URSA-CORE-940: Pharmacy Claims with Critical Missing Data

Measure Description

Among pharmacy claim records, the percentage with at least one unpopulated critical field; critical fields are: Patient ID, Filling Provider ID, Filled Date, NDC, and Days Supply.

Metadata

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

Denominator Description

One per pharmacy claim record.

Numerator Description

One per qualifying denominator observation with at least one unpopulated critical field; critical fields are: Patient ID, Filling Provider ID, Filled Date, NDC, and Days Supply.

Published Fields

• Data Model Keys

  • Document ID
  • Claim ID
  • Patient ID
  • Filling Provider ID
  • Source ID
  • Payor ID
  • Plan ID

• Date Fields

  • Filled Date
  • 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)

• Medication Fields

  • NDC Code 11-Digit
  • Label Description
  • Days Supply

• Numerator Fields

  • Is Patient ID NULL
  • Is Filling Provider ID NULL
  • Is Filled Date NULL
  • Is NDC Code NULL
  • Is Days Supply NULL

• Measure Fields

  • Denominator