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