Mother's date of birth
Item
Mother's date of birth
date
C0026591 (UMLS CUI [1,1])
C0421451 (UMLS CUI [1,2])
Date of last menstrual period
Item
Date of last menstrual period
date
C0425932 (UMLS CUI [1])
Estimated date of delivery
Item
Estimated date of delivery
boolean
C1287845 (UMLS CUI [1])
Item
Was the mother using a method of contraception?
text
C1524063 (UMLS CUI [1,1])
C0700589 (UMLS CUI [1,2])
Code List
Was the mother using a method of contraception?
Method of contraception
Item
If "useof a method of contraception", please specify
text
C0700589 (UMLS CUI [1])
Item
Type of conception
integer
C2598844 (UMLS CUI [1])
Code List
Type of conception
CL Item
Normal (includes use of fertility drugs) (1)
CL Item
IVF (in vitro fertilisation) (2)
Relevant laboratory tests and procedures
Item
Relevant laboratory tests and procedures
text
C0022885 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
C0022885 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
C0041618 (UMLS CUI [3])
C0002627 (UMLS CUI [4,1])
C0870078 (UMLS CUI [4,2])
C0008509 (UMLS CUI [5])
Number of Pre-term
Item
Number of Pre-term
integer
C0151526 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Number of Full-term
Item
Number of Full-term
integer
C3814420 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Number of Normal births
Item
Number of Normal births
integer
C3665337 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Number of Stillbirths
Item
Number of Stillbirths
integer
C0595939 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Number of Children born with defects
Item
Number of Children born with defects
integer
C0000768 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Number of Spontaneous abortion
Item
Number of Spontaneous abortion
integer
C0000786 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Number of Elective abortion
Item
Number of Elective abortion
integer
C0269439 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Number of Other birth types
Item
Number of Other birth types
integer
C0205394 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
Children born with defects
Item
If children born with defects, please record details
text
C0008059 (UMLS CUI [1,1])
C0000768 (UMLS CUI [1,2])
Item
Are there any additional factors that may have an impact on the outcome of this pregnancy?
text
C0035648 (UMLS CUI [1,1])
C0032972 (UMLS CUI [1,2])
Code List
Are there any additional factors that may have an impact on the outcome of this pregnancy?
Specification of factors
Item
If you tick yes for "additional factors", please specify
text
C2348235 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
Medical/family history
Item
Medical/family history
text
C0262926 (UMLS CUI [1,1])
C0241889 (UMLS CUI [1,2])
Drug Name
Item
Drug Name
text
C2360065 (UMLS CUI [1])
Route of Administration or Formulation
Item
Route of Administration or Formulation
text
C0013153 (UMLS CUI [1])
Total Daily Dose
Item
Total Daily Dose
integer
C2348070 (UMLS CUI [1])
Units of Total Daily Dose
Item
Units of Total Daily Dose
text
C2348070 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Item
Started Pre-study
text
C0808070 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C2347804 (UMLS CUI [1,3])
Code List
Started Pre-study
Start date
Item
Start date
date
C0808070 (UMLS CUI [1])
Stop date
Item
Stop date
date
C0806020 (UMLS CUI [1])
Item
Ongoing Medication
text
C2826666 (UMLS CUI [1])
Code List
Ongoing Medication
Reason for Medication
Item
Reason for Medication
text
C0392360 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Item
Was the subject withdrawn from the study as a result of this pregnancy?
text
C2349954 (UMLS CUI [1])
Code List
Was the subject withdrawn from the study as a result of this pregnancy?
Name of investigator
Item
Name of investigator
text
C2826892 (UMLS CUI [1])
Title of investigator
Item
Title of investigator
text
C3888414 (UMLS CUI [1,1])
C0008961 (UMLS CUI [1,2])
Speciality of investigator
Item
Speciality of investigator
text
C0008961 (UMLS CUI [1,1])
C0037778 (UMLS CUI [1,2])
Address
Item
Address
text
C1442065 (UMLS CUI [1])
City or State/Province
Item
City or State/Province
text
C0008848 (UMLS CUI [1,1])
C1547742 (UMLS CUI [1,2])
Country
Item
Country
text
C0454664 (UMLS CUI [1])
Post or Zip code
Item
Post or Zip code
text
C1514254 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Telephone No
Item
Telephone No
integer
C1515258 (UMLS CUI [1])
Fax No
Item
Fax No
integer
C1549619 (UMLS CUI [1])
Date of signature
Item
Date of signature
date
C0807937 (UMLS CUI [1])
Investigator's signature
Item
Investigator's signature
text
C2346576 (UMLS CUI [1])
Investigator's name (print)
Item
Investigator's name (print)
text
C2826892 (UMLS CUI [1])