URSA-PHF-R04: Registry of Hospital Inpatient Encounters

  • Published on Aug 21, 2025
  • 3 minute(s) read
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Measure Description

One record per hospital inpatient admission encounter, including, if they occur prior to inpatient admission, ED visits and/or observation stays.

Metadata

  • Measure Type: Registry
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Encounter ID
  • Target Direction: None

Published Fields

  • Data Model Keys

    • Encounter ID
    • Patient ID
    • Encounter Primary Payor ID
    • Encounter Primary Plan ID
    • Facility Provider ID
    • Attending Provider ID
    • Primary HCPCS Procedure Provider ID
    • Prior Hospital IP Encounter ID

  • Date Fields

    • Encounter Start Date
    • Encounter End Date
    • Encounter Start Date Year
    • Encounter Start Date First of Month
    • Encounter Patient Inpatient Status Start Date
    • Encounter Start Date Day of Week
    • Inpatient Status Start Date Day of Week
    • Encounter End Date Day of Week
    • Prior Hospital IP Encounter End Date
    • Elapsed Days from Prior Hospital IP Encounter End Date
    • Is Hospital IP Discharge in Prior 30 Days
    • 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)

  • Encounter Fields

    • Ursa Hospital Admission Condition-Treatment Type Tier 1 Category
    • Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Maternity
    • Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Behavioral Health
    • Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Surgical
    • Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Medical
    • Inpatient LOS Category Tier 1
    • Is Inpatient LOS < 2 Midnights
    • Inpatient LOS in Elapsed Midnights
    • Inpatient LOS in Distinct Calendar Days
    • Is Emergency Department Visit Parent Encounter
    • Is Observation Stay Parent Encounter
    • Is Discharge Status Home or Home with Home Health
    • Is Routine Discharge Home
    • Is Discharged Home with Home Health

  • Provider Fields

    • Facility Provider Description
    • Facility Provider Primary NUCC Provider Taxonomy Code
    • Facility Provider Primary NUCC Provider Taxonomy Description
    • Facility Provider State Abbreviation
    • Facility Provider ZIP Code 5-Digit
    • Attending Provider Description
    • Attending Provider Primary NUCC Provider Taxonomy Code
    • Attending Provider Primary NUCC Provider Taxonomy Description

  • Insurance Fields

    • Encounter Primary Payor Description
    • Encounter Primary Plan Description
    • Encounter Primary Plan Financial Class Description
    • Is Encounter Primary Plan Financial Class Commercial
    • Is Encounter Primary Plan Financial Class Medicare FFS
    • Is Encounter Primary Plan Financial Class Medicare Advantage
    • Is Encounter Primary Plan Financial Class Medicaid

  • Clinical Services Fields

    • Is Surgery Encounter
    • Is Prior Hospital IP Admit Surgery Encounter
    • Primary HCPCS Procedure HCPCS Code
    • Primary HCPCS Short Description
    • Primary HCPCS Long Description
    • Is Primary HCPCS Procedure Surgical
    • Primary HCPCS AHRQ CCS Single-Level Procedure Category Code
    • Primary HCPCS AHRQ CCS Single-Level Procedure Category Description
    • Principal ICD Procedure ICD-10-PCS Code
    • Principal ICD Procedure ICD-10-PCS Description
    • Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Code
    • Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Description
    • Principal ICD-10-PCS AHRQ CCS Single-Level Procedure Category Code
    • Principal ICD-10-PCS AHRQ CCS Single-Level Procedure Category Description

  • Diagnosis Fields

    • Principal Discharge Diagnosis ICD-10-CM Code
    • Principal Discharge Diagnosis ICD-10-CM Description
    • Prior Admit Principal Discharge Diagnosis ICD-10-CM Code
    • Prior Admit Principal Discharge Diagnosis ICD-10-CM Description
    • Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
    • Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
    • Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
    • Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
    • Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Code
    • Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Description
    • Discharge Diagnosis WHO ICD-10 Chapter Description
    • Discharge Diagnosis WHO ICD-10 Block Description

  • Billing and Claims Fields

    • MS-DRG Code
    • MS-DRG Description
    • MS-DRG MDC Code
    • MS-DRG MDC Description
    • Is CMS DRG Medical-Surgical Type Surgical
    • Is CMS DRG Medical-Surgical Type Medical
    • CMS DRG Weight
    • APR-DRG Code
    • APR-DRG Description
    • APR-DRG MDC Code
    • APR-DRG MDC Description
    • APR-DRG Severity of Illness Code
    • APR-DRG Risk of Mortality Code
    • Is APR-DRG Medical Surgical Type Medical
    • Is APR-DRG Medical Surgical Type Surgical
    • CMS Admit Type Code
    • CMS Admit Type Description
    • CMS Admit Source Code
    • CMS Admit Source Description
    • CMS Place of Service Code
    • CMS Place of Service Description
    • CMS Patient Discharge Status Code
    • CMS Patient Discharge Status Description

  • Financial Fields

    • Primary Plan Allowed Amount
    • Primary Plan Paid Amount
    • Total Plan Paid Amount from All Plans
    • Patient Paid Amount

  • Metadata Fields

    • Calculated MS-DRG Mean Length of Stay in Calendar Days
    • Relative Change of Encounter LOS to Calculated MS-DRG Mean
    • Calculated APR-DRG Mean Length of Stay in Calendar Days
    • Relative Change of Encounter LOS to Calculated APR-DRG Mean
    • CMS DRG Arithmetic Mean LOS
    • Relative Change of Encounter LOS to CMS MS-DRG Arithmetic Mean
    • CMS DRG Geometric Mean LOS
    • Relative Change of Encounter LOS to CMS MSDRG Geometric Mean

  • Measure Fields