URSA-CORE-940: Pharmacy Claims with Critical Missing Data

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

Among pharmacy claim records, the percentage with at least one unpopulated critical field; critical fields are: Patient ID, Filling Provider ID, Filled Date, NDC, and Days Supply.

Metadata

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

Denominator Description

One per pharmacy claim record.

Numerator Description

One per qualifying denominator observation with at least one unpopulated critical field; critical fields are: Patient ID, Filling Provider ID, Filled Date, NDC, and Days Supply.

Published Fields

  • Data Model Keys

    • Document ID
    • Claim ID
    • Patient ID
    • Filling Provider ID
    • Source ID
    • Payor ID
    • Plan ID

  • Date Fields

    • Filled 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)

  • Medication Fields

    • NDC Code 11-Digit
    • Label Description
    • Days Supply

  • Numerator Fields

    • Is Patient ID NULL
    • Is Filling Provider ID NULL
    • Is Filled Date NULL
    • Is NDC Code NULL
    • Is Days Supply NULL

  • Measure Fields

    • Denominator