URSA-CORE-939: Professional Diagnoses with Critical Missing Data

  • Published on Jul 17, 2025
  • 1 minute(s) read
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Measure Description

Among professional claim or bill diagnosis records, the percentage with at least one unpopulated critical field; critical fields are: Patient ID, Service Start Date, and ICD-10-CM Code.

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Document ID
  • Target Direction: Down

Denominator Description

One per professional claim or bill diagnosis record.

Numerator Description

One per qualifying denominator observation with at least one unpopulated critical field; critical fields are: Patient ID, Service Start Date, and ICD-10-CM Code.

Published Fields

  • Data Model Keys

    • Document ID
    • Patient ID
    • Professional Claim Service Line Item ID
    • Professional Bill Service Line Item ID
    • Plan ID
    • Payor ID
    • Source ID

  • Date Fields

    • Document Effective Date
    • 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)

  • Diagnosis Fields

    • ICD-10-CM Code
    • ICD-10-CM Description

  • Numerator Fields

    • Is Patient ID NULL
    • Is Service Start Date NULL
    • Is ICD-10-CM Code NULL

  • Metadata Fields

    • Document Type Description

  • Measure Fields

    • Denominator