[SO/URSA-QUALITY] Patient-Output NCQA Payer Code Timelines for HEDIS Reporting

Object Description

One record per patient - NCQA Payer Code - time period triple for periods of either (1) active membership in the plan associated with the NCQA Payer Code, or (2) periods of subsequent non-membership.

Metadata

• Table Name: ursa.so_ursa_quality_pat_003
• Layer: SYNTHETIC_OBJECT
• Object Type: Integrator
• Temporal Class: Interval (Timeline)
• Case ID: Patient ID - Output NCQA Payer Type
• Interval Start Date: Period Start Date
• Interval End Date: Period End Date
• Primary Key: Patient ID - Output NCQA Payer Type, Period Start Date, Period End Date

Published Fields

• Data Model Keys

  • Patient ID - Output NCQA Payer Type
  • 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)

• 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).

• Insurance Fields

  • Is Active Membership
  • Input NCQA Payer Type Code
  • Is Commercial Input NCQA Payer Type Code
  • Is Medicare Input NCQA Payer Type Code
  • Is Medicaid Input NCQA Payer Type Code
  • Is SNP Input NCQA Payer Type Code
  • Is Exchange Input NCQA Payer Type Code
  • Is MMP Input NCQA Payer Type Code
  • Output NCQA Payer Type Code
  • Is Commercial Output NCQA Payer Type Code
  • Is Medicare Output NCQA Payer Type Code
  • Is Medicaid Output NCQA Payer Type Code
  • Is SNP Output NCQA Payer Type Code
  • Is Exchange Output NCQA Payer Type Code
  • Is MMP Output NCQA Payer Type Code

Foreign Keys

• pat_id → ursa.no_ursa_core_pat_001.pat_id