[DM/URSA-MSSP] Data Mart for URSA-MSSP CQM Patient Timelines

  • Published on Aug 21, 2025
  • 7 minute(s) read
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Object Description

One row per patient-period for living patients with any data coverage.

Metadata

  • Table Name: ursa.dm_ursa_mssp_cqm_001
  • Layer: DATA_MART
  • Object Type: Single Stack
  • Temporal Class: Interval (Timeline)
  • Case ID: Patient ID
  • Interval Start Date: Period Start Date
  • Interval End Date: Period End Date
  • Primary Key: Patient ID, Period Start Date, Period End Date

Published Fields

  • Data Model Keys

    • Patient ID -- The internal database identifier (used, e.g., for joins and primary keys) for the patient. This value is typically mastered, i.e., all records for the same patient, regardless of the source data system from which that record originated, should have the same Patient ID value. (Note that while the mastered Patient ID value might resemble a local identifier used in one of the upstream data sources, this does not indicate any special priority of that source system in determining the characteristics of the patient.) (See also [URSA-CORE] Patient)
    • Affiliated Program Entity ID -- The internal database identifier (used, e.g., for joins and primary keys) for the affiliated program entity of the reference patient or provider. (See also [URSA-CORE] Affiliated Program Entity)
    • Affiliated Program Entity Provider ID
    • Primary Payor ID -- The internal database identifier (used, e.g., for joins and primary keys) for the Primary Payor. (See also [URSA-CORE] Primary Payor)
    • Primary Plan ID
    • Primary Plan Attributee Provider ID
    • Primary Plan Attributee Individual Provider ID
    • Primary Plan Attributee Provider Group Provider ID
    • Primary Plan Attributee Provider Contract ID

  • Operations Support Fields

    • Is Patient Affiliated to a Program Entity
    • Program Entity Operational ID
    • Program Operational ID
    • Patient Operational ID -- The user-facing value used by staff used to uniquely identify the Patient in their administrative systems and/or day-to-day operations. (See also [URSA-CORE] Patient)

  • Patient Fields

    • Is Patient Alive
    • Patient Age Integer -- Patient age, expressed as an integer, as of a reference date or interval.
    • Count Hospital Inpatient Admissions in Last 12 Months
    • Count ED Visits Without Inpatient Admissions in Last 12 Months
    • Patient Date of Birth -- The patient's date of birth. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the date of birth found on that particular type of record in the source data.
    • Patient Date of Death
    • Patient State Abbreviation
    • Patient ZIP Code 5-Digit
    • UW HIP ADI Quintile Category -- The UW HIP Area Deprivation Index National Percentile grouped into 5 levels, each spanning 20 percentile points (ADI 1 is percentile scores from 1 to 20 while ADI 5 is scores from 81 to 100). Higher scores indicate more deprivation, so ADI 1 is the least deprived while ADI 5 is the most deprived. Quintiles are frequently used in health research. They give larger sample sizes per group and are easier to plot and interpret. Quintiles also carry less information and group more dissimilar patients. Quintiles are good for descriptive analyses while the original percentile measure is preferable for predictive modeling. (See also [URSA-CORE] UW HIP Area Deprivation Index National Percentile)
    • UW HIP ADI Decile Category
    • Is Patient Sex Female -- Indicates the patient's sex is female. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the patient sex documented on that particular type of record in the source data.
    • Is Patient Sex Male -- Indicates the patient's sex is male. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the patient sex documented on that particular type of record in the source data.
    • UW HIP Area Deprivation Index National Percentile -- A value between 1 and 100 representing the composite measure of socioeconomic deprivation from University of Wisconsin’s School of Medicine and Public Health. Scores are for Census Block Group geographic level, which generally contains between 600 and 3,000 people. Higher scores indicate more deprivation, so a score of 1 indicates the least deprivation while a score of 100 indicates the most deprivation. Percentiles are constructed by ranking the ADI from low to high for the nation and grouping the block groups into bins corresponding to each 1% range of the ADI. The 2019 ADI was constructed using the 2015-2019 5-year estimates from the US Census' American Community Survey and includes 17 component measures that span the domains of income, education, employment, and housing quality. It may be linked with the 9-digit ZIP code crosswalk, which was built to correspond directly to Census block groups. The 2019 ADI was released on 07/14/2021 and is the most recent version as of 02/02/22.

  • Date Fields

    • Period Start Date
    • Period End Date
    • Current Continuous Primary Payor Membership Episode Start Date -- The start date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. (See also [URSA-CORE] Continuous Primary Payor Membership Episode)
    • Current Continuous Primary Payor Membership Episode End Date -- The end date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. Values follow the standard exclusive convention for Period End Dates. (See also [URSA-CORE] Continuous Primary Payor Membership Episode, [URSA-CORE] Period End Date)
    • Last Continuous Primary Payor Membership Episode Start Date -- The start date of the most recent prior completed Continuous Primary Payor Membership Episode as of the (potentially historical) period covered by the record. (See also [URSA-CORE] Continuous Primary Payor Membership Episode)
    • Last Continuous Primary Payor Membership Episode End Date -- The end date of the most recent prior completed Continuous Primary Payor Membership Episode as of the (potentially historical) period covered by the record. Values follow the standard exclusive convention for Period End Dates. (See also [URSA-CORE] Continuous Primary Payor Membership Episode, [URSA-CORE] Period End Date)
    • Current Continuous Medical Claim Data Coverage Episode Start Date -- The start date of the Continuous Medical Claim Data Coverage Episode in effect as of the (potentially historical) period covered by the record. (See also [URSA-CORE] Continuous Medical Claim Data Coverage Episode)
    • Current Continuous Medical Claim Data Coverage Episode End Date -- The end date of the Continuous Medical Claim Data Coverage Episode in effect as of the (potentially historical) period covered by the record. Values follow the standard exclusive convention for Period End Dates. (See also [URSA-CORE] Continuous Medical Claim Data Coverage Episode, [URSA-CORE] Period End Date)
    • Current Continuous Pharmacy Claim Data Coverage Episode Start Date -- The start date of the Continuous Pharmacy Claim Data Coverage Episode in effect as of the (potentially historical) period covered by the record. (See also [URSA-CORE] Continuous Pharmacy Claim Data Coverage Episode)
    • Current Continuous Pharmacy Claim Data Coverage Episode End Date -- The end date of the Continuous Pharmacy Claim Data Coverage Episode in effect as of the (potentially historical) period covered by the record. Values follow the standard exclusive convention for Period End Dates. (See also [URSA-CORE] Continuous Pharmacy Claim Data Coverage Episode)

  • Provider Fields

    • Primary Plan Attributee Provider Description
    • Primary Plan Attributee Individual Provider Description
    • Primary Plan Attributee Provider Group Provider Description

  • Insurance Fields

    • Member MBI
    • Is Any Current Plan Membership
    • Primary Payor Description
    • Primary Plan Description
    • Primary Plan Financial Class Description
    • Is Primary Plan Financial Class Medicare FFS
    • Is Primary Plan Financial Class Medicare Advantage
    • CMS Dual Status Code -- The standard 2-character CMS Dual Status Code, which identifies the patient's most recent entitlement status for Medicaid and other qualifying non-Medicare programs; e.g., 01 = QMB only, 02 = QMB + full Medicaid, etc.
    • Is CMS ESRD Status -- Indicates the patient meets the Medicare ESRD eligibility criterion as of a particular date; can be derived from the CMS Medicare Beneficiary Status Code. (See also [URSA-CORE] CMS Medicare Beneficiary Status Code)
    • Is CMS Hospice Status -- Indicates the patient is considered to be Hospice status.
    • Is Dual Medicare-Medicaid Enrolled -- Indicates that the patient is concurrently enrolled in both Medicare and Medicaid programs. (Identifies the population often described as "dually eligible" or "duals".)
    • Is Any Plan Coverage Type Medical
    • Is Any Plan Coverage Type Pharmacy

  • Metadata Fields

    • Is Medical Claim Data Coverage -- Indicates data coverage for medical claims (i.e., institutional and professional claims) from at least one data source for the patient and time period specified on the record. (See also [URSA-CORE] Data Coverage)
    • Is Pharmacy Claim Data Coverage -- Indicates data coverage for pharmacy claims from at least one data source for the patient and time period specified on the record. (See also [URSA-CORE] Data Coverage)

  • Module Fields

    • Is MSSP CQM Frailty in Last 12 Months
    • Is MSSP CQM Advanced Illness in Last 24 Months
    • Is MSSP CQM Hospice in Last 12 Months
    • Hospice Data Source Category
    • Is MSSP CQM Palliative Care in Last 12 Months
    • Is MSSP CQM Dementia Medication in Last 24 Months
    • Is MSSP CQM Bipolar Disorder in the Last 5 Years
    • Is MSSP CQM Pregnancy in Last 12 Months
    • Is MSSP CQM ESRD in Last 5 Years
    • ESRD Data Source Category
    • Is MSSP CQM Dialysis in Last 5 Years
    • Is MSSP CQM Kidney Transplant Last 5 Years
    • Is MSSP CQM Any Plan I-SNP in Last 12 Months
    • I-SNP Data Source Category
    • Is MSSP CQM Q001 Diabetes Diagnosis in Last 5 Years
    • Is MSSP CQM Q236 Hypertension Diagnosis in the Last 18 Months

Foreign Keys

  • primary_plan_id → ursa.no_ursa_core_struct_005.plan_id
  • primary_payor_id → ursa.no_ursa_core_struct_004.payor_id
  • last_continuous_primary_payor_membership_episode_payor_id → ursa.no_ursa_core_struct_004.payor_id
  • next_continuous_primary_payor_membership_episode_payor_id → ursa.no_ursa_core_struct_004.payor_id
  • primary_plan_attributee_prov_id → ursa.no_ursa_core_prov_001.prov_id
  • empirical_attributee_primary_care_individual_prov_id → ursa.no_ursa_core_prov_001.prov_id
  • empirical_attributee_primary_care_prov_group_prov_id → ursa.no_ursa_core_prov_001.prov_id