URSA-CORE-937: Institutional ICD Procs with Critical Missing Data

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Measure Description

Among institutional claim or bill ICD procedure records, the percentage with at least one unpopulated critical field; critical fields are: Patient ID, Header Covered Start Date, and ICD-10-PCS Code.

Metadata

  • Measure Identifier: URSA-CORE-937
  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Document ID
  • Target Direction: Down

Denominator Description

One per institutional claim or bill ICD procedure record.

Numerator Description

One per qualifying denominator observation with at least one unpopulated critical field; critical fields are: Patient ID, Header Covered Start Date, and ICD-10-PCS Code.

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)
    • 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)
    • Institutional Claim ID -- The internal database identifier (used, e.g., for joins and primary keys) for the claim. (See also [URSA-CORE] Claim)
    • Institutional Bill ID -- The identifier for a professional or institutional bill header record; Bill ID values are consistent over the lifetime of a bill, including when a bill is adjusted. On a claim record, this field refers to the bill sent to the plan that originated the claim record.
    • Plan ID -- The identifier for a particular health insurance plan product offered by a payor.
    • Payor ID -- The identifier for the health insurance organization associated with the current record.
    • Source ID -- The identifier for the original source data system from which the current record originated.
  • 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)
  • Clinical Services Fields

    • ICD-10-PCS Code
    • ICD-10-PCS Description
  • Numerator Fields

    • Is Patient ID NULL
    • Is Header Covered Start Date NULL
    • Is ICD-10-PCS Code NULL
  • Metadata Fields

    • Document Type Description
  • Measure Fields

    • Denominator