List of Changes

MMRIA Forms

#	MMRIA Form Name	Screen Shots	MMRIA Fields Changed
ALL	All MMRIA Forms
1	Home Record		New textboxes for: Abstraction Begin Date, Abstraction Complete Date, Project Review Date New picklist: Case status New picklist: Abstractor-assigned pregnancy status based on overall review of records New textbox: # of days after end of pregnancy New picklist: Pregnancy Outcome New textbox: Specify Other Pregnancy Outcome New picklist: Form Status – Community Vital Signs
2	Death Certificate		New textbox: Age at death (on death certificate)
3	Birth/Fetal Death Certificate – Parent Section		New textbox: Other Hispanic, specify New textbox: Specify Other Infection
4	Birth/Fetal Death Certificate – Infant/Fetal Section
5	Community Vital Signs		New picklist: Was Community Vital Signs used in case review? New picklist: If yes, how was Community Vital Signs used? New textbox: Specify other use New textbox: Reviewer's Notes about the Community Vital Signs?
6	Social & Environmental Profile		New textbox: Other Substance New picklist: “Was the Decedent ever Arrested? New grid (for arrests) like incarcerations with textboxes for: Date of arrest, reason for arrest and when was decedent arrested? New picklist: Was the decedent’s gender identified as not female* in any of the records available to the abstractor(s)? New picklist: Please identify the source(s) of information from which the decedent’s gender was identified as not female* New textbox: Describe Other source(s) New textbox: Please enter the term(s) used in the source documents that identified the decedent’s gender as not female*
7	Autopsy Report		Removed picklist: “Was an autopsy performed? New picklist: Was there an autopsy referral? New picklist: What type of autopsy or examination was performed? New picklist: Is autopsy/external examination report available? New textbox: Other Substance New picklists: Fetal Weight/Length - Unit of Measurement New textbox: Fetal Weight (ounces)
8	Prenatal Care Record		New textbox: Other Substance New textbox: Was Pregnancy Planned – Other Specify New textbox: Specify Other Birth Control Method New picklist: Infant Weight - Unit of Measurement New textbox: Infant Weight (ounces) New textbox: Heart Rate New textbox: Oxygen Saturation New textbox: Routine Monitoring Grid – Comments New textbox: Diagnostic Procedures Grid – Comments New textbox: Sources of Prenatal Care Grid – Comments
9	ER Visits & Hospitalizations		Remove First Name, Middle Name, Last Name, Maiden Name New picklist: Principal Source of Payment New textbox: Specify Other Source of Payment New textbox: Specify Other Type of Facility New picklist: Body System New textbox: Laboratory Tests Grid – Comments New textbox: Specify Other Pregnancy Outcome New textbox: Heart Rate New textbox: Oxygen Saturation New textbox: Vital Signs Grid – Comments New textbox: List of Medications – Comments
10	Other Medical Office Visits		New textbox: Specify Other Visit Type New textbox: Heart Rate New textbox: Oxygen Saturation New textbox: Vital Signs Grid – Comments New textbox: Laboratory Tests Grid – Comments New textbox: Medications Grid – Comments
11	Medical Transport		New “Origin” and “Destination” address textboxes for – Street, Unit number, City, State, Country, Zip code, County to facilitate automated geocoding of addresses and distance calculations to aid abstractors. New “Origin” and “Destination” Hospital Trauma Level of Care and Hospital Maternal Level of Care. New textbox: Heart Rate New textbox: Transport Vital Signs Grid – Comments New picklist: Place of Destination New textbox: Specify Other Destination
12	Mental Health Profile		New textbox: Documented Preexisting Mental Health Conditions Grid – Comments New textbox: Where there Documented Screenings Grid – Findings New textbox: Where there Documented Screenings Grid - Comments
13	Informant Interview		Remove Ethnicity, Race
14	Case Narrative
15	Committee Decisions Form		Instead of 2 separate grids (sub-forms) one for Contributing Factors and one for Recommendations, there is now one combined grid where users can specify Contributing Factors and provide associated recommendations. In new grid added new picklist – Contributing Factor Class Level. New picklist – Did discrimination contribute to the death? New textbox: If recommendations and opportunities for strengthening systems and processes were discussed during the review of this death but would not have prevented this specific death, please document those recommendations here.