URSA-CORE-944: Diagnosis Records with Critical Missing Data

Measure Description

Among encounter and medical claim or bill diagnosis records, the percentage with at least one unpopulated critical field; critical fields are: ICD-10-CM Code, Diagnosis Line Number, Is Principal Diagnosis, and, for professional claim or bill diagnosis records only, Service Line Number.

Metadata

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

Denominator Description

One per encounter diagnosis record or medical claim or bill diagnosis record.

Numerator Description

One per qualifying denominator observation with at least one unpopulated critical field; critical fields are: ICD-10-CM Code, Diagnosis Line Number, Is Principal Diagnosis, and, for professional claim or bill diagnosis records only, Service Line Number.