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| Claims DataSchema | Description | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information |
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Most Recent Refresh | Refresh Frequency | Next Refresh | DUA Required | Refresh |
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CSAT | The Healthcare Quality |
CSAT Image Removed **Data Issue Identified: See Known Issues Log for current status** | The Healthcare Quality Analytics and Reporting (HCQAR) Complete Statistical Analysis Table (CSAT) is a monthly dataset that provides state and national level claims data variables derived from Medicare Part A / Part B / Part D claims data specifically for the national and state Quality Improvement Networks and Organizations (QIN-QIOs). (SORN)
| csat_5 csat_2 ----------------------- Legacy CSAT: csat_201908_baseline csat_201909 [monthly] | CSAT_TableLayout.xlsxCSAT_TableLayout.xlsx---------------------------------- Table Layouts for Legacy Schemas: CSAT_Baseline | _TableLayout.xlsx_TableLayout.xlsx | 12/31/2020 | Monthly | 1/26/2021 | Yes | | f CSAT Partition Info
| Monthly - Last Friday of every month | DDPS Part D | The source data for Part D claims is the Drug Data Processing System. Each monthly refresh generally includes all drug claims processed from the previous month (as shown by 'pde_proc_dt'). This schema contains all prescription drug claims covered under Medicare Part D. (SORN) | ddps_part_d | PartDTableLayout.xlsx12/9/2020 | Monthly | 1/12/2021 | Yes | NCH Part A Image Removed **Data Issue Identified: See Known Issues Log for current status** | The source d | DDPS Part D Data Dictionary
| Monthly - By the 12th of each month or the following business day | NCH Part A | The source data for Part A claims is the National Claims History (NCH) weekly extracts. Each weekly refresh generally includes claims with an ‘nch_daily_proc_dt’ of Friday from the previous week. Part A claims include the Inpatient (IP) and Skilled Nursing Facility (SNF), Home Health (HHA), Hospice, and Outpatient | Extractsextracts. (SORN) | nch_part_a | PartA2020_02-TableLayout.xlsx IPSNFtxt2020_02-txt2020_02-HHAtxt2020_02-txt12/24/2020 | Weekly | | Yes | NCH Part B Image Removed **Data Issue Identified: See Known Issues Log for current status** | The source data for Part B claims is the NCH weekly extracts. Part B claims include the Professional and the Durable Medical Equipment (DME) extracts. (SORN) | nch_part_b | | | 12/24/2020 | Weekly | | Yes | |
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Beneficiary and Provider Data
Schema | Description | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information | Most Recent Refresh | Refresh Frequency | Next Refresh | DUA Required |
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Assessment
(iQIES) Anchor |
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Assessment_iQIES | Assessment_iQIES | QIES underwent a series of modernizing, system enhancements resulting in what is now called the Internet Quality Improvement and Evaluation System (iQIES). iQIES data in the CDR includes assessment data for HHA, MDS, LTCH, IRF, and Hospice schemas. | assessment_iqies | | | 12/3/2020 | Monthly | 1/6/2020 | Yes | Beneficiary | This source contains beneficiary demographics, entitlement, enrollment, premium, health status and other coverage information from the Beneficiary Information on the Cloud (BIC) source. This data will be the source of beneficiary data going forward within the CDR. | beneficiary_data | | | 1/4/2021 | Weekly | 1/11/2021 | Yes |
CRIS | The Case Review Information System (CRIS) was the predecessor to the QMARS system (see below). It was decommissioned October 31, 2018. All data in this system is archival. | legacy_cris | | | 1/13/2020 | None | Never | Yes |
HQR | Public Reporting data provides Hospital Quality Reporting (HQR) data to the Hospital Compare website. The data educates consumers by providing them with detailed information on a hospital’s quality of care. This schema is a replacement for ‘legacy_hqr_public_reporting’ and is being made available from the permanent cloud source of data. | quality_measures_hqr_pub_report | | 11/18/2020 | Quarterly | 2/18/2021 | Yes | Data Form formerly known as Structural Measures or Web-Based Data Collection Tool, allows IQR, OQR, ASCQR, IPFQR, MU, PCHQR, and HCAHPS providers (or authorized vendors) to enter information related to the environment in which care is provided. This schema is the replacement for the following legacy schemas: - legacy_hqr_struct_msrs
- legacy_qnol_pch_app
- legacy_hqr_asc
- legacy_hqr_hcahps
- legacy_hqr_hcahps_final
- legacy_cldw_rpt_etl
- legacy_hqr_pprs_app
- legacy_opps_prs
| quality_measures_hqr_data_form | | N/A | Daily | 1200 UTC Daily | Yes | HQR - Legacy
These schema are copies of the former HQR Oracle databases and applications in SDOL, QNOL, and CLDW. | legacy_hqr_asc | | | 4/6/2020 | None | Never | Yes | legacy_hqr_cart(QNOL) | | | 12/3/2020 | None | Never | Yes |
legacy_hqr_cart_final (CLDW) | | | 12/3/2020 | None | Never | Yes |
legacy_hqr_ehqr | | | 11/16/2020 | None | Never | Yes |
legacy_hqr_sdol_extfilapp | | 12/7/2020 | None | Never | Yes | legacy_hqr_qnol_extfilapp | | 12/7/2020 | None | Never | Yes | legacy_hqr_hai | | | 12/4/2020 | None | Never | Yes |
legacy_hqr_hcahps | | | 10/21/2020 | None | Never | Yes |
legacy_hqr_hcahps_final | | SDOL_CLDW_HCAHPS_view_logic.txt | 10/20/2020 | None | Never | Yes |
legacy_hqr_hvbp | | | 10/19/2020 | None | Never | Yes |
legacy_hqr_oat_app | | | 12/2/2020 | None | Never | Yes |
legacy_hqr_ipledge_app | | | 12/9/2020 | None | Never | Yes |
legacy_hqr_nop_app | | | 12/10/2020 | None | Never | Yes |
legacy_hqr_opledge_app | | | 12/9/2020 | None | Never | Yes |
legacy_hqr_opps | | | 12/4/2020 | None | Never | Yes |
legacy_hqr_opps_prs | | | 12/3/2020 | None | Never | Yes |
legacy_hqr_pprs_app | | | 11/10/2020 | None | Never | Yes |
legacy_hqr_struct_msrs | | | 12/4/2020 | None | Never | Yes |
legacy_hqr_validation_app | | 12/7/2020 | None | Never | Yes | legacy_cldw_rpt_etl | | 12/1/2020 | None | Never | Yes | legacy_qnol_pch_app | | | 12/8/2020 | None | Never | Yes |
legacy_hqr_cart_cdac | | | 8/11/2020 | None | Never | Yes |
legacy_hqr_ci_rpt | | 12/10/2020 | None | Never | Yes | legacy_hqr_opps_import | | | 12/10/2020 | None | Never | Yes |
Miscellaneous data from the legacy CLDW and QNOL systems
legacy_cldw_prod_data_mgmt | Misc_prod_data_mgmt_TableLayout.xlsx | | | None | Never | Yes | legacy_qnol_user_admin | | 12/9/2020 | None | Never | Yes | legacy_sdol_ifmc_common | | 3/6/2020 | None | Never | Yes | Program Resource System (PRS) | Program Resource System (PRS) is a repository of demographic information for hospital providers in the Centers for Medicare & Medicaid Services (CMS), Survey and Certification System (CASPER), and Quality Improvement and Evaluation System (QIES). PRS assists Quality Improvement Organizations (QIOs) and Program Support Contractors in maintaining CMS Programs. The resource_hqr_prs schema corresponds to formerly known as sdol.np_sdps and resource_hqr_prs_supplemental schema corresponds to formerly known as sddw.np_sdps. | resource_hqr_prs resource_hqr_prs_supplemental | | 1/4/2021 | Weekly | 1/11/2021 | Yes | NPPES | The National Plan and Provider Enumeration System contains provider NPIs, names, and location information. | nppes | | NPPES dissemination information on CMS Website | 11/17/2020 | Quarterly | 2/14/2020 | No |
CMS Master Data Management (MDM) Provider Master Index/ Shared Provider Profile (PMI/SPP) | The PMI/SPP contains an integrated view of identity resolved provider data across multiple CMS provider data systems. It includes data from PECOS, NPPES, NPICS, QIES, and T-MSIS. It provides both "current" and "historical" provider data from multiple CMS source systems of record. This data will be the source of provider data (including PECOS) within the CDR. The CDR will still provide data concurrently from QIES (iQIES in future) and NPPES. | provider_pmi_data | | | 1/4/2021 | Weekly | 1/11/2021 | Yes |
Provider (iQIES) | QIES underwent a series of modernizing, system enhancements resulting in what is now called the Internet Quality Improvement and Evaluation System (iQIES). iQIES data in the CDR includes provider data from CASPER and iQIES_CMN schemas. | provider_iqies | | | 12/3/2020 | Monthly | 1/6/2020 | Yes |
QMARS Image Removed **Data Issue Identified: See Known Issues Log for current status** | Quality Management and Review Systems (QMARS) is a system for case management and review. | qmars | | 12/7/2020 | Monthly | TBD - See Known Issues Log | Yes | Quality Payment Program (QPP) Universal Data Set (UDS) | The Quality Payment Program (QPP) Universal Data Set (UDS) is a curated data warehouse of all QPP data for analytics and reporting. | quality_measures_qpp_uds | | | 12/28/2020 | Monthly | 1/30/2021 | Yes |
SDDW | Contains Medicare Beneficiary and Provider enrollment data. (FAQ) | legacy_sddw_np_sdps | | denominator1_derived_fields_2020_09_28.docx denominator2_derived_fields_2020_09_28.docx | 12/8/2020 | None | Never | Yes |
SDOL | Contains the beneficiary coverage data previously in the Oracle SDOL database. | legacy_sdol_np_sdps | | 12/8/2020 | None | Never | Yes | 86218841
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Health Plan Data
Schema | Description | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information | Most Recent Refresh | Refresh Frequency | Next Refresh | DUA Required |
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HPMS | Contains HMO/PDP contract and service area data from the CMS Health Plan Management System. | health_plan | | | 12/2/2020 | Monthly | 1/6/2021 | Yes |
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Public Data
Schema | Description | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information | Most Recent Refresh | Refresh Frequency | Next Refresh | DUA Required |
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ADI | The Area Deprivation Index (ADI) contains the GIS information for US neighborhoods. | public_data | | Neighborhood Atlas Web Page | 4/10/2020 | Annually | 5/13/2021 | No |
FDA | The FDA data contains packaging and product information for FDA approved drugs. | public_data | | 12/14/2020 | Monthly | 1/13/2021 | No | Nursing Home Compare | This is the official data for the Nursing Home Compare website. | compare_nursing_home | | Nursing Home Compare Overview Data Set Page | 11/5/2020 | Monthly | 1/8/2021 | No |
ZIP | This table contains the ZIP Codes and other information for cities and towns in the US. | public_data | | 12/14/2020 | Monthly | 1/13/2021 | No | Reference Codes | This schema contains various reference codes such as ICD-10, HCPCS, and others. | resource_ref_codes | | ASC HCPCS: 10/1/2020 HCPCS: 10/1/2020 Condition: 11/16/2020 DRG: 10/1/2020 ICD Diagnosis: 10/1/2020 ICD Procedure: 10/1/2020 Occurrence: 11/13/2020 Primary Payer: 11/10/2020 Revenue Center: 11/10/2020 Span: 11/10/2020 Value: 11/10/2020 | Annual (may update quarterly if new code updates) | Varying dates based on Codes ICD codes: 9/30/2021 HCPCS codes: 12/31/2021 Condition, DRG, Occurrence, Primary Payer, Revenue Center, Span, Value Codes: Updated when ICD or HCPCS updates occur | No | 86218841
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Planned Data Sources
Source Name | Description | Future CDR Hive Schema | CDR Legacy Data Sources | Data Dictionary and Supplemental Information | Targeted Date of Availability within CDR |
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Program Resource System (PRS) | Program Resource System (PRS) is a repository of demographic information for hospital providers in the Centers for Medicare & Medicaid Services (CMS), Survey and Certification System (CASPER), and Quality Improvement and Evaluation System (QIES). PRS assists Quality Improvement Organizations (QIOs) and Program Support Contractors in maintaining CMS Programs. | resource_hqr_prs (SDOL) resource_hqr_prs_supplemental (SDDW) | - legacy_hqr_prs
- legacy_sddw_np_sdps
- legacy_sdol_np_sdps
| | 12/23/2020 |
Data Form IQR/ASC/IPF/PCH/OQR/DACA/HCAHPS/Pop and Samp/ ECQM Denominator Declaration | Data Form formerly known as Structural Measures or Web-Based Data Collection Tool, allows IQR, OQR, ASCQR, IPFQR, MU, PCHQR, and HCAHPS providers, or any of their authorized vendors, to enter information related to the environment in which care is provided. | quality_measures_hqr_data_form
- legacy_hqr_struct_msrs
- legacy_qnol_pch_app
- legacy_hqr_asc
- legacy_hqr_hcahps
- legacy_hqr_hcahps_final
- legacy_cldw_rpt_etl
- legacy_hqr_pprs_app
- legacy_opps_prs
| | 1/27/2020 | IQR/OQR Chart-Abstracted (Clinical Outcome) | IQR and OQR Chart Abstracted Calculations & Outcomes (CACAO) system provide CMS and its stakeholders with system functionality that calculates measure outcomes for clinical quality measures that evaluates data submitted via XML file. The following measures are included in this data set: - OP-2: Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival
- OP-3 Median Time to Transfer to Another Facility for Acute Coronary Intervention
- OP-3a - Overall Rate
- OP-3b - Reporting Measure
- OP-3c - Quality Improvement Measure
- OP-23: Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretation Within 45 Minutes of ED Arrival
- OP-18a Median Time from ED Arrival to ED Departure for Discharged ED Patients – Overall Rate
- OP-18b Median Time from ED Arrival to ED Departure for Discharged ED Patients –Reporting Measure
- OP-18c Median Time from ED Arrival to ED Departure for Discharged ED Patients – Psychiatric/Mental Health Patients
- OP-18d Median Time from ED Arrival to ED Departure for Discharged ED Patients – Transfer Patients
- SEP-1 and Bundle Data
| quality_measures_hqr_char_abst | - legacy_hqr_opps_import
- legacy_hqr_opps
- legacy_hqr_cart
- legacy_hqr_cart_final
| | 3/25/2020 |
Notice of Participation (NOP) | Notice of Participation is a contract between CMS and hospitals that identifies whether or not they are participating in the IQR, OQR, IPF, and PCH programs. Each of these programs have specific requirements that determine whether or not a facility is participating in a quality reporting program. This data set will describe the programs any given hospital is participating in and the date. | provider_participation_hqr_nop | - legacy_hqr_ipledge_app
- legacy_hqr_opledge_app
- legacy_hqr_nop_app
| 3/25/2020 | IQR/OQR/ECQM Validation | The Centers for Medicare & Medicaid Services (CMS) assesses the accuracy of chart-abstracted data submitted to the Hospital Outpatient Quality Reporting (OQR) Program and the Hospital Inpatient Quality Reporting (IQR) Program through the validation process. CMS verifies on a quarterly basis that hospital-abstracted data submitted to CMS’ Clinical Warehouse via the Hospital Quality Reporting (HQR) system can be reproduced by a trained abstractor using a standardized process.
quality_measures_hqr_val | - legacy_hqr_validation_app
- legacy_hqr_oat_app
- legacy_hqr_cart_cdac
| 3/25/2020 | ECQM Measure Outcomes | The HQR system consumes eCQM QRDA files and processes the data based on measure logic to determine the measure outcomes for the follow measures: - STK-06
- STK-05
- STK-03
- STK-02
- ED-2
- VTE-1
- VTE-2
- PC-05
| quality_measures_hqr_ecqm | | 3/25/2020 | HVBP | This schema provides data and results from the Hospital Value based Purchasing (HVBP) Program. | quality_measures_hqr_hvbp
| 7/1/2020 | External Files - CDC NHSN Data | CDC NHSN (National Healthcare Safety Network) provides facilities, states, regions, and the nation with data needed to identify problem areas, measure progress of prevention efforts, and ultimately eliminate healthcare-associated infections.
Future files will be sent from the Hospital Quality Reporting (HQR) ADO and made available in the SAS Viya workbench in source format. Once made available, these files will appear in a new folder called "external-data" under your main workbench directory:
"workspace/workbench/organization-name/external-data/nhsn"
SAS Viya Workbench external-data/nhsn | - legacy_hqr_sdol_extfilapp
- legacy_hqr_qnol_extfilapp
- legacy_hqr_hai
| TBD | 86218841
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Archived Sources
Sources No Longer Being Refreshed
Source | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information | Final Refresh Date | DUA Required |
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HQR | legacy_hqr_public_reporting | | SDOL_CLDW_PUBLIC_REPORTING_view_logic.zip | 3/2/2020 | Yes |
QIES Legacy (Provider) | legacy_provider_data | | QIES.S&C.Table-Reports.pdf | 8/27/2020 | Yes |
QIES Legacy (Assessment) | legacy_assessment_data | | QIES.HHA.Table-Reports.pdf QIES.HOSPC.Table-Reports.pdf QIES.IRF.Table-Reports.pdf QIES.LTCH.Table-Reports.pdf QIES.MDS.Table-Reports.pdf | 9/15/2020 | Yes |
Beneficiary | legacy_beneficiary_data | legacy_beneficiary_data_TableLayout.xlsx | EDB_data_dictionary.doc | 12/3/2020 | Yes |
Program Resource System (PRS) | legacy_hqr_prs | HQR_PRS_TableLayout.xlsx | 12/8/2020 | Sources Continuing to be Refreshed
Source | Description | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information | Most Recent Refresh | Refresh Frequency | Next Refresh | DUA Required |
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