Patient ID
Item
Indicate the patient's medical record number
integer
C1269815 (UMLS CUI [1])
Item
Please indicated the highest level of schooling completed.
integer
C0013658 (UMLS CUI [1])
Code List
Please indicated the highest level of schooling completed.
CL Item
None (0)
C0549184 (UMLS CUI-1)
(Comment:en)
CL Item
Primary (1)
C0013658 (UMLS CUI-1)
C0033145 (UMLS CUI-2)
(Comment:en)
CL Item
Secondary (2)
C0557289 (UMLS CUI-1)
(Comment:en)
CL Item
Tertiary (university or equivalent) (3)
C0557291 (UMLS CUI-1)
C0041740 (UMLS CUI-2)
C0205163 (UMLS CUI-3)
(Comment:en)
Race/ethnicity
Item
What is your ethnicity?
text
C0015031 (UMLS CUI [1])
Item
How many people do you have near you that you can readily count on for help in time of difficulty such as to watch over children or pets, give rides to the hospital or store, or help when you are sick?
integer
C0037438 (UMLS CUI [1])
Code List
How many people do you have near you that you can readily count on for help in time of difficulty such as to watch over children or pets, give rides to the hospital or store, or help when you are sick?
CL Item
0 (0)
C0549184 (UMLS CUI-1)
(Comment:en)
CL Item
1 (1)
C0205447 (UMLS CUI-1)
(Comment:en)
CL Item
2 - 5 (2)
C0205448 (UMLS CUI-1)
C0205451 (UMLS CUI-2)
(Comment:en)
CL Item
6 - 10 (3)
C0205452 (UMLS CUI-1)
C0205456 (UMLS CUI-2)
(Comment:en)
Item
Have you given birth before? This includes both vaginal births and Cesarean sections (operations to remove your baby from your abdomen). Please do not count miscarriages or births that happened before 20 weeks (5 months) of pregnancy.
integer
C0005615 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0042232 (UMLS CUI [2,1])
C0005615 (UMLS CUI [2,2])
C0007876 (UMLS CUI [3])
Code List
Have you given birth before? This includes both vaginal births and Cesarean sections (operations to remove your baby from your abdomen). Please do not count miscarriages or births that happened before 20 weeks (5 months) of pregnancy.
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Obstetric history: first pregnancy
Item
If you have been pregnant before, have you experienced any of the following in previous pregnancies? Please mark all that apply. 0 = This is my first pregnancy
boolean
C0425963 (UMLS CUI [1])
C0205435 (UMLS CUI [2,1])
C0032961 (UMLS CUI [2,2])
Obstetric history: premature birth
Item
If you have been pregnant before, have you experienced any of the following in previous pregnancies? Please mark all that apply. 1 = A baby born early, more than 3 weeks before his or her due date
boolean
C0425963 (UMLS CUI [1])
C0151526 (UMLS CUI [2])
Obstetric history: Hemorrhage requiring transfusion
Item
If you have been pregnant before, have you experienced any of the following in previous pregnancies? Please mark all that apply. 2 = Bleeding so much during pregnancy, birth, or after giving birth that you needed to be given blood
boolean
C0425963 (UMLS CUI [1])
C0019080 (UMLS CUI [2,1])
C1514873 (UMLS CUI [2,2])
C1879316 (UMLS CUI [2,3])
C0032961 (UMLS CUI [2,4])
C0019080 (UMLS CUI [3,1])
C1514873 (UMLS CUI [3,2])
C1879316 (UMLS CUI [3,3])
C0005615 (UMLS CUI [3,4])
C0032797 (UMLS CUI [4,1])
C1514873 (UMLS CUI [4,2])
C1879316 (UMLS CUI [4,3])
Obstetric history: cesarean section
Item
If you have been pregnant before, have you experienced any of the following in previous pregnancies? Please mark all that apply. 3 = A cesarean section (operation to remove your baby through your abdomen)
boolean
C0425963 (UMLS CUI [1])
C0007876 (UMLS CUI [2])
Obstetric history: miscarriage
Item
If you have been pregnant before, have you experienced any of the following in previous pregnancies? Please mark all that apply. 4 = Loss of a pregnancy after 20 weeks (5 months) of pregnancy
boolean
C0425963 (UMLS CUI [1])
C0595939 (UMLS CUI [2])
Medical history: None
Item
BEFORE you got pregnant, did a doctor, nurse, or other health worker tell you that you had any of the following health conditions? Please mark all that apply. 0 = None
boolean
C0549184 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C0032961 (UMLS CUI [1,4])
Medical history: Diabetes
Item
BEFORE you got pregnant, did a doctor, nurse, or other health worker tell you that you had any of the following health conditions? Please mark all that apply. 1 = Diabetes
boolean
C0262926 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0032961 (UMLS CUI [1,3])
C0011849 (UMLS CUI [2])
Medical history: High blood pressure or hypertension
Item
BEFORE you got pregnant, did a doctor, nurse, or other health worker tell you that you had any of the following health conditions? Please mark all that apply. 2 = High blood pressure or hypertension
boolean
C0262926 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0032961 (UMLS CUI [1,3])
C0020538 (UMLS CUI [2])
Medical history: mental health disorde
Item
BEFORE you got pregnant, did a doctor, nurse, or other health worker tell you that you had any of the following health conditions? Please mark all that apply. 3 = A mental health disorder such as depression, anxiety, bipolar disorder or schizophrenia
boolean
C0262926 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0032961 (UMLS CUI [1,3])
C1446377 (UMLS CUI [2])
C0011581 (UMLS CUI [3])
C0003467 (UMLS CUI [4])
C0005586 (UMLS CUI [5])
C0036341 (UMLS CUI [6])
Item
Are you pregnant with:
integer
C0032989 (UMLS CUI [1])
Code List
Are you pregnant with:
CL Item
One baby (1)
C0205447 (UMLS CUI-1)
C0021270 (UMLS CUI-2)
(Comment:en)
CL Item
Two babies (twins) (2)
C0041427 (UMLS CUI-1)
(Comment:en)
CL Item
Three or more babies (triplets or higher) (3)
C0032989 (UMLS CUI-1)
C0332300 (UMLS CUI-2)
C0041427 (UMLS CUI-3)
(Comment:en)
Body height
Item
How tall are you?
float
C0005890 (UMLS CUI [1])
Item
Height units
integer
C0005890 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
CL Item
centimeters (1)
C0475210 (UMLS CUI-1)
(Comment:en)
CL Item
inches (2)
C0439204 (UMLS CUI-1)
(Comment:en)
Body weight
Item
How much did you weigh IMMEDIATELY before your pregnancy?
float
C0005910 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0032961 (UMLS CUI [1,3])
Item
Weight units
integer
C0005910 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0032961 (UMLS CUI [1,3])
C1519795 (UMLS CUI [1,4])
CL Item
kilograms (1)
C0439209 (UMLS CUI-1)
(Comment:en)
CL Item
pounds (2)
C0439219 (UMLS CUI-1)
(Comment:en)
PROMIS-10 Global health, total score
Item
PROMIS-10 Global health, total score
integer
C3836333 (UMLS CUI [1,1])
C2964552 (UMLS CUI [1,2])
Item
In the past month, have you leaked urine, leaked stool or passed gas by accident?
integer
C0332185 (UMLS CUI [1,1])
C0021167 (UMLS CUI [1,2])
Code List
In the past month, have you leaked urine, leaked stool or passed gas by accident?
CL Item
Yes, I leaked urine (1)
C0042024 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, I leaked stool or passed gas by accident (2)
C0015733 (UMLS CUI-1)
C0428715 (UMLS CUI-2)
(Comment:en)
CL Item
No, I did not leak urine, leak stool, or pass gas by accident (3)
C1298908 (UMLS CUI-1)
(Comment:en)
ICIQ-SF, total score
Item
ICIQ-SF, total score
integer
C4544471 (UMLS CUI [1,1])
C2964552 (UMLS CUI [1,2])
Item
How often do you have accidents to solid, well-formed stool?
integer
C0681889 (UMLS CUI [1,1])
C0015732 (UMLS CUI [1,2])
C0205208 (UMLS CUI [1,3])
C3898838 (UMLS CUI [1,4])
Code List
How often do you have accidents to solid, well-formed stool?
CL Item
Less than once per month (1)
C3841785 (UMLS CUI-1)
(Comment:en)
CL Item
Less than once/week and greater than once/month (2)
C3845368 (UMLS CUI-1)
C0439093 (UMLS CUI-2)
C3845349 (UMLS CUI-3)
(Comment:en)
CL Item
Less than once/day and greater than once/week (3)
C3843156 (UMLS CUI-1)
C0556983 (UMLS CUI-2)
C0439093 (UMLS CUI-3)
C0558293 (UMLS CUI-4)
(Comment:en)
CL Item
Once a day or more than once a day (4)
C0556983 (UMLS CUI-1)
C3853132 (UMLS CUI-2)
(Comment:en)
CL Item
Never (0)
C2003901 (UMLS CUI-1)
(Comment:en)
Item
How often do you have accidents to liquid stool/diarrhea?
integer
C0681889 (UMLS CUI [1,1])
C0015732 (UMLS CUI [1,2])
C2129214 (UMLS CUI [1,3])
C3898838 (UMLS CUI [1,4])
Code List
How often do you have accidents to liquid stool/diarrhea?
CL Item
Less than once per month (1)
C3841785 (UMLS CUI-1)
(Comment:en)
CL Item
Less than once/week and greater than once/month (2)
C3845368 (UMLS CUI-1)
C0439093 (UMLS CUI-2)
C3845349 (UMLS CUI-3)
(Comment:en)
CL Item
Less than once/day and greater than once/week (3)
C3843156 (UMLS CUI-1)
C0556983 (UMLS CUI-2)
C0439093 (UMLS CUI-3)
C0558293 (UMLS CUI-4)
(Comment:en)
CL Item
Once a day or more than once a day (4)
C0556983 (UMLS CUI-1)
C3853132 (UMLS CUI-2)
(Comment:en)
CL Item
Never (0)
C2003901 (UMLS CUI-1)
(Comment:en)
Item
How often does the gas escape without your knowledge or control?
integer
C0681889 (UMLS CUI [1,1])
C4087409 (UMLS CUI [1,2])
C3898838 (UMLS CUI [1,3])
Code List
How often does the gas escape without your knowledge or control?
CL Item
Less than once per month (1)
C3841785 (UMLS CUI-1)
(Comment:en)
CL Item
Less than once/week and greater than once/month (2)
C3845368 (UMLS CUI-1)
C0439093 (UMLS CUI-2)
C3845349 (UMLS CUI-3)
(Comment:en)
CL Item
Less than once/day and greater than once/week (3)
C3843156 (UMLS CUI-1)
C0556983 (UMLS CUI-2)
C0439093 (UMLS CUI-3)
C0558293 (UMLS CUI-4)
(Comment:en)
CL Item
Once a day or more than once a day (4)
C0556983 (UMLS CUI-1)
C3853132 (UMLS CUI-2)
(Comment:en)
CL Item
Never (0)
C2003901 (UMLS CUI-1)
(Comment:en)
Item
How often do you wear a pad/depends or change underwear?
integer
C0681889 (UMLS CUI [1,1])
C0182158 (UMLS CUI [1,2])
C3898838 (UMLS CUI [1,3])
C0443172 (UMLS CUI [1,4])
C0453880 (UMLS CUI [1,5])
Code List
How often do you wear a pad/depends or change underwear?
CL Item
Less than once per month (1)
C3841785 (UMLS CUI-1)
(Comment:en)
CL Item
Less than once/week and greater than once/month (2)
C3845368 (UMLS CUI-1)
C0439093 (UMLS CUI-2)
C3845349 (UMLS CUI-3)
(Comment:en)
CL Item
Less than once/day and greater than once/week (3)
C3843156 (UMLS CUI-1)
C0556983 (UMLS CUI-2)
C0439093 (UMLS CUI-3)
C0558293 (UMLS CUI-4)
(Comment:en)
CL Item
Once a day or more than once a day (4)
C0556983 (UMLS CUI-1)
C3853132 (UMLS CUI-2)
(Comment:en)
CL Item
Never (0)
C2003901 (UMLS CUI-1)
(Comment:en)
Item
How much do the above answers alter your lifestyle or activities?
integer
C0681889 (UMLS CUI [1,1])
C3829612 (UMLS CUI [1,2])
C0015732 (UMLS CUI [1,3])
Code List
How much do the above answers alter your lifestyle or activities?
CL Item
Less than once per month (1)
C3841785 (UMLS CUI-1)
(Comment:en)
CL Item
Less than once/week and greater than once/month (2)
C3845368 (UMLS CUI-1)
C0439093 (UMLS CUI-2)
C3845349 (UMLS CUI-3)
(Comment:en)
CL Item
Less than once/day and greater than once/week (3)
C3843156 (UMLS CUI-1)
C0556983 (UMLS CUI-2)
C0439093 (UMLS CUI-3)
C0558293 (UMLS CUI-4)
(Comment:en)
CL Item
Once a day or more than once a day (4)
C0556983 (UMLS CUI-1)
C3853132 (UMLS CUI-2)
(Comment:en)
CL Item
Never (0)
C2003901 (UMLS CUI-1)
(Comment:en)
Item
In the past 30 days, how much has pain affected your satisfaction with your sex life?
integer
C2984060 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
Code List
In the past 30 days, how much has pain affected your satisfaction with your sex life?
CL Item
Have not had pain in the past 30 days (0)
C0234225 (UMLS CUI-1)
(Comment:en)
CL Item
Not at all (1)
C2003901 (UMLS CUI-1)
(Comment:en)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
(Comment:en)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
(Comment:en)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
(Comment:en)
Item
How confident do you feel about looking after your baby when he or she is born?
integer
C1704726 (UMLS CUI [1,1])
C1858460 (UMLS CUI [1,2])
Code List
How confident do you feel about looking after your baby when he or she is born?
CL Item
Not at all confident (1)
C2984077 (UMLS CUI-1)
C1704726 (UMLS CUI-2)
(Comment:en)
CL Item
Not very confident (2)
C1298908 (UMLS CUI-1)
C4036200 (UMLS CUI-2)
(Comment:en)
CL Item
Somewhat confident (3)
C2984079 (UMLS CUI-1)
C0558095 (UMLS CUI-2)
(Comment:en)
CL Item
Confident (4)
C0558095 (UMLS CUI-1)
(Comment:en)
CL Item
Very confident (5)
C4036200 (UMLS CUI-1)
(Comment:en)
Item
Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things
integer
C2706101 (UMLS CUI [1])
C0860654 (UMLS CUI [2])
Code List
Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
(Comment:en)
CL Item
Several days (2)
C3844034 (UMLS CUI-1)
(Comment:en)
CL Item
More than half the days (3)
C3828960 (UMLS CUI-1)
(Comment:en)
CL Item
Nearly every day (4)
C3845713 (UMLS CUI-1)
(Comment:en)
Item
Feeling down, depressed or hopeless
integer
C2706101 (UMLS CUI [1])
C2924103 (UMLS CUI [2])
Code List
Feeling down, depressed or hopeless
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
(Comment:en)
CL Item
Several days (2)
C3844034 (UMLS CUI-1)
(Comment:en)
CL Item
More than half the days (3)
C3828960 (UMLS CUI-1)
(Comment:en)
CL Item
Nearly every day (4)
C3845713 (UMLS CUI-1)
(Comment:en)