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Release Notes:
Data Element
Version 2012B

Data Element Name: Prior Uterine Surgery
Collected For: PC-01, Joint Commission Only
Definition:Documentation that the patient experienced prior uterine surgery, i.e., classical cesarean section, myomectomy.
Suggested Data Collection Question:Is there documentation that the patient experienced prior uterine surgery, i.e., classical cesarean section, myomectomy?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1 The medical record contains documentation that the patient experienced a prior classical cesarean section.

2 The medical record contains documentation that the patient experienced a prior myomectomy.

3 The medical record does not contain documentation that the patient experienced a prior classical cesarean section or prior myomectomy OR unable to determine from medical record documentation.

Notes for Abstraction:The only prior uterine surgeries considered for the purposes of the measure are classical cesarean section and myomectomy.
Suggested Data Sources:

  • History and physical
  • Nursing admission assessment
  • Progress notes
  • Physician’s notes
  • Prenatal forms
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion

Prior Uterine Surgery
Specifications Manual for Joint Commission National Quality Measures (v2012B)
Discharges 07-01-12 (3Q12) through 12-31-12 (4Q12)