United States Health Information Knowledgebase

 

Perinatal


Form ID: F9
Form Name: Perinatal
Version: 1.2
Form Short Name: Perinatal
Synonym: Perinatal
Definition: A perinatal event involves an adverse outcome occurring to the mother, fetus(es), or neonate(s) during the perinatal period and involves either the birthing process or an intrauterine procedure. The perinatal period extends from the 20th week of gestation through 4 weeks (28 days) postpartum.
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Guide For Use: Use this form to report any patient safety event associated with the birthing process or intrauterine procedures that occur during the perinatal period to the mother, fetus(es), or neonate(s). The perinatal period extends from the 20th week of gestation through 4 weeks (28 days) postpartum. Narrative detail can be captured on the Healthcare Event Reporting Form (HERF).
Comments: None defined at this time
Description Of Change: Not Applicable
Data Element ID Sort Data Element Name Sort Question Number Sort Version Sort Effective Date Sort Until Date Sort
DE353 Type of perinatal event 1 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE363 Gestational age prior to delivery 2 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE357 Maternal parity 3 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE360 Fetus count 4 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE354 Patient(s) affected by perinatal event 5 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE381 Type of maternal adverse outcome(s) 6 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE384 Type of maternal infection 7 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE387 Type of maternal body part or organ injury(s) 8 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE390 Type of fetus adverse outcome 9 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE396 Apgar score at five minutes 10 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE399 Type of neonatal adverse outcome(s) 11 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE402 Type of neonatal birth trauma/injury 12 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE355 Delivery date 13 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE364 Neonate count 14 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE394 Neonate/ stillborn birthweight 15 Hospital Version 1.2 04/03/2012 - -
DE366 Whether labor induced or augmented 16 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE369 Labor induced or augmented 17 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE372 Final mode of delivery 18 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE375 Vaginal delivery with instrumentation assistance 19 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE379 Type of instrumentation vaginal delivery 20 Hospital Version 1.2 04/03/2012 - -
Effective Date: 04/01/2012
Until Date: - -
Update Date: 04/24/2013
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: - -
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: Amy Helwig, MD, MS
Data Steward: Agency for Healthcare Research and Quality
References: Not Applicable
Administrative Status: Final
Administrative Status Date: 01/24/2014
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