Business Data Model Data Model

Entity

Entity Provider

Description

An organization that provides some aspect of medical care.

Attributes
Accesses Personal Health Records Ind
Aggregate Performance Score
Bed Size Cnt
Center of Excellence Ind
CLIA Certified Ind
CMS Branch Id Num
CMS Branch State Cd
CMS Certification Num
DEA Identification Num
Electronic Medical Records Ind
Facility Teaching Type
Facility Type
Guideline Compliance Rating
Healthcare Provider Specialty
HIN Status Cd
Leapfrog Safe Practices Score
NPI Num
Number Of Beds Licensed
Online Fee Access Ind
Organization Master Num
Outcomes Performance Rating
Patient Safety Performance Rating
Prescriber Ind
Provider Service Share
Provider Status
Taxonomy Code
Teaching Institution Ind

Generalization
Organization Generalization

Dependencies
NONE

Reverse Dependencies

Attribute Details

Accesses Personal Health Records Ind

Description	Indicates that the healthcare provider accesses the Personal Health Records (PHR) of its patients.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Aggregate Performance Score

Description	The aggregate score after adding together all individual performance measures for a healthcare provider.
Data Type	Standards - Data Domains.ddm/Data Domains/Number Decimal [DECIMAL(10,4)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Bed Size Cnt

Description	The total number of beds in a healthcare facility.
Data Type	Standards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Center of Excellence Ind

Description	Indicates that a hospital or other institutional provider has one or more externally recognized centers of excellence.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

CLIA Certified Ind

Description	An indicator that shows whether the provider is certified under the Clinical Laboratory Improvement Amendments (CLIA) program. The Centers for Medicare & Medicaid Services (CMS) regulate all laboratory testing (except research) performed on humans in the US through the Clinical Laboratory Improvement Amendments (CLIA).
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

CMS Branch Id Num

Description	The branch identification code, as assigned by Centers for Medicare and Medicaid Services (CMS). The identifier consists of ten digits, where the state code are the first two digits, followed by Q (uppercase), followed by the last four digits of the current medicare provider number, ending with the three-digit, CMS-assigned branch number.
Data Type	Standards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

CMS Branch State Cd

Description	Indicates the standard code for states or provinces assigned by the Centers for Medicare and Medicaid Services (CMS).
Data Type	Standards - Data Domains.ddm/Data Domains/State Code [CHAR(2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

CMS Certification Num

Description	Specifies the agency’s Centers for Medicare and Medicaid Services (CMS) certification number (CCN/Medicare provider number).
Data Type	Standards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

DEA Identification Num

Description	The Drug Enforcement Agency Number (DEA) of the healthcare provider.
Data Type	Standards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Electronic Medical Records Ind

Description	Indicates if the provider retains and uses electronic records for distributing patient data.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Facility Teaching Type

Description	The level of medical training offered at a facility. For example: Major teaching: Hospital is an important part of the teaching program of a medical school and the majority of medical students rotate through multiple clinical services. Graduate teaching: Hospital is used by the medical school for graduate training programs only, namely residency, fellowships or both. Limited teaching: Hospital is used in the medical school's teaching program only to a limited extent. Non-teaching: Hospital is not used in any teaching program.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Facility Type

Description	Indicates the nature of a healthcare facility. For example: Acute Care Laboratory Cardiology
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Guideline Compliance Rating

Description	An indicator that shows how often, based on applicable treatments, a healthcare provider renders care in accordance with applicable evidence-based clinical practice guidelines during a one-year measurement period.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Healthcare Provider Specialty

Description	Indicates the primary form of health treatment or service provided by the healthcare provider organization.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

HIN Status Cd

Description	Indicates the status of the provider organization in the NIH Heart, Lung and Blood Institute HIN (Health Information Network).
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Leapfrog Safe Practices Score

Description	The score given to the hospital by The Leapfrog Group on its Safe Practices Score. This measures the hospital's compliance with 27 given procedures to reduce preventable medical mistakes.
Data Type	Standards - Data Domains.ddm/Data Domains/Number Decimal [DECIMAL(10,4)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

NPI Num

Description	National Provider Identifier (NPI).
Data Type	Standards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Number Of Beds Licensed

Description	Registered number of licensed beds in a hospital.
Data Type	Standards - Data Domains.ddm/Data Domains/Number Integer [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Online Fee Access Ind

Description	Indicates whether a healthcare provider's fees are viewable online by health plan members, potential members or other patients.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Organization Master Num

Description	The universal business identifier for the organization.
Data Type	Standards - Data Domains.ddm/Data Domains/Alphanumeric [VARCHAR(80)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Outcomes Performance Rating

Description	Indicates the performance of the healthcare provider with respect to outcomes.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Patient Safety Performance Rating

Description	Indicates the performance of the healthcare provider with respect to the safety of its patients.
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Prescriber Ind

Description	Indicates that the healthcare provider is authorized to prescribe drugs. For example, a physician or other clinician.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Provider Service Share

Description	The percentage of the healthcare provider's total patient load or revenue that is accounted for by the health plan organization's members.
Data Type	Standards - Data Domains.ddm/Data Domains/Percentage [FLOAT(2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Provider Status

Description	Indicates the state of the healthcare provider organization. For example: Active Discontinued Closed
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Taxonomy Code

Description	Identifies the provider type, classification, and specialization. For example: Family medicine Surgery Ophthalmology Oncology Anesthesiology Gynecology Internal medicine Emergent medicine
Data Type	Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Teaching Institution Ind

Description	Indicates that an institutional provider provides clinical training for medical students.
Data Type	Standards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Generalization Details

Organization Generalization

Supertype	Organization
Subtype	Provider
Transform As	TABLE

Overview

Top

Package

Entity

Business Data Model Data Model