URSA-CORE-951: Documents with Non-Standard MS-DRG Code

Measure Description

Among documents with a MS-DRG code, the percentage with a non-standard MS-DRG code value; non-standard MS-DRG code values are those that don't appear in the URSA-CORE MS-DRG code reference object.

Metadata

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

Denominator Description

One per document with a non-missing MS-DRG code

Numerator Description

One per qualifying denominator observation with a non-standard MS-DRG code value; non-standard MS-DRG code values are those that don't appear in the URSA-CORE MS-DRG code reference object.

Published Fields

• Data Model Keys

  • Document ID
  • Parent Document ID
  • Patient ID
  • Claim ID
  • Plan ID
  • Payor ID
  • Source ID

• Date Fields

  • Document Effective 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)

• Clinical Services Fields

  • ICD-10-PCS Code
  • ICD-10-PCS Description
  • HCPCS Code
  • HCPCS Description

• Diagnosis Fields

  • MS-DRG Code
  • MS-DRG Description
  • ICD-10-CM Code
  • ICD-10-CM Description

• Metadata Fields

  • Document Type Description

• Measure Fields

  • Denominator
  • Numerator