Variables in ULTRASOUND FORM (USG) | |||||||||
Question# | Question | Field name | Response nature | Response options | |||||
1 | PID Number | PID | ### | ||||||
2 | USG Number | USG | ## | ||||||
3 | Initials of the mother | usg_A | XX | ||||||
4 | Researcher code | usg _B | ## | ||||||
5 | Date
of USG (According to English calender) |
usg _C | ##-XXX-## | dd-mmm-yy | |||||
6 | Reason for USG | usg_1 | # | 1-First regular, 2- Anomaly scan 3- Third trimester regular 4- Due to problem 5-other | |||||
7 | Specify if due to problem or other | usg_1 txt | TXT | TEXT
if usg_1=5 or 4 NA if usg_1ǂ5 or 4 |
|||||
8 | Weeks of gestation according to USG report (weeks) | usg _2 | ## | ||||||
9 | Single/multiple pregnancy | usg _3 | # | 1= Single, 2= Twins, 3=Multiple | |||||
10 | Adnexae | usg_4 | # | 1= Unremarkable, 2=Abnormal, 3=Other, 9= not mentioned | |||||
11 | If abnormal, specify | usg_4 txt | TXT | NA
if usg_4=1 TEXT if usg_4ǂ1 |
|||||
12 | Cardiac activity | usg_5 | # | 1=Yes, 2= No, 9= not mentioned | |||||
13 | Fetal heart rate (bpm) | usg_5_i | ### | ###
if mentioned 999 if not mentioned |
|||||
14 | Fetal weight (grams) | usg_6 | #### | ####
if mentioned 9999 if not mentioned |
|||||
15 | Placental position | usg_7 | # | 1= Anterior, 2=Posterior, 3=Lateral, 4= Fundal, 5=Other, 6=placenta previa, 9=not mentioned | |||||
16 | If other specify | usg_7 txt | TXT | TEXT
if usg_7=5 NA if usg_7ǂ5 |
|||||
17 | Liquor/ Amniotic fluid | usg_8 | # | 1= adequate, 2= abnormal, 9= not applicable | |||||
18 | Amniotic fluid index (AFI) (cms) | usg_8_i | ##.# | ##.#
if measured 99.9 if not measured |
|||||
19 | Is there any abnormal finding? | usg _9 | # | 1=Yes, 2= No | |||||
20 | If abnormal, specify | usg _9 txt | TXT | TEXT
if usg_9=1 NA if usg_9ǂ1 |
|||||
21 | Anomaly Scan | usg_10 | # | 1=Normal, 2= Anomaly, 9= Not applicable/not done | |||||
22 | If Anomaly, specify | usg_10 txt | TXT | TEXT
if usg_10=2 NA if usg_10ǂ2 |
|||||
23 | Remarks | TXT | |||||||