[SO/URSA-MSSP] Patient Timelines Master for URSA-MSSP eCQM Concepts

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

One row per patient-period for living patients.

Metadata

  • Table Name: ursa.so_ursa_mssp_ecqm_pat_002
  • Layer: SYNTHETIC_OBJECT
  • Object Type: Complex Timeline
  • 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

    • Program Entity Operational ID
    • Program Operational ID

  • 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

  • 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)

  • Insurance Fields

    • Member MBI
    • Is Any Current Plan Membership
    • 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 eCQM Frailty in Last 12 Months
    • Is MSSP eCQM Advanced Illness in Last 24 Months
    • Is MSSP eCQM Dementia Medication in Last 24 Months
    • Is MSSP eCQM Hospice in Last 12 Months
    • Is MSSP eCQM Palliative Care in Last 12 Months
    • Is MSSP eCQM Pregnancy in Last 12 Months
    • Is MSSP eCQM Diabetes in Last 24 Months
    • Is MSSP eCQM Nursing Home Status in Last 12 Months