Value Sets:
1) Abnormal Presentation Grouping value set - why are there codes for multiple fetus if the measure is related to single births?
2) All codes in the IPP Value Sets are ICD9. Assume these will be updated o ICD10?
3) What is the thought for using Delivery of Singleton value set, vs Single Live Birth value set, as in PC-05 eCQM (also Diagnosis, Active)? It appears that Delivery of Singleton contains a ICD9 and ICD10 in addition to the same SNOMED code that is in Single Live Birth.
Logic:
1) With our (Cerner's) Maternity module, and even without, it would be very uncommon to document a single delivery as Diagnosis, Active. With the Maternity module, a "Histories" section stores single delivery, gravida, parity, etc. Without the Maternity module, these are all documented as clinical events within the chart.
2) We do not see where Fetal Link data would be used within this measure as it is currently defined. Fetal Link data is more like fetal vital signs, etc.