Release Notes:
Data Element
Version 2010B
| Data Element Name: | Spontaneous Rupture of Membranes |
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| Collected For: | PC-01, |
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| Definition: | Documentation that the patient had spontaneous rupture of membranes (SROM) before medical induction and/or cesarean section. |
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| Suggested Data Collection Question: | Is there documentation that the patient had spontaneous rupture of membranes before medical induction and/or cesarean section? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| 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. |
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| 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 Amnisure test or equivalent
- Patient report of SROM prior to hospital arrival
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| Suggested Data Sources: |
History and physical
Nursing notes
Physician progress notes |
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion | |
None
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None |
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Spontaneous Rupture of Membranes
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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