​Thank you for your question. In short, the eCQM alreadly allows for exclusion of cases with history of stillbirth, thus no change is needed. The eCQM currently includes codes to represent stillbirth, included in the Conditions Possibly Justifying Elective Delivery value set (2.16.840.1.113883.3.117.1.7.1.286). Cases in which one of these codes is used overlapping the encounter are excluded and will continue to be excluded. (overlapping= effective at some point in time during the encounter) Background The chart-abstracted measure represented Stillbirths using code series O0929x, Supervision of pregnancy with other poor reproductive or obstetric history. In the ICD-10 coding updates effective Oct. 1, 2016, the guideline states that the codes in the O09 range can only be used for visits in which the patient does not deliver. Therefore, on a visit in which the patient delivers, O09 cannot be used. The code series O0929x Supervision of pregnancy with other poor reproductive or obstetric history was removed from Table 11.07 Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation as of Oct. 1, 2016. The codes were also removed from the eCQM as part of the ICD-10 Addendum, posted January 1, 2017, and effective for the 2016 reporting year (submission by March 13, 2017).   The new data element History of Stilllbirth appears in version 2017A of the Specifications Manuarl for Joint Commission National Quality Measures, effective for discharges 7/1/2017 through 12/31/2017.   Recommendation The new chart-abstracted data element allows for medical record documentation of a prior history of stillbirth from a variety of data sources ( https://manual.jointcommission.org/releases/TJC2017A/DataElem0765.html ). These data sources could be mapped to the existing SNOMED CT codes included in the Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation value set in order to capture prior history of stillbirth as structured and encoded data.