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Release Notes:
Data Element
Version 2013A1

Data Element Name: Spontaneous Rupture of Membranes
Collected For: PC-01,
Definition:Documentation that the patient had spontaneous rupture of membranes (SROM) before medical induction and/or cesarean section.
Suggested Data Collection Question:Is there documentation that the patient had spontaneous rupture of membranes before medical induction and/or cesarean section?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation that the patient had spontaneous rupture of membranes before medical induction and/or cesarean section.

N (No) There is no documentation that the patient had spontaneous rupture of membranes before medical induction and/or cesarean section OR unable to determine from medical record documentation.

Notes for Abstraction:If the patient's spontaneous rupture of membranes is confirmed before medical induction and/or cesarean section by one of the following methods, select allowable value "Yes":
  • Positive ferning test
  • Positive nitrazine test
  • Positive pooling (gross fluid in vagina)
  • Positive AmnisureŽ ROM test or equivalent
  • Patient report of SROM prior to hospital arrival
Suggested Data Sources:

  • History and physical
  • Nursing notes
  • Physician progress notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

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