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Specifications Manual for Joint Commission National Quality Measures (v2015B2)
Home » Number of Previous Live Births

Release Notes:
Data Element
Version 2015B2

Data Element Name: Number of Previous Live Births
Collected For: PC-02,
Definition:The number of deliveries resulting in a live birth the patient experienced prior to current hospitalization.
Suggested Data Collection Question:How many deliveries resulting in a live birth did the patient experience prior to current hospitalization?
Format:
Length:2 or UTD
Type:Alphanumeric
Occurs:1
Allowable Values:

0-50

UTD=Unable to Determine
Notes for Abstraction:Parity may be used for the number of previous deliveries resulting in a live birth if zero is documented. For any number greater than zero, parity may ONLY be used provided there is additional documentation indicating the same number of live births experienced prior to this hospitalization.

The delivery or operating room record should be reviewed first for the number of previous live births. If the number of previous live births is not recorded in the delivery or operating room record, then continue to review the data sources in the following order: history and physical, prenatal forms,clinician admission progress note and discharge summary until a positive finding for the number of previous live births is found. In cases where there is conflicting data, the number of previous live births found in the first document according to the order listed in the Only Acceptable Sources should be used.

If gravidity is documented as one, the number of previous live births should be considered zero.

The previous delivery of live twins or any live multiple gestation is considered one live birth event.

Documentation in the acceptable data sources may be written by the following clinicians: physician, certified nurse midwife (CNM), advanced practice nurse/physician assistant (APN/PA) or registered nurse (RN).

It is acceptable to use data derived from vital records reports received from state or local departments of public health, delivery logs or clinical information systems if they are available and are directly derived from the medical record with a process in place to confirm their accuracy. If this is the case, these may be used in lieu of the Only Acceptable Sources listed below.

If primagravida or nulliparous is documented select zero for the number of previous live births.
Suggested Data Sources:

ONLY ACCEPTABLE SOURCES IN ORDER OF PREFERENCE:
  • Delivery record, note or summary
  • Operating room record, note or summary
  • History and physical
  • Prenatal forms
  • Admission clinician progress note
  • Discharge summary
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

Number of Previous Live Births
Specifications Manual for Joint Commission National Quality Measures (v2015B2)
Discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)
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