- Initial Population =
- AND: Age>= 8 year(s) at: Occurrence A of $EncounterInpatient
- AND: Age< 65 year(s) at: Occurrence A of $EncounterInpatient
- AND: "Procedure, Performed: Delivery Procedures" starts during Occurrence A of $EncounterInpatient
- Denominator =
- AND: "Assessment, Performed: Estimated Gestational Age at Delivery" satisfies all:
- (result >= 37 week(s))
- (result < 39 week(s))
- < 1 day(s) starts before or concurrent with start of ("Assessment, Performed: Time of Delivery" starts during Occurrence A of $EncounterInpatient )
- Denominator Exclusions =
- OR: Union of:
- "Diagnosis: Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation" overlaps Occurrence A of $EncounterInpatient
- Intersection of:
- Occurrence A of $EncounterInpatient
- "Encounter, Performed: Encounter Inpatient (diagnosis: Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation)"
- Numerator =
- AND:
- # cesarean birth while not in labor and no history of prior uterine surgery
- OR:
- AND: "Occurrence A of Procedure, Performed: Cesarean Birth" starts during Occurrence A of $EncounterInpatient
- AND NOT: "Assessment, Performed: Labor" <= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Cesarean Birth"
- AND NOT: Union of:
- "Diagnosis: Perforation of Uterus"
- "Diagnosis: Uterine Window"
- "Diagnosis: Uterine Rupture"
- "Diagnosis: Cornual Ectopic Pregnancy"
- "Procedure, Performed: Classical Cesarean Birth"
- "Procedure, Performed: Myomectomy"
- "Procedure, Performed: Transabdominal Cerclage"
- starts before start of Occurrence A of $EncounterInpatient
- # medical induction of labor while not in labor
- OR: Union of:
- "Procedure, Performed: Medical Induction of Labor"
- "Procedure, Performed: Artificial Rupture of Membranes"
- "Medication, Administered: Oxytocin"
- "Medication, Administered: Dinoprostone"
- <= 24 hour(s) starts before start of ("Assessment, Performed: Labor" starts during Occurrence A of $EncounterInpatient )
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
- $EncounterInpatient =
- "Encounter, Performed: Encounter Inpatient" satisfies all:
- (length of stay <= 120 day(s))
- ends during "Measurement Period"
- "Assessment, Performed: Estimated Gestational Age at Delivery" using "Estimated Gestational Age at Delivery SNOMEDCT Value Set (2.16.840.1.113762.1.4.1045.26)"
- "Assessment, Performed: Labor" using "Labor SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.281)"
- "Assessment, Performed: Time of Delivery" using "Time of Delivery SNOMEDCT Value Set (2.16.840.1.113762.1.4.1045.28)"
- "Diagnosis: 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: Cornual Ectopic Pregnancy" using "Cornual Ectopic Pregnancy Grouping Value Set (2.16.840.1.113762.1.4.1110.12)"
- "Diagnosis: Perforation of Uterus" using "Perforation of Uterus Grouping Value Set (2.16.840.1.113762.1.4.1110.14)"
- "Diagnosis: Uterine Rupture" using "Uterine Rupture Grouping Value Set (2.16.840.1.113762.1.4.1110.16)"
- "Diagnosis: Uterine Window" using "Uterine Window SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.137)"
- "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.307)"
- "Medication, Administered: Dinoprostone" using "Dinoprostone RXNORM Value Set (2.16.840.1.113762.1.4.1045.56)"
- "Medication, Administered: Oxytocin" using "Oxytocin RXNORM Value Set (2.16.840.1.113762.1.4.1045.55)"
- "Procedure, Performed: Artificial Rupture of Membranes" using "Artificial Rupture of Membranes SNOMEDCT Value Set (2.16.840.1.113762.1.4.1045.57)"
- "Procedure, Performed: Cesarean Birth" using "Cesarean Birth Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.282)"
- "Procedure, Performed: Classical Cesarean Birth" using "Classical Cesarean Birth Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.421)"
- "Procedure, Performed: Delivery Procedures" using "Delivery Procedures Grouping Value Set (2.16.840.1.113762.1.4.1045.59)"
- "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 SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.422)"
- "Procedure, Performed: Transabdominal Cerclage" using "Transabdominal Cerclage Grouping Value Set (2.16.840.1.113762.1.4.1110.18)"
- Attribute: "Diagnosis: 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)"
- "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)"
- "Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeGender Value Set (2.16.840.1.113762.1.4.1)"