URSA-PHARM-R04: Opiate Agonist Outpatient Medication Fills

Measure Description

One record per opiate agonist outpatient medication fill

Metadata

• Measure Type: Registry
• Temporal Structure: Event
• Component Class: Normal-Form
• Denominator Case Field: Document ID
• Target Direction: None

Published Fields

• Data Model Keys

  • Document ID
  • Patient ID
  • Filling Provider ID
  • Prescribing Provider ID
  • Lifetime Medication Treatment Episode ID

• Operations Support Fields

  • Prescription Number

• Date Fields

  • Filled Date
  • Filled Date Year
  • 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)

• Provider Fields

  • Prescribing Provider NPI
  • Filling Provider NPI
  • Is Filling Provider Specialty Pharmacy
  • Is Filling Provider Mail Order Pharmacy
  • Filling Provider Description
  • Filling Provider Primary NUCC Provider Taxonomy Code
  • Filling Provider Primary NUCC Provider Taxonomy Description
  • Provider Fill Volume Percentile Rank
  • Provider Fill Volume Quintile Category
  • Is Filling Provider Major Chain
  • Filling Provider Major Chain Description
  • Filling Provider State Abbreviation
  • Filling Provider ZIP Code 5-Digit

• Medication Fields

  • NDC Code 11-Digit
  • Label Description
  • Is Generic
  • Is Single Source
  • Is OTC
  • Red Book Generic Cross Reference Code
  • Active Ingredients Description
  • Red Book Generic Formulation Code
  • Primary Agent Description
  • Form Description
  • Route of Administration Description
  • Quantity Dispensed
  • Days Supply
  • Days Supply Category Tier 1 Description
  • Is Single Day Supply
  • Is 30 Days Supply
  • Is 90 Days Supply
  • AHFS Therapeutic Class Code 6-Digit
  • AHFS Therapeutic Class Tier 1 Description
  • AHFS Therapeutic Class Tier 2 Description
  • AHFS Therapeutic Class Tier 3 Description
  • NCPDP Dispense as Written Code
  • NDC Count of Fills Rank

• Financial Fields

  • Is Fill Document with any Positive Paid Amount
  • Total Paid Amount
  • Plan Paid Amount
  • Patient Paid Amount
  • COB Paid Amount
  • Is Total Paid >= 1k

• Metadata Fields

  • Is CMS Star Measures Oral Antidiabetic
  • Is CMS Star Measures Oral ACEI/ARB
  • Is CMS Star Measures Statin
  • Is CMS Star Measures Sacubitril/Valsartan
  • Is CMS Star Measures Insulin
  • NDC REFERENCE NDC Code 11-Digit
  • NDC REFERENCE Label Description
  • NDC REFERENCE Active Ingredients Description
  • NDC REFERENCE Primary Agent Description
  • NDC REFERENCE Form Description
  • NDC REFERENCE Route of Administration Description
  • NDC REF Is Fill with Any Paid Amount
  • NDC REF NDC Count of Fills with Payment
  • NDC Count of Fills with Payment Percentile
  • NDC Count of Fills Quintile Category

• Validation Only Fields

  • Ingredients Hash
  • Fill Count Qualifying Targeted Med Categories

• Measure Fields

  • Denominator

• Module Fields

  • Is Targeted Medication Type
  • Is Chronic Medication
  • Is Priority Adherence Medication
  • Priority Adherence Medication Category
  • Is Antidepressant
  • Is Antineoplastic
  • Is Antidiabetic
  • Is Oral Antidiabetic
  • Is Oral ACEI/ARB
  • Is Statin
  • Is Beta Blocker
  • Is High Risk Medication
  • High Risk Medication Category
  • Is Anticoagulant
  • Is Oral Antiplatelet
  • Is Cardiac Glycosides
  • Is Oral Hypoglycemic
  • Is Insulin
  • Is Opiate Agonists
  • Is Medication Included in PDC Measures
  • PDC Medication Category
  • Is Sacubitril/Valsartan