Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Centre Number
Item
Centre Number
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Randomisation Number
Item
Randomisation Number
text
C0034656 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
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
date
C1287845 (UMLS CUI [1])
Item
Was the mother using a method of contraception?
text
C0700589 (UMLS CUI [1])
Code List
Was the mother using a method of contraception?
Contraceptive method, specification
Item
If there was a use of 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)
Laboratory tests and procedures (e.g., ultrasound, amniocentesis and chorionic villi sampling)
Item
Relevant laboratory tests and procedures (e.g., ultrasound, amniocentesis and chorionic villi sampling, including dates of tests and procedures)
text
C0022885 (UMLS CUI [1])
C0041618 (UMLS CUI [2])
C0002627 (UMLS CUI [3])
C0008509 (UMLS CUI [4])
Number of previous pregnancies: Pre-term
Item
Number of previous pregnancies: Pre-term
integer
C0422807 (UMLS CUI [1,1])
C1547235 (UMLS CUI [1,2])
Number of previous pregnancies: Full-term
Item
Number of previous pregnancies: Full-term
integer
C0422807 (UMLS CUI [1,1])
C3814420 (UMLS CUI [1,2])
Normal Births
Item
Normal Births
integer
C3665337 (UMLS CUI [1])
Stillbirths
Item
Stillbirths
integer
C0595939 (UMLS CUI [1])
Children born with defects
Item
Children born with defects
integer
C0000768 (UMLS CUI [1])
Spontaneous abortion
Item
Spontaneous abortion
integer
C0000786 (UMLS CUI [1])
Elective abortion
Item
Elective abortion
integer
C0269439 (UMLS CUI [1])
Other
Item
Other
integer
C0205394 (UMLS CUI [1])
Details of children born with defects
Item
Record details of children born with defects
text
C1522508 (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?
Additional factors,specification
Item
If there are any additional factors impacting pregnancy outcome, please specify
text
C0035648 (UMLS CUI [1,1])
C0032972 (UMLS CUI [1,2])
Fathers relevant medical/family history
Item
Fathers relevant medical/family history
text
C0015671 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0241889 (UMLS CUI [1,3])
Drug Name
Item
Drug Name
text
C0013227 (UMLS CUI [1])
Route of Administration or Formulation
Item
Route of Administration or Formulation
text
C0013153 (UMLS CUI [1])
Total Daily Dosis
Item
Total Daily Dosis
text
C2348070 (UMLS CUI [1])
Units, medication
Item
Units, medication
text
C1519795 (UMLS CUI [1])
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
C2826696 (UMLS CUI [1])
Item
Was the subject withdrawn from the study as a result of this pregnancy?
text
C0422727 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
Code List
Was the subject withdrawn from the study as a result of this pregnancy?
Name
Item
Name
text
C2826892 (UMLS CUI [1])
Title
Item
Title
text
C3888414 (UMLS CUI [1,1])
C0008961 (UMLS CUI [1,2])
Speciality
Item
Speciality
text
C0037778 (UMLS CUI [1,1])
C0008961 (UMLS CUI [1,2])
Address
Item
Address
text
C1442065 (UMLS CUI [1,1])
C0008961 (UMLS CUI [1,2])
City or State/Province
Item
City or State/Province
text
C0008848 (UMLS CUI [1])
Country
Item
Country
text
C0454664 (UMLS CUI [1])
Post or Zip Code
Item
Post or Zip Code
text
C1442065 (UMLS CUI [1,1])
C1514254 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
Telephone No
Item
Telephone No
text
C1515258 (UMLS CUI [1])
Fax No
Item
Fax No
text
C1549619 (UMLS CUI [1])
Investigator's signature
Item
Investigator's signature
text
C2346576 (UMLS CUI [1])
Date of signature
Item
Date of signature
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Investigator's name (print)
Item
Investigator's name (print)
text
C2826892 (UMLS CUI [1])