-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 8 year(s) starts before start of "Occurrence A of Encounter, Performed:
Inpatient Encounter"
- AND: "Patient Characteristic Birthdate: birth date" < 65 year(s) starts before start of "Occurrence A of Encounter, Performed:
Inpatient Encounter"
- AND: "Occurrence A of Encounter, Performed: Inpatient Encounter (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Inpatient Encounter (discharge datetime)" during "Measurement Period"
- AND:
- OR: "Diagnosis, Active: Complication Mainly Related to Pregnancy"
- OR: "Diagnosis, Active: Normal Delivery and Other Indications for Care"
- OR: "Diagnosis, Active: Complication Mainly in the Course of Labor and Delivery"
- OR: "Diagnosis, Active: Complication of the Puerperium"
- OR: "Diagnosis, Active: Outcome of Delivery"
- OR: "Procedure, Performed: Delivery Procedures"
- starts during "Occurrence A of Encounter, Performed: Inpatient Encounter"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Patient Characteristic: Gestational Age <37 weeks" = 0 day(s) starts before start of ("Procedure, Performed: Delivery
Procedures" during "Occurrence A of Encounter, Performed: Inpatient Encounter")
- OR: "Patient Characteristic: Gestational Age >38 weeks" = 0 day(s) starts before start of ("Procedure, Performed: Delivery
Procedures" during "Occurrence A of Encounter, Performed: Inpatient Encounter")
- OR:
- AND NOT: "Diagnosis, Active: Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation" ends before start
of "Occurrence A of Encounter, Performed: Inpatient Encounter"
- AND: "Diagnosis, Active: Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation" starts before or during
"Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR:
- OR: "Procedure, Performed: Classical Cesarean Section"
- OR: "Procedure, Performed: Myomectomy"
- starts before start of "Occurrence A of Encounter, Performed: Inpatient Encounter"
-
Numerator =
- AND:
- OR:
- AND: "Patient Characteristic: Gestational Age 37-38 weeks" = 0 day(s) starts before start of ("Procedure, Performed: Delivery
Procedures" during "Occurrence A of Encounter, Performed: Inpatient Encounter")
- AND:
- OR: "Procedure, Performed: Medical Induction of Labor"
- OR:
- OR NOT: "Physical Exam, Finding: Active Labor" starts before start of ("Procedure, Performed: Cesarean Section" during "Occurrence
A of Encounter, Performed: Inpatient Encounter")
- OR NOT: "Diagnosis, Active: Spontaneous Rupture of Membranes" starts before start of ("Procedure, Performed: Cesarean Section"
during "Occurrence A of Encounter, Performed: Inpatient Encounter")
- during "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR:
- OR NOT: "Patient Characteristic: Gestational Age 37-38 weeks" = 0 day(s) starts before start of ("Procedure, Performed: Delivery
Procedures" during "Occurrence A of Encounter, Performed: Inpatient Encounter")
- OR: "Patient Characteristic: Gestational Age Unknown" = 0 day(s) starts before start of ("Procedure, Performed: Delivery
Procedures" during "Occurrence A of Encounter, Performed: Inpatient Encounter")
-
Denominator Exceptions =
-
"Diagnosis, Active: Complication Mainly in the Course of Labor and Delivery" using "Complication Mainly in the Course of Labor and Delivery ICD-9 Value Set (2.16.840.1.113883.3.117.1.7.1.397)"
-
"Diagnosis, Active: Complication Mainly Related to Pregnancy" using "Complication Mainly Related to Pregnancy ICD-9 Value Set (2.16.840.1.113883.3.117.1.7.1.372)"
-
"Diagnosis, Active: Complication of the Puerperium" using "Complication of the Puerperium ICD-9 Value Set (2.16.840.1.113883.3.117.1.7.1.375)"
-
"Diagnosis, Active: Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation" using "Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.286)"
-
"Diagnosis, Active: Normal Delivery and Other Indications for Care" using "Normal Delivery and Other Indications for Care ICD-9 Value Set (2.16.840.1.113883.3.117.1.7.1.391)"
-
"Diagnosis, Active: Outcome of Delivery" using "Outcome of Delivery ICD-10 Value Set (2.16.840.1.113883.3.117.1.7.1.408)"
-
"Diagnosis, Active: Spontaneous Rupture of Membranes" using "Spontaneous Rupture of Membranes SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.300)"
-
"Encounter, Performed: Inpatient Encounter" using "Inpatient Encounter SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.23)"
-
"Patient Characteristic: Gestational Age <37 weeks" using "Gestational Age <37 weeks SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.402)"
-
"Patient Characteristic: Gestational Age >38 weeks" using "Gestational Age >38 weeks SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.403)"
-
"Patient Characteristic: Gestational Age 37-38 weeks" using "Gestational Age 37-38 weeks SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.287)"
-
"Patient Characteristic: Gestational Age Unknown" using "Gestational Age Unknown SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.307)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Physical Exam, Finding: Active Labor" using "Active Labor SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.281)"
-
"Procedure, Performed: Cesarean Section" using "Cesarean Section Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.282)"
-
"Procedure, Performed: Classical Cesarean Section" using "Classical Cesarean Section Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.421)"
-
"Procedure, Performed: Delivery Procedures" using "Delivery Procedures SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.401)"
-
"Procedure, Performed: Medical Induction of Labor" using "Medical Induction of Labor Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.288)"
-
"Procedure, Performed: Myomectomy" using "Myomectomy SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.422)"
-
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
-
"Patient Characteristic Payer: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.114222.4.11.3591)"
-
"Patient Characteristic Race: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
-
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex Administrative Sex Value Set (2.16.840.1.113762.1.4.1)"