urobillinog P (protein): nil 2551 No 1 Yes P trace 2551 No 1 Yes P 1+ 2551 No 1 Yes P 2+ 2551 No 1 Yes P 3+ 2551 No 1 Yes S (sugar): nil 2551 No 1 Yes S trace 2551 No 1 Yes S 1+ 2551 No 1 Yes S 2+ 2551 No 1 Yes S 3+ 2551 No 1 Yes Unknown 2551 No 1 Yes Other (specify) 2551 No 1 Yes For Date 6: Pap smear done? 1455 1096 No 1 Yes Sysmiss Date 6: Result of pap smear 2 8 If Other, please specify Date 6: If abnormal pap smear result (CIN I, II,III,Cervical Cancer, indeterminat Date 6: Did the mother have a HIV Antibody (RVD) test? 1442 1109 1 Yes 2 No 3 Declined 4 Unknown 5 Data not entered 6 Known positive Sysmiss If Yes, what was the result? 218 2333 1 Reactive 2 Non-reactive 3 Unknown Sysmiss Date 6: Was the CD4 count determined? 640 1911 1 Yes 2 No 3 HIV-Negative Sysmiss If Yes, what was the CD4 count? 14 1203 281 3113 322 350 424 845 955 Not recorde not recorde Date 6: Was there any viral load requested or done? 645 1906 1 Yes 2 No 3 HIV- Negative 4 Unknown Sysmiss If Yes, what was the viral load? 70 100 143 145 21 copies 22copies 39 85 copies 87 <20 <40 <50 >20 LDL Lower than Not availab Not recorde UNDETACTABL Undetectabl Vivally sup no record no resuilts no results not recorde unknown viral load On Date 6, was she initiated on ART? (antiretroviral therapy) at THIS antenatal v 677 1874 1 HAART 2 DUAL 3 Unknown 4 Continued on previous ART combination 5 HIV-Negative Sysmiss Did the mother receive a rapid syphilis test? 1441 1110 No 1 Yes Sysmiss If yes what was the result? 18 1 2 3 If the syphilis screen was positive what was the RPR (titre)? Fixed dose combination (TDF/FTC/EFV) 2551 No 1 Yes TDF (tenofovir) 2551 No 1 Yes FTC (emtricitabine) 2551 No 1 Yes AZT (zidovudine) 2551 No 1 Yes 3TC (lamivudine) 2551 No 1 Yes ABC (abacavir) 2551 No 1 Yes d4T (stavudine) 2551 No 1 Yes EFV (efavirenz) 2551 No 1 Yes NVP (nevirapine) 2551 No 1 Yes LPV/r (lopinavir/ritonavir, aluvia) 2551 No 1 Yes ATV/r (atazanavir/ritonavir) 2551 No 1 Yes RAL (raltegravir) 2551 No 1 Yes Unknown 2551 No 1 Yes If syphilis screen was positive what was the TPHA? If syphilis positive did the mother receive treatment? 2 3 5 For Date 6, was the mother screened for Tb during pregnancy? 1458 1093 1 Yes 2 No 3 Unknown 4 Already on TB treatment 5 Already on isoniazid (INH) prophylaxis (with pyridoxine) Sysmiss For Date 6, if yes to above, what was the result? 930 1621 1 Negative Tb screen 2 Positive Tb screen 3 Unknown Sysmiss For Date 6, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi 1243 1308 1 Yes 2 No 3 Unknown Sysmiss For Date 6, was the mother started on Tb treatment? 347 2204 1 Yes 2 No 3 Unknown Sysmiss Not screened for Tb 2551 No 1 Yes Tb screen negative 2551 No 1 Yes Isoniazid (INH or H) 2551 No 1 Yes Rifampicin (RIF, or R) 2551 No 1 Yes Rifabutin 2551 No 1 Yes Ethambutol (E) 2551 No 1 Yes Pyrazinamide (Z) 2551 No 1 Yes Pyridoxine (vitamin for INH side effects) 2551 No 1 Yes Streptomycin 2551 No 1 Yes Amikacin 2551 No 1 Yes Clarithromycin 2551 No 1 Yes Azithromycin 2551 No 1 Yes Ciprofloxacin 2551 No 1 Yes Moxifloxacin 2551 No 1 Yes Para Amino Salicylic acid (PAS) 2551 No 1 Yes Capreomycin 2551 No 1 Yes Ethionamide 2551 No 1 Yes Cycloserine 2551 No 1 Yes Bedaquiline 2551 No 1 Yes Unknown 2551 No 1 Yes Multi-vitamins (mvt) 2551 No 1 Yes Ferrous Sulphate/FeSO4/Iron 2551 No 1 Yes Folic Acid 2551 No 1 Yes Calcium Suppl 2551 No 1 Yes Pregamal 2551 No 1 Yes Vitamin B-Complex 2551 No 1 Yes Other 2551 No 1 Yes On Date 6, which other supplements were prescribed? 26 Ca Carb 1g Ca carbonat Ferovite 1 Ferovite 1t Iron supple PC Carbonat Prenatal Fo Vit C 1 dly Vit C 1 tab Vit C 100mg Vitamin C Zinplex 1 d Zinplex 500 ferorite 1 ferovite 1 prenatal 1 prenatal fo supplements For Date 6, was any advice/information/counselling on contraception/safe sex give 173 Advised to Blood resul Counselled Counselled, H/E given o H/E on cond H/E on impo H/E on use H/Ed on dan Health educ Importance NO Nil Not done Not recorde Ongoing cou PMTCT Practising Pre and pos Safe sex Safer sex d Unknown councelled importance nil no no data no record no rerecord np safer sex e yes, condom For Date 6, was there any advice/counselling/information given with regards to in 174 Breastfeedi Counselled H/E on B/F H/E on brea HCT done re Health educ Importance NO Nil Not done Not recorde Ongoing cou Unknown health educ imortance o importance information nil no no record no rerecord not done yes yes EBF yes exlusiv For Date 6, was there anything else in clinical notes not covered by the above? 248 23 y/o G2 P Advice on a Advice on h Advised to EBF discuss EBF importa H/E about i H/E complia H/E done da H/E done on H/E fkcc an H/E given H/E given o H/E importa H/E on dang H/E on diet H/E on home H/E on how H/E on impo H/E on self H/E on the H/E on true H/E on warn H/E on wate H/E true si H/Ed on imp Health educ INFORMATION Importance NO Nil Not recorde Nutrition-a Nutrition. Ongoing cou Prevention Re-emphasiz Reduce fat Rich iron d TCB 15/July TCB to sort The importa Unknown YES, on sig advised on advised to danger sign decrease sa encouraged h/e given o health educ health give importance important o information liberal flu nil no no record no rerecord not done warnings si yes ,diet yes counsel yes danger yes healthy yes to cont yes true si yes, ANC da yes, danger yes, grief Did the mother have an ultrasound during pregnancy? 1457 1094 No 1 Yes Sysmiss If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other 170 20 33 weeks ,s AFI = 7.1cm BPD 5.03CM BPD 8.3 HC BPD:7.67 H Breech , pl GA 28/40 GESTATION 3 GESTATION I GESTATIONAL Gestation i Gestational No copy of Not recorde fetal heart gestation 2 gestation 3 gestation 4 gestation i gestational no copy of transverse For Date 6 were there any palpitations reported? 1451 1100 No 1 Yes Sysmiss What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date 2 not recorde unknown Was any treatment prescribed for palpitations? 1 Drip R lact For Date 6 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH) 1388 1163 1 Hypertension 2 Chronic Hypertension 3 Pregnancy Induced Hypertension 4 Other (specify) 5 Pre-eclampsia 6 No history of hypertension recorded Sysmiss If Other, please specify 2 Hypotension imminent ec What investigations were performed for hypertension? 50 BLOODS BP is eleva BP re-check BP rechecke Elevated BP MRI, CTG NOT RECORDE Nil Not recorde Recheck Recheck BP Rechecked Referred to bloods nil no no record none, clien not recorde unknown urine mc/s Aldomet (methyldopa) 2551 No 1 Yes Adalat (nifedipine) 2551 No 1 Yes Nil Treatment prescribed 2551 No 1 Yes Other (specify) 2551 No 1 Yes Beta blocker (e.g. labetalol) 2551 No 1 Yes If Other treatment for hypertension related conditions, please specify. 3 Antihypeten Methyldopa Repeat BP Date 6: Was there any headache recorded? 1451 1100 No 1 Yes Sysmiss What investigations were performed for headache? 11 No Hx of he None nil no investig not recorde unknown Date 6: Was there any treatment prescribed for the headache? 13 PANADO PANADO 1G P Yes not recorde panado 1g p panado 2 ta panado 500m unknown yes Was the mother screened for diabetes in pregnancy? 1451 1100 No 1 Yes Sysmiss Urine dipstick (glucose) 2551 No 1 Yes Random blood glucose (blood test) 2551 No 1 Yes Fasting blood glucose (blood test) 2551 No 1 Yes Glucose tolerance test, OGTT (blood tests over 3 hours) 2551 No 1 Yes Unknown 2551 No 1 Yes If yes, what was the result of the diabetes screening test? 7 1 3 4 5 What treatment and/or advice was the mother given for diabetes (or glucose intole 5 Not recorde if FGTT is no record not recorde unknown Were any additional investigations performed for Other Conditions listed above? 432 20 blurry v 38 by palp, ? mental re ?IUGR ?IUGR, Vari ?PIH ?breech pre A 26 yr old AMA, PIH on ANC f/u vis Abdominal d Abdominal p Abscess ins Absess on t Amniotic fl Anaemia in Art collect Ass:Tension BACKACHE BOM + Frequ Bartholin a Bilateral o Burning and C//O lower C/O BOM sin C/O BOM, LA C/O Backach C/O Female C/O Itchnes C/O LAP C/O LAP and C/O Pv disc C/O VDS C/O abdomin C/O burning C/O decreas C/O diarrho C/O dizzine C/O heartbu C/O itchifu C/O itchy v C/O labour C/O left si C/O lower a C/O occasio C/O painful C/O passing C/O pv disc C/O sore th C/O whitish C/o - PV ra COUGH, CHES CRAMPS ON B Came for AN Client c/o Client for Client refe Client says Complain of DIARRHOEA DIZZINESS Decreased f Diarrhoea Dizziness Dysentry,He Dyspepsia ELISA resul Early labou FHH 128bpm Female Uret Female uret Fetal heart Fetal movem Fetal well Flu Follow up v Follow-up v For BP chec G/A 36/40 o G2 P1 32 yr G2 P1, 25 y GA - by dat GA by dates Grav1 Para1 H/E done si H/E on the H/E on true HGT 8.3mmol Haematuria Headache History of Importance In labour. Known astha LABOUR PAIN LAP LAP + ? UTI LAP + Backa LAP 4 DAYS LAP and BOM LAP anfd ch LAP, BOM, D LAP, PAINFU LOW HB, PRE Labour pain Lethargy, v Lower Abdom Lower abdom NO Nil None Not recorde Oedema 2+ Oedema of l P/S ward Hb PAIN IN L F PIH POST DATES PV DISCHARG PV bleeding PV discharg PVB and sev PVE done - Parasuicide Presented w Previous C/ RUPTURED ME Refered by Reported LA Reported la Risk factor SHARP PAIN SROM Severe Head She came fo Sinusitis Sonar 27+/4 Sonar 34+/4 Soner 36+/4 Soner 38+/4 Sower 37+/4 Sower 39+/4 Twin pregna UTI UTI in preg UTI/Female VAGINAL WAR VDS VDS and bur VDS, UTI in Vaginal dis Vaginal ras Vomitted wo Warts, whit Watery offe Yelowish di abdominal p anaemia ass Pre ecl asymptomati backache fo backacke an breach pres burning on c/o abdomi c/o Abd-dis c/o Abdomin c/o FMF, bl c/o LAP c/o LAP + b c/o LAP, fr c/o LAP. UT c/o PVD / V c/o abdomin c/o abscess c/o blocked c/o bom , f c/o chest p c/o cough c/o cough a c/o cough f c/o decreas c/o diarrho c/o dizzine c/o fetal m c/o itching c/o labour c/o lap c/o lap , c/o lap , b c/o lap , p c/o lap . u c/o lap and c/o lower a c/o oedema c/o persist c/o piles c/o post da c/o pv disc c/o pv lap c/o rig wor c/o ringwor c/o running c/o severe c/o vaginal c/o vomitti came to rep complain of cough with coughing an decreased B diarrheoa diarrhoea dizziness epigastric headache ar history of labour pain lap, left lumber loss of ene lost of wei lower abdom lump under nil no no data no fetal ki no record no rerecord non-obstruc none oedema 2+ oedema + oedema of l offensive p painful che patient fou pedal edema piles post dates ref. to hos reported LA reported co reported la reported lo reported of reporting B reporting o reports GE, severe UTI twin pregna vaginal dis vericose ve vulval wart For Date 6, please list other conditions not listed above. 227 ? UTI. A:stable APYREXIAL, Admit in AN Advised abo Bloods HB 1 CTG CTG monito CTG done Came for BP Coombs test DX: STI O/E FBC taken FBC, for MO FBC. Stable Fetal well GXP results GxP today t Gxpert take HIV screen Hb and WR Hx Bom D? e Imp: - ? VD Impression Impression: NO Nil Nil. Note n No Not recorde O/E No sign O/E abdomen O/E dehydra O/E extensi O/E gen wel O/E general O/E looks u O/E no bloo O/E no sign O/E not ten O/E whitish O/E: Yellow On vaginal PV - Yellow PV EXAM PV EXAM OS PV Examinat PV exam wit PV exam: NA PV exam: ce PV exam: di PV examinat PV: Cx long PVE cervix PVE os clos PVExam os c Pt has low Put on CTG, Pv Exam: Om R?F to hosp RH pos, WR Refer to ho Referred to Refred to h Repeat Hb a Review in 2 Torche repe U/S done: F US done by VAGINAL EXA Vagina look Vaginal Exa abdominal p fbc internal ex internal va nil no no data no record none palpation, pv examinat speculum ex to see MO urgent ultr urine for M vagina exam vaginal exa yes tb scr For Date 6, were there any other medications prescribed? eg. Amoxil, Panado 421 (P) Amoxyl (P) Cont AN (P) FDC 1/1 (P) Give an (P) Repeat (P) T/F hos (P) To cont 1G panhado 1x packet o 20ml parace 250mg ceftr ?metronidaz ALDOMET 500 ANALGESIA ATT ATT 0,5ml i ATT 0.5mls Administer Aldomet 1g Aldomet 250 Aldomet 500 Allecet (ce Amaxicillin Amoxicillin Amoxil 500m Amoxycillin Amoxyl 500g Amoxyl 500m Amoxyllin 5 Analgesia Antibiotics Aspirin 1/4 Ass ?Early Asthavent s Att 0.5ml i Augmentin f Auguentin 3 Azithromyci Azythromyci Betamethaso CEFTRIAXONE CTG done re Came to col Cefriaxone Ceftriaxone Ceftrixone Cephalaxin Clotrimazol Continue wi Cotrimoxazo DPH 10 mls Drip R lact FDC FDC 1 TAB P FDC 1 dly n FDC 1 nocte FDC 1 po no FDC 1 tab d FDC 1 tab n FDC 1 tin g FDC 1/1 dly FDC 1/1 noc FDC 1tab dl FDC 1tab no FDC 300mg p FLAGYL FLAGYL, ORS Ferorite 1 Flagyl 2g S Flagyl 2g s Flagyl 400m Flue vaccin Gelusil 1 t H/E given t Haematemics Hypamasol 1 INH INH 300mg , INH 300mg d Innospore C Innospore c Lactulose 2 Loperamide Loperomide MRL IVI STA Methyldopa Metronidazo Mrl 1000mls NO NaCl 1000ml Nil No Not recorde ORS reasses ORS x3, lop P - Continu P - Count A P-Amoxil 50 P-Ceftriaxo P-Clotrimax P-Iron supp P. Advised P. Amoxyl 5 P. Cephalax P. Flu vacc P. Refer ba P. To conti P: Prenatal P:- Ceftria P:R/V FBC P:refer to PANADO 1G P PANADO, AUG Panado Panado 10ml Panado 1g p Panado 1g s Panado 2 ta Panado 2 td Panado 2tab Paracetamol Plan - Cefr Plan aldome Plan: Admit Plan: Aldom Plan: Blood Plan: Ceftr Plan: FDC 1 Plan: Flagy Plan: For m Plan: Monit Plan: R/F t Plan: SSS X Plan: Salt Plan:- Ceft Plan:-Amoxi Pregamal 1/ Pyrodoxine R/Lactate 1 Recheck BP Refer to HR Refer to ho Referred to Repeat ATT Ringers lac Rx - Lopera Rx FDC 300m Rx Flagyl, Sorol ad li Sorol x 1 p Sorol x 1pk Still on he Suppress la TO CONTINUE TTO still h Tetanus tox To continue aldomet aldomet 250 aldomet 500 alluvia ,la amoxcycilin amoxicillin amoxiclav 1 amoxil 500m amoxycil 50 amoxycillin amoxyl 500m antibiotics anticids, c anusol supp att 0.5ml i att o,5ml augmentin 3 azithromyc azithromyci ceftriaxone ceftriazone cetfriaxone chlorphenir clortimazol clotrimaxaz clotrimazol fdc fdc , INH 3 fdc, flagyl 2g p flagyl 2g s flagyl 400m flagyl stat lascon syru loperamide maxolon 10m metronidazo moxypen 500 nil nitrofesant nitrofurfat no no evidence no record oxygen per panado 1g panado 1g p panado 500m panado ig p panado prn paracetamol ringers lac solusprin 1 sorol 1 pkt sorol x4, b sss 2 packe yes amoxyci Which other investigations/protocols were followed according to the Maternity Cas 433 28 y/o PIH 28 y/o fema ?Big baby ADVICED TO Admit and r Admitted in Admitted to Advised to Aldomet 500 Already in At 34+6/40 BUYA IF NOT Big Baby Bloods take Buya 06/08/ Buya 14/04/ Buya 22/09/ Buya 24/07/ By u/s 30+/ C/O ANC f/u Came for BP Came for F/ Came for bl Came in the Client did Client heal Client refe Condoms iss Cont ANC at Cont with R Counselled Current vis D/C HOME Descrepancy Do bloods f EDD 09/08/ F/U for BP F/U for tre F/U visit f FBC results FH 132 - 14 Follow up a For BP rech For MO to s For Routine For Rx coll For leave f For observa For review G1 P0 18 yr GA by dates H/E done on H/E on impo H/E on true Hb repeated Her weight IMPRESSION Importance NIL NOT IN TRUE New ART pt Nil No complain None Not recorde Observe for On P.V - Va P:Tcb when PMTCT 8 mon Please redo Previous c/ R/F to hosp REFER TO HO REFER TO PM REFERRED TO Reassess @0 Reassess at Reassessmen Recommended Ref HRC for Ref hospita Refer HRC 2 Refer hospi Refer to HR Refer to M. Refer to ho Referred by Referred fo Referred ho Referred to Repeat Hb Repeat Hb a Repeat Hb,W Reported in Reporting t Reviewed fe Rf to hospi Risk factor Seen at HRC Seen by MO Seen by Mo Seen for bl She default She is 33+/ She takes h T/F to high TCB - 14/4/ TCB 08/10/1 TCB 14.01.1 TCB 18/08/1 TCB 19/7/16 TCB 23/12/1 TCB Anytime TCB IF NOT TCB July 20 TCB anytime TCB client TCB for FDC TCB for che TCB if not TCB if ther TCB: 11/12/ TOOK PARACE To go for r To reassess Trace WR re Urgent refe VL blood ta Viral load advised to attended ad bloods for c/o Labour c/o unable came for BP came to che client was consulted D folllow up follow up follow up a follow up v follow visi for collect for observa for treatme had default keep patien ni nil nil; no no data no dvt. con no record none only came t panado patient adv patient kee patient ref pre eclamps pus swab ta reassessed refer for u refer to HR refer to ho refer to hr refer to hs refere to h referred by referred fr referred to repeat cd4, requested t seen at hig seen by MO seen by mo to come bac to take blo viral load ward HB DON Date 6: Were there other lab results available? 1459 1092 No 1 Yes Sysmiss Sodium 2551 No 1 Yes Potassium 2551 No 1 Yes Chloride 2551 No 1 Yes Bicarbonate 2551 No 1 Yes Urea 2551 No 1 Yes Creatinine 2551 No 1 Yes Albumin 2551 No 1 Yes ALT (alanine aminotransferase) 2551 No 1 Yes ALP (alkaline phosphatase) 2551 No 1 Yes GGT (gamma glutamyl transferase) 2551 No 1 Yes AST (aspartate aminotransferase) 2551 No 1 Yes Bilirubin 2551 No 1 Yes Hepatitis B tests 2551 No 1 Yes Hepatitis C tests 2551 No 1 Yes CMV 2551 No 1 Yes Other virology 2551 No 1 Yes Haemoglobin (Hb) 2551 No 1 Yes White blood cells 2551 No 1 Yes Platelets 2551 No 1 Yes Date 6: What was the Hb value on this result? 187 10 10,3 10.2 10.3 10.4 10.5 10.5g/dl 10.6 10.7 10.7g/dl 10.8 10.9 11 11.1 11.2 11.2g/dl 11.3 11.4 11.5 11.6 11.7 11.8 11.9 12.1 12.2 12.3 12.6 12.7 13.3 13.5 5.32 6 6.3 6.7 6.9 7.5g/dl 7.6 7.8 7.9 8,7 8.1 8.3 8.4 8.5 8.7 8.8 8.9 9.1 9.2 9.3 9.4 9.5 9.6 9.6g/dl 9.7 9.8 9.8g/dl 9.9 FB00768634 NOT RECORDE Nil Not recorde Repeat Hb & Unknown no record not done not recorde unknown Date 6: If Yes to any of the above lab tests, what was the MRN for Haematology? 116 1522624 51753630 56491720 9614439 BCKG 002008 MNR450323 MNR51750742 MNR52645661 MNR56185387 MRN 2736163 MRN 5101293 MRN 5313700 MRN 6633146 MRN 6709113 MRN14745044 MRN2753315 MRN3964577 MRN44746458 MRN45458641 MRN46627018 MRN47127582 MRN47221654 MRN47385095 MRN47745201 MRN48324274 MRN48619761 MRN48795817 MRN49289842 MRN49821021 MRN49877165 MRN5004238 MRN50446318 MRN51574143 MRN52012066 MRN520264BO MRN52331564 MRN53064369 MRN53797994 MRN54297784 MRN54541652 MRN54631346 MRN54685104 MRN54752201 MRN54791231 MRN55242840 MRN56870037 MRN57121014 MRN57134817 MRN582072 MRN58411726 MRN58515869 MRN58982433 MRN59057048 MRN5916564 MRN60054207 MRN60128348 MRN60365861 MRN60568247 MRN6061822 MRN60622438 MRN60631119 MRN60724824 MRN60724848 MRN60896122 MRN61515533 MRN62083787 MRN62608611 MRN62698041 MRN62963184 MRN62974208 MRN63799961 MRN67245372 MRN800687 NO RESULTS Nil Not recorde no results Date 6: If yes to any of the above lab tests, what is the lab number for Haematol 112 729508 730826 756058 761414 BB 00437597 BB 00561704 BC 00875341 BD01079014 BF00745883 FB 00695575 FB 00696680 FB 00708576 FB 00741014 FB 00756949 FB 00788926 FB 00809123 FB 00811418 FB 00815998 FB 00823181 FB 00826065 FB 00827054 FB 00829468 FB 00832997 FB 00833000 FB 00834590 FB 00839070 FB 00843352 FB 00844902 FB 00845911 FB 00851701 FB 00854318 FB 00856853 FB 00861518 FB 00876672 FB 00877237 FB 00884640 FB 00892349 FB 00893720 FB M0006081 FB00549297 FB00690341 FB00698388 FB00707087 FB00711969 FB00725213 FB00741520 FB00743069 FB00762753 FB00764115 FB0076587 FB00771349 FB00772152 FB00773821 FB0077566 FB00777299 FB00780293 FB00788159 FB00788941 FB00790709 FB00794654 FB00797442 FB00808136 FB00815304 FB00818347 FB00832077 FB00834582 FB00839726 FB00866567 FBOO753162 NO RESULTS Nil Not recorde no results Date 6: If yes to any of the above lab tests, what was the MRN for Chemical Patho 51 51753630 MRN 6709113 MRN49003947 MRN51237192 MRN5453914 MRN59057048 MRN60054207 MRN60112959 MRN60128348 MRN60454580 MRN60622438 MRN62608611 Nil same as abo If yes to any of the above lab tests, what is the lab number for Chemical Patholo 51 756627 FB 00815998 FB 00826065 FB 00826855 FB 00827054 FB 00830208 FB 00856853 FB 00877237 FB 00892349 FB00715720 FB00743069 FB00769932 NO RESULTS Nil same as abo Date 6: If yes to any of the above lab tests, what was the MRN for Virology? 41 23924185 9614439 MRN51237192 NO RESULTS Nil Date 6: If yes to any of the above lab tests, what is the lab number for Virology 41 BB 00437598 FB00769963 FB00785545 NO RESULTS Nil Date 6: Is there an MRN for Immunology? 98 NO Nil no Date 6: Is there a lab number for Immunology? 103 FB 00800941 FB 00841133 FB 00880471 NO Nil nil no For Date 6, is there any barcoded sticker for lab tests on the clinical notes? 1446 1105 No 1 Yes Sysmiss Date 6: What are the AA codes underneath the barcode? 138 AADD6548D AADD6550D AADF7463P AADK1425P AADK1448P AADK1470P AADY6624D AAEC3375P AAER1889D AAFB2384D AAFB3407D AAFS8709D AAFS8740D AAFS8820D AAFS8828D AAGY9542D AAH7113P AAHH4761P AAHH4785P AAHH5720P AAHH7599F AAHH7600P AAJP7236D AAJR4483D AAJT3774D AAKC7317D AAKP0741BOF AAKY0490D AALJ3167BOF AALJ3249BOF AALO2634BOF AAMY1548P AANQ8431BOF AANR3992BOF AANR3993BOF AAOK2706BOF AAOL6402BOF AAOL7609BOF AAOL7618BOF AAOL761BOF AAOL7633BOF AAPN5103POF AAQGB8710NO AAQN8212BOF AAQN8998BOF AAQN9165BOF AAQY6099HOF AART3851BOF AART3854BOF AART3901BOF AART3941BOF AARU2442BOF AASR718BOF AATK2173BOF AATO8861HOF AATO8908HOF AATO9439HOF AAUW8044HOF AAUW8045HOF AAUW9730HOF AAUZ2172BOF AAVO5600BOF AAVW9562BOF AAVZ4062BOF AAX1028BOF AAZG6587D AAZG7667D ABAE8400NOF ABBZ6301A ABCI7794HOF ABFB5774HOF ABGM9603HOF ABHIN3529HO ABHM5759HOF ABHQ8953HOF ABHQ8954HOF ABJF8936HOF ABJF9398HOF ABJF9400HOF ABJH5029HOF ABJP8208HOF ABJQ1637HOF ABJQ1686HOF ABLH5097HOF ABNF2958NOF ABOM6808HOF ABOM7264HOF ABOM7496HOF ABON0807HOF ABON0822HOF ABON1564HOF ABON1572HOF ABON1978HOF ABON6122HOF ABPQ4808HOF ABPQ4841HOF ABSB9512HOF H154 NIL Nil nil no no record Did the mother attend ANC a seventh time during pregnancy? 1459 1092 No 1 Yes Sysmiss SEVENTH ANC Visit (Date 7) 1072 2015-01-21 2017-01-20 2015-01-21 2015-01-25 2015-02-18 2015-03-05 2015-03-23 2015-04-07 2015-04-22 2015-04-30 2015-05-06 2015-05-12 2015-05-14 2015-05-20 2015-05-21 2015-05-22 2015-05-26 2015-05-27 2015-05-28 2015-06-03 2015-06-04 2015-06-05 2015-06-08 2015-06-09 2015-06-10 2015-06-11 2015-06-12 2015-06-13 2015-06-16 2015-06-18 2015-06-19 2015-06-23 2015-06-24 2015-06-25 2015-06-26 2015-06-29 2015-06-30 2015-07-01 2015-07-02 2015-07-03 2015-07-06 2015-07-07 2015-07-08 2015-07-09 2015-07-10 2015-07-12 2015-07-13 2015-07-14 2015-07-15 2015-07-16 2015-07-17 2015-07-19 2015-07-20 2015-07-21 2015-07-22 2015-07-23 2015-07-24 2015-07-25 2015-07-26 2015-07-27 2015-07-28 2015-07-29 2015-07-30 2015-07-31 2015-08-03 2015-08-04 2015-08-05 2015-08-06 2015-08-07 2015-08-08 2015-08-10 2015-08-11 2015-08-12 2015-08-13 2015-08-14 2015-08-16 2015-08-17 2015-08-18 2015-08-19 2015-08-21 2015-08-23 2015-08-24 2015-08-26 2015-08-27 2015-08-31 2015-09-01 2015-09-02 2015-09-03 2015-09-04 2015-09-06 2015-09-07 2015-09-08 2015-09-09 2015-09-10 2015-09-11 2015-09-14 2015-09-15 2015-09-17 2015-09-18 2015-09-21 2015-09-22 2015-09-23 2015-09-25 2015-09-28 2015-09-29 2015-09-30 2015-10-01 2015-10-02 2015-10-03 2015-10-05 2015-10-07 2015-10-08 2015-10-09 2015-10-12 2015-10-13 2015-10-14 2015-10-15 2015-10-16 2015-10-19 2015-10-20 2015-10-21 2015-10-22 2015-10-23 2015-10-27 2015-10-28 2015-10-29 2015-10-31 2015-11-02 2015-11-03 2015-11-04 2015-11-05 2015-11-06 2015-11-11 2015-11-12 2015-11-16 2015-11-18 2015-11-19 2015-11-20 2015-11-23 2015-11-25 2015-11-26 2015-11-27 2015-11-30 2015-12-01 2015-12-02 2015-12-03 2015-12-04 2015-12-06 2015-12-07 2015-12-09 2015-12-10 2015-12-11 2015-12-12 2015-12-13 2015-12-14 2015-12-15 2015-12-17 2015-12-18 2015-12-19 2015-12-21 2015-12-23 2015-12-24 2015-12-28 2015-12-30 2015-12-31 2016-01-03 2016-01-04 2016-01-05 2016-01-06 2016-01-07 2016-01-08 2016-01-10 2016-01-11 2016-01-12 2016-01-13 2016-01-14 2016-01-15 2016-01-18 2016-01-20 2016-01-21 2016-01-22 2016-01-25 2016-01-26 2016-01-27 2016-01-29 2016-02-01 2016-02-02 2016-02-03 2016-02-04 2016-02-05 2016-02-08 2016-02-09 2016-02-10 2016-02-11 2016-02-12 2016-02-14 2016-02-15 2016-02-16 2016-02-17 2016-02-18 2016-02-19 2016-02-20 2016-02-22 2016-02-23 2016-02-24 2016-02-25 2016-02-26 2016-02-27 2016-02-29 2016-03-01 2016-03-02 2016-03-03 2016-03-04 2016-03-05 2016-03-07 2016-03-09 2016-03-10 2016-03-11 2016-03-12 2016-03-14 2016-03-15 2016-03-16 2016-03-17 2016-03-18 2016-03-19 2016-03-20 2016-03-21 2016-03-22 2016-03-23 2016-03-24 2016-03-25 2016-03-26 2016-03-29 2016-03-30 2016-03-31 2016-04-03 2016-04-04 2016-04-05 2016-04-06 2016-04-07 2016-04-08 2016-04-11 2016-04-12 2016-04-13 2016-04-14 2016-04-15 2016-04-18 2016-04-19 2016-04-20 2016-04-21 2016-04-22 2016-04-24 2016-04-25 2016-04-26 2016-04-27 2016-04-28 2016-04-29 2016-05-01 2016-05-02 2016-05-03 2016-05-04 2016-05-05 2016-05-06 2016-05-07 2016-05-09 2016-05-10 2016-05-11 2016-05-12 2016-05-13 2016-05-15 2016-05-16 2016-05-18 2016-05-19 2016-05-20 2016-05-23 2016-05-24 2016-05-25 2016-05-26 2016-05-27 2016-05-30 2016-05-31 2016-06-02 2016-06-03 2016-06-04 2016-06-05 2016-06-06 2016-06-07 2016-06-08 2016-06-09 2016-06-10 2016-06-13 2016-06-14 2016-06-15 2016-06-16 2016-06-17 2016-06-18 2016-06-20 2016-06-21 2016-06-22 2016-06-23 2016-06-24 2016-06-25 2016-06-27 2016-06-28 2016-06-29 2016-06-30 2016-07-01 2016-07-03 2016-07-04 2016-07-05 2016-07-06 2016-07-07 2016-07-08 2016-07-09 2016-07-10 2016-07-12 2016-07-13 2016-07-14 2016-07-15 2016-07-18 2016-07-19 2016-07-20 2016-07-21 2016-07-22 2016-07-23 2016-07-24 2016-07-25 2016-07-26 2016-07-27 2016-07-28 2016-07-29 2016-07-30 2016-08-01 2016-08-02 2016-08-03 2016-08-04 2016-08-05 2016-08-07 2016-08-08 2016-08-09 2016-08-10 2016-08-11 2016-08-12 2016-08-15 2016-08-16 2016-08-17 2016-08-18 2016-08-19 2016-08-23 2016-08-25 2016-08-26 2016-08-29 2016-08-30 2016-08-31 2016-09-01 2016-09-06 2016-09-07 2016-09-08 2016-09-09 2016-09-10 2016-09-12 2016-09-13 2016-09-14 2016-09-15 2016-09-16 2016-09-17 2016-09-19 2016-09-20 2016-09-21 2016-09-22 2016-09-23 2016-09-27 2016-09-28 2016-09-30 2016-10-03 2016-10-04 2016-10-05 2016-10-06 2016-10-07 2016-10-10 2016-10-11 2016-10-12 2016-10-13 2016-10-16 2016-10-17 2016-10-19 2016-10-20 2016-10-21 2016-10-24 2016-10-25 2016-10-26 2016-10-27 2016-10-28 2016-11-01 2016-11-02 2016-11-03 2016-11-04 2016-11-07 2016-11-09 2016-11-10 2016-11-15 2016-11-16 2016-11-17 2016-11-19 2016-11-20 2016-11-21 2016-11-22 2016-11-23 2016-11-24 2016-11-26 2016-11-28 2016-11-29 2016-11-30 2016-12-01 2016-12-02 2016-12-04 2016-12-05 2016-12-06 2016-12-07 2016-12-08 2016-12-09 2016-12-12 2016-12-14 2016-12-17 2016-12-20 2016-12-22 2016-12-23 2016-12-27 2016-12-28 2016-12-29 2016-12-30 2017-01-01 2017-01-02 2017-01-04 2017-01-05 2017-01-08 2017-01-09 2017-01-10 2017-01-12 2017-01-13 2017-01-17 2017-01-18 2017-01-19 2017-01-20 For Date 7, what was the gestational age? Review MCR for entries. 1052 114/58 136/89 14 15 16 17 18 20 21 22 23 24 25 25+ 26 27 27+ 28 28+ 29 30 30+ 31 31 weeks 31+ 32 32+ 33 34 34+ 35 35+ 36 36 by dates 36+ 37 37+ 38 38+ 38+2 39 39+ 40 40+ 41 41+ 42 N0T RECORDE NOT DONE NOT RECORDE NOT RECORED Not documen Not recorde no record not done not recorde unknown Blood pressure at Seventh ANC (Date 7) examination 1063 100/38 100/46 100/48 100/50 100/52 100/53 100/55 100/59 100/60 100/61 100/62 100/64 100/69 100/70 100/71 100/72 101/46 101/47 101/49 101/50 101/51 101/52 101/53 101/54 101/55 101/56 101/57 101/58 101/59 101/61 101/62 101/73 101/74 102/41 102/42 102/43 102/50 102/51 102/52 102/53 102/55 102/57 102/58 102/59 102/60 102/62 102/63 102/65 102/66 102/67 102/70 103/43 103/47 103/49 103/52 103/53 103/54 103/55 103/59 103/64 103/67 103/69 103/73 104/51 104/52 104/54 104/55 104/56 104/59 104/60 104/61 104/62 104/64 104/67 104/72 104/74 105/42 105/50 105/53 105/54 105/55 105/57 105/58 105/62 105/64 105/65 105/66 105/69 105/71 105/76 105/81 106/41 106/49 106/54 106/55 106/56 106/58 106/59 106/60 106/61 106/62 106/65 106/66 107/28 107/43 107/49 107/52 107/53 107/54 107/55 107/56 107/57 107/59 107/61 107/62 107/65 107/66 107/70 107/73 107/74 107/75 107/77 108/46 108/50 108/54 108/55 108/56 108/57 108/58 108/59 108/64 108/67 108/68 108/72 108/74 108/75 108/81 109/32 109/47 109/53 109/55 109/57 109/58 109/59 109/60 109/62 109/64 109/65 109/66 109/68 109/70 109/71 110/50 110/54 110/55 110/56 110/57 110/60 110/61 110/62 110/63 110/65 110/68 110/70 110/78 110/80 111/43 111/51 111/53 111/54 111/59 111/60 111/61 111/63 111/66 111/68 111/69 111/72 111/73 111/77 111/79 112/40 112/42 112/48 112/54 112/55 112/56 112/57 112/58 112/59 112/60 112/61 112/64 112/65 112/66 112/67 112/72 113/38 113/40 113/44 113/45 113/53 113/57 113/58 113/59 113/60 113/61 113/63 113/64 113/65 113/66 113/67 113/68 113/73 113/76 113/80 113/82 114/52 114/54 114/56 114/59 114/61 114/62 114/63 114/64 114/65 114/68 114/70 114/71 114/74 115/40 115/43 115/52 115/56 115/59 115/60 115/61 115/62 115/63 115/65 115/66 115/68 115/69 115/74 116/53 116/54 116/55 116/57 116/59 116/60 116/61 116/62 116/64 116/68 116/69 116/70 116/72 116/73 116/74 116/75 116/76 116/79 116/82 116/89 117/ 117/37 117/56 117/58 117/60 117/61 117/62 117/63 117/64 117/65 117/66 117/67 117/68 117/69 117/70 117/73 118/50 118/53 118/54 118/55 118/56 118/57 118/60 118/61 118/62 118/63 118/64 118/65 118/66 118/67 118/68 118/69 118/71 118/75 118/78 118/83 119/37 119/41 119/52 119/55 119/56 119/59 119/65 119/66 119/67 119/68 119/69 119/70 119/74 119/77 119/78 119/80 120/30 120/50 120/52 120/55 120/56 120/59 120/60 120/61 120/63 120/64 120/70 120/72 120/74 120/80 120/88 120/90 121/46 121/47 121/50 121/57 121/63 121/65 121/66 121/67 121/68 121/71 121/80 122/52 122/54 122/55 122/56 122/58 122/59 122/62 122/63 122/64 122/66 122/68 122/70 122/72 122/74 122/82 123/38 123/49 123/50 123/54 123/55 123/60 123/62 123/63 123/64 123/65 123/66 123/67 123/68 123/69 123/70 123/71 123/76 123/77 123/78 123/82 123/97 12367/ 124/47 124/48 124/53 124/54 124/58 124/59 124/60 124/61 124/62 124/63 124/64 124/65 124/67 124/69 124/71 124/75 124/77 124/79 124/86 124/89 125/53 125/55 125/60 125/61 125/62 125/63 125/64 125/65 125/67 125/69 125/71 125/72 125/73 125/75 125/77 125/79 125/80 125/81 125/84 125/88 126/56 126/59 126/62 126/63 126/64 126/65 126/66 126/67 126/68 126/69 126/71 126/72 126/73 126/75 126/76 126/87 127/58 127/62 127/66 127/67 127/69 127/71 127/72 127/75 127/76 127/77 127/82 127/84 128/49 128/54 128/60 128/63 128/64 128/65 128/66 128/70 128/72 128/73 128/74 128/76 128/77 128/79 128/81 128/82 128/84 128/85 128/88 129/56 129/58 129/59 129/60 129/61 129/62 129/63 129/66 129/67 129/68 129/70 129/71 129/73 129/74 129/75 129/79 129/88 129/95 130/50 130/55 130/57 130/64 130/66 130/68 130/69 130/70 130/76 130/78 130/80 130/83 130/92 131/49 131/57 131/59 131/70 131/72 131/73 131/77 131/80 131/90 132/52 132/60 132/65 132/68 132/69 132/71 132/73 132/76 132/77 132/78 132/80 132/86 132/92 133/54 133/66 133/67 133/68 133/71 133/77 133/78 133/79 133/81 133/84 133/85 134/58 134/63 134/65 134/66 134/69 134/71 134/72 134/77 134/78 134/86 1348/62 135/60 135/66 135/69 135/71 135/72 135/73 135/74 135/75 135/76 135/80 135/81 135/82 135/85 135/97 136/57 136/65 136/70 136/72 136/73 136/74 136/75 136/77 136/79 136/80 136/86 137/47 137/69 137/70 137/71 137/74 137/85 137/87 138/46 138/57 138/65 138/68 138/69 138/70 138/72 138/73 138/92 139/38 139/63 139/68 139/70 139/73 139/74 139/76 139/80 139/81 139/85 140/66 140/74 140/77 140/80 140/86 140/96 141/68 141/74 141/78 141/82 141/85 141/94 141/98 142/65 142/70 142/74 142/79 142/80 143/63 143/65 143/91 144/74 144/75 144/82 144/87 144/88 144/93 145/68 145/77 145/79 145/80 145/88 145/97 146/76 146/89 146/98 147/57 147/73 147/94 148/88 148/96 149/75 149/84 149/85 151/93 151/94 152/74 153/83 153/97 154/71 155/76 156/90 157/78 157/83 157/87 158/87 159/94 160/91 161/90 161/98 162/84 163/85 163/99 166/59 166/91 167/96 168/87 170/95 170/99 175/95 19/61 37 42 79/62 82/42 82/48 84/49 85/40 86/43 87/60 889/48 89/47 89/50 89/55 89/56 90/39 90/51 90/53 90/58 90/75 91/35 91/39 91/43 91/45 91/51 91/53 91/56 91/60 92/25 92/40 92/47 92/50 93/39 93/47 93/50 93/53 93/62 93/76 94/46 94/47 94/48 94/50 94/54 94/55 94/61 94/62 94/64 95/42 95/44 95/50 95/53 95/56 95/64 95/65 96/33 96/51 96/52 96/54 96/60 96/63 97/47 97/51 97/53 97/57 97/58 97/60 98/44 98/49 98/51 98/52 98/54 98/58 98/59 99/105 99/37 99/43 99/53 99/55 99/58 99/60 99/63 BP machine NOT DONE NOT RECORDE Nil Not recorde `131/90 no record not done not recorde unknown For Date 7, what was the recorded BP2 ? (If more than one BP available for one da 88 100/60 100/69 103/54 105/58 107/55 112/60 114/54 114/73 115/65 115/77 116/64 118/58 118/73 120/70 121/66 121/67 121/78 122/84 123/68 123/76 124/51 124/72 126/80 126/87 128/88 129/57 129/78 131/68 132/82 133/65 133/89 134/65 134/68 134/71 134/98 135/82 136/72 137/77 137/99 138/82 139/77 139/87 140/90 141/84 142/74 143/66 143/81 143/82 144/73 145/80 147/101 147/94 152/85 153/86 157/97 159/120 164/97 172/99 187/102 93/48 93/62 Nil Not recorde For Date 7, what was the recorded BP3 ? (If more than one BP available for one da 40 121/89 131/77 131/83 134/89 135/75 135/93 139/87 144//77 149/83 150/82 177/101 an Nil Not recorde Pulse rate Date 7 1023 100 100bpm 101 101bpm 102 102bm 102bpm 103 103bpm 104 104bpm 105 105bpm 106 106bpm 106bpm , 10 107 107bpm 108 108bpm 109 110 110bpm 111 111bpm 112 112bpm 113 113BPM 113bpm 114 114bpm 115 115bpm 115bpm , 10 116 116bpm 116bpm , 12 117 118 118bpm 120bpm 121 121bpm 125 125pbm 126 126bpm 127bpm 130 138 138bpm 140bpm , 10 144 148bpm 150 55 59bpm 60 61 61bpm 62 63 63bpm 64 65 65bpm 66 66bpm 67 67bpm 68 68bpm 69 69bpm 70 70bpm 71 71bpm 72 72bpm 73 73bpm 74 74bpm 75 76 76bpm 77 77bpm 78 78BPM 78bpm 79 79bpm 80 80bpm 81 81bpm 81bpm , 83b 82 82bpm 83 83bpm 84 84bpm 85 85bpm 85bpm , 82b 86 86bpm 87 87bpm 88 88BPM 88bpm 88bpm and 7 89 89bpm 8bpm 90 90 bpm 90bpm 91 91bpm 92 92bpm 93 9387 93bpm 94 94bpm 95 95bpm 96 96bpm 96pbm 97 97bpm 98 98bpm 99 99bpm NOT DONE NOT RECORDE Nil Not documen Not recorde no record not done not recorde unknow unknown Weight (kg) at Date 7 1046 100 101 103 104 105 106 107 108 109 110 111 112 113 115 117 118 119 121 124 126 138 42.5 47 48 49 49.5 50 51 52 52.5 53 54 55 55.5 56 56.1 57 57.9 58 58.4 58.5 59 60 60.7 61 62 63 63.5 63.8 64 64.2 64.3 64.7 65 65.4 65bpm 66 67 67.9 68 68.5 68.9 69 69.5 70 70.2 70.5 71 71.1 71.5 72 73 74 74.5 75 75.6 76 76.4 76.5 77 77.6 77.9 78 78.9 79 79.1 79.5 80 80.4 80.7 80bpm 81 82 83 83.2 83.7 83bpm 84 84.5 85 86 87 88 88.3 89 90 90.4 91 92 92.5 93 94 95 95.6 96 97 98 99 NOT DONE NOT RE NOT RECORDE Not done Not recorde no record not done not recorde unknown For Date 7, what was the weight2? (If more than one weight available for one day, 35 95 Nil Not done Not recorde not done unknown SF Measurement at Seventh ANC Visit (Date 7) 1006 16 18 18.5 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 37+ 38 39 40 40cm 41 42 44 46 49 56 NOT DONE NOT RECORDE Nil Not done Not record Not recorde no data no record not not record not donde not done not rec ord not record not recorde unknown Date 7: Was an urine test done? 1072 1479 No 1 Yes Sysmiss P (protein): nil 2551 No 1 Yes P trace 2551 No 1 Yes P 1+ 2551 No 1 Yes P 2+ 2551 No 1 Yes P 3+ 2551 No 1 Yes S (sugar): nil 2551 No 1 Yes S trace 2551 No 1 Yes S 1+ 2551 No 1 Yes S 2+ 2551 No 1 Yes S 3+ 2551 No 1 Yes Unknown 2551 No 1 Yes Other (specify) 2551 No 1 Yes Date 7: was the pH of the urine recorded? 1068 1483 No 1 Yes Sysmiss If yes, what was the pH for Date 7? 105 0.8 5 6 7 8 9 For Date 7 were there any other urine results noted? 1066 1485 No 1 Yes Sysmiss If other urine results (eg Bilirubin) were recorded, what was the results? 105 3+ Leucocyt BLOOD4+, LE Bilirubin 1 Bilirubin 2 Bilirubin 3 Blood Blood ++ Blood ++ L Blood +++,K Blood 1+ Blood 2+ Blood 2+, L Blood 2+,Ke Blood 3+ Blood 4+ Blood++ Ketone 2+ Ketones ++ Ketones 3+ Ketones-Tra LEUC + LEUKOCYTES Leauckocyte Leuc 3+ Leuco + Leuco ++ Leuco 2+ Leucocytes Leucocytes+ Leukocytes Nitrite POS Nitrite pos Protein 1+ Protein 8 bilirubin 2 blood + blood ++ blood +, le blood 1+ blood 1+,gl blood 2+ blood 2+, k blood 3+ blood 3+,ke blood 4+ blood 4+ , blood 4+, k blood trace blood2+ ketones ketones 2+ ketones 3+ leucocyte 3 leucocytes leucocytes+ leucocytes1 leukocyte + leukocyte 1 leukocyte 2 leukocyte1+ leukocytes leukocytes1 nitrites 3+ For Date 7: Pap smear done? 1066 1485 No 1 Yes Sysmiss Date 7: Result of pap smear If Other, please specify Date 7: If abnormal pap smear result (CIN I, II,III,Cervical Cancer, indeterminat Date 7: Did the mother have a HIV Antibody (RVD) test? 1060 1491 1 Yes 2 No 3 Declined 4 Unknown 5 Data not entered 6 Known positive Sysmiss If Yes, what was the result? 136 2415 1 Reactive 2 Non-reactive 3 Unknown Sysmiss Date 7: Was the CD4 count determined? 502 2049 1 Yes 2 No 3 HIV-Negative Sysmiss If Yes, what was the CD4 count? 11 128 381 424 457 842 Not recorde not recorde unknown Date 7: Was there any viral load requested or done? 502 2049 1 Yes 2 No 3 HIV- Negative 4 Unknown Sysmiss If Yes, what was the viral load? 53 184 25 3260 3450 copies 54 copies <20 <20 copies <40 LDL LTD Not recorde Repeat VL Take blood Undetectabl VL - suppre VL taken lower then not recorde unknown On Date 7, was she initiated on ART? (antiretroviral therapy) at THIS antenatal v 533 2018 1 HAART 2 DUAL 3 Unknown 4 Continued on previous ART combination 5 HIV-Negative Sysmiss Did the mother receive a rapid syphilis test? 1057 1494 No 1 Yes Sysmiss If yes what was the result? 16 2535 1 Positive 2 Negative 3 Unknown Sysmiss If the syphilis screen was positive what was the RPR (titre)? If syphilis screen was positive what was the TPHA? If syphilis positive did the mother receive treatment? 1 4 For Date 7, was the mother screened for Tb during pregnancy? 1071 1480 1 Yes 2 No 3 Unknown 4 Already on TB treatment 5 Already on isoniazid (INH) prophylaxis (with pyridoxine) Sysmiss Fixed dose combination (TDF/FTC/EFV) 2551 No 1 Yes TDF (tenofovir) 2551 No 1 Yes FTC (emtricitabine) 2551 No 1 Yes AZT (zidovudine) 2551 No 1 Yes 3TC (lamivudine) 2551 No 1 Yes ABC (abacavir) 2551 No 1 Yes d4T (stavudine) 2551 No 1 Yes EFV (efavirenz) 2551 No 1 Yes NVP (nevirapine) 2551 No 1 Yes LPV/r (lopinavir/ritonavir, aluvia) 2551 No 1 Yes ATV/r (atazanavir/ritonavir) 2551 No 1 Yes RAL (raltegravir) 2551 No 1 Yes Unknown 2551 No 1 Yes For Date 7, was the mother screened for Tb during pregnancy? 694 1857 1 Negative Tb screen 2 Positive Tb screen 3 Unknown Sysmiss For Date 7, was the mother prescribed isoniazid (INH) prophylaxis (with pyridoxi 924 1627 1 Yes 2 No 3 Unknown Sysmiss For Date 7, was the mother started on Tb treatment? 253 2298 1 Yes 2 No 3 Unknown Sysmiss Not screened for Tb 2551 No 1 Yes Tb screen negative 2551 No 1 Yes Isoniazid (INH or H) 2551 No 1 Yes Rifampicin (RIF, or R) 2551 No 1 Yes Rifabutin 2551 No 1 Yes Ethambutol (E) 2551 No 1 Yes Pyrazinamide (Z) 2551 No 1 Yes Pyridoxine (vitamin for INH side effects) 2551 No 1 Yes Streptomycin 2551 No 1 Yes Amikacin 2551 No 1 Yes Clarithromycin 2551 No 1 Yes Azithromycin 2551 No 1 Yes Ciprofloxacin 2551 No 1 Yes Moxifloxacin 2551 No 1 Yes Para Amino Salicylic acid (PAS) 2551 No 1 Yes Capreomycin 2551 No 1 Yes Ethionamide 2551 No 1 Yes Cycloserine 2551 No 1 Yes Bedaquiline 2551 No 1 Yes Unknown 2551 No 1 Yes Multi-vitamins (mvt) 2551 No 1 Yes Ferrous Sulphate/FeSO4/Iron 2551 No 1 Yes Folic Acid 2551 No 1 Yes Calcium Suppl 2551 No 1 Yes Pregamal 2551 No 1 Yes Vitamin B-Complex 2551 No 1 Yes Other 2551 No 1 Yes On Date 7, which other supplements were prescribed? 11 Ferovite 1 Prenatal F Prenatal f VITAMIN C Zinplex 1 ferorite i prenatal f For Date 7, was any advice/information/counselling on contraception/safe sex give 133 Adherence H/E on imp Health Edu Importance NIL NO Nil No None recor Not done Not record Ongoing co Pre and Po Safer sex advised on advised to h/e on use health edu nil no no record no rerecor not done safe sex d use of con yes yes and x2 For Date 7, was there any advice/counselling/information given with regards to in 123 Breastfeed H/E done o H/E on fet Importance NO Nil No None recor Not record Ongoing co benefits o importance nil no no record not done yes yes, impor For Date 7, was there anything else in clinical notes not covered by the above? 190 Advise on Advised ab Advised on Advised to Diet advic EBF EBF discus Encouraged For: TTO p H/E given H/E on cou H/E on dan H/E on dri H/E on imp H/E on sig H/E on tru Importance NO Nil No None recor Not record Nutrition Nutrition: Ongoing co Plan Monit TO DELIVER adherence adherent d advised ab advised on advised to exclusive fdc fetal kick h/e to dri health edu importance infornatio liberal fl nil no no record not done o/e Genera signs of t true signs yes yes import yes on die yes signs yes, impor yes, to de yes, true Did the mother have an ultrasound during pregnancy? 1069 1482 No 1 Yes Sysmiss If yes, what was the result of the USS? Enter BPD, FL, Abd.Circ., Placenta, Other 127 20 GA 17, no GA 39 /40 GESTATION Gestation In the not Vx present gestation gestationa no copy of For Date 7 were there any palpitations reported? 1069 1482 No 1 Yes Sysmiss What investigations were performed for palpitations? e.g. ECG, ECHO, scans (Date 2 c/o Labour not record Was any treatment prescribed for palpitations? 1 No For Date 7 was there any Hypertension (HPT)/Pregnancy Induced Hypertension (PIH) 1027 1524 1 Hypertension 2 Chronic Hypertension 3 Pregnancy Induced Hypertension 4 Other (specify) 5 Pre-eclampsia 6 No history of hypertension recorded Sysmiss If Other, please specify What investigations were performed for hypertension? 39 Already on BLOOD RESU BP recheck BP reviewe For PIH MO Monitor BP Nil Nil new Recheck Review aft Reviewed To check B bloods don no no record none not record nothing ex unknown Aldomet (methyldopa) 2551 No 1 Yes Adalat (nifedipine) 2551 No 1 Yes Nil Treatment prescribed 2551 No 1 Yes Other (specify) 2551 No 1 Yes Beta blocker (e.g. labetalol) 2551 No 1 Yes If Other treatment for hypertension related conditions, please specify. 1 BP recheck Date 7: Was there any headache recorded? 1067 1484 No 1 Yes Sysmiss What investigations were performed for headache? 10 Plan: star c/o headac nil none excep not record unknown Date 7: Was there any treatment prescribed for the headache? 11 Paracetamo not record panado 2t panado 1g unknown yes Was the mother screened for diabetes in pregnancy? 1062 1489 No 1 Yes Sysmiss Urine dipstick (glucose) 2551 No 1 Yes Random blood glucose (blood test) 2551 No 1 Yes Fasting blood glucose (blood test) 2551 No 1 Yes Glucose tolerance test, OGTT (blood tests over 3 hours) 2551 No 1 Yes Unknown 2551 No 1 Yes If yes, what was the result of the diabetes screening test? 6 2545 1 Normal (no gestational diabetes) 2 Glucose intolerance (pre-diabetes) 3 Gestational diabetes mellitus 4 Chronic diabetes (before pregnancy) 5 Unknown Sysmiss What treatment and/or advice was the mother given for diabetes (or glucose intole 2 Start Insul unkown For Date 7, please list other conditions not listed above. 305 24 yr old c ? early lab ?Eclampsia, ?early labo ?post date ANC f/u at Abdominal p Assaulted BLOCKED, CH BOM Backache an Blood-trace Burning and By dates 28 C/O Absess C/O BOM. Wa C/O LAP \, C/O LAP and C/O LAP wit C/O LAP. VD C/O PV blee C/O abdomin C/O backpai C/O blocked C/O came fo C/O cough a C/O cough x C/O diarrho C/O flank p C/O labor p C/O labour C/O lower a C/O nasal c C/O passing C/O piles C/O rash on C/O she sai C/O sore ri C/O vaginal Came for di Came in c/o Candidiasis Current vis DIARRHOEA DYSURIA, LA Diarrhoea x Diarrhoea,A Early labou False Labou False labou Fetal movem Fetal well Follow up v Follow-up v For repeat G-03 P-02 M G03 P02 at Genital war Grav 1 Par H/E done on H/E on dang HOF 40/40 b ITCHY VULVA LABOUR PAIN LAP LAP SINCE Y LAP, PV DIS Labour pain Leg pain/Ba Lower abdom NO NO FOETAL M Nausea + vo Nil None Not recorde OEDEMA PENDULOUD A PIH PVD Pain around Pains on um Persistent Pheripheral Porridge ad Possible UT Postdates Presented f Primigravid Pt came for Pt reported Referred fo Reported la Reporting L Reports PV Ringworm Risk factor SROM + ?Ear SWELLING WH SWOLLEN SKI Sonar 38+/4 TOOTHACHE UTI UTI in preg V/L, U&E, L VDS VDS in preg Vagina look Vaginal Dis Vaginal can Vaginal dis Vomiting WR Reactive White PVD anaemia in c /o ear di c/o lower c/o LAP c/o LAP +ba c/o LAP and c/o LAP+ wh c/o LAP, ?U c/o Labour c/o Low BP, c/o abdomin c/o backach c/o bom , c/o bom , l c/o chest p c/o cough, c/o diarrho c/o flakes c/o hardeni c/o itchine c/o labour c/o lap , b c/o lower a c/o product c/o pv blee c/o pv disc c/o rupture c/o svere c/o watery c/ospontani came for R/ client came complaining condition n coughing fo decreased f dizziness early labou flu fro 5 d haematuria haematuria, history of low hb lower abdom ni nil no no data no record no recorded no rerecord none persisted h reported PV reported ba reported di reported la reported ri reporting b reports LAP warts +++on Were any additional investigations performed for Other Conditions listed above? 165 1 Hb & WR. Ass Early L BLOODS TAKE Bloods: WR: CTG CTG DONE - Came for AN D - ? UTI FBC, U+E, E FM observed Flagyl 1/1 Gen stable H/E on sign Issue Rx an Jaccold-NAD Low Hb, ref Monitor fet NIL NO Nil No Not in labo Not recorde O/E Small b O/E general O/E hydrati O/E no sign O/E not hav On pv exami On speculum PV EXAM PV EXaminat PV Exam Os PV Exam os PV Examinat PV exam PV exam Os PVE 1cm-2cm PVE admits PVE cervix PVE os clos PVE speculu PVExam os PVExam os c PVExam spec Patient ref Pv examinat Referred fo Risk factor VAGINAL EXA VDS diagnos abdominal e abdominal p bloods take external an for ECCS genexpert c internal ex nil no no data no record none on PVE os c on PVExam o pad checks per vaginal pv examimat pv examinat urinalysis urine for m vaginal exa viginal exa For Date 7, were there any other medications prescribed? eg. Amoxil, Panado 283 (P) Anusol (P) Azithro (P) Buya 15 (P) Erythro (P) Sorol X (P) T/F hos 1000 ringer 1L MRL IVI 250mg ceftr 2g flaggly 500mg aldom AMOXILLIN 5 ATT 0,5ml 3 ATT 0,5mls ATT O,5ML Admit Aldomet 1g Aldomet 250 Aldomet 500 Aldomet tds Allergex 10 Amoxicillin Amoxil Amoxil 500m Amoxycillin Amoxyclav 3 Amoxyil 500 Amoxyl 500m Amoxylin 50 Amoxyll 500 Amoxyllin 5 Amoxylline Atenef 1 ta Att 0.5ml s Azithromyci Azythromyci Benzoic Aci Bethamethas Biotrimozol CEFTRIAXONE Ceftriaxone Ceftriazone Cont with R Continue wi Cotrimoxazo Erythromyci FDC FDC 1 dly n FDC 1 dly p FDC 1 nocte FDC 1 tab p FDC 1/1 noc FDC 300mg p FDCX2 1TAB FLAGYL 2G S FLUPEN 500M FdC I TAB P Fixime 400m Flagyl 2g s Flagyl 2gra Flagyl, Amo For penilen Hyoscine 10 Hyospasmol INH 300MG P INH 300mg d INH 300mg o INH 300mg p INH 500mg d INNASPORE C Loperamide Loperomide MRL 1L IVI, Metronidazo NO Nil Nitroturati No None record Not recorde Not recored Oral A/BS,B P - Amoxyl P - continu P. FDC 1/1 P. FDC 1g d P. H/E done P. Prenatal P: Aldomet P: FDC 1/1 P:- FDC 1/1 P:Check BP P:Loperamid PARACETAMOL Panado 1g P Panado 1g p Panado 1g t Panado 500m Plan Drip l Plan: Aldom Plan: Amoxi Plan: Amoxy Plan: Ceftr Plan: Conti Plan: Panil Plan: R/f t Plan: Refer Put on oral Pyridoxine Refer HRC 2 Refer to HR Refer to ho Referred to Rx - Bicill Rx - Ceftri Rx issued Rx issued F Sorol Sorol x1, a Sorol x2 pk Sorol x2 sa T/F hosp fo Tetanus tox UTI Rx Zimplex 1/1 adalat 20mg aldomet 500 amoxycillin amoxyclav 3 amoxyllin 5 antibiotics att 0,5ml i augmentin 3 azithromyci c edftriaxo ceftriaxone clotrimazol co-amoxycla epilim 500m fdc fdc and INH fixime 400m flagyl 500m flupen 500m for pad che loperamide monitor fet n nil no no record panado 1g panado 2/2 panado 500m paracetamol praziquante pyridoxine sorol, myog started on Which other investigations/protocols were followed according to the Maternity Cas 302 38/40 by u/ ANC client ANC f/u at ANC follow Admitted fo Admitted to Big baby Bloods for Booked for Buya 04/08/ Buya 15/08/ Buya 23 Sep Buya 28/08/ By dates 36 CTG trace CTG. Admit Came for AN Came for Rx Came to col Client came Continue wi D/C HOME TO D/C on Aldo F/U at HRC F/U for blo F/U on US F/U on trea F/U visit f FHR - good. Fetal movem Flue vaccin Foetal dist Follow-up v For MO For MO to a For MO to s For U/S For fetal k For follow- For observa G-03 P-01 p GA by dates GXP collect H/E done on H/E on impo H/E on moni H/E signs o HB / WR sam HPT MNGT Importance Low HB. TCB Low Hb NIL NO Nil Not recorde PATIENT TO PATIENT WAS PIH came fo PP 4/5 > pe Patient cam Patient req Patient sle Plan - Refe Post dates Previously Pt referred R/F if no i R/F to hosp REASSMENT D REFER HRC I REFER HRC T REFER TO HO RETURN IF S Refer hospi Refer to HR Refer to ho Refereed HR Referred as Referred fo Referred to Repeat Hb & Repeat Hb a Responds we Seen at HRC Seen by MO She is on r T/F to HRC TCB 01/03/1 TCB 04/12/1 TCB 05/11/1 TCB 1/7/16 TCB 2016/01 TCB 23.12.1 TCB 26/11/1 TCB 30/12/1 TCB for ANC TCB if no i TCB when in To take blo U/S on the UTI TCB 02. Vulval asse We discusse admit in AN blood for H c/o painful c/o swelly came to col ctg monitor follow up a follow up f for M.O for repeat kept at the kept overni kept t the ni nil nil referre no no data no record none patient kee patient kep patient ref patient tes patient was procedure e refer HRC 7 refer hospi refer to DR refer to HR refer to hi refer to ho refere to H refere to h referred fo referred to reported sh review clie seen at HRC seen at hrc seen by MO to await de Date 7: Were there other lab results available? 1066 1485 No 1 Yes Sysmiss Sodium 2551 No 1 Yes Potassium 2551 No 1 Yes Chloride 2551 No 1 Yes Bicarbonate 2551 No 1 Yes Urea 2551 No 1 Yes Creatinine 2551 No 1 Yes Albumin 2551 No 1 Yes ALT (alanine aminotransferase) 2551 No 1 Yes ALP (alkaline phosphatase) 2551 No 1 Yes GGT (gamma glutamyl transferase) 2551 No 1 Yes AST (aspartate aminotransferase) 2551 No 1 Yes Bilirubin 2551 No 1 Yes Hepatitis B tests 2551 No 1 Yes Hepatitis C tests 2551 No 1 Yes CMV 2551 No 1 Yes Other virology 2551 No 1 Yes Haemoglobin (Hb) 2551 No 1 Yes White blood cells 2551 No 1 Yes Platelets 2551 No 1 Yes Date 7: What was the Hb value on this result? 139 10.1 10.2 10.3 10.4 10.4g,dl 10.5 10.6 10.7 10.9 11 11,3 11.1 11.2 11.3 11.5 11.6 11.8 11.9 12 12.1 12.2 12.3 12.6 13.1 13.2 13.4 13.6 5.8 6.1 6.5 6.7 7.6 7.9 8 8.4 8.5 8.6 8.8 8.9 9 9,5 9,6 9.1 9.4 9.6 9.7 9.9 Hb request MNR5327835 MRN5667996 NOT RECORE Nil Not record Ward HB 10 no recorde not done not record unknown Date 7: If Yes to any of the above lab tests, what was the MRN for Haematology? 77 50756327 52568620 FB00758262 FB00792593 MNR4619480 MNR5223495 MNR5567568 MNR5608533 MNR6284567 MNR6415323 MRN 273365 MRN 360928 MRN 528411 MRN1281929 MRN2551625 MRN3027204 MRN3691352 MRN3711677 MRN4050230 MRN4428932 MRN4804540 MRN4804543 MRN4862131 MRN5010040 MRN5157551 MRN5526639 MRN5810367 MRN5837496 MRN5890371 MRN6011238 MRN6041038 MRN6062303 MRN6089785 MRN6098630 MRN6127703 MRN6140335 MRN6219650 MRN6327221 MRN6330972 MRN6350650 MRN6509606 MRN6559953 MRN863748 Nil Not availa mrn5619228 no results Date 7: If yes to any of the above lab tests, what is the lab number for Haematol 70 FB 0068457 FB 0068650 FB 0069485 FB 0070532 FB 0072938 FB 0077139 FB 0080685 FB 0080994 FB 0083459 FB 0083797 FB 0083926 FB 0085314 FB 0086146 FB 0086152 FB 0086504 FB 0086506 FB 0087620 FB 0087832 FB0026834 FB00470340 FB00705329 FB00711981 FB00724457 FB00741493 FB00742917 FB00747566 FB00748418 FB00756615 FB00769224 FB00779039 FB00812721 FB00814546 FB00820940 FB00829855 FB00857143 FBOO777305 Nil Not record fb00751365 fb00788210 Date 7: If yes to any of the above lab tests, what was the MRN for Chemical Patho 42 50756327 MRN3691352 MRN5436028 MRN5484093 MRN5538336 MRN5667996 MRN5810367 MRN6089785 MRN6140335 MRN6353999 Nil If yes to any of the above lab tests, what is the lab number for Chemical Patholo 42 FB 0080685 FB 0083459 FB 0083926 FB 0085925 FB 0086146 FB00748418 FB00769224 FB00774428 FB00780303 FB00792593 Nil Date 7: If yes to any of the above lab tests, what was the MRN for Virology? 32 Nil Date 7: If yes to any of the above lab tests, what is the lab number for Virology 32 Nil Date 7: Is there an MRN for Immunology? 76 Nil no Date 7: Is there a lab number for Immunology? 80 FB 0085683 FB 0087346 FB 0088825 Nil no For Date 7, is there any barcoded sticker for lab tests on the clinical notes? 1057 1494 No 1 Yes Sysmiss Date 7: What are the AA codes underneath the barcode? 114 AADD6914D AADF6259P AADF6269P AADP5099D AADP5314D AADQ0622D AAEA3991P AAEC6461P AAEE9600D AAER1833D AAFS8663D AAFS8668D AAFS8733D AAFS8735D AAHG2935D AAHG9228P AAHH7112P AAHH7131P AAHH7136P AAJP8201D, AAJP9956D AAJT2673D AAJT2990D AAJT3785D AAKP0709BO AAKU6431D AALO257BOF AALW3471P AAMF1457BO AAMW4070D AAMY1543P AAOL7629BO AAOL7636BO AAOL7706BO AAPB7246BO AAPN5534PO AAPN5762PO AAPN7381PO AAQN8963BO AAQN9160BO AAQY6098HO AART3855BO AART3896BO AARU2494BO AARU2960BO AASK7409BO AATO9418HO AAUF3631BO AAUW8030HO AAUX2008NO AAUX7476HO AAUZ2154BO AAVM9951PO AAVV7710BO AAVW9557BO AAWN9233BO AAZH8784D ABBZ6318A ABBZ6322A ABGM9608HO ABGQ5983HO ABJF9356HO ABOM7292HO ABOM7491HO ABOM7929HO ABON0483HO ABON0804HO ABON0808HO ABON0840HO ABON1576HO ABON1993HO ABPQ4804HO ABPQ4812HO NIL NO Nil abjq1121ho nil no Did the mother attend ANC eight times during the pregnancy? 1072 1479 No 1 Yes Sysmiss EIGHTH ANC Visit (Date 8) 741 2015-01-11 2017-01-21 2015-01-11 2015-01-19 2015-01-21 2015-04-16 2015-05-03 2015-05-05 2015-05-21 2015-05-23 2015-05-24 2015-05-27 2015-06-05 2015-06-09 2015-06-11 2015-06-13 2015-06-17 2015-06-18 2015-06-21 2015-06-24 2015-06-29 2015-06-30 2015-07-01 2015-07-02 2015-07-03 2015-07-06 2015-07-07 2015-07-08 2015-07-09 2015-07-10 2015-07-12 2015-07-13 2015-07-14 2015-07-15 2015-07-20 2015-07-21 2015-07-22 2015-07-23 2015-07-24 2015-07-25 2015-07-26 2015-07-27 2015-07-29 2015-07-30 2015-07-31 2015-08-03 2015-08-06 2015-08-07 2015-08-11 2015-08-12 2015-08-13 2015-08-14 2015-08-17 2015-08-18 2015-08-19 2015-08-20 2015-08-21 2015-08-24 2015-08-25 2015-08-26 2015-08-28 2015-08-29 2015-09-01 2015-09-02 2015-09-03 2015-09-07 2015-09-08 2015-09-09 2015-09-10 2015-09-11 2015-09-14 2015-09-16 2015-09-17 2015-09-18 2015-09-21 2015-09-22 2015-09-23 2015-09-25 2015-09-28 2015-09-29 2015-09-30 2015-10-01 2015-10-03 2015-10-05 2015-10-06 2015-10-08 2015-10-09 2015-10-15 2015-10-18 2015-10-20 2015-10-21 2015-10-27 2015-10-29 2015-10-30 2015-11-02 2015-11-05 2015-11-09 2015-11-10 2015-11-12 2015-11-13 2015-11-16 2015-11-17 2015-11-18 2015-11-19 2015-11-23 2015-11-24 2015-11-26 2015-11-27 2015-11-30 2015-12-02 2015-12-03 2015-12-07 2015-12-08 2015-12-09 2015-12-10 2015-12-11 2015-12-12 2015-12-14 2015-12-15 2015-12-16 2015-12-17 2015-12-21 2015-12-23 2015-12-24 2015-12-28 2015-12-29 2015-12-30 2016-01-04 2016-01-05 2016-01-06 2016-01-07 2016-01-08 2016-01-09 2016-01-11 2016-01-12 2016-01-13 2016-01-14 2016-01-15 2016-01-18 2016-01-19 2016-01-21 2016-01-22 2016-01-25 2016-01-26 2016-01-27 2016-01-28 2016-02-01 2016-02-02 2016-02-03 2016-02-04 2016-02-05 2016-02-08 2016-02-09 2016-02-10 2016-02-11 2016-02-16 2016-02-18 2016-02-21 2016-02-22 2016-02-23 2016-02-24 2016-02-25 2016-02-26 2016-02-29 2016-03-01 2016-03-02 2016-03-03 2016-03-04 2016-03-07 2016-03-08 2016-03-09 2016-03-10 2016-03-11 2016-03-14 2016-03-15 2016-03-16 2016-03-18 2016-03-20 2016-03-22 2016-03-23 2016-03-24 2016-03-27 2016-03-28 2016-03-29 2016-03-30 2016-03-31 2016-04-01 2016-04-03 2016-04-05 2016-04-09 2016-04-11 2016-04-13 2016-04-14 2016-04-15 2016-04-16 2016-04-17 2016-04-18 2016-04-20 2016-04-21 2016-04-22 2016-04-23 2016-04-27 2016-04-28 2016-04-29 2016-05-03 2016-05-04 2016-05-05 2016-05-06 2016-05-07 2016-05-09 2016-05-10 2016-05-11 2016-05-12 2016-05-13 2016-05-14 2016-05-16 2016-05-17 2016-05-18 2016-05-19 2016-05-23 2016-05-26 2016-05-27 2016-05-30 2016-06-01 2016-06-02 2016-06-03 2016-06-05 2016-06-06 2016-06-07 2016-06-08 2016-06-09 2016-06-10 2016-06-11 2016-06-12 2016-06-14 2016-06-15 2016-06-20 2016-06-21 2016-06-22 2016-06-23 2016-06-24 2016-06-26 2016-06-27 2016-06-29 2016-06-30 2016-07-01 2016-07-04 2016-07-05 2016-07-06 2016-07-07 2016-07-08 2016-07-09 2016-07-11 2016-07-12 2016-07-13 2016-07-14 2016-07-15 2016-07-18 2016-07-19 2016-07-20 2016-07-21 2016-07-22 2016-07-25 2016-07-26 2016-07-28 2016-08-01 2016-08-02 2016-08-03 2016-08-04 2016-08-05 2016-08-07 2016-08-08 2016-08-09 2016-08-10 2016-08-11 2016-08-15 2016-08-16 2016-08-17 2016-08-18 2016-08-20 2016-08-21 2016-08-22 2016-08-23 2016-08-24 2016-08-25 2016-08-26 2016-08-27 2016-08-30 2016-08-31 2016-09-01 2016-09-02 2016-09-05 2016-09-06 2016-09-07 2016-09-08 2016-09-09 2016-09-11 2016-09-12 2016-09-13 2016-09-14 2016-09-15 2016-09-16 2016-09-17 2016-09-19 2016-09-23 2016-09-26 2016-09-27 2016-09-28 2016-09-29 2016-09-30 2016-10-01 2016-10-04 2016-10-05 2016-10-06 2016-10-08 2016-10-09 2016-10-10 2016-10-11 2016-10-12 2016-10-13 2016-10-17 2016-10-19 2016-10-20 2016-10-25 2016-10-26 2016-10-27 2016-10-28 2016-10-31 2016-11-01 2016-11-02 2016-11-03 2016-11-07 2016-11-08 2016-11-09 2016-11-10 2016-11-12 2016-11-15 2016-11-17 2016-11-18 2016-11-24 2016-11-26 2016-11-28 2016-11-29 2016-11-30 2016-12-01 2016-12-02 2016-12-03 2016-12-04 2016-12-05 2016-12-06 2016-12-07 2016-12-08 2016-12-09 2016-12-10 2016-12-11 2016-12-12 2016-12-14 2016-12-15 2016-12-19 2016-12-21 2016-12-22 2016-12-27 2016-12-29 2017-01-02 2017-01-03 2017-01-05 2017-01-07 2017-01-10 2017-01-12 2017-01-14 2017-01-15 2017-01-16 2017-01-20 2017-01-21 For Date 8, what was the gestational age? Review MCR for entries. 721 19 20 22 23 24 25 26 27 28 28+ 29 29+ 30 31 31+ 32 32+ 33 33 +2/40 33+ 34 34+ 34+6 35 35+ 36 36+ 37 37+ 38 38+ 38+2days 38+5 39 39+ 40 40+ 40+/40 41 41+ 42 MRN6330972 NOT DONE NOT RECORD Nil Not record UNKNOWN no record not done not ecorde not record unknow unknown Blood pressure at Eighth ANC (Date 8) examination 737 100/41 100/50 100/52 100/53 100/54 100/55 100/57 100/63 100/68 100/70 100/84 101/42 101/49 101/51 101/52 101/54 101/55 101/56 101/58 101/67 101/68 102/45 102/51 102/52 102/55 102/58 102/64 102/68 102/70 102/71 103/49 103/51 103/52 103/54 103/56 103/59 103/62 103/63 103/65 104/34 104/52 104/54 104/55 104/57 104/59 104/60 104/65 104/67 104/71 105/25 105/32 105/52 105/57 105/58 105/60 105/62 105/64 105/65 106/35 106/41 106/44 106/45 106/48 106/53 106/54 106/55 106/56 106/57 106/58 106/60 106/64 106/65 106/69 106/71 106/77 106/89 107/37 107/38 107/53 107/54 107/56 107/57 107/61 107/63 107/67 107/71 107/76 108/49 108/53 108/55 108/56 108/57 108/60 108/61 108/68 108/69 108/70 108/71 108/72 108/73 1089/50 109/52 109/53 109/54 109/59 109/63 109/68 109/69 11/69 110/50 110/55 110/56 110/57 110/61 110/62 110/63 110/65 110/68 110/70 110/73 111/43 111/50 111/54 111/57 111/59 111/60 111/61 111/62 111/64 111/65 111/83 1114/67 112/40 112/51 112/54 112/56 112/57 112/59 112/60 112/62 112/68 112/69 112/71 112/72 112/73 112/77 112/78 112/79 113/109 113/53 113/56 113/57 113/58 113/59 113/60 113/61 113/63 113/65 113/66 113/68 113/69 113/70 113/71 113/74 113/75 114/52 114/53 114/54 114/58 114/61 114/63 114/64 114/65 114/66 114/71 114/78 114/82 115/45 115/53 115/55 115/56 115/57 115/58 115/59 115/60 115/65 115/66 115/68 115/70 115/73 115/74 116/46 116/56 116/57 116/61 116/62 116/65 116/68 116/69 116/72 116/79 117/43 117/46 117/51 117/56 117/57 117/59 117/61 117/62 117/64 117/66 117/67 117/70 117/73 117/76 118/55 118/58 118/59 118/60 118/62 118/63 118/66 118/67 118/68 118/69 118/75 118/80 118/82 119/49 119/53 119/55 119/56 119/58 119/62 119/64 119/65 119/67 119/68 119/71 119/72 119/80 120/52 120/53 120/54 120/61 120/62 120/64 120/68 120/69 120/70 120/73 120/76 120/77 120/78 120/79 120/80 121/50 121/53 121/63 121/65 121/69 121/72 121/79 122/49 122/51 122/56 122/64 122/67 122/68 122/76 122/82 122/83 123/55 123/58 123/59 123/62 123/64 123/66 123/68 123/71 123/73 123/75 123/81 124/39 124/53 124/58 124/63 124/65 124/67 124/68 124/69 124/72 124/76 124/82 125/53 125/54 125/56 125/60 125/62 125/63 125/71 125/75 125/78 125/82 125/84 126/53 126/57 126/58 126/60 126/62 126/64 126/67 126/70 126/72 126/73 126/74 126/75 126/78 126/83 126/84 126/86 127/46 127/60 127/68 127/70 127/71 127/72 127/73 127/76 127/88 127/89 128/51 128/56 128/57 128/58 128/61 128/63 128/64 128/65 128/67 128/69 128/71 128/74 128/76 128/78 128/79 128/80 128/81 128/90 129/54 129/56 129/66 129/68 129/69 129/72 129/78 129/79 130/39 130/62 130/70 130/78 130/80 130/81 130/85 131/52 131/58 131/59 131/60 131/62 131/64 131/65 131/66 131/70 131/71 131/76 131/79 131/80 131/83 131/86 131/88 131/89 132/66 132/70 132/73 132/75 132/77 132/79 132/82 132/91 133/63 133/64 133/65 133/68 133/74 134/34 134/55 134/56 134/60 134/68 134/72 134/76 134/77 134/78 134/81 134/84 134/85 134/86 134/88 134/89 135/66 135/68 135/70 135/73 135/75 135/79 135/87 136/57 136/63 136/73 136/76 136/78 136/88 137/54 137/56 137/61 137/74 137/79 137/82 137/97 138/71 138/74 138/79 138/86 139/72 139/76 139/86 139/88 140/67 140/79 140/80 140/85 140/88 140/89 140/90 141/70 141/73 141/79 141/81 141/83 141/92 142/52 142/71 142/72 142/78 142/93 143/64 143/65 143/72 143/75 143/83 144/72 144/76 144/78 144/79 144/82 145/53 146/60 147/84 148/78 148/84 148/86 149/78 149/85 149/98 150/82 150/88 151/73 151/85 151/99 152/106 152/94 154/61 154/65 154/84 154/97 155/67 155/85 157/105 157/95 158/43 158/71 158/86 161/76 163/113 163/77 163/85 165/93 166/91 180/108 183/117 184/103 184/93 191/129 79/49 80/60 86/49 87/49 88/43 88/47 89/37 89/51 89/54 90/50 90/56 90/59 91/44 91/47 91/63 91/70 92/39 92/46 92/54 93/48 93/50 93/51 93/60 94/45 94/49 94/55 95/45 95/50 95/55 96/34 96/53 96/55 96/57 96/61 96/63 96/79 97/43 97/45 97/49 97/57 97/58 97/59 98/44 98/48 98/49 98/50 98/52 98/57 98/58 98/60 99/42 99/45 99/50 99/51 99/54 99/55 99/56 99/57 99/59 99/65 99/66 NOT RECORD Not record UNKNOWN not done not record o/s unknown For Date 8, what was the recorded BP2 ? (If more than one BP available for one da 67 103/55 103/62 107/79 109/59 110/80 113/70 114/58 116/60 117/63 117/77 118/70 119/82 123/69 123/83 124/61 125/57 125/78 127/69 127/81 128/30 128/75 128/76 129/80 130/85 131/81 132/70 132/74 137/73 137/75 137/79 139/69 139/85 140/70 140/80 140/90 141/57 143/82 144/74 149/90 149/99 154/93 155/80 157/117 160/108 161/97 163/103 167/115 93/52 99/63 Nil For Date 8, what was the recorded BP3 ? (If more than one BP available for one da 25 101/62 109/54 132/75 145/79 145/98 156/92 170/105 181/126 Nil not record Pulse rate Date 8 725 100 100bpm 101 101bpm 102 102bpm 103 103bpm 104 104bpm 104bpm , 9 105 105bpm 106 106bpm 107 107bpm 108 108bpm 109 110 110bpm 111 111bpm 112 112bpm 113 114 114bpm 115 116 116bpm 117 117bpm 118 118bpm 119 119bpm 120 120bpm 121 121bpm 122bpm 124 125bpm 126bpm 128 128bpm 129 129bpm 130 131 132 133 135 137bpm 140bpm 151 154 57 57bpm 60bpm 62 64 64bpm 65 66 66bpm 67 67bpm 68 68bpm , 96 69 70 70bpm 71 71bpm 72 72bpm 73 73bpm 74 74bpm 75 76 76bpm 77 78 78bpm 79 79bpm 80 80bpm 81 81bpm 82 82bpm 83 83bpm 84 84bpm 85 85bpm 86 86bpm 87 87bpm 88 88bpm 89 89BPM 89bpm 89bpm , 10 90 90bpm 91 91bpm 92 92bpm 93 93bpm 94 94bpm 95 95bpm 96 96bpm 97 97bpm 98 98bpm 99 99bpm NOT DONE NOT RECORD Nil Not record UNKNOWN data not c no record not done not record unknown Weight (kg) at Date 8 726 100 101 102 102.7 103 104 104.8 105 106 107 108 109 110 111 112 114 115 118 121 122 129 46 47 48 49 50 51 52 53 54 55 56 57 58 59 59.9 60 61 61.5 62 62.5 63 64 65 66 66.5 67 67kg 68 69 69.3 69.5 70 70.3 70.6 71 72 73 73.5 73.7 74 74,8 75 75.6 76 76.5 77 77.3 78 79 79.3 79.9 80 81 82 82bpm 83 83.5 84 84.4 85 86 87 88 89 90 91 92 93 94 95 96 97 97.5 98 99 NOT DONE NOT RECORD Not done Not record no record not done not record unable to unknown For Date 8, what was the weight2? (If more than one weight available for one day, 18 62 68 Nil Not record SF Measurement at Eighth ANC Visit (Date 8) 696 20 21 23 24 25 26 27 28 29 30 31 32 33 34 34cm 35 36 37 38 39 40 40- 41 42 43 46 62 MRN6330972 NOT DONE NOT RECORD Nil Not done Not record UNKNOWN came in at no data no record not done not recor not record unknow unknown Date 8: Was an urine test done? 741 1810 No 1 Yes Sysmiss MCR Complete 2551 1 Incomplete 2 Complete