[SO/URSA-QUALITY] Patient-Output NCQA Payer Code Timelines for HEDIS Reporting, Precursor 1 (NCQA Output Payer Types)

Object Description

One record per patient - "Output" NCQA Payer Code - timeline period of active membership in the plan associated with that NCQA Payer Code. For each patient-period this object contains distinct records for each possible reportable "Output" NCQA Payer Code associated with any of the patient's contemporaneous "Input" NCQA Payer Codes. Logic should correctly handle (i.e., without unwanted duplication) scenarios in which the patient has multiple concurrent plans, including the subset of those scenarios in which the patient has multiple concurrent plans with the same "Output" NCQA Payer Code.

Metadata

• Table Name: ursa.so_ursa_quality_pat_003_pre_1
• Layer: SYNTHETIC_OBJECT
• Object Type: Complex Timeline
• 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

• Date Fields

  • Period Start Date
  • Period End Date

• Insurance Fields

  • 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

• Validation Only Fields

  • Input Commercial NCQA Payer Type Code
  • Output Commercial NCQA Payer Type Code
  • Input Medicare NCQA Payer Type Code
  • Output Medicare NCQA Payer Type Code
  • Input Medicaid NCQA Payer Type Code
  • Output Medicaid NCQA Payer Type Code
  • Input SNP NCQA Payer Type Code
  • Output SNP NCQA Payer Type Code
  • Input Exchange NCQA Payer Type Code
  • Output Exchange NCQA Payer Type Code
  • Input Medicare-Medicaid Plans NCQA Payer Type Code
  • Output MMP NCQA Payer Type Code

Foreign Keys

• pat_id → ursa.no_ursa_core_pat_001.pat_id