Release Notes:
Data Element
Version 2018B1
Name: | History of Stillbirth |
Collected For: |
PC-01 |
Definition: | Documentation that the patient had prior history of stillbirth. |
Question: | Is there documentation that the patient had prior history of stillbirth? |
Format: |
Length: | 1 |
Type: | Alphanumeric |
Occurs: | 1 |
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|
Allowable Values: |
Y (Yes) The medical record contains documentation that the patient had prior history of stillbirth.
N (No) The medical record does not contain documentation that the patient had prior history of stillbirth OR unable to determine from medical record documentation.
|
Notes for Abstraction: |
If there is documentation in the medical record of a prior pregnancy resulting in stillbirth, fetal death or intrauterine fetal demise occurring at 20 weeks gestation or greater, select “Yes.”
|
Suggested Data Sources: |
- History and physical
- Nursing admission assessment
- Progress notes
- Physician's notes
- Prenatal forms
|
Additional Notes: |
|
Guidelines for Abstraction: |
Inclusion |
Exclusion |
None
|
None |
|