-
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: "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"
- OR: "Diagnosis, Resolved: Perforation of Uterus"
- OR: "Diagnosis, Resolved: Uterine Window"
- OR: "Diagnosis, Resolved: Uterine Rupture"
- 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 NOT:
- OR: "Physical Exam, Finding: Active Labor" starts before start of ("Procedure, Performed: Cesarean Section" during "Occurrence
A of Encounter, Performed: Inpatient Encounter")
- OR: "Diagnosis, Active: Spontaneous Rupture of Membranes" starts before start of ("Procedure, Performed: Cesarean Section"
during "Occurrence A of Encounter, Performed: Inpatient Encounter")
- OR: "Procedure, Performed: Medical Induction of Labor"
- 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: 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: Spontaneous Rupture of Membranes" using "Spontaneous Rupture of Membranes SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.300)"
-
"Diagnosis, Resolved: Perforation of Uterus" using "Perforation of Uterus SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.136)"
-
"Diagnosis, Resolved: Uterine Rupture" using "Uterine Rupture SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.138)"
-
"Diagnosis, Resolved: Uterine Window" using "Uterine Window SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.137)"
-
"Encounter, Performed: Inpatient Encounter" using "Inpatient Encounter SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.23)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"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 <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 Unknown" using "Gestational Age Unknown SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.307)"
-
"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)"