[MI/URSA-CORE] Ursa Billable Patients

Object Description

One record per distinct qualifying patient (typically, attributed patients) in the calendar month with the highest count of distinct Patient ID values from among the last X months prior to the most recent ELT. The X-month "evaluation period" is meant to reflect a reasonable lookback period for analytics, and also to make the counts robust to data lag that might result in undercounting in more recent periods.

Metadata

• Table Name: ursa.mi_ursa_core_031
• Layer: METADATA_AND_INTEGRATION
• Object Type: Single Stack
• Temporal Class: Entity
• Case ID: Patient ID
• Primary Key: Patient ID

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)
  • Source ID -- The identifier for the original source data system from which the current record originated.

• Insurance Fields

  • Is Patient Attributed -- Indicates the patient is, during the period specified by the current record, considered attributed to the Ursa client organization.
  • Is Patient Attributed with Risk -- Indicates the patient is, during the period specified by the current record, considered attributed to the Ursa client organization, and, additionally, considered qualified for inclusion in risk-based payment model calculations.

• Metadata Fields

  • Reference Month Start Date
  • Last ELT Run Date
  • Evaluation Period Start Date
  • Evaluation Period End Date