eCQM Title

Elective Delivery

CMS ID

113

eCQM Version Number

15.0.000

CBE Number

Not Applicable

GUID

fd7ca18d-b56d-4bca-af35-71ce36b15246

Measurement Period

January 1, 2027 through December 31, 2027

Measure Steward

Joint Commission

Measure Developer

Joint Commission

Endorsed By

None

Description

Patients with elective vaginal deliveries or elective cesarean births at >= 37 and < 39 weeks of gestation completed

Measure specifications are in the Public Domain.

This material contains content from LOINC (http://loinc.org). LOINC is copyright (C) Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC (R) is a registered United States trademark of Regenstrief Institute, Inc.

This material includes SNOMED Clinical Terms (R) (SNOMED CT [R]) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT (R), was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

Disclaimer

These performance measures are not clinical guidelines, do not establish a standard of medical care, and have not been tested for all potential applications. The measures and specifications are provided without warranty.

Measure Scoring

Proportion

Measure Type

Process

Stratification

None

Risk Adjustment

None

Rate Aggregation

None

Rationale

For almost 3 decades, the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) have had in place a standard requiring 39 completed weeks gestation prior to ELECTIVE delivery, either vaginal or operative (ACOG Committee Opinion, 2021). A survey conducted in 2007 of almost 20,000 births in Hospital Corporation of America (HCA) hospitals throughout the U.S. carried out in conjunction with the March of Dimes at the request of ACOG revealed that almost 1/3 of all babies delivered in the United States are electively delivered with 5% of all deliveries in the U.S. delivered in a manner violating ACOG/AAP guidelines. Most of these are for convenience and result in significant short term neonatal morbidity (neonatal intensive care unit admission rates of 13- 21%) (Clark et al., 2009). An infant born prior to 39 weeks faces a 20% greater risk of significant medical consequences than those born after 39 weeks. Mortality rates are also higher among infants delivered in the early-term period compared with those born after 39 weeks, now called full-term births (Sengupta et al., 2013). According to Glantz (2005), compared to spontaneous labor, elective inductions result in more cesarean births and longer maternal length of stay. Interventions that decrease the chance of a cesarean delivery include avoiding non-medically indicated induction of labor prior to 39 weeks gestation (Quinlan & Murphy, 2015). Repeat elective cesarean births before 39 weeks gestation also result in higher rates of adverse respiratory outcomes, mechanical ventilation, sepsis and hypoglycemia for the newborns (Tita et al., 2009).

Clinical Recommendation Statement

Guidelines from the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics do not support non-medically indicated elective deliveries at <39 weeks gestation. Evidence suggests that early-term deliveries result in significant short-term neonatal morbidity. Therefore, it is recommended that elective deliveries should not be performed at <39 weeks gestation unless medically indicated.

Improvement Notation

Decreased score indicates improvement

Reference

Reference Type: Citation

Reference Text:

ACOG Committee Opinion, No. 765: Avoidance of nonmedically indicated early-term deliveries and associated neonatal morbidities. (2019). Obstetrics and Gynecology, 133(2), e156–e163. https://doi.org/10.1097/AOG.0000000000003076

Reference

Reference Type: Citation

Reference Text:

ACOG Committee Opinion, No. 831: Medically indicated late-preterm and early-term deliveries. (2021). Obstetrics and Gynecology, 138(1), e35-e39. https://doi.org/10.1097/AOG.0000000000004447

Reference

Reference Type: Citation

Reference Text:

American College of Obstetricians and Gynecologists. (2014). ReVITALize: Obstetrics data definitions. https://www.acog.org/practice-management/health-it-and-clinical-informatics/revitalize-obstetrics-data-definitions

Reference

Reference Type: Citation

Reference Text:

Clark, S. L., Miller, D. D., Belfort, M. A., Dildy, G. A., Frye, D. K., & Meyers, J. A. (2009). Neonatal and maternal outcomes associated with elective term delivery. American Journal of Obstetrics and Gynecology, 200(2), 156.e1- 156.e1564. https://doi.org/10.1016/j.ajog.2008.08.068

Reference

Reference Type: Citation

Reference Text: Glantz, J. C. (2005). Elective induction vs. spontaneous labor associations and outcomes. Journal of Reproductive Medicine, 50(4), 235-240.

Reference

Reference Type: Citation

Reference Text: Kilpatrick, S. J., Papile, L., Macones, G. A., & Watterberg, K. L. (Eds.). (2017). Guidelines for perinatal care (8th ed.). American Academy of Pediatrics.

Reference

Reference Type: Citation

Reference Text:

Quinlan, J. D., & Murphy, N. J. (2015). Cesarean delivery: Counseling issues and complication management. American Family Physician, 91(3), 178–184.

Reference

Reference Type: Citation

Reference Text:

Tita, A. T. N., Landon, M. B., Spong, C. Y., Lai, Y., Leveno, K. J., Varner, M. W., Moawad, A. H., Caritis, S. N., Meis, P. J., Wapner, R. J., Sorokin, Y., Miodovnik, M., Carpenter, M., Peaceman, A. M., O'Sullivan, M. J., Sibai, B. M., Langer, O., Thorp, J. M., Ramin, S. M., & Mercer, B. M., for the Eunice Kennedy Shriver NICHD Maternal–Fetal Medicine Units Network (2009). Timing of elective repeat cesarean delivery at term and neonatal outcomes. The New England Journal of Medicine, 360(2), 111-120. https://doi.org/10.1056/NEJMoa0803267

Definition

None

Guidance

Stillbirth: The chart-abstracted measure (PC-01 Elective Delivery) contains a denominator exclusion data element for Stillbirth. The eCQM Denominator Exclusion value set entitled "Conditions Possibly Justifying Elective Delivery" includes SNOMED CT and ICD-10-CM concepts representing Stillbirth and History of Stillbirth.

This measure allows for 3 approaches to determine gestational age (GA) in the following order of precedence:

The GA is calculated using the American College of Obstetricians and Gynecologists ReVITALize guidelines.*
When the calculated GA is not available, the GA is obtained from a discrete field in the electronic health record. The intent is to capture the last estimated GA in the interval starting 24 hours or less prior to delivery and ending before midnight on the same day of delivery.
The GA is based on ICD10 or SNOMED codes indicative of weeks gestation. This option is only used when results from items #1 and #2 (see above) are not available.

*ACOG ReVITALize Guidelines for Calculating Gestational Age:
Gestational Age = (280-(EDD minus Reference Date))/7

Estimated Due Date (EDD): The best obstetrical Estimated Due Date is determined by last menstrual period if confirmed by early ultrasound or no ultrasound performed, or early ultrasound if no known last menstrual period or the ultrasound is not consistent with last menstrual period, or known date of fertilization (e.g., assisted reproductive technology).
Reference Date is the date on which you are trying to determine gestational age. For purposes of this eCQM, Reference Date would be the Date of Delivery.

Note however, the calculation may yield a non-whole number, and gestational age should be rounded off to the nearest completed week. For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks.

This eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period. This version of the eCQM uses QDM version 5.6. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM.

Transmission Format

TBD

Initial Population

Inpatient hospitalizations for patients age >= 8 years and < 65 admitted to the hospital for inpatient acute care who undergo a delivery procedure with a discharge date that ends during the measurement period

Denominator

Inpatient hospitalizations for patients delivering newborns with >= 37 and < 39 weeks of gestation completed

Denominator Exclusions

Inpatient hospitalizations for patients with conditions possibly justifying elective delivery prior to 39 weeks gestation

Numerator

Inpatient hospitalizations for patients with elective deliveries by either:

Medical induction of labor while not in labor prior to the procedure
Cesarean birth while not in labor and with no history of a prior uterine surgery

Numerator Exclusions

None

Denominator Exceptions

None

Supplemental Data Elements

For every patient evaluated by this measure also identify payer, race, ethnicity, sex and variable calculated gestational age

Population Criteria
Definitions
Functions
Terminology
Data Criteria (QDM Data Elements)
Supplemental Data Elements
Risk Adjustment Variables

Population Criteria

Initial Population

  PCMaternal."Delivery Encounter With Age Range"

- Denominator
  - "Delivery Encounter Near Term"

Denominator Exclusions

  "Delivery Encounter With Conditions Justifying Elective Delivery"

Numerator

  "Delivery Encounter With Medical Induction Started While Not In Labor"
    union "Delivery Encounter With Cesarean Birth Without Labor Or History Of Uterine Surgery"

- Numerator Exclusions
  - None

- Denominator Exceptions
  - None

- Stratification
  - None

Definitions

Cesarean Birth Procedure While Not In Labor

  from
    "Delivery Encounter Near Term" NearTermEncounter,
    ["Procedure, Performed": "Cesarean Birth"] CSection
    where  Global."NormalizeInterval" ( CSection.relevantDatetime, CSection.relevantPeriod ) starts during PCMaternal."HospitalizationWithEDOBTriageObservation" ( NearTermEncounter ) 
       and not (exists ( "Labor Assessed" AssessedLabor 
            where Global."EarliestOf" ( AssessedLabor.relevantDatetime, AssessedLabor.relevantPeriod ) 24 hours or less before start of Global."NormalizeInterval" ( CSection.relevantDatetime, CSection.relevantPeriod ) 
                 and Global."EarliestOf" ( AssessedLabor.relevantDatetime, AssessedLabor.relevantPeriod ) during PCMaternal."HospitalizationWithEDOBTriageObservation" ( NearTermEncounter )
                 ))
    return NearTermEncounter

Delivery Encounter Near Term

  "Delivery Encounter With Calculated Gestational Age Greater Than Or Equal To 37 Weeks And Less Than 39 Weeks"
    union "Delivery Encounter With Estimated Gestational Age Greater Than Or Equal To 37 Weeks And Less Than 39 Weeks"
    union "Delivery Encounter With Gestational Age Greater Than Or Equal To 37 Weeks And Less Than 39 Weeks Based On Coding"

Delivery Encounter With Calculated Gestational Age Greater Than Or Equal To 37 Weeks And Less Than 39 Weeks

  PCMaternal."Delivery Encounter With Age Range" DeliveryEncounter
    where PCMaternal."CalculatedGestationalAge" ( DeliveryEncounter ) >= 37
      and PCMaternal."CalculatedGestationalAge" ( DeliveryEncounter ) < 39

Delivery Encounter With Cesarean Birth Without Labor Or History Of Uterine Surgery

    "Cesarean Birth Procedure While Not In Labor" CSectionNoLabor
      without "Uterine Surgery Procedure" UterineProcedure
            such that Global."NormalizeInterval" ( UterineProcedure.relevantDatetime, UterineProcedure.relevantPeriod ) starts before start of PCMaternal."HospitalizationWithEDOBTriageObservation" ( CSectionNoLabor )
      without "Uterine Surgery Diagnosis" UterineDiagnosis
            such that UterineDiagnosis.prevalencePeriod starts before start of PCMaternal."HospitalizationWithEDOBTriageObservation" ( CSectionNoLabor )

Delivery Encounter With Conditions Justifying Elective Delivery

  ( "Delivery Encounter Near Term" NearTermEncounter
      with ["Diagnosis": "Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation"] DiagnosisElectiveDelivery
        such that DiagnosisElectiveDelivery.prevalencePeriod overlaps PCMaternal."HospitalizationWithEDOBTriageObservation" ( NearTermEncounter )
  )
    union ( "Delivery Encounter Near Term" NearTermEncounter
        where exists ( NearTermEncounter.diagnoses EncounterDiagnoses
            where EncounterDiagnoses.code in "Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation"
        )
    )

Delivery Encounter With Estimated Gestational Age Greater Than Or Equal To 37 Weeks And Less Than 39 Weeks

  PCMaternal."Delivery Encounter With Age Range" DeliveryEncounter
    where PCMaternal."CalculatedGestationalAge" ( DeliveryEncounter ) is null
      and ( PCMaternal."LastEstimatedGestationalAge" ( DeliveryEncounter ) >= 37 weeks
          and PCMaternal."LastEstimatedGestationalAge" ( DeliveryEncounter ) < 39 weeks
      )

Delivery Encounter With Gestational Age Greater Than Or Equal To 37 Weeks And Less Than 39 Weeks Based On Coding

  PCMaternal."Delivery Encounter With Age Range" DeliveryEncounter
    let CGA: PCMaternal."CalculatedGestationalAge" ( DeliveryEncounter ),
    EGA: PCMaternal."LastEstimatedGestationalAge" ( DeliveryEncounter )
    where CGA is null
      and EGA is null
      and exists ( DeliveryEncounter.diagnoses EncounterDiagnoses
          where EncounterDiagnoses.code in "37 to 38 Weeks Gestation"
      )

Delivery Encounter With Medical Induction Started While Not In Labor

  from
    "Delivery Encounter Near Term" NearTermEncounter,
    "Medical Induction" Induction
    where  Global."NormalizeInterval" ( Induction.relevantDatetime, Induction.relevantPeriod ) starts during PCMaternal."HospitalizationWithEDOBTriageObservation" ( NearTermEncounter ) 
       and not (exists ( "Labor Assessed" AssessedLabor 
            where Global."EarliestOf" ( AssessedLabor.relevantDatetime, AssessedLabor.relevantPeriod ) 24 hours or less before start of Global."NormalizeInterval" ( Induction.relevantDatetime, Induction.relevantPeriod ) 
                 and Global."EarliestOf" ( AssessedLabor.relevantDatetime, AssessedLabor.relevantPeriod ) during PCMaternal."HospitalizationWithEDOBTriageObservation" ( NearTermEncounter )
                 ))
    return NearTermEncounter

Denominator
- - "Delivery Encounter Near Term"

Denominator Exclusion

  "Delivery Encounter With Conditions Justifying Elective Delivery"

Global.Inpatient Encounter

  ["Encounter, Performed": "Encounter Inpatient"] EncounterInpatient
    where EncounterInpatient.relevantPeriod ends during day of "Measurement Period"

Initial Population

  PCMaternal."Delivery Encounter With Age Range"

Labor Assessed
- - ["Assessment, Performed": "Labor"]

Medical Induction

  ["Medication, Administered": "Oxytocin"]
    union ["Medication, Administered": "Dinoprostone"]
    union ["Procedure, Performed": "Medical Induction of Labor"]

Numerator

  "Delivery Encounter With Medical Induction Started While Not In Labor"
    union "Delivery Encounter With Cesarean Birth Without Labor Or History Of Uterine Surgery"

PCMaternal.Delivery Encounter With Age Range

  "Encounter With Age Range" EncounterWithAge
    with ["Procedure, Performed": "Delivery Procedures"] DeliveryProcedure
      such that Global."NormalizeInterval" ( DeliveryProcedure.relevantDatetime, DeliveryProcedure.relevantPeriod ) starts during "HospitalizationWithEDOBTriageObservation"(EncounterWithAge)

PCMaternal.Encounter With Age Range

  Global."Inpatient Encounter" InpatientEncounter
    where AgeInYearsAt(date from start of InpatientEncounter.relevantPeriod) >= 8
      and AgeInYearsAt(date from start of InpatientEncounter.relevantPeriod) < 65

PCMaternal.Variable Calculated Gestational Age

  //This definition establishes a variable of CGA (Calculated Gestational Age).  CGA is a supplemental data element to store the calculated gestational age result from the "CalculatedGestationalAge" function.  The data element enables the capturing and saving of the CGA for data analysis post data receipt. Hospitals do not need to submit any additional data to comply with this definition.  
  
  "Delivery Encounter With Age Range" DeliveryEncounter
    let CGA: "CalculatedGestationalAge"(DeliveryEncounter)
    return { DeliveryEncounter, CGA }

SDE Ethnicity

  ["Patient Characteristic Ethnicity": "Ethnicity"]

SDE Payer

  ["Patient Characteristic Payer": "Payer Type"]

SDE Race

  ["Patient Characteristic Race": "Race"]

SDE Sex

  ["Patient Characteristic Sex": "Federal Administrative Sex"]

SDE Variable Calculated Gestational Age

  PCMaternal."Variable Calculated Gestational Age"

Uterine Surgery Diagnosis

  ["Diagnosis": "Perforation of Uterus"]
    union ["Diagnosis": "Uterine Window"]
    union ["Diagnosis": "Uterine Rupture"]
    union ["Diagnosis": "Cornual Ectopic Pregnancy"]

Uterine Surgery Procedure

  ["Procedure, Performed": "Classical Cesarean Birth"]
    union ["Procedure, Performed": "Myomectomy"]
    union ["Procedure, Performed": "Transabdominal Cerclage"]
    union ["Procedure, Performed": "Metroplasty"]
    union ["Procedure, Performed": "Uterine Horn"]

Functions

Global.Earliest(period Interval<DateTime>)

  if ( HasStart(period)) then start of period 
    else 
  end of period

Global.EarliestOf(pointInTime DateTime, period Interval<DateTime>)
- - Earliest(NormalizeInterval(pointInTime, period))

Global.HasStart(period Interval<DateTime>)

  not ( start of period is null
      or start of period = minimum DateTime
  )

Global.NormalizeInterval(pointInTime DateTime, period Interval<DateTime>)

  if pointInTime is not null then Interval[pointInTime, pointInTime]
    else if period is not null then period 
    else null as Interval<DateTime>

PCMaternal.CalculatedGestationalAge(Encounter "Encounter, Performed")

  // Age = (280-(Estimated Delivery Date minus Reference Date/Delivery Date))/7
  
  ( 280 - ( difference in days between "LastTimeOfDelivery"(Encounter) and "LastEstimatedDeliveryDate"(Encounter) ) ) div 7

PCMaternal.HospitalizationWithEDOBTriageObservation(Encounter "Encounter, Performed")

  //HospitalizationWithEDOBTriageObservation returns the total interval from the start of any immediately prior emergency department visit or OB Triage visit through the observation visit to the discharge of the given encounter.
  
  Encounter Visit
    let ObsVisit: Last(["Encounter, Performed": "Observation Services"] LastObs
        where LastObs.relevantPeriod ends 1 hour or less on or before start of Visit.relevantPeriod
        sort by end of relevantPeriod
    ),
    VisitStart: Coalesce(start of ObsVisit.relevantPeriod, start of Visit.relevantPeriod),
    EDOBTriageVisit: Last(["Encounter, Performed": "ED Visit and OB Triage"] LastEDOBTriage
        where LastEDOBTriage.relevantPeriod ends 1 hour or less on or before VisitStart
        sort by end of relevantPeriod
    )
    return Interval[Coalesce(start of EDOBTriageVisit.relevantPeriod, VisitStart), 
        end of Visit.relevantPeriod]

PCMaternal.LastEstimatedDeliveryDate(Encounter "Encounter, Performed")

  //This function identifies the last time the Estimated Delivery Date was assessed 42 weeks or less prior to or on delivery and stores the result of that assessment. 
  
  Last(["Assessment, Performed": "Delivery date Estimated"] EstimatedDateOfDelivery
      where Global."EarliestOf"(EstimatedDateOfDelivery.relevantDatetime, EstimatedDateOfDelivery.relevantPeriod) 42 weeks or less before or on "LastTimeOfDelivery"(Encounter)
        and EstimatedDateOfDelivery.result is not null
      sort by Global."EarliestOf"(relevantDatetime, relevantPeriod)
  ).result as DateTime

PCMaternal.LastEstimatedGestationalAge(Encounter "Encounter, Performed")

  Last(["Assessment, Performed": "Estimated Gestational Age"] EstimatedGestationalAge
      let EGATiming: Global."EarliestOf"(EstimatedGestationalAge.relevantDatetime, EstimatedGestationalAge.relevantPeriod)
      where (EGATiming 24 hours or less before or on "LastTimeOfDelivery"(Encounter)
          and EstimatedGestationalAge.result is not null
      )
        or (EGATiming same day as "LastTimeOfDelivery"(Encounter)
            and EGATiming during "HospitalizationWithEDOBTriageObservation"(Encounter)
            and EstimatedGestationalAge.result is not null
        )
      sort by Global."EarliestOf"(relevantDatetime, relevantPeriod)
  ).result as Quantity

PCMaternal.LastTimeOfDelivery(Encounter "Encounter, Performed")

  Last(["Assessment, Performed": "Date and time of obstetric delivery"] TimeOfDelivery
      where Global."EarliestOf"(TimeOfDelivery.relevantDatetime, TimeOfDelivery.relevantPeriod) during "HospitalizationWithEDOBTriageObservation"(Encounter)
        and TimeOfDelivery.result as DateTime during "HospitalizationWithEDOBTriageObservation"(Encounter)
      sort by Global."EarliestOf"(relevantDatetime, relevantPeriod)
  ).result as DateTime

Terminology

code "Date and time of obstetric delivery" ("LOINC Code (93857-1)")
code "Delivery date Estimated" ("LOINC Code (11778-8)")
valueset "37 to 38 Weeks Gestation" (2.16.840.1.113762.1.4.1110.69)
valueset "Cesarean Birth" (2.16.840.1.113883.3.117.1.7.1.282)
valueset "Classical Cesarean Birth" (2.16.840.1.113883.3.117.1.7.1.421)
valueset "Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation" (2.16.840.1.113883.3.117.1.7.1.286)
valueset "Cornual Ectopic Pregnancy" (2.16.840.1.113762.1.4.1110.12)
valueset "Delivery Procedures" (2.16.840.1.113762.1.4.1045.59)
valueset "Dinoprostone" (2.16.840.1.113762.1.4.1045.56)
valueset "ED Visit and OB Triage" (2.16.840.1.113762.1.4.1029.369)
valueset "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307)
valueset "Estimated Gestational Age" (2.16.840.1.113762.1.4.1045.26)
valueset "Ethnicity" (2.16.840.1.114222.4.11.837)
valueset "Federal Administrative Sex" (2.16.840.1.113762.1.4.1021.121)
valueset "Labor" (2.16.840.1.113883.3.117.1.7.1.281)
valueset "Medical Induction of Labor" (2.16.840.1.113883.3.117.1.7.1.288)
valueset "Metroplasty" (2.16.840.1.113762.1.4.1110.25)
valueset "Myomectomy" (2.16.840.1.113883.3.117.1.7.1.422)
valueset "Observation Services" (2.16.840.1.113762.1.4.1111.143)
valueset "Oxytocin" (2.16.840.1.113762.1.4.1045.55)
valueset "Payer Type" (2.16.840.1.114222.4.11.3591)
valueset "Perforation of Uterus" (2.16.840.1.113762.1.4.1110.14)
valueset "Race" (2.16.840.1.114222.4.11.836)
valueset "Transabdominal Cerclage" (2.16.840.1.113762.1.4.1110.18)
valueset "Uterine Horn" (2.16.840.1.113762.1.4.1110.24)
valueset "Uterine Rupture" (2.16.840.1.113762.1.4.1110.16)
valueset "Uterine Window" (2.16.840.1.113883.3.117.1.7.1.137)

Data Criteria (QDM Data Elements)

"Assessment, Performed: Date and time of obstetric delivery" using "Date and time of obstetric delivery (LOINC Code 93857-1)"
"Assessment, Performed: Delivery date Estimated" using "Delivery date Estimated (LOINC Code 11778-8)"
"Assessment, Performed: Estimated Gestational Age" using "Estimated Gestational Age (2.16.840.1.113762.1.4.1045.26)"
"Assessment, Performed: Labor" using "Labor (2.16.840.1.113883.3.117.1.7.1.281)"
"Diagnosis: Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation" using "Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation (2.16.840.1.113883.3.117.1.7.1.286)"
"Diagnosis: Cornual Ectopic Pregnancy" using "Cornual Ectopic Pregnancy (2.16.840.1.113762.1.4.1110.12)"
"Diagnosis: Perforation of Uterus" using "Perforation of Uterus (2.16.840.1.113762.1.4.1110.14)"
"Diagnosis: Uterine Rupture" using "Uterine Rupture (2.16.840.1.113762.1.4.1110.16)"
"Diagnosis: Uterine Window" using "Uterine Window (2.16.840.1.113883.3.117.1.7.1.137)"
"Encounter, Performed: ED Visit and OB Triage" using "ED Visit and OB Triage (2.16.840.1.113762.1.4.1029.369)"
"Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient (2.16.840.1.113883.3.666.5.307)"
"Encounter, Performed: Observation Services" using "Observation Services (2.16.840.1.113762.1.4.1111.143)"
"Medication, Administered: Dinoprostone" using "Dinoprostone (2.16.840.1.113762.1.4.1045.56)"
"Medication, Administered: Oxytocin" using "Oxytocin (2.16.840.1.113762.1.4.1045.55)"
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity (2.16.840.1.114222.4.11.837)"
"Patient Characteristic Payer: Payer Type" using "Payer Type (2.16.840.1.114222.4.11.3591)"
"Patient Characteristic Race: Race" using "Race (2.16.840.1.114222.4.11.836)"
"Patient Characteristic Sex: Federal Administrative Sex" using "Federal Administrative Sex (2.16.840.1.113762.1.4.1021.121)"
"Procedure, Performed: Cesarean Birth" using "Cesarean Birth (2.16.840.1.113883.3.117.1.7.1.282)"
"Procedure, Performed: Classical Cesarean Birth" using "Classical Cesarean Birth (2.16.840.1.113883.3.117.1.7.1.421)"
"Procedure, Performed: Delivery Procedures" using "Delivery Procedures (2.16.840.1.113762.1.4.1045.59)"
"Procedure, Performed: Medical Induction of Labor" using "Medical Induction of Labor (2.16.840.1.113883.3.117.1.7.1.288)"
"Procedure, Performed: Metroplasty" using "Metroplasty (2.16.840.1.113762.1.4.1110.25)"
"Procedure, Performed: Myomectomy" using "Myomectomy (2.16.840.1.113883.3.117.1.7.1.422)"
"Procedure, Performed: Transabdominal Cerclage" using "Transabdominal Cerclage (2.16.840.1.113762.1.4.1110.18)"
"Procedure, Performed: Uterine Horn" using "Uterine Horn (2.16.840.1.113762.1.4.1110.24)"

Supplemental Data Elements

SDE Ethnicity

  ["Patient Characteristic Ethnicity": "Ethnicity"]

SDE Payer

  ["Patient Characteristic Payer": "Payer Type"]

SDE Race

  ["Patient Characteristic Race": "Race"]

SDE Sex

  ["Patient Characteristic Sex": "Federal Administrative Sex"]

SDE Variable Calculated Gestational Age

  PCMaternal."Variable Calculated Gestational Age"

Risk Adjustment Variables

None

Measure Set

eMeasure Perinatal Care (ePC)