United States Health Information Knowledgebase

 

Perinatal


Form ID: F9
Form Name: Perinatal
Version: 1.1
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. 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 for this release
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 1.1 03/31/2010 - -
DE354 Patient(s) affected by perinatal event 2 1.1 03/31/2010 - -
DE357 Maternal parity 3 1.1 03/31/2010 - -
DE360 Fetus count 4 1.1 03/31/2010 - -
DE363 Gestational age prior to delivery 5 1.1 03/31/2010 - -
DE355 Delivery date 6 1.1 03/31/2010 - -
DE366 Whether labor induced or augmented 7 1.1 03/31/2010 - -
DE369 Labor induced or augmented 8 1.1 03/31/2010 - -
DE372 Final mode of delivery 9 1.1 03/31/2010 - -
DE375 Vaginal delivery with instrumentation assistance 10 1.1 03/31/2010 - -
DE378 Type of instrumentation vaginal delivery 11 1.1 03/31/2010 - -
DE364 Neonate count 12 1.1 03/31/2010 - -
DE393 Neonate birthweight 13 1.1 03/31/2010 - -
DE381 Type of maternal adverse outcome(s) 14 1.1 03/31/2010 - -
DE384 Type of maternal infection 15 1.1 03/31/2010 - -
DE387 Type of maternal body part or organ injury(s) 16 1.1 03/31/2010 - -
DE390 Type of fetus adverse outcome 17 1.1 03/31/2010 - -
DE396 Apgar score at five minutes 18 1.1 03/31/2010 - -
DE399 Type of neonatal adverse outcome(s) 19 1.1 03/31/2010 - -
DE402 Type of neonatal birth trauma 20 1.1 03/31/2010 - -
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: 03/31/2010
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: John C. Moquin
Data Steward: Agency for Healthcare Research and Quality
References: No specific reference at this time
Administrative Status: Final
Administrative Status Date: 03/31/2010
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