Ultrasound required

• linkId: 1
• Definition: Observation.value[x]

Ultrasound scan ordered Ultrasound scan ordered

• linkId: 2
• Definition: ServiceRequest.code
• Answers: Ultrasound scan ordered

Ultrasound scan conducted Ultrasound scan conducted

• linkId: 3
• Definition: Procedure.code
• Answers: Ultrasound scan conducted

Ultrasound scan date

• linkId: 4

Reason ultrasound scan not done Machine not functioning Technician not available Other reason ultrasound not done (specify)

• linkId: 5
• Definition: Procedure.code
• Answers: Reason ultrasound scan not done Choices

Amniotic fluid level Normal amniotic fluid level Reduced amniotic fluid level Increased amniotic fluid level

• linkId: 6
• Definition: Observation.value[x]
• Answers: Amniotic fluid level Choices

Placenta location Praevia Low Anterior Posterior Right side Left side Fundal

• linkId: 7
• Definition: Observation.value[x]
• Answers: Placenta location Choices

Blood type test ordered

• linkId: 8
• Definition: ServiceRequest.code

Blood type test conducted Blood type test conducted

• linkId: 9
• Definition: Procedure.code
• Answers: Blood type test conducted

Blood type test date

• linkId: 10
• Definition: Procedure.performed[x]

Blood type A B AB O

• linkId: 11
• Definition: Observation.value[x]
• Answers: Blood type Choices

Rh factor Rh positive Rh negative

• linkId: 12
• Definition: Observation.value[x]
• Answers: Rh factor Choices Grouper

HIV test required

• linkId: 13
• Definition: Observation.value[x]

HIV test ordered

• linkId: 14
• Definition: ServiceRequest.code
• Answers: HIV test ordered

HIV test conducted

• linkId: 15
• Definition: Procedure.code
• Answers: HIV test conducted

Reason HIV test not done Test stock-out Expired tests Other reason test not conducted (specify)

• linkId: 16
• Definition: Procedure.code
• Answers: Reason HIV test not done Choices

HIV test date

• linkId: 17
• Definition: Procedure.performed[x]

HIV test result HIV positive HIV negative Inconclusive

• linkId: 18
• Definition: Observation.value[x]
• Answers: HIV test result Choices Grouper

HIV status HIV positive HIV negative

• linkId: 19
• Definition: Observation.value[x]
• Answers: HIV status Choices Grouper

Partner HIV test ordered Partner HIV test ordered

• linkId: 20
• Definition: ServiceRequest.code
• Answers: Partner HIV test ordered

Partner HIV test conducted Partner HIV test conducted

• linkId: 21
• Definition: Procedure.code
• Answers: Partner HIV test conducted

Partner HIV test date

• linkId: 22
• Definition: Procedure.performed[x]

Partner HIV test result Partner HIV positive Partner HIV negative Inconclusive

• linkId: 23
• Definition: Observation.value[x]
• Answers: Partner HIV test result Choices Grouper

Partner HIV status (confirmed) HIV positive HIV negative

• linkId: 24
• Definition: Observation.value[x]
• Answers: Partner HIV status (confirmed) Choices Grouper

High risk for HIV

• linkId: 25
• Definition: Observation.value[x]

Hepatitis B test required

• linkId: 26
• Definition: Observation.value[x]

Hepatitis B test conducted Hepatitis B test conducted

• linkId: 27
• Definition: Procedure.code
• Answers: Hepatitis B test conducted

Hepatitis B test ordered Hepatitis B test ordered

• linkId: 28
• Definition: ServiceRequest.code
• Answers: Hepatitis B test ordered

Hepatitis B test type HBsAg laboratory-based immunoassay (recommended) HBsAg rapid diagnostic test (RDT) Dried blood spot (DBS) HBsAg test

• linkId: 29
• Definition: Observation.value[x]
• Answers: Hepatitis B test type Choices

Hepatitis B test result Test stock-out Expired tests Other reason test not conducted (specify) Hepatitis B positive Hepatitis B negative

• linkId: 30
• Definition: Procedure.code
• Answers: Hepatitis B test result Choices Grouper

Hepatitis B test date

• linkId: 31
• Definition: Procedure.performed[x]

Hepatitis B diagnosis Hepatitis B positive Hepatitis B negative

• linkId: 32
• Definition: Observation.value[x]
• Answers: Hepatitis B diagnosis Choices Grouper

Hepatitis C test required

• linkId: 33
• Definition: Observation.value[x]

Hepatitis C test conducted Hepatitis C test conducted

• linkId: 34
• Definition: Procedure.code
• Answers: Hepatitis C test conducted

Hepatitis C test ordered

• linkId: 35
• Definition: ServiceRequest.code
• Answers: Hepatitis C test ordered

Hepatitis C test type

Anti-HCV laboratory-based immunoassay (recommended) Anti-HCV rapid diagnostic test (RDT) Dried blood spot (DBS) anti-HCV test

• linkId: 36
• Definition: Observation.value[x]
• Answers: Hepatitis C test type Choices

Reason Hepatitis C test not done Test stock-out Expired tests Other reason test not conducted (specify)

• linkId: 37
• Definition: Procedure.code
• Answers: Reason Hepatitis C test not done Choices

Hepatitis C test date

• linkId: 38
• Definition: Procedure.performed[x]

Hepatitis C test result Hepatitis C positive Hepatitis C negative

• linkId: 39
• Definition: Observation.value[x]
• Answers: Hepatitis C test result Choices Grouper

Hepatitis C diagnosis Hepatitis C positive Hepatitis C negative

• linkId: 40
• Definition: Observation.value[x]
• Answers: Hepatitis C diagnosis Choices Grouper

Syphilis test conducted Syphilis test conducted

• linkId: 41
• Definition: Procedure.code
• Answers: Syphilis test conducted

Syphilis test ordered Syphilis test ordered

• linkId: 42
• Definition: ServiceRequest.code
• Answers: Syphilis test ordered

Syphilis test type Rapid syphilis test (RST) Rapid plasma reagin (RPR) test Off-site lab test

• linkId: 43
• Definition: Observation.value[x]
• Answers: Syphilis test type Choices Grouper

Reason syphilis test not done Test stock-out Expired tests Other reason test not conducted (specify)

• linkId: 44
• Definition: Observation.value[x]
• Answers: Reason syphilis test not done Choices

Syphilis test date

• linkId: 45
• Definition: Procedure.performed[x]

Syphilis test result Syphilis positive Syphilis negative

• linkId: 46
• Definition: Observation.value[x]
• Answers: Syphilis test result Choices Grouper

Syphilis diagnosis Syphilis positive Syphilis negative

• linkId: 47
• Definition: Observation.value[x]
• Answers: Syphilis diagnosis Choices Grouper

Urine test required

• linkId: 48
• Definition: Observation.value[x]

Urine test conducted Urine test conducted

• linkId: 49
• Definition: Procedure.code
• Answers: Urine test conducted

Urine test ordered Urine test ordered

• linkId: 50
• Definition: ServiceRequest.code
• Answers: Urine test ordered

Urine test type Midstream urine culture (recommended) Midstream urine Gram-staining Urine dipstick

• linkId: 51
• Definition: Observation.value[x]
• Answers: Urine test type Choices

Reason urine test not done Test stock-out Expired tests Other reason test not conducted (specify)

• linkId: 52
• Definition: Procedure.code
• Answers: Reason urine test not done Choices

Urine test date

• linkId: 53
• Definition: Procedure.performed[x]

Midstream urine culture (recommended) Positive - any agent Positive - Group B Streptococcus (GBS) Negative

• linkId: 54
• Definition: Observation.value[x]
• Answers: Midstream urine culture (recommended) Choices Grouper

Midstream urine Gram-staining Positive Negative

• linkId: 55
• Definition: Observation.value[x]
• Answers: Midstream urine Gram-staining Choices Grouper

Urine dipstick result - nitrites None + ++ +++ ++++

• linkId: 56
• Definition: Observation.value[x]
• Answers: Urine dipstick result - nitrites Choices Grouper

Urine dipstick result - leukocytes None + ++ +++ ++++

• linkId: 57
• Definition: Observation.value[x]
• Answers: Urine dipstick result - leukocytes Choices Grouper

Urine dipstick result - protein None + ++ +++ ++++

• linkId: 58
• Definition: Observation.value[x]
• Answers: Urine dipstick result - protein Choices Grouper

Urine dipstick result - glucose None + ++ +++ ++++

• linkId: 59
• Definition: Observation.value[x]
• Answers: Urine dipstick result - glucose Choices Grouper

Asymptomatic bacteriuria (ASB) diagnosis ASB positive ASB negative

• linkId: 60
• Definition: Observation.value[x]
• Answers: Asymptomatic bacteriuria (ASB) diagnosis Choices

Blood glucose test ordered Blood glucose test ordered

• linkId: 61
• Definition: ServiceRequest.code
• Answers: Blood glucose test ordered

Blood glucose test date

• linkId: 62
• Definition: Procedure.performed[x]

Blood glucose test type ??

• linkId: 63
• Definition: Observation.value[x]

Fasting plasma glucose

• linkId: 64
• Definition: Observation.value[x]

75 g oral glucose tolerance test (OGTT) - fasting glucose

• linkId: 65
• Definition: Observation.value[x]

75 g oral glucose tolerance test (OGTT) - 1 hour

• linkId: 66
• Definition: Observation.value[x]

75 g oral glucose tolerance test (OGTT) - 2 hours

• linkId: 67
• Definition: Observation.value[x]

Random plasma glucose

• linkId: 68
• Definition: Observation.value[x]

Blood glucose test result

• linkId: 69
• Definition: Observation.value[x]

Gestational diabetes mellitus (GDM) diagnosis GDM positive GDM negative

• linkId: 70
• Definition: Observation.value[x]
• Answers: Gestational diabetes mellitus (GDM) diagnosis Choices Grouper

Diabetes mellitus (DM) during pregnancy diagnosis DM positive DM negative

• linkId: 71
• Definition: Observation.value[x]
• Answers: Diabetes mellitus (DM) during pregnancy diagnosis Choices Grouper

Blood haemoglobin test conducted Blood haemoglobin test conducted

• linkId: 72
• Definition: Procedure.code
• Answers: Blood haemoglobin test conducted

Blood haemoglobin test ordered Blood haemoglobin test ordered

• linkId: 73
• Definition: ServiceRequest.code
• Answers: Blood haemoglobin test ordered

Blood haemoglobin test type Complete blood count test Hb test (haemoglobinometer) Hb test (haemoglobin colour scale)

• linkId: 74
• Definition: Observation.value[x]
• Answers: Blood haemoglobin test type Choices

Reason blood haemoglobin test not done Test stock-out Expired tests Other reason test not conducted (specify)

• linkId: 75
• Definition: Procedure.code
• Answers: Reason blood haemoglobin test not done Choices

Blood haemoglobin test date

• linkId: 76
• Definition: Procedure.performed[x]

Blood haemoglobin test result

• linkId: 77
• Definition: Observation.value[x]

Anaemia diagnosis Positive for anaemia Negative for anaemia

• linkId: 78
• Definition: Observation.value[x]
• Answers: Anaemia diagnosis Choices

Hematocrit (Ht)

• linkId: 79
• Definition: Observation.value[x]

White blood cell (WBC) count

• linkId: 80
• Definition: Observation.value[x]

Platelet count

• linkId: 81
• Definition: Observation.value[x]

TB screening recommended

• linkId: 82
• Definition: ServiceRequest.code

TB screening conducted TB screening conducted

• linkId: 83
• Definition: Procedure.code
• Answers: TB screening conducted

TB screening ordered TB screening ordered

• linkId: 84
• Definition: ServiceRequest.code
• Answers: TB screening ordered

Reason TB screening not done Sputum smear not available Sputum culture not available GeneXpert machine not available X-ray machine not available No sputum testing supplies available Machine not functioning Technician not available Other reason TB screening not done (specify)

• linkId: 85
• Definition: Procedure.code
• Answers: Reason TB screening not done Choices

TB screening date

• linkId: 86
• Definition: Procedure.performed[x]

TB screening result Positive for TB Negative for TB Inconclusive Incomplete (symptoms only)

• linkId: 87
• Definition: Observation.value[x]
• Answers: TB screening result Choices Grouper

Other tests conducted Other tests conducted

• linkId: 88
• Definition: Procedure.code
• Answers: Other tests conducted

Other test(s) name

• linkId: 89
• Definition: Procedure.code.text

Other test(s) date

• linkId: 90
• Definition: Procedure.performed[x]

Other test(s) result(s) ??

• linkId: 91
• Definition: Observation.value[x]