Entity Plan Member / Provider

DescriptionAn association between a plan member and a provider.

Attributes
Care Access Rating IndCare Access Rating Ind
Child Care Access Rating IndChild Care Access Rating Ind
Effective From DtEffective From Dt
Effective To DtEffective To Dt
Geographical ProximityGeographical Proximity
Load Info SkLoad Info Sk
Organization SkOrganization Sk
PCP Satisfaction Rating IndPCP Satisfaction Rating Ind
Plan Member SkPlan Member Sk
Prescription Ease Rating IndPrescription Ease Rating Ind
Provider Communication Rating IndProvider Communication Rating Ind
Relationship Type Code SkRelationship Type Code Sk
Source Code SkSource Code Sk
Specialist Satisfaction Rating IndSpecialist Satisfaction Rating Ind
Staff Satisfaction Rating IndStaff Satisfaction Rating Ind
Tenant SkTenant Sk
Valid From TsValid From Ts
Valid To TsValid To Ts

Relationship
Plan Member / Provider_Plan Member_FKPlan Member / Provider_Plan Member_FK
Plan Member / Provider_Organization_FKPlan Member / Provider_Organization_FK

Primary Key
Plan Member / Provider PKPlan Member / Provider PK

Dependencies
 

Reverse Dependencies
 

Attribute Details

 Care Access Rating Ind
DescriptionIndicates the member's rating of the healthcare provider with respect to access to needed care.

For example:
A big problem
A small problem
Not a problem
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Child Care Access Rating Ind
DescriptionIndicates the member's rating of the healthcare provider with respect to access to needed pediatric care.

For example:
A big problem
A small problem
Not a problem
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Effective From Dt
DescriptionEstablishes a period where a set of attributes are true according to the business.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Effective To Dt
DescriptionEnds a period of effectivity.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Geographical Proximity
DescriptionThe distance, in miles, that the member has to travel to come into contact with the healthcare provider.
Data TypeStandards - Data Domains.ddm/Data Domains/Number Decimal [DECIMAL(10,4)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Load Info Sk
DescriptionThe surrogate key of the load information entry describing the details regarding the loading of the row.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Organization Sk
DescriptionAnchor surrogate key for the Organization data
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 PCP Satisfaction Rating Ind
DescriptionIndicates the member's rating of the healthcare provider with respect to perceptions of their PCP (general doctor, specialist doctor, nurse practitioner, physician assistant).

For example:
Enrollees rate their personal health provider on a scale from 0 to 10 where 0 is the worst personal health provider possible and 10 is the best personal health provider possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10 7 and 8 and 6 and lower.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Plan Member Sk
DescriptionSurrogate key for Anchor entity.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Prescription Ease Rating Ind
DescriptionIndicates the member's rating of the healthcare provider with respect to the ease of obtaining prescription medicine.

For example:
A big problem
A small problem
Not a problem
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Provider Communication Rating Ind
DescriptionIndicates the member's rating of the healthcare provider with respect to how often their doctors or other health providers communicated well with them.

For example:
Always Usually Sometimes Never
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Relationship Type Code Sk
DescriptionIdentifies the type of the relationship as defined in the business data model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Source Code Sk
DescriptionThe origin of the data identifying the actual load source, vendor, manual key entry, or context of the data in a specific row in the database.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Specialist Satisfaction Rating Ind
DescriptionIndicates the member's rating of the healthcare provider with respect to perceptions of their specialist.

For example:
Enrollees rate care on a scale from 0 to 10where 0 is the worst specialist possible and 10 is the best specialist possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 107 and 8and 6 and lower.
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Staff Satisfaction Rating Ind
DescriptionIndicates the member's rating of the healthcare provider with respect to courtesy, respect, and helpfulness from the medical office staff.

For example:
Usually satisfied,
Always satisfied,
Never satisfied
Sometimes satisfied,
Data TypeStandards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Tenant Sk
DescriptionThe surrogate key of the entry identifying the legal owner of the data.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Valid From Ts
DescriptionEstablishes a period where a set of attributes are true in the source system. This would be populated with the transaction timestamp and would be used for the snapshot date.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Valid To Ts
DescriptionEnds a period of validity.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Relationship Details

 Plan Member / Provider_Plan Member_FK
Is Identifying Relationshiptrue
Child TablePlan Member / Provider
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TablePlan Member
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Plan Member / Provider_Organization_FK
Is Identifying Relationshiptrue
Child TablePlan Member / Provider
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableOrganization
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE

Primary Key Details

 Plan Member / Provider PK
Key AttributePlan Member Sk
Key AttributeOrganization Sk
Key AttributeRelationship Type Code Sk
Key AttributeValid From Ts