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 |
|---|
|
|---|
| 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.
|
|---|
| 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
|
|---|
| Additional Notes: |
|
|---|
| Guidelines for Abstraction: |
|---|
| Inclusion | Exclusion |
- Active Labor
- Spontaneous Labor
| |
|
Labor
Specifications Manual for Joint Commission National Quality Measures (v2013A1)
Discharges 01-01-13 (1Q13) through 06-30-13 (2Q13)
|