Release Notes:
Data Element
Version 2013A1
Data Element Name: | Labor |
Collected For: | PC-01, |
Definition: | Documentation by the clinician that the patient was in labor. |
Suggested Data Collection Question: | Is there documentation by the clinician that the patient was in labor? |
Format: | Length: | 1 | Type: | Alphanumeric | Occurs: | 1 |
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Allowable Values: |
Y (Yes) There is documentation by the clinician that the patient was in labor.
N (No) There is no documentation by the clinician that the patient was in labor OR unable to determine from medical record documentation.
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Notes for Abstraction: | A clinician is defined as a physician, certified nurse midwife (CNM), advanced practice nurse/physician assistant (APN/PA) or registered nurse (RN). |
Suggested Data Sources: |
- History and physical
- Nursing notes
- Physician progress notes
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Additional Notes: |
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Guidelines for Abstraction: |
Inclusion | Exclusion |
- Active Labor
- Spontaneous Labor
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Labor
Specifications Manual for Joint Commission National Quality Measures (v2013A1)
Discharges 01-01-13 (1Q13) through 06-30-13 (2Q13)
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