Measure Description
A dynamic registry of CKD fills with a cheaper alternative; always evaluated as of a given snapshot date.
Metadata
- Measure Identifier: URSA-CKD-R05
- Measure Type: Registry
- Temporal Structure: Entity
- Component Class: Normal-Form
- Case Field: Document ID
- Observation Fields: Document ID, Snapshot Date [, snapshot_date]
- Target Direction: None
Published Fields
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Data Model Keys
- Document ID -- The internal database identifier (used, e.g., for joins and primary keys) for the document. (See also [URSA-CORE] Document)
- 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)
- Claim ID -- The internal database identifier (used, e.g., for joins and primary keys) for the claim. (See also [URSA-CORE] Claim)
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Date Fields
- Snapshot Date -- The date, evaluated at 00:00:00 AM, giving the moment the state of the world will be set to for the purposes of an analysis. The snapshot date does not represent the freshness of the data, or the date in real time at which an analysis was executed.
- Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
- Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
- Document Effective Date -- The most appropriate single date that events associated with the document occurred. For documents spanning multiple calendar days, the earliest date is typically used; Document Effective Start Date and Document Effective End Date can be used for a more precise range of dates, if necessary.
- Medication Dispense Year
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Medication Fields
- Label Description -- Supplies the name given to the product by the manufacturer.
- Is High-Cost Medication With Cheaper Alternative
- NDC Code -- The standard 11-digit National Drug Code; e.g., 00045012400 = Tylenol 500 mg.
- Strength Description -- A natural language description of the medication strength. For medications with multiple active ingredients, the standard convention is to list strength values in the alphabetical order of the active ingredients. (See also [URSA-CORE] Medication Strength)
- Strength Numeric -- The numeric component of medication strength, expressed as a number, including non-integer values, if applicable. For medications with multiple strengths, this field should take the value of the first ingredient's numeric strength. (See also [URSA-CORE] Medication Strength)
- Strength Unit Description -- The natural language description of the unit component of medication strength; e.g., mg, mg / 5 ml. (See also [URSA-CORE] Medication Strength)
- Quantity Dispensed -- The quantity of medication dispensed in the fill. For medications with discrete forms (e.g., tablets, capsules, etc.) this is the number of those discrete units dispensed. For non-discrete forms (e.g., solution, cream, etc.) this is some other measure of quantity, including (but not necessarily) the number of doses dispensed.
- Days Supply -- The number of calendar days, including the date the medication was dispensed, the dispensed medication will last at the patient's intended dosage as defined in their prescription.
- Is Brand -- Derived from the multi-source code and brand name code from Medi-Span using logic from page 2-19 and 2-20 from the Medi-Span documentation manual. This flag generally indicates that a medication is sold by one manufacturer, sold under a trademarked name, and one drug product exist for the GPI. Exceptions to this are multi-source and brand name combinations of OT and YT. For OT, more than one manufacturer sells the product, but the manufacturer on that NDC is the original seller of the product. For YT, more than one manufacturer sells the product and that manufacturer is not the original seller of the product, but it is sold under a Brand name (common for OTC drugs).
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Module Fields
- Medication Group Description
- Is Ace Inhibitor Document
- Is ARB Document
- Is SGLT2 Document
- Is ACE/ARB Document
- Is Statin Document
- Is nsMRA Document
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Measure Fields
- Denominator
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Financial Fields
- Document Plan Paid Amount
- Document Patient Paid Amount
- Average 30-Day Cost for NDC in Year
- Average 365-Day Cost for NDC in Year
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Validation Only Fields
- Sum of Days Supply for NDC in Year
- Sum of Document Plan Paid Amount for NDC in Year