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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
  • Prodromal Labor

Labor
Specifications Manual for Joint Commission National Quality Measures (v2013A1)
Discharges 01-01-13 (1Q13) through 06-30-13 (2Q13)