URSA-PHF-R03: Registry of all URSA-CORE Encounters

Measure Description

One record for each per encounter covered in the URSA-CORE data model including; hospital inpatient admissions, hospital observation stays, emergency department visits, hospital outpatient surgery encounters, other hospital outpatient department encounters, clinician office visits, ambulatory surgical center encounters, SNF encounters, or birthing center encounters.

Metadata

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

Published Fields

• Data Model Keys

  • Encounter ID
  • Patient ID
  • Encounter Primary Payor ID
  • Encounter Primary Plan ID
  • Facility Provider ID
  • Attending Provider ID
  • Service Provider ID
  • Provider Group Provider ID
  • Primary HCPCS Procedure Provider ID

• Date Fields

  • Encounter Start Date
  • Encounter End Date
  • Encounter Start Date First of Month
  • Encounter Start Date First of Quarter
  • 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)

• Encounter Fields

  • Encounter LOS in Elapsed Midnights
  • Encounter LOS in Distinct Calendar Days
  • Is Multi-Day Encounter
  • Is Single-Day Encounter
  • Ursa Encounter Type Tier 1 Category
  • Ursa Encounter Type Tier 2 Category
  • Is Surgery Encounter
  • Ursa Surgery Encounter Type Category
  • Is Any Hospital Encounter Type
  • Is Hospital Inpatient Admission Encounter
  • Is Hospital Observation Stay Parent Encounter
  • Is Emergency Department Visit Parent Encounter
  • Is Ambulatory Surgical Center Encounter
  • Is Hospital Outpatient Surgery Encounter
  • Is Other Hospital Outpatient Encounter
  • Is Clinician Office Visit Encounter
  • Is Primary Care Clinician Office Visit
  • Is Urgent Care Visit
  • Is SNF Encounter
  • Is Home Health Care Visit Encounter
  • Is Birthing Center Encounter

• Provider Fields

  • Facility Provider Description
  • Facility Provider Taxonomy Code
  • Facility Provider Taxonomy Description
  • Facility Practice Address State Abbreviation
  • Facility Practice Address ZIP Code 5-Digit
  • Attending Provider Description
  • Attending Provider Taxonomy Code
  • Attending Provider Taxonomy Description
  • Service Provider Description
  • Service Provider Taxonomy Code
  • Service Provider Taxonomy Description
  • Provider Group Provider Description
  • Provider Group Taxonomy Code
  • Provider Group Taxonomy Description
  • Primary HCPCS Procedure Provider Description
  • Primary HCPCPS Procedure Provider Taxonomy Code
  • Primary HCPCPS Procedure Provider Taxonomy Description

• Clinical Services Fields

  • Primary HCPCS Procedure HCPCS Code
  • Primary HCPCS Procedure Short Description
  • Primary HCPCS Procedure AHRQ CCS Single-Level Procedure Category Code
  • Primary HCPCS Procedure AHRQ CCS Single-Level Procedure Category Description

• Diagnosis Fields

  • Principal Discharge Diagnosis ICD-10-CM Code
  • Principal Discharge Diagnosis ICD-10-CM Description
  • Principal Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
  • Principal Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
  • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
  • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
  • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Code
  • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Description
  • Principal Discharge Diagnosis WHO ICD-10 Chapter Description
  • Principal Discharge Diagnosis WHO ICD-10 Block Description

• Billing and Claims Fields

  • MS-DRG Code
  • MS-DRG Description
  • MS-DRG MDC Code
  • MS-DRG MDC Code Description
  • Is CMS DRG Medical-Surgical Type Surgical
  • Is CMS DRG Medical-Surgical Type Medical
  • APR-DRG Code
  • APR-DRG Description
  • APR-DRG MDC Code
  • APR-DRG MDC Description
  • Is APR-DRG Medical Surgical Type Surgical
  • APR-DRG Severity of Illness Code
  • APR-DRG Risk of Mortality Code
  • CMS Admit Source Code
  • CMS Admit Source Description
  • CMS Admit Type Code
  • CMS Admit Type Description
  • CMS Patient Discharge Status Code
  • CMS Patient Discharge Status Description
  • CMS Place of Service Code
  • CMS Place of Service Description

• Financial Fields

  • Primary Plan Allowed Amount
  • Primary Plan Paid Amount
  • Total Plan Paid Amount from All Plans
  • Patient Paid Amount

• Measure Fields

  • Denominator