eCQM Title | Elective Delivery |
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eCQM Identifier (Measure Authoring Tool) | 113 | eCQM Version number | 7.3.000 |
NQF Number | 0469 | GUID | fd7ca18d-b56d-4bca-af35-71ce36b15246 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | The Joint Commission | ||
Measure Developer | The Joint Commission | ||
Endorsed By | National Quality Forum | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
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Rate Aggregation | |||
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Definition | |||
Guidance | |||
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Initial Population | |||
Denominator | |||
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Denominator Exceptions | |||
Supplemental Data Elements |
"Delivery Encounter with Age Range"
"Delivery Encounter Near Term"
"Delivery Encounter with Justifying Conditions"
"Cesarean Birth Without Labor or History of Uterine Surgery" union "Medical Induction While Not In Labor"
["Procedure, Performed": "Cesarean Birth"] CSection without "Is In Labor" Labor such that Labor.authorDatetime 24 hours or less before start of CSection.relevantPeriod
"Delivery Encounter Near Term" DeliveryEncounter with "Cesarean Birth While Not in Labor" CSectionNoLabor such that CSectionNoLabor.relevantPeriod starts during DeliveryEncounter.relevantPeriod without "History of Uterine Surgery Procedure" PriorUterineProcedure such that PriorUterineProcedure.relevantPeriod starts before start of DeliveryEncounter.relevantPeriod without "History of Uterine Surgery Diagnosis" PriorUterineDiagnosis such that PriorUterineDiagnosis.prevalencePeriod starts before start of DeliveryEncounter.relevantPeriod
"Delivery Encounter with Age Range" QualifyingEncounter with "Estimated Gestational Age Captured on the Day of Delivery" GestationalAge such that GestationalAge.authorDatetime during QualifyingEncounter.relevantPeriod
"Encounter with Age Range" EnounterWithQualifyingAge with ["Procedure, Performed": "Delivery Procedures"] DeliveryProcedure such that DeliveryProcedure.relevantPeriod starts during EnounterWithQualifyingAge.relevantPeriod
( "Delivery Encounter Near Term" DeliveryEncounter with ["Diagnosis": "Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation"] DiagnosisElectiveDelivery such that DiagnosisElectiveDelivery.prevalencePeriod overlaps DeliveryEncounter.relevantPeriod ) union ( "Delivery Encounter Near Term" DeliveryEncounter where exists ( DeliveryEncounter.diagnoses Diagnoses where Diagnoses in "Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation" ) )
"Delivery Encounter Near Term"
"Delivery Encounter with Justifying Conditions"
Global."Inpatient Encounter" EncounterInpatient with ["Patient Characteristic Birthdate"] BirthDate such that Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of EncounterInpatient.relevantPeriod)>= 8 and Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of EncounterInpatient.relevantPeriod)< 65
["Assessment, Performed": "Time of Delivery"] TimeOfDelivery with "Gestational Age Near Term" NearTermGestational such that NearTermGestational.authorDatetime during Interval[Global."ToDate"(TimeOfDelivery.authorDatetime), TimeOfDelivery.authorDatetime]
["Assessment, Performed": "Estimated Gestational Age at Delivery"] EstimatedGestationalAge where EstimatedGestationalAge.result >= 37 weeks and EstimatedGestationalAge.result < 39 weeks
["Diagnosis": "Perforation of Uterus"] union ["Diagnosis": "Uterine Window"] union ["Diagnosis": "Uterine Rupture"] union ["Diagnosis": "Cornual Ectopic Pregnancy"]
["Procedure, Performed": "Classical Cesarean Birth"] union ["Procedure, Performed": "Myomectomy"] union ["Procedure, Performed": "Transabdominal Cerclage"] union ["Procedure, Performed": "Metroplasty"] union ["Procedure, Performed": "Uterine Horn"]
"Delivery Encounter with Age Range"
["Assessment, Performed": "Labor"]
["Encounter, Performed": "Encounter Inpatient"] EncounterInpatient where "LengthInDays"(EncounterInpatient.relevantPeriod)<= 120 and EncounterInpatient.relevantPeriod ends during "Measurement Period"
["Medication, Administered": "Oxytocin"] union ["Medication, Administered": "Dinoprostone"]
from "Delivery Encounter Near Term" DeliveryEncounter, "Medical Induction Medication" InductionMedication, "Is In Labor" Labor where Labor.authorDatetime during DeliveryEncounter.relevantPeriod and InductionMedication.relevantPeriod 24 hours or less before Labor.authorDatetime return DeliveryEncounter
["Procedure, Performed": "Artificial Rupture of Membranes"] union ["Procedure, Performed": "Medical Induction of Labor"]
from "Delivery Encounter Near Term" DeliveryEncounter, "Medical Induction Procedure" InductionProcedure, "Is In Labor" Labor where Labor.authorDatetime during DeliveryEncounter.relevantPeriod and InductionProcedure.relevantPeriod 24 hours or less before Labor.authorDatetime return DeliveryEncounter
"Medical Induction Medication Administered While Not In Labor" union "Medical Induction Procedure Performed While Not In Labor"
"Cesarean Birth Without Labor or History of Uterine Surgery" union "Medical Induction While Not In Labor"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
years between ToDate(BirthDateTime)and ToDate(AsOf)
difference in days between start of Value and end of Value
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |