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Max Researcher at Advanced Research Institute receives IRB approval to conduct PCOR on labor and delivery procedures. She plans to use several administrative claims databases from private insurers that provide care to patients in multiple states; however, a well-recognized limitation of claims databases is their lack of gestational information (e.g., gestational age, location of birth) critical for prenatal and pregnancy-related research. Therefore, Max would like to combine information from claims databases owned by insurers with birth certificate records held by individual states.

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