URSA-HCC-R04: Patient Within-Year-Updated CMS-HCC Results

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Measure Description

One record per period in which the patient qualified for either the version 24 or version 28 CMS-HCC model and have a non-zero Disease Component; the blended RAF score is generated using the appropriate blending ratio for the calendar year of the period; the HCC/RAF results in any given period are calculated using only diagnoses present at the beginning of that period within the current calendar year.

Metadata

  • Measure Identifier: URSA-HCC-R04
  • Measure Type: Registry
  • Temporal Structure: Entity
  • Component Class: Normal-Form
  • Case Field: Patient ID
  • Observation Fields: Patient ID, Snapshot Date [, snapshot_date]
  • Target Direction: None

Published Fields

  • Data Model Keys

    • 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)
  • Module Fields

    • CMS-HCC RAF Score
    • CMS-HCC Raw RAF Score
    • CMS-HCC Demographic Component RAF Score
    • CMS-HCC Disease Component RAF Score
    • CMS-HCC RAF Score Using 2024 Blend -- The CMS-HCC RAF score generated using diagnoses and other input data as of the time period on the current record but using the model blend of 2024 (i.e., 67% from v24 and 33% from v28).
    • CMS-HCC RAF Score Using 2025 Blend -- The CMS-HCC RAF score generated using diagnoses and other input data as of the time period on the current record but using the model blend of 2025 (i.e., 33% from v24 and 67% from v28).
    • CMS-HCC v24 RAF Score
    • CMS-HCC v24 Raw RAF Score
    • CMS-HCC v28 RAF Score
    • CMS-HCC v28 Raw RAF Score
    • CMS-HCC v24 Demographic Component Raw RAF Score
    • CMS-HCC v24 Demographic Component RAF Score
    • CMS-HCC v28 Demographic Component Raw RAF Score
    • CMS-HCC v28 Demographic Component RAF Score
    • CMS-HCC v24 All Outputs Summary
    • CMS-HCC v28 All Outputs Summary
    • CMS-HCC v24 Model Output 1 Code
    • CMS-HCC v24 Model Output 1 Description
    • CMS-HCC v24 Model Output 2 Code
    • CMS-HCC v24 Model Output 2 Description
    • CMS-HCC v24 Model Output 3 Code
    • CMS-HCC v24 Model Output 3 Description
    • CMS-HCC v24 Model Output 4 Code
    • CMS-HCC v24 Model Output 4 Description
    • CMS-HCC v24 Model Output 5 Code
    • CMS-HCC v24 Model Output 5 Description
    • CMS-HCC v24 Model Output 6 Code
    • CMS-HCC v24 Model Output 6 Description
    • CMS-HCC v24 Model Output 7 Code
    • CMS-HCC v24 Model Output 7 Description
    • CMS-HCC v24 Model Output 8 Code
    • CMS-HCC v24 Model Output 8 Description
    • CMS-HCC v24 Model Output 9 Code
    • CMS-HCC v24 Model Output 9 Description
    • CMS-HCC v24 Model Output 10 Code
    • CMS-HCC v24 Model Output 10 Description
    • CMS-HCC v28 Model Output 1 Code
    • CMS-HCC v28 Model Output 1 Description
    • CMS-HCC v28 Model Output 2 Code
    • CMS-HCC v28 Model Output 2 Description
    • CMS-HCC v28 Model Output 3 Code
    • CMS-HCC v28 Model Output 3 Description
    • CMS-HCC v28 Model Output 4 Code
    • CMS-HCC v28 Model Output 4 Description
    • CMS-HCC v28 Model Output 5 Code
    • CMS-HCC v28 Model Output 5 Description
    • CMS-HCC v28 Model Output 6 Code
    • CMS-HCC v28 Model Output 6 Description
    • CMS-HCC v28 Model Output 7 Code
    • CMS-HCC v28 Model Output 7 Description
    • CMS-HCC v28 Model Output 8 Code
    • CMS-HCC v28 Model Output 8 Description
    • CMS-HCC v28 Model Output 9 Code
    • CMS-HCC v28 Model Output 9 Description
    • CMS-HCC v28 Model Output 10 Code
    • CMS-HCC v28 Model Output 10 Description
  • Date Fields

    • 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)
    • 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.
  • Measure Fields