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titleid | Claims CDR Data Catalog |
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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 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 |
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| START|CSAT|3/26/2021|4/23/2021|END |
Monthly | 4/23/2021 | Yes | DDPS Part D | The source data for Part D claims is the | f CSAT Partition Info
| Monthly - Last Friday of every month | DDPS Part D | The source data for Part D claims is the Drug Data |
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.xlsxFrequently Asked Questions (FAQ) | 4/8/2021 | Monthly | 5/12/2021 | Yes | 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 extracts. (SORN) | nch_part_a |
PartA2021_02-TableLayout.xlsx - VRSNL2021_02-txt HOSPC - VRSNLtxt2021_02- - VRSNLtxt2021_02-OP - VRSNL.txtFrequently Asked Questions (FAQ) 4/15/2021 | Yes | NCH Part B The source data for Part B claims is the NCH weekly extracts. Each weekly refresh generally includes claims with an ‘nch_daily_proc_dt’ of Friday from the previous week. Part B claims include the Professional and the Durable Medical Equipment (DME) extracts. (SORN) | nch_part_b | | | 4/15/2021 | Weekly | | Yes | Tabs Page |
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title | Mapping DUA to Claims Data |
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| Mapping DUA to Claims DataSchema | CDR Hive Schema | Preferred DUA Entry | Acceptable DUA Entry |
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| csat_5 csat_2 ----------------------- Legacy CSAT: csat_201908_baseline csat_201909 [monthly] | NCH-SS NATIONAL CLAIMS HISTORY - 100% STATE SPECIFIC PDE - PART D - PRESCRIPTION DRUG EVENT DATA EDB MBD (for Part D enrollees) | Mandatory: EDB MBD Plus one of the following for FFS Claims: NCHDB - NATIONAL CLAIMS HISTORY DATABASE FFSCLM - FFS CLAIMS DATA NCH - NCH - MEDICARE INFORMATION ON PART A AND PART B SERVICES Plus one of the following for Prescription Drug Claims: DDPS - DRUG DATA PROCESSING SYSTEM PDE - PART D - PRESCRIPTION DRUG EVENT DATA | DDPS Part D | ddps_part_d | DDPS - DRUG DATA PROCESSING SYSTEM | PDE - PART D - PRESCRIPTION DRUG EVENT DATA | | nch_part_a | NCH - NCH - MEDICARE INFORMATION ON PART A AND PART B SERVICES | FFSCLM - FFS CLAIMS DATA NCHDB - NATIONAL CLAIMS HISTORY DATABASE NCH-SS NATIONAL CLAIMS HISTORY - 100% STATE SPECIFIC | | nch_part_b | NCH - NCH - MEDICARE INFORMATION ON PART A AND PART B SERVICES | FFSCLM - FFS CLAIMS DATA NCHDB - NATIONAL CLAIMS HISTORY DATABASE NCH-SS NATIONAL CLAIMS HISTORY - 100% STATE SPECIFIC |
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title | Beneficiary and Provider Data |
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| - Thursdays | MSDRG | A Medicare Severity-Diagnosis Related Group (MSDRG) is a system of classifying a Medicare patient’s hospital stay into various groups in order to facilitate payment of services. Additional information on MSDRG Classifications and Software can be found on the public CMS site: https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps/ms-drg-classifications-and-software MSDRG Codes in the CDR are generated using the Java API version of the publicly available MSDRG Grouper software produced by CMS. The grouper is a software system that classifies a patient’s hospital stay into an established DRG based on the diagnosis and procedures provided to the patient. In the nch_part_a schema, you will find 3 tables containing all MSDRG Codes produced by the software, as well as the Part A Input data: claims_msdrg_output claims_msdrg_output_diagnosiscodeinfo claims_msdrg_output_procedurecodeinfo. MSDRG codes in the CDR are available on claims effective from July 2019 onwards. | nch_part_a | nch_part_a | MSDRG_DataCatalog.xlsx MSDRG_JavaAPI_Guide.pdf | Weekly - Thursdays | NCH Part B | The source data for Part B claims is the NCH weekly extracts. Each weekly refresh generally includes claims with an ‘nch_daily_proc_dt’ of Friday from the previous week. Part B claims include the Professional and the Durable Medical Equipment (DME) extracts. (SORN) | nch_part_b | nch_part_b | Data Dictionary - DMERC_CLM_REC.zip Data Dictionary - CARR_CLM_REC.zip
| Weekly - Thursdays | NCH MEDPAR | Medicare Provider Analysis & Review (MedPAR) is a system that consolidates Inpatient Hospital or Skilled Nursing Facility (SNF) claims data from the National Claims History (NCH) files into stay level records. MEDPAR records from January 2021 onward are available in the CDR. Historical backfill to include years 2017-2020 is planned. | medpar | medpar | medpar_data_dictionary_ForCatalog.xlsx | Quarterly |
Important Notes - The CDR follows National Claims History (NCH) logic, as such Part A claims are split into multiple records when the number of revenue center line items is greater than 45. In HAJI, these were merged into a single claim.
- The CDR includes claim types 61, 62, 63, 64, 80, and 81, which Health Account Joint Information (HAJI) did not include.
- The CDR includes claim adjustments older than five years, which HAJI did not include.
- In Part A Claims, dates showing as '1970-01-01' in the rev_cntr_dt field should be treated as blank or null values
- Recommended data catalog documentation for CDR contributors is located on the CDR Data Contribution Standard Operating Procedure page.
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title | Beneficiary and Provider Data |
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| Beneficiary and Provider DataSchema | Description | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information |
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Most Recent Refresh Frequency | Next Refresh | DUA Required | 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. This data is extracted from iQIES system and the "Most Recent Refresh" column reflects the date at which the data was extracted. The data is generally made available in the CDR within 2 business days of extraction. | assessment_iqies | | | 4/13/2021 | Monthly | 5/5/2021 | 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. CDR Hive tables point directly to BIC data in the CMS Enterprise Data Lake (EDL). This data is refreshed each weekend in the CMS EDL and it is made available by Monday in the CDR. | beneficiary_data | | | 4/19/2021 | Weekly | 4/26/2021 | 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 | DARRT QII | This source includes Quality Improvement Initiative (QII) Data from the Deliverable Administration Review Repository Tool (DARRT). A QII is any formal plan designed to assist a provider(s) and/or practitioner(s) in identifying the root cause of a confirmed quality of care concern, develop a framework in which to address the concern and improve a process or system. QIIs may consist of system-wide (organization-based) and/or non-system-wide (practitioner-based) activities. QII initiation and tracking are performed in DARRT and QII data in the CDR are refreshed every Wednesday at 1:00 AM ET. | quality_measures_darrt_qii | | | 4/14/2021 | Weekly | 4/21/2021 | Yes | Hospital Quality Reporting (HQR) Clinical End Stage Renal Disease Quality Reporting System (EQRS) | This schema will provide End-Stage Renal Disease (ESRD) Facility, Personnel, Patient and Clinical Data for CDR users. | clinical_eqrs | See Data Dictionary file | EQRS Data Dictionary | Monthly – Three months in arrears (e.g. extract for the closed clinical month of September is generated and loaded in early December – a few days after the submission deadline)
| Renal Data System (RDS) Extracts | End Stage Renal Disease Quality Reporting System (EQRS) data in the format of the RDS extract reports that were first provided from the Reliability and Maintainability Information System (REMIS) system and were later provided by the Network Coordinating Council (NCC). Each quarter data is loaded for all-time from EQRS. | rds_extracts | See Data Dictionary file | RDS Extracts Data Dictionary | Quarterly (January, April, July, October)
| Clinical Extracts | End Stage Renal Disease Quality Reporting System (EQRS) clinical data submitted by End-Stage Renal Disease (ESRD) care providers from a given closed clinical month in the format of the Clinical Extracts, historically delivered monthly by the EQRS Application Development Organization (ADO). | clinical_extracts | TBD | Clinical Extracts Data Dictionary | Weekly (loaded each weekend) | Care Compare Extracts | End Stage Renal Disease Quality Reporting System (EQRS) facility and patient data from a given quarter in the format of the Care Compare Extracts, historically delivered quarterly by the EQRS Application Development Organization (ADO). | care_compare_extracts
| TBD | Care Compare Extracts Data Dictionary | Quarterly (January, April, July, October) |
Important Notes
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title | Beneficiary and Provider Data |
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| Beneficiary and Provider DataSchema | Description | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information | Refresh |
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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. This data is extracted from iQIES system and the "Most Recent Refresh" column reflects the date at which the data was extracted. The data is generally made available in the CDR within 2 business days of extraction. | assessment_iqies | assessment_iqies | iQIES CDR Data Dictionary.xlsx | Monthly - 1st Business Day of the month | 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. This data is extracted from iQIES system and the "Most Recent Refresh" column reflects the date at which the data was extracted. The data is generally made available in the CDR within 2 business days of extraction. | provider_iqies | provider_iqies | iQIES CDR Data Dictionary.xlsx iQIES S&C Code Tables Data Dictionary.xls | Monthly - 1st Business Day of the month
| Beneficiary | This source contains beneficiary demographics, entitlement, enrollment, premium, health status and other coverage information from the Beneficiary Information on the Cloud (BIC) source. CDR Hive tables point directly to BIC data in the CMS Enterprise Data Lake (EDL). This data is refreshed each weekend in the CMS EDL and it is made available by Monday in the CDR. CDR contains only a Subset of tables listed in BIC Data Dictionary. | beneficiary_data | beneficiary_data | | Weekly - Mondays | 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. CDR Hive tables point directly to PMI/SPP data in the CMS Enterprise Data Lake (EDL). This data is refreshed each weekend in the CMS EDL and it is made available by Monday in the CDR. | provider_pmi_data | Provider_PMI_Data | Guides: Guide to Using the MDM PMI SPP NPI Profile Tables.docx Guide to Using the MDM Comprehensive PMI and SPP Tables.docx MDM 3rd Qtrly Training.pptx DDES Quarterly Training.pptx NPI Profile Data Dictionary: MDM 3.0 NPI Profile Delta Tables Dictionary.pdf MDM 3.0 NPI Profile Logical Hive Data Model.pdf MDM 3.0 NPI Profile Physical Hive Data Model.pdf MDM 2.0 NPI Tables Model Diagram.pdf PMISPP Data Dictionary: MDM 3.0 PMISPP Delta Tables Dictionary.pdf MDM 3.0 PMISPP Logical Hive Data Model.pdf MDM 3.0 PMISPP Physical Data Dictionary.pdf MDM table Partition information: provider pmi data Partition Info.xlsx Contact the Data & Analytics team for the password to unlock the documents. | Weekly - Mondays | DARRT QII | This source includes Quality Improvement Initiative (QII) Data from the Deliverable Administration Review Repository Tool (DARRT). A QII is any formal plan designed to assist a provider(s) and/or practitioner(s) in identifying the root cause of a confirmed quality of care concern, develop a framework in which to address the concern and improve a process or system. QIIs may consist of system-wide (organization-based) and/or non-system-wide (practitioner-based) activities. QII initiation and tracking are performed in DARRT and QII data in the CDR are refreshed every Wednesday at 1:00 AM ET. | quality_measures_darrt_qii | quality_measures_darrt_qii | DARRT QII Data Definition.xls DARRT QII Model.pdf | Weekly - Wednesdays | Hospital Quality Reporting (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. CDR |
| 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. CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. | quality_measures_hqr_pub_report | | 3/18/2020 | Quarterly | 6/17/2021 | 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. CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. 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 | 1100 UTC Daily | Yes | 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. CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. The following measures are included in this data set: OP-2, OP-3, OP-3a, OP-3b, OP-3c, OP-23, OP-18a, OP-18b, OP-18c, OP-18d, and SEP-1 and Bundle Data This schema is the replacement for the following legacy schemas: - legacy_hqr_opps_import
- legacy_hqr_opps
- legacy_hqr_cart
- legacy_hqr_cart_final
| quality_measures_hqr_char_abst | | | N/A | Daily | 1000 UTC Daily | Yes | 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 will describe the programs, whether a given hospital is participating, and the date. CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. |
| quality_measures_hqr_pub_report |
| quality_measures_hqr_pub_report.xlsx | Quarterly | Hospital Quality Reporting (HQR) | 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. CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data |
This schema is the replacement for the following legacy schemas: - legacy_hqr_ipledge_app
- legacy_hqr_opledge_app
- legacy_hqr_nop_app
provider_hqr_nop | | N/A | Daily | 1000 UTC Daily | Yes | 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’s Clinical Warehouse via the Hospital Quality Reporting (HQR) system, can be reproduced by a trained abstractor using a standardized process. CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. |
This schema is the replacement for the following legacy schemas: |
validationapphqroatcart_cdacqualitymeasures_valqualitymeasures_valTableLayout.xlsx3/24/2021 | Quarterly | 6/24/2021 | Yes | 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 CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. |
The following measures are included in this data set: OP-2, OP-3, OP-3a, OP-3b, OP-3c, OP-23, OP-18a, OP-18b, OP-18c, OP-18d, and SEP-1 and Bundle Data This schema is the replacement for the following legacy schemas |
This schema is the replacement for the following legacy schemaehqrquality_measures_hqr_ecqm- opps_import
- legacy_hqr_opps
- legacy_hqr_cart
- legacy_hqr_cart_final
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ecqm_TableLayout.xlsxN/A | Daily | 1000 UTC Daily | Yes | This source contains Active Security Administrators /Officials for Hospital Quality Reporting (HQR). CDR Hive tables point directly to data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. | 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 will describe the programs, whether a given hospital is participating, and the date. CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. This schema is the replacement for the following legacy schemas: - legacy_hqr_ipledge_app
- legacy_hqr_opledge_app
- legacy_hqr_nop_app
| provider_hqr_nop | provider_hqr_nop |
| Daily | Hospital Quality Reporting (HQR) | The |
This schema is the replacement for the following legacy schema: resource_hqr_sec_admin | | N/A | Daily | 1000 UTC Daily | Yes | HQR - Legacy
These schema are copies of the former HQR Oracle databases and applications in SDOL, QNOL, and CLDW. | legacy_hqr_hvbp | | | 10/19/2020 | 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. PRS data is extracted from the HQR source database and the "Most Recent Refresh" column indicates the date at which the data was extracted. The refreshed data is available each Monday morning however it is typically extracted 1-2 business days earlier. The resource_hqr_prs schema is a replacement for legacy_sdol_np_sdps and resource_hqr_prs_supplemental schema is a replacement for legacy_sddw_np_sdps. resource_hqr_prs resource_hqr_prs_supplemental | | | 4/15/2021 | Weekly | 4/26/2021 | Yes | NPPES | The National Plan and Provider Enumeration System contains provider NPIs, names, and location information. | nppes | | NPPES dissemination information on CMS Website | 2/12/2021 | Quarterly | 5/12/2021 | 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. CDR Hive tables point directly to PMI/SPP data in the CMS Enterprise Data Lake (EDL). This data is refreshed each weekend in the CMS EDL and it is made available by Monday in the CDR. | provider_pmi_data | | | 4/19/2021 | Weekly | 4/26/2021 | 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. This data is extracted from iQIES system and the "Most Recent Refresh" column reflects the date at which the data was extracted. The data is generally made available in the CDR within 2 business days of extraction. | provider_iqies | | | 4/13/2021 | Monthly | 5/5/2021 | 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. This data is extracted from QMARS system and the "Most Recent Refresh" column reflects the date at which the data was extracted. The data is generally made available in the CDR within 2 business days of extraction. | qmars | | 4/7/2021 | Monthly | 5/7/2021 | 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. The QPP team provides an extract of the UDS each month. The "Most Recent Refresh" column reflects the date at which the extract was made available in the CDR however the extract may be several days older. | quality_measures_qpp_uds | | | 3/25/2021 | Monthly | 4/28/2021 | Yes | Tabs Page |
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title | Mapping DUA to Beneficiary and Provider Data |
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| Mapping DUA to Beneficiary and Provider DataSchema | CDR Hive Schema | Preferred DUA Entry | Acceptable DUA Entry |
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| assessment_iqies | IQIES - Internet-based Quality Improvement and Evaluation System | QIESWB - QUALITY IMPROVEMENT EVALUATION SYSTEM (QIES) WORKBENCH HOSPCE - HOSPICE HIS - HOSPICE ITEM SET (HIS) SYSTEM - HOSPICE QUALITY REPORTING PROGRAM (HQRP) IRFPAI - INPATIENT REHAB FACILITY PATIENT ASSESSMENT INSTRUMENT DATA LTCH - MEDPAR LONG TERM CARE (MDS) LTCH-QRP - LONG TERM CARE HOSPITALS QUALITY REPORTING PROGRAM LTCHOS - LONG TERM CARE HOSPITALS ASSESSMENT (CARE) ASSESSMENT DATA SET LTCMDS - LONG TERM CARE MINIMUM DATA SET MDS - MINIMUM DATA SET (NURSING HOME) MDS - PROVIDER HEALTH QUALITY ASSESSMENT DATA MDS2.0 - MINIMUM DATA SET VERSION 2.0 FOR NURSING HOME RESIDENT ASSESSMENT & CARE SCREENING OASIS - OASIS CASPER - CERTIFICATION AND SURVEY PROVIDER ENHANCED REPORT SYSTEM (CASPER) | Beneficiary | beneficiary_data | EDB MBD (for Part D enrollees) | CRIS | legacy_cris | NCH-SS NATIONAL CLAIMS HISTORY - 100% STATE SPECIFIC PDE - PART D - PRESCRIPTION DRUG EVENT DATA EDB MBD (for Part D enrollees) | Mandatory: EDB MBD Plus one of the following for FFS Claims: NCHDB - NATIONAL CLAIMS HISTORY DATABASE FFSCLM - FFS CLAIMS DATA NCH - NCH - MEDICARE INFORMATION ON PART A AND PART B SERVICES Plus one of the following for Prescription Drug Claims: DDPS - DRUG DATA PROCESSING SYSTEM PDE - PART D - PRESCRIPTION DRUG EVENT DATA | DARRT QII | quality_measures_darrt_qii | QIO - QUALITY IMPROVEMENT ORGANIZATION (QIO) DELIVERABLE DATA (PATRIOT AND DDST) | HQR
quality_measures_hqr_pub_report | IPT - INPATIENT OPT - OUTPATIENT | quality_measures_hqr_data_form | CAHPS - CONSUMER ASSESSMENT OF HEALTH PLAN STUDY SURVEY OPT - OUTPATIENT IPT - INPATIENT | quality_measures_hqr_char_abst | CDAC - CLINICAL DATA ABSTRACTION CENTER IPT - INPATIENT OPT - OUTPATIENT | provider_hqr_nop | IPT - INPATIENT OPT - OUTPATIENT | quality_measures_hqr_val | CDAC - CLINICAL DATA ABSTRACTION CENTER IPT - INPATIENT OPT - OUTPATIENT | quality_measures_hqr_ecqm | IPT - INPATIENT | resource_hqr_sec_admin | N/A | quality_measures_hqr_hvbp | IPT - INPATIENT | PRS | resource_hqr_prs | Mandatory: HPMS - HEALTH PLAN MGMT SYS Plus one of the following for Providers: PECOS - SYSTEM FOR TRACKING HHA OWNERSHIP PECUGE - PECOS UGE FILE CASPER - CERTIFICATION AND SURVEY PROVIDER ENHANCED REPORT SYSTEM (CASPER) QIESWB - QUALITY IMPROVEMENT EVALUATION SYSTEM (QIES) WORKBENCH EDB - ENROLLMENT DATA BASE | PECOS - PROVIDER/PHYSICIAN DATA IQIES - Internet-based Quality Improvement and Evaluation System HPMS - HEALTH PLAN MGMT SYS PRS - PROGRAM RESOURCE SYSTEM DATA | resource_hqr_prs_supplemental | Mandatory: EDB MBD Plus one of the following for FFS Claims: NCHDB - NATIONAL CLAIMS HISTORY DATABASE FFSCLM - FFS CLAIMS DATA NCH - NCH - MEDICARE INFORMATION ON PART A AND PART B SERVICES plus one of the following for Prescription Drug Claims: DDPS - DRUG DATA PROCESSING SYSTEM PDE - PART D - PRESCRIPTION DRUG EVENT DATA | PRS - PROGRAM RESOURCE SYSTEM DATA | NPPES | nppes | N/A - Public | CMS Master Data Management (MDM) Provider Master Index/ Shared Provider Profile (PMI/SPP) | provider_pmi_data | PECOS - PROVIDER/PHYSICIAN DATA | PECOS - SYSTEM FOR TRACKING HHA OWNERSHIP PECUGE - PECOS UGE FILE CASPER - CERTIFICATION AND SURVEY PROVIDER ENHANCED REPORT SYSTEM (CASPER) QIESWB - QUALITY IMPROVEMENT EVALUATION SYSTEM (QIES) WORKBENCH | Provider (iQIES) | provider_iqies | IQIES - Quality Improvement and Evaluation System | CASPER CASPER - CERTIFICATION AND SURVEY PROVIDER ENHANCED REPORT SYSTEM (CASPER) QIESWB - QUALITY IMPROVEMENT EVALUATION SYSTEM (QIES) WORKBENCH | QMARS | qmars | NCH, DDPS, EDB and PECOS | Quality Payment Program (QPP) Universal Data Set (UDS) | quality_measures_qpp_uds | QPP - QUALITY AND PERFORMANCE DATA | SDDW | legacy_sddw_np_sdps | SDPS - STANDARD DATA PROCESSING SYSTEM | Mandatory: EDB MBD Plus one of the following for FFS Claims: NCHDB - NATIONAL CLAIMS HISTORY DATABASE FFSCLM - FFS CLAIMS DATA NCH - NCH - MEDICARE INFORMATION ON PART A AND PART B SERVICES Plus one of the following for Prescription Drug Claims: DDPS - DRUG DATA PROCESSING SYSTEM PDE - PART D - PRESCRIPTION DRUG EVENT DATA | SDOL | legacy_sdol_np_sdps | SDPS - STANDARD DATA PROCESSING SYSTEM | EDB - ENROLLMENT DATA BASE |
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| 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’s Clinical Warehouse via the Hospital Quality Reporting (HQR) system, can be reproduced by a trained abstractor using a standardized process. CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. This schema is the replacement for the following legacy schemas: - legacy_hqr_validation_app
- legacy_hqr_oat_app
- legacy_hqr_cart_cdac
| quality_measures_hqr_val | quality_measures_hqr_val | quality measures hqr val.xlsx hqr val ERD.pdf | Daily | Hospital Quality Reporting (HQR) | The HQR system evaluates Medicare claims to determine which claims are eligible for a given quarter for each required measure set for the IQR and OQR Programs. These tables provide the eligible claim counts for the IQR and OQR programs, broken out by provider, measure set, month, and year. CDR Hive tables point directly to HQR data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. | quality_measures_hqr_claims | quality_measures_hqr_claims | OQR Eligible Claims Counts Data Dictionary.xlsx quality_measures_hqr_claims.xlsx |
| Hospital Quality Reporting (HQR) | This schema houses data for hqr exceptions, exceptions reasons, and exception types. | hqr_exceptions | reporting_exception, exception_type, reason | NA | The refresh will occur on demand (initiated by the schema owner when a change is made) | Hospital Quality Reporting (HQR) | 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 SAFE_USE_OF_OPIOIDS
CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. This schema is the replacement for the following legacy schema: | quality_measures_hqr_ecqm | quality_measures_hqr_ecqm | quality_measures_hqr_ecqm.xlsx
| Daily | Hospital Quality Reporting (HQR) | The Hospital Quality Reporting (HQR) system annually calculates and reports End-of-Life (EOL) measure performance results for a given fiscal year for the PCH program. These tables provide the facility-level performance rate and supporting details as well as patient-level summary data. CDR Hive tables point directly to HQR data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. | quality_measures_hqr_pch | | PCH EOL Data Dictionary.xlsx |
| Hospital Quality Reporting (HQR) | This source contains Active Security Administrators /Officials for Hospital Quality Reporting (HQR). CDR Hive tables point directly to Hospital Quality Reporting (HQR) data in the HQR cloud. The data refresh frequency is controlled by the HQR ADO. This schema is the replacement for the following legacy schema: | resource_hqr_sec_admin |
| resource_hqr_sec_admin.pdf | Daily | Hospital Quality Reporting (HQR) Hospital Value Based Purchasing (HVBP) | Hospital Value Based Purchasing (HVBP) Summary Data, corresponds with the data in the 542 report. | quality_measures_hqr_hvbp | NA | HQR HVBP Data Dictionary | Annually, beginning of August | Program Resource System 2.0 (PRS 2.0) | Program Resource System 2.0 (PRS 2.0) is a repository of demographic information for hospital providers in the Centers for Medicare & Medicaid Services (CMS), Survey and Certification System (CASPER), Quality Improvement and Evaluation System (QIES), and Provider Enrollment, Chain and Ownership System (PECOS). PRS 2.0 assists Quality Improvement Organizations (QIOs) and Program Support Contractors in maintaining CMS Programs. | ess_prs | NA | PRS2-CDR-Data-Dictionary.xlsx | Weekly – but possibly daily based on user validation | Program Resource System 1.0 (PRS 1.0) | Program Resource System 1.0 (PRS 1.0) 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. PRS data is extracted from the HQR source database and the "Most Recent Refresh" column indicates the date at which the data was extracted. The refreshed data is available each Monday morning however it is typically extracted 1-2 business days earlier. The resource_hqr_prs schema is a replacement for legacy_sdol_np_sdps and resource_hqr_prs_supplemental schema is a replacement for legacy_sddw_np_sdps. | resource_hqr_prs resource_hqr_prs_supplemental | resource_hqr_prs resource_hqr_prs_supplemental | PRS Waiver Type Codes | Weekly - Thursdays | Medicare Current Beneficiary Survey (MCBS) survey data | The Medicare Current Beneficiary Survey (MCBS) is a continuous, in-person, longitudinal survey of a representative national sample of the Medicare population. The MCBS Survey File contains survey collected data augmented with administrative data to allow for analysis regarding the beneficiaries’ health status, access to health care, satisfaction with health care and usual source of care. Additional information about MCBS can be found at https://www.cms.gov/data-research/research/medicare-current-beneficiary-survey. | mcbs_survey | Pending Instead of including multiple years of MCBS results per table, each year has its own set of tables suffixed with the year number (eg. mcbs_survey.accesscr_2021) | Pending This data dictionary was compiled using the 2021 MCBS Survey File and Cost Supplement File codebooks. Codebooks for additional years are available at https://www.cms.gov/data-research/research/medicare-current-beneficiary-survey/data-documentation-codebooks | Annual | Medicare Current Beneficiary Survey (MCBS) cost supplement | The Medicare Current Beneficiary Survey (MCBS) is a continuous, in-person, longitudinal survey of a representative national sample of the Medicare population. The MCBS Cost Supplement links Medicare claims to survey-reported events and provides complete expenditure and source of payment data on all health care services, including those not covered by Medicare reported by our survey beneficiaries. Additional information about MCBS can be found at https://www.cms.gov/data-research/research/medicare-current-beneficiary-survey. | mcbs_cost | Pending Instead of including multiple years of MCBS results per table, each year has its own set of tables suffixed with the year number (eg. mcbs_cost.csevwgts_2021) | Pending | Annual | Medicare Current Beneficiary Survey (MCBS) beneficiary crosswalk | The Medicare Current Beneficiary Survey (MCBS) is a continuous, in-person, longitudinal survey of a representative national sample of the Medicare population. The beneficiary crosswalk maps MCBS BASE ID values to HICN and BENE ID values, enabling joins on beneficiaries between MCBS and other datasets. Additional information about MCBS can be found at https://www.cms.gov/data-research/research/medicare-current-beneficiary-survey. | mcbs_crosswalk | Pending Instead of including multiple years of MCBS results per table, each year has its own table suffixed with the year number (eg. mcbs_crosswalk.mcbs_bas_hic_xwalk_2021) | Pending | Annual | NPPES | The National Plan and Provider Enumeration System contains provider NPIs, names, and location information. | nppes | nppes | NPPES dissemination information on CMS website | Quarterly | QMARS Image Added **Data Issue Identified: See Known Issues Log for current status** | Quality Management and Review Systems (QMARS) is a system for case management and review. This data is extracted from QMARS system and the "Most Recent Refresh" column reflects the date at which the data was extracted. The data is generally made available in the CDR within 2 business days of extraction. | qmars | qmars |
| Monthly - 5th of the month or the next business day | QMARS Next Generation (NG) | The ‘healthcare_service_qmars_ng’ schema contains a set of initial tables that are included from the QMARS Next Generation (NG) application. As the QMARS NG application continues development, additional tables will be added to the CDR. The initial tables include QMARS appeals (Referrals - Fee For Service) data that is originally submitted in FHIR JSON format and then made available in Hive. CDR Hive tables point directly to QMARS NG data in the QMARS cloud. The data refresh frequency is controlled by the QMARS ADO. | healthcare_service_qmars_ng | healthcare_service_qmars_ng | QMARS NG Livanta Data Dictionary.docx QMARS NG Kepro Data Dictionary.docx | Daily | 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. The QPP team provides an extract of the UDS each month. The "Most Recent Refresh" column reflects the date at which the extract was made available in the CDR however the extract may be several days older. | quality_measures_qpp_uds | quality_measures_qpp_uds | Full UDS Data Dictionary.pdf UDS ER Diagram.jpg QPP Universal Dataset (UDS) User Guide.pdf Querying UDS For Fun.pdf UDS UDSDM Deep Schema Walk.pdf | Weekly - Thursdays | CRIS |
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| legacy_sddw_np_sdps |
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| SDOL |
| legacy_sdol_np_sdps |
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| Health Plan DataSchema | Description | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information |
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Most Recent Refresh Frequency | Next Refresh | DUA Required | HPMS | Contains HMO/PDP contract and service area data from the CMS Health Plan Management System. HPMS provides an updated file on the first business day of each month. The data is generally available in the CDR by the 5th of each month. | health_plan |
| | 4/3/2021 | Monthly | 5/5/2021 | Yes | Tabs Page |
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title | Mapping DUA to Health Plan Data |
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| Mapping DUA to Health Plan DataSchema | CDR Hive Schema | Preferred DUA Entry | Acceptable DUA Entry |
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HPMS | health_plan | HPMS - HEALTH PLAN MGMT SYS | N/A |
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| Public DataSchema | Description | CDR Hive Schema | CDR Table Layouts | Data Dictionaries and Supplemental Information | Refresh |
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ADI | The |
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| Public DataSchema | 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 | |
_TableLayout.xlsx4/2/20214/1/2022 | No | FDA | The FDA data contains packaging and product information for FDA approved drugs. | public_data | |
_TableLayout.xlsx |
| Monthly - 1st of the month or next business day | FDB | The First Data Bank (FDB) drug list includes drug data available from the legacy data center and is no longer refreshed. | public_data | | | |
4/7/2021 | Monthly | 5/5/2021 | No | Nursing Home Compare | This is the official data for the Nursing Home Compare website. | compare_nursing_home | |
_TableLayout.xlsx4/6/2021 | Monthly | 5/5/2021 | Data Dictionaries | Monthly - 1st of the month or next business day
| FIPS | These tables contain FIPS county and state codes. | public_data | |
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No | ZIP | This table contains the ZIP Codes and other information for cities and towns in the US. | public_data | |
_TableLayout.xlsxNo4/2/2021 | Monthly | 5/5/2021 | Monthly - 1st of the month or next business day | Reference Codes | This schema contains various reference codes such as ICD-10, HCPCS, and others. | resource_ref_codes | |
_TableLayout.xlsxASC HCPCS: 10/1/2020 HCPCS: 1/26/2020 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 | Tabs Page |
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title | Mapping DUA to Public Data |
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| Mapping DUA to Public DataSchema | CDR Hive Schema | Preferred DUA Entry | Acceptable DUA Entry |
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ADI | public_data | N/A | FDA | public_data | N/A | Nursing Home Compare | compare_nursing_home | N/A | ZIP | public_data | N/A |
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title | Planned Data Sources |
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title | Planned Data Sources |
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| Planned Data SourcesSource 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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Medicare Bayesian Improved Surname Geocoding (MBISG) | Researchers at RAND, in coordination with the Centers for Medicare & Medicaid Services’ (CMS) Office of Minority Health (OMH), modified an existing method for indirectly estimating race-and-ethnicity from surname and residential information (Bayesian Improved Surname and Geocoding [BISG]) to augment CMS’s SSA-based administrative measure of race-and-ethnicity; this resulted in the Medicare Bayesian Improved Surname Geocoding (MBISG) algorithm. | TBD | NA | NA | Fall 2024 |
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title | Planned Data Sources |
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| Planned Data SourcesSource 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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HVBP | This schema provides data and results from the Hospital Value based Purchasing (HVBP) Program. | quality_measures_hqr_hvbp | 7/1/2021 | EQRS Clinical Extract | The clinical extract from EQRS provides ESRD clinical data for the most recently closed month to CMS contractors to fulfill their contract requirements. This clinical extract data will be made available in the CDR for users. | clinical_eqrs | N/A | | Q2 2021 | Tabs Page |
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title | Mapping DUA to Planned Data Sources |
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| Mapping DUA to Planned Data SourcesSource Name | Future CDR Hive Schema | Preferred DUA Entry | Acceptable DUA Entry |
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| Archived SourcesSources No Longer Being Refreshed 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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Important Notes The CDR follows NCH logic, as such Part A claims are split into multiple records when the number of revenue center line items is greater than 45. In HAJI, these were merged into a single claim.The CDR includes claim types 61, 62, 63, 64, 80, and 81, which HAJI did not include.The CDR includes claim adjustments older than five years, which HAJI did not include.In Part A Claims, dates showing as '1970-01-01' in the rev_cntr_dt field should be treated as blank or null valuesRecommended data catalog documentation for CDR contributors is located on the CDR Contributor Documentation Requirements Page
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