[SO/URSA-PHARM] Patient Timelines for URSA-PHARM Concepts

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Object Description

One record per patient - period during which the patient was alive and had one or more outpatient medication fills in the previous 12 months.

Metadata

  • Table Name: ursa.so_ursa_pharm_pat_002
  • Layer: SYNTHETIC_OBJECT
  • Object Type: Complex Timeline
  • Temporal Class: Interval (Timeline)
  • Case ID: Patient ID
  • Interval Start Date: Period Start Date
  • Interval End Date: Period End Date
  • Primary Key: Patient ID, Period Start Date, Period End Date

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)
    • Primary Plan ID -- The identifier for the health insurance plan product that is the first party responsible for payment.
    • Primary Payor ID -- The internal database identifier (used, e.g., for joins and primary keys) for the Primary Payor. (See also [URSA-CORE] Primary Payor)
    • Primary Plan Attributee Provider ID
    • Empirical Attributee Primary Care Provider Group Provider ID
    • Empirical Attributee Primary Care Individual Provider ID
  • Date Fields

    • Period Start Date -- The date identifying the start of a period of time. Period Start Date values are inclusive; e.g., a period with Period Start Date = January 1 would begin be considered to begin at 00:00 on January 1.
    • Period End Date -- The date identifying the end of an period of time. Period End Date values are exclusive; e.g., a period with Period End Date = January 1 would begin be considered to end at precisely 00:00 on January 1 (meaning that the period did not include any time on January 1).
    • Current Continuous Primary Payor Membership Episode Start Date -- The start date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. (See also [URSA-CORE] Continuous Primary Payor Membership Episode)
    • Current Continuous Primary Payor Membership Episode End Date -- The end date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. Values follow the standard exclusive convention for Period End Dates. (See also [URSA-CORE] Continuous Primary Payor Membership Episode, [URSA-CORE] Period End Date)
    • Current Continuous Pharmacy Claim Data Coverage Episode Start Date -- The start date of the Continuous Pharmacy Claim Data Coverage Episode in effect as of the (potentially historical) period covered by the record. (See also [URSA-CORE] Continuous Pharmacy Claim Data Coverage Episode)
    • Current Continuous Pharmacy Claim Data Coverage Episode End Date -- The end date of the Continuous Pharmacy Claim Data Coverage Episode in effect as of the (potentially historical) period covered by the record. Values follow the standard exclusive convention for Period End Dates. (See also [URSA-CORE] Continuous Pharmacy Claim Data Coverage Episode)
  • Patient Fields

    • Is Patient Alive
    • Is Any Current Plan Membership
    • Is Any Current Data Coverage
    • Patient Age Category Tier 1 -- Non-overlapping ranges of the patient age in years into three categories; [01] Pediatrics < 19, [02] Adults 19 - 64, and [03] Older Adults >= 65. Coarser grain to the Patient Age Category Tier 2. (See also [URSA-CORE] Patient Age Category Tier 2)
    • Patient Age Category Tier 2 -- Non-overlapping ranges of the patient age in years representing finer grain categories than the Patient Age Category Tier 1. This field incorporates findings from publications on defining meaningful age groups in the context of disease. These ranges closely, but not exactly, align with standard age ranges such as those defined by the Medical Subject Headings (MeSH). See results of K-Means simple clustering method at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825015/ (See also [URSA-CORE] Patient Age Category Tier 1)
    • Patient Age Integer -- Patient age, expressed as an integer, as of a reference date or interval.
    • Count Hospital Inpatient Admissions in Last 12 Months
    • Count ED Visits Without Inpatient Admissions in Last 12 Months
    • PCP Attribution Category
    • Primary Care Engagement Category
    • Count Primary Care Visits in Last 36 Months
    • Specialty Care Engagement Category
    • Count Specialty Care Office Visits in Last 36 Months
    • Primary or Specialty Care Engagement Category
    • Count Clinician Office Visits in Last 3 Years
  • Module Fields

    • Count Active Chronic Medications -- The number of distinct chronic medications the patient is currently taking; operationalized as the count of targeted medication therapy episodes for a chronic medication currently active for the patient. (See also [URSA-PHARM] Chronic Medication, [URSA-PHARM] Targeted Medication Therapy Episode)
    • Is High Number of Prescribing Providers -- One of the Medication Management Triggers; indicates that, as of a given date, the patient has filled outpatient medication prescriptions written by five or more distinct prescribing providers in the prior 12 months. (See also [URSA-PHARM] Medication Management Trigger Category)
    • Is High Number of Filling Providers -- One of the Medication Management Triggers; indicates that, as of a given date, the patient has been dispensed outpatient medications from five or more distinct pharmacies or other filling providers in the prior 12 months. (See also [URSA-PHARM] Medication Management Trigger Category)
    • Is High Medication Spend -- One of the Medication Management Triggers; indicates that, as of a given date, the total spending on outpatient medication fills for the patient in the prior 12 months is between $4,800 and $9,600, inclusive. Total spending includes both plan and patient paid amounts. (See also [URSA-PHARM] Medication Management Trigger Category)
    • Is Very High Medication Spend -- One of the Medication Management Triggers; indicates the total spending on outpatient medications for the patient in the prior 12 months is greater than $9,600. Total spending includes both plan and patient paid amounts.
    • Is Active Chronic Opioid Episode -- One of the Medication Management Triggers; indicates that, as of a given date, the patient has an active Medication Therapy Episode for an Opiate Agonist (true = "1") based on the URSA-PHARM value set for Opiate Agonists and logic for classifying fills as Is Chronic. (See also [URSA-PHARM] Chronic Medication, [URSA-PHARM] Targeted Medication Therapy Episode, [URSA-PHARM] Medication Management Trigger Category)
    • Count of Fills Last 12 Months
    • Count Opioid Fills in Last 6 Months
    • Count Opioid Fills in Last 12 Months
    • Is Multiple Opioid Prescribing Providers Last 6 Months -- One of the Medication Management Triggers; indicates that, as of a given date, the patient has had medication fills for opiate agonists from two or more distinct prescribing providers in the prior 6 months. (See also [URSA-PHARM] Medication Management Trigger Category)
    • Is Multiple Opioid Filling Providers Last 6 Months -- Indicates (true = "1") if the patient has had fills for opiate agonists from two or more distinct filling providers (pharmacies) in the prior 6 months.
    • Aggregate Opioid Days Supply in Last 6 Months
    • Aggregate Opioid Days Supply in Last 12 Months
    • Count Distinct Opioid Prescribing Providers in Last 6 Months
    • Count Distinct Opioid Filling Providers in Last 6 Months
    • Count Distinct Opioid Prescribing Providers in Last 12 Months
    • Count Distinct Opioid Filling Providers in Last 12 Months
    • Count Active Antidepressants -- One of the Priority Adherence Medication types; a medication classified as an antidepressant based on AHFS Therapeutic Class code or Red Book Generic Cross Reference Code. (See also [URSA-PHARM] Is Priority Adherence Medication)
    • Count Active Antineoplastics -- One of the Priority Adherence Medication types; a medication classified as an antineoplastic based on AHFS Therapeutic Class code. Antineoplastic drugs are medications used to treat cancer. Other names for antineoplastic drugs are anticancer, chemotherapy, chemo, cytotoxic, or hazardous drugs. (See also [URSA-PHARM] Is Priority Adherence Medication, [URSA-PHARM] Active Priority Adherence Medication Type Category)
    • Count Active Antidiabetics -- One of the Priority Adherence Medication types; a medication classified as an antidiabetic based on AHFS Therapeutic Class code or Red Book Generic Cross Reference Code as an antidiabetic of any type (insulin, oral, etc.). (See also [URSA-PHARM] Is Priority Adherence Medication, [URSA-PHARM] Active Priority Adherence Medication Type Category)
    • Count Active Oral ACEI/ARBs -- One of the Priority Adherence Medication types; indicates a medication classified as a angiotensin-converting enzyme inhibitor (ACEI) and an angiotensin receptor blocker (ARB) based on the Red Book Generic Cross Reference code and/or NDC being included in the CMS Stars measure specifications for Oral ACEI/ARB PDC measures. (See also [URSA-PHARM] Is Priority Adherence Medication, [URSA-PHARM] Active Priority Adherence Medication Type Category)
    • Count Active Statins -- One of the Priority Adherence Medication types; indicates a medication classified as a Statin based on the Red Book Generic Cross Reference code and/or NDC being included in the CMS Stars Statin proportion of days covered (PDC) measure value sets. (See also [URSA-PHARM] Is Priority Adherence Medication)
    • Count Active Beta Blockers -- One of the Priority Adherence Medication types; indicates a medication classified as a beta blocker based on the Red Book Generic Cross Reference Code classification. (See also [URSA-PHARM] Is Priority Adherence Medication)
    • Count Active High Risk Medication Types -- The number of active medication therapy episodes for high risk medications as defined by the URSA-PHARM module this includes any medication classified as a; anticoagulant, oral antiplatelet, cardiac glycoside, opiate agonist, oral hypoglycemic, or insulin. (See also [URSA-PHARM] Is Any Active High Risk Medication Episode)
    • Is Any Active High Risk Medication Episode -- Indicates whether the patient, as of a given date, has one or more active medication therapy episodes for High Risk Medication(s) as defined by the URSA-PHARM module. High Risk medications include; anticoagulant, oral antiplatelet, cardiac glycoside, opiate agonist, oral hypoglycemic, or insulin. (See also [URSA-PHARM] Count Active High Risk Medication Types, [URSA-PHARM] Is High Risk Medication)
    • Count Active Anticoagulants -- One of the High Risk Medication types; counts, as of a given date, the number of distinct anticoagulants medications the patient has an active medication therapy episode for. (See also [URSA-PHARM] Anticoagulant, [URSA-PHARM] Is High Risk Medication, [URSA-PHARM] High Risk Medication Category)
    • Count Active Cardiac Glycosides -- One of the High Risk Medication types; a medication classified as a cardiac glycoside based on the AHFS therapeutic class. (See also [URSA-PHARM] Is High Risk Medication, [URSA-PHARM] High Risk Medication Category)
    • Count Active Insulins -- One of the High Risk Medication types; a medication classified as an insulin based on the AHFS therapeutic class or NDC present in the CMS Stars PDC oral anti-diabetic adherence measure specifications (used as an exclusion). (See also [URSA-PHARM] Is High Risk Medication, [URSA-PHARM] High Risk Medication Category)
    • Count Active Opioids -- One of the High Risk Medication types; a medication classified as an opiate agonist based on the AHFS therapeutic class. Full agonist opioids activate the opioid receptors in the brain fully resulting in the full opioid effect. Examples of full agonists are heroin, oxycodone, methadone, hydrocodone, morphine, opium and others. Partial agonist opioids activate the opioid receptors in the brain, but to a much lesser degree than a full agonist. Buprenorphine is an example of a partial agonist. In clinical practice, they are used for opioid agonist maintenance therapy or withdrawal management. (See also [URSA-PHARM] Is Active Chronic Opioid Episode)
    • Count Active Oral Antiplatelets -- One of the High Risk Medication types; a medication classified as an oral antiplatelet based on the AHFS therapeutic class or Red Book Generic Cross Reference Code. (See also [URSA-PHARM] Is High Risk Medication, [URSA-PHARM] High Risk Medication Category)
    • Count Active Oral Hypoglycemics -- One of the High Risk Medication types; a medication classified as a hypoglycemic based on the AHFS therapeutic class. (See also [URSA-PHARM] Is High Risk Medication, [URSA-PHARM] High Risk Medication Category)
    • Count Active Oral Antidiabetics
    • Is High Number of Chronic Medications -- If the patient has 5 or more active medication therapy episodes for chronic medications as of the snapshot date then 1, else 0. This is often referred to as "Polypharmacy". (See also [URSA-PHARM] Chronic Medication)
  • Provider Fields

    • Count Distinct Filling Providers Last 12 Months
    • Count Distinct Prescribing Providers Last 12 Months
    • Count Visits with Attributee Individual Primary Care Provider in Last 36 Months
    • Count Visits with Attributee Primary Care Provider Group in Last 36 Months
  • Insurance Fields

    • Primary Plan Financial Class Description
    • Is Primary Plan Financial Class Commercial
    • Is Primary Plan Financial Class Medicare Advantage
    • Is Primary Plan Financial Class Medicaid
    • Count Active Plan Memberships
    • Is CMS ESRD Status -- Indicates the patient meets the Medicare ESRD eligibility criterion as of a particular date; can be derived from the CMS Medicare Beneficiary Status Code. (See also [URSA-CORE] CMS Medicare Beneficiary Status Code)
    • Is CMS Hospice Status -- Indicates the patient is considered to be Hospice status.
    • Is Dual Medicare-Medicaid Enrolled -- Indicates that the patient is concurrently enrolled in both Medicare and Medicaid programs. (Identifies the population often described as "dually eligible" or "duals".)
  • Diagnosis Fields

    • CCW Count Category
    • Count CCW Conditions -- The total of both Chronic Conditions and Potentially Disabling Events included in the CMS Chronic Condition Warehouse (CCW) library. (See also [URSA-CORE] CCW Comorbidity Category, [URSA-CORE] Count Potentially Disabling Events, [URSA-CORE] CMS Chronic Condition Warehouse (CCW), [URSA-CORE] Count Chronic Conditions)
    • Is CCW Asthma -- At least 1 inpatient, SNF, HHA OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW CKD -- Indicates that the patient meets the CMS Chronic Condition Warehouse criteria for chronic kidney disease; i.e., 2 or more qualifying outpatient or professional ICD codes in the prior 2 years, or 1 or more non-outpatient institutional claim ICD codes in the prior 2 years.
    • Is CCW COPD and Bronchiectasis -- At least 1 inpatient, SNF, HHA OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Depression -- At least 1 inpatient, SNF, HHA, HOP, or Carrier claim with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Diabetes -- At least 1 inpatient, SNF, HHA OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Heart Failure -- At least 1 inpatient, HOP, or Carrier claim with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Schizophrenia or Other Psychotic Disorders -- At least 1 inpatient OR 2 other nondrug claims of any service type with one ore more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Bipolar Disorder -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Acquired Hypothyroidism -- At least 1 inpatient, SNF, HHA OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Acute Myocardial Infarction -- At least 1 inpatient claim with one or more of the DX codes from the corresponding CCW value set as the first or second diagnosis position in the prior 1 year.
    • Is CCW ADHD, Conduct Disorders, and Hyperkinetic Syndrome -- At least 1 inpatient claim OR 2 other non-drug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Alzheimers Disease -- At least 1 inpatient, SNF, HHA, HOP, or Carrier claim with one or more of the DX codes from the corresponding CCW value set in the prior 3 years.
    • Is CCW Alzheimers Disease and Related Disorders or Senile Dementia -- At least 1 inpatient, SNF, HHA, HOP, or Carrier claim with one or more of the DX codes from the corresponding CCW value set in the prior 3 years.
    • Is CCW Anemia -- At least 1 inpatient, SNF, HHA, HOP, or Carrier claim with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Anxiety Disorders -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Atrial Fibrillation -- At least 1 inpatient OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set as the first or second diagnosis position in the prior 1 year.
    • Is CCW Autism Spectrum Disorder -- At least 1 inpatient claim OR 2 other non-drug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Benign Prostatic Hyperplasia -- At least 1 inpatient, SNF, HHA OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year. Exclusion: If any of the qualifying claims also have an ICD-10 DX of D29.1, then it is excluded.
    • Is CCW Blindness and Visual Impairment -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Breast Cancer -- At least 1 inpatient, SNF OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in prior 1 year.
    • Is CCW Cataract -- At least 1 HOP or Carrier claim with one or more of the DX codes from the corresponding CCW value set as the principal diagnosis position in the prior 1 year.
    • Is CCW Cerebral Palsy -- At least 1 inpatient claim OR 2 other non-drug claims of any service type with DX codes over the last 2 years (See also [URSA-CORE] CMS Chronic Condition Warehouse (CCW))
    • Is CCW Colorectal Cancer -- At least 1 inpatient, SNF OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Cystic Fibrosis and Other Metabolic Disorder -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Deafness and Hearing Impairment -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Depressive Disorders -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Endometrial Cancer -- At least 1 inpatient, SNF OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Epilepsy -- At least 1 inpatient claim OR 2 other non-drug claims of any service type during the two-year period (See also [URSA-CORE] CMS Chronic Condition Warehouse (CCW))
    • Is CCW Fibromyalgia and Chronic Pain and Fatigue -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Glaucoma -- At least 1 Carrier claim with one or more of the DX codes from the corresponding CCW value set as the principal diagnosis position in the prior 1 year.
    • Is CCW Hip or Pelvic Fracture -- At least 1 inpatient or SNF claim with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Hyperlipidemia -- At least 1 inpatient, SNF, HHA OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Hypertension -- At least 1 inpatient, SNF, HHA OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Intellectual Disability -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Ischemic Heart Disease -- At least 1 inpatient, SNF, HHA, HOP, or Carrier claim with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Learning Disability -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Leukemia -- At least 1 inpatient OR 2 non-inpatient claims with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Lung Cancer -- At least 1 inpatient, SNF OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Migraine and Chronic Headache -- At least 1 inpatient claim OR 2 non-inpatient claims with DX codes within a 2 year period. (See also [URSA-CORE] CMS Chronic Condition Warehouse (CCW))
    • Is CCW Mobility Impairment -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Multiple Sclerosis -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Muscular Dystrophy -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Obesity -- At least 1 inpatient OR 2 non-inpatient claims with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Osteoporosis -- At least 1 inpatient, SNF, HHA OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW Other Developmental Delay -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Personality Disorder -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Pressure or Chronic Ulcer -- At least 1 inpatient OR 2 non-inpatient claims with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Prostate Cancer -- At least 1 inpatient, SNF OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
    • Is CCW PTSD -- At least 1 inpatient OR 2 other nondrug claims of any service type with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW PVD -- At least 1 inpatient OR 2 non-inpatient claims with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Rheumatoid Arthritis or Osteoarthritis -- At least 2 inpatient, SNF, HHA, HOP, or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 2 years.
    • Is CCW Schizophrenia -- At least 1 inpatient claim OR 2 other non-drug claims of any service type with DX codes at least one day apart in the prior within the 2 year reference period. Qualifying codes can also be found as a subset of those in the CCW "Schizophrenia or Other Psychotic Disorders". (See also [URSA-CORE] Is CCW Schizophrenia or Other Psychotic Disorders)
    • Is CCW Stroke or Transient Ischemic Attack -- At least 1 inpatient OR 2 HOP or Carrier claims with one or more of the DX codes from the corresponding CCW value set in the prior 1 year.
      EXCLUSIONS: If any of the qualifying claims have : 800 <= DX Code <=
      804.9, 850 <= DX Code <= 854.1 in any DX position OR DX V57xx as the principal DX Code, then the claim is excluded.
    • CCW Systems Category
    • Count CCW Systems -- The count of distinct systems of the body with one or more active CCW Condition. CCW Systems are as a parent category to the individual CCW Conditions grouping them based primarily on the human body system they impact such as; Behavioral Health, Cancers, Cardiovascular, Cerebrovascular, Endocrine, Genitourinary, Musculoskeletal, and Pulmonary. (See also [URSA-CORE] CMS Chronic Condition Warehouse (CCW))
    • Is CCW System Behavioral Health -- Indicates the patient has one or more of the following CCW conditions; ADHD, Conduct Disorders, and Hyperkinetic Syndrome, Anxiety Disorders, Autism Spectrum Disorder, Bipolar Disorder, Depression, Depressive Disorders, Personality Disorders, PTSD, Schizophrenia, or Schizophrenia and Other Psychotic Disorders.
    • Is CCW System Cardiovascular -- Indicates the patient has one or more of the following CCW conditions; Acute Myocardial Infarction (AMI), Atrial Fibrillation, Heart Failure, Hypertension, Ischemic Heart Disease, or Peripheral Vascular Disease (PVD).
    • Is CCW System Congenital -- Indicates the patient has one or more of the following CCW conditions; Cerebral Palsy, Cystic Fibrosis and Other Metabolic Disorder, Intellectual Disability, Learning Disability, Muscular Dystrophy, or Other Developmental Delays.
    • Is CCW System Endocrine/Metabolic -- Indicates the patient has one or more of the following CCW conditions; Diabetes, Acquired Hypothyroidism, Hyperlipidemia, or Obesity.
    • Is CCW System Genitourinary -- Indicates the patient has one or more of the following CCW conditions; Benign Prostatic Hyperplasia or Chronic Kidney Disease (CKD).
    • Is CCW System Hematologic -- Indicates the patient has one or more of the following CCW conditions; Anemia.
    • Is CCW System Musculoskeletal -- Indicates the patient has one or more of the following CCW conditions; Hip or Pelvic Fracture, Rheumatoid Arthritis or Osteoarthritis, or Osteoporosis.
    • Is CCW System Neurological -- Indicates the patient has one or more of the following CCW conditions; Alzheimer's Disease, Alzheimer's Disease and Related Disorders or Senile Dementia, Stroke or Transient Ischemic Attack, Epilepsy, Migraine and Chronic Headache, Mobility Impairment, Multiple Sclerosis, or Deafness and Hearing Impairment.
    • Is CCW System Oncologic -- Indicates the patient has one or more of the following CCW conditions; Breast Cancer, Colorectal Cancer, Endometrial Cancer, Lung Cancer, Prostate Cancer, or Leukemia.
    • Is CCW System Ophthalmologic -- Indicates the patient has one or more of the following CCW conditions; Cataract, Glaucoma, or Blindness and Visual Impairment.
    • Is CCW System Pulmonary -- Indicates the patient has one or more of the following CCW conditions; Asthma, or Chronic Obstructive Pulmonary Disease (COPD) and Bronchiectasis.
    • Is CCW System Other -- Indicates the patient has one or more of the following CCW conditions; Fibromyalgia and Chronic Pain and Fatigue, Pressure or Chronic Ulcer.
  • Financial Fields

    • Total Medication Paid Amount Last 12 Months
    • Medication Plan Paid Amount in Last 12 Months
    • Medication Patient Paid Amount in Last 12 Months
    • Cumulative Calendar Year Rx Plan Paid Amount
    • Cumulative Calendar Year Rx Patient Paid Amount
  • Metadata Fields

    • Random Integer 1 to 1000
    • Is Medical Claim Data Coverage -- Indicates data coverage for medical claims (i.e., institutional and professional claims) from at least one data source for the patient and time period specified on the record. (See also [URSA-CORE] Data Coverage)
    • Is Pharmacy Claim Data Coverage -- Indicates data coverage for pharmacy claims from at least one data source for the patient and time period specified on the record. (See also [URSA-CORE] Data Coverage)

Foreign Keys

  • pat_id → ursa.no_ursa_core_pat_001.pat_id
  • primary_plan_id → ursa.no_ursa_core_struct_005.plan_id
  • primary_payor_id → ursa.no_ursa_core_struct_004.payor_id
  • primary_plan_attributee_prov_id → ursa.no_ursa_core_prov_001.prov_id
  • empirical_attributee_primary_care_prov_group_prov_id → ursa.no_ursa_core_prov_001.prov_id
  • empirical_attributee_primary_care_individual_prov_id → ursa.no_ursa_core_prov_001.prov_id