URSA-CORE-922: Documents with Conflicting Encounter Types

  • Published on Apr 10, 2026
  • 2 minute(s) read
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Measure Description

Among documents associated with at least one URSA-CORE encounter, the percentage associated with two or more conflicting encounter types.

Metadata

  • Measure Identifier: URSA-CORE-922
  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Document ID
  • Target Direction: Down

Denominator Description

One per document associated with at least one URSA-CORE encounter.

Numerator Description

One per qualifying denominator observation for which the document is associated with two or more conflicting encounter types.

Published Fields

  • 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)
    • Primary Encounter ID
    • Source ID -- The identifier for the original source data system from which the current record originated.
    • Payor ID -- The identifier for the health insurance organization associated with the current record.

  • Date Fields

    • 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.
    • 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)

  • Encounter Fields

    • Is Hospital Inpatient Admission Encounter
    • Is Emergency Department Visit Parent Encounter -- Value of "1" if true that the hospital inpatient admission is connected to a Department Visit Parent Encounter during which the patient received care in an emergency room setting; operationally defined by the presence of one or more of the following: (1) a qualifying revenue center code value on an institutional claim or bill; (2) a qualifying HCPCS code on an institutional claim or bill; or (3) an EMR encounter record flagged as an ED visit (i.e., Is Encounter Type ED Visit = 1). Encounters can be nested; that is, one “parent” encounter can contain one or more “child” encounters.
    • Is Hospital Observation Stay Parent Encounter
    • Is Clinician Office Visit
    • Is SNF Encounter
    • Is Ambulatory Surgical Center Encounter
    • Is Hospital Outpatient Surgery Encounter
    • Is Other Hospital Outpatient Encounter
    • Is Birthing Center Encounter
    • Is Home Health Care Visit
    • Is HHA Visit
    • Is Dialysis Facility Encounter
    • Is Other Outpatient Encounter

  • Denominator Fields

    • Is Any Hospital Inpatient Admission Encounter
    • Is Any Clinician Office Visit
    • Is Any Emergency Department Visit Parent Encounter
    • Is Any Hospital Observation Stay Parent Encounter
    • Is Any SNF Encounter
    • Is Any Ambulatory Surgical Center Encounter
    • Is Any Hospital Outpatient Surgery Encounter
    • Is Any Other Hospital Outpatient Encounter
    • Is Any Dialysis Facility Encounter
    • Is Any Home Health Visit
    • Is Any Birthing Center Encounter
    • Is Any Other Outpatient Encounter

  • Numerator Fields

    • Is Incompatibility Involving Clinician Office Visit
    • Is Incompatibility Involving SNF Encounter
    • Is Incompatibility Involving Ambulatory Surgical Center Encounter
    • Is Incompatibility Involving Dialysis Facility Encounter
    • Is Incompatibility Involving Birthing Center Encounter
    • Is Incompatibility Involving Home Health Care Visit

  • Measure Fields

    • Denominator