Dimensional Warehouse Model Data Model

Entity

Entity Formulary Analysis

Description

Allows the health plan to analyze the effectiveness its drug formulary in meeting the needs of members in at a reasonable cost. The health plan would use this, for example, to determine if the formulary has too many or too few drugs in various categories, or whether the tiers are appropriate.

Attributes
Average Dispensed Alternative Drug Differential Per Member Amount
Average Dispensed Alternative Drug Differential Per Prescription Amount
Average Ingredient Cost Paid Per Day Supply Amount
Average Ingredient Cost Paid Per Member Amount
Average Ingredient Cost Paid Per Prescription Amount
Average Number Of Drug Switches Per Member
Average Paid For Pharmacy Claims Per Member Amount
Average Paid Per Prescription Amount
Average Rebate Per Member Amount
Average Rebate Per Prescription Amount
Average Units Dispensed
Calendar Dk
Dispensed Alternative Drug Differential Amount
Formulary Dimension Dk
Geographic Area Dk
Group Dk
Ingredient Cost Of Originally Prescribed Drug Amount
Ingredient Cost Paid Amount
Medication Dk
Number Of Days Supply
Number Of Drugs In Formulary
Number Of Drug Switches
Number Of Members
Number Of Prescriptions
Number Of Units Dispensed
Pharmacy Claim Payment Amount
Pharmacy Order Dispense Dk
Pharmacy Order Dk
Practitioner Dk
Provider Dk
Rebate Amount

Relationship
Formulary Analysis_Calendar Dimension_FK
Formulary Analysis_Geographic Area Dimension_FK
Formulary Analysis_Group Dimension_FK
Formulary Analysis_Formulary Dimension_FK
Formulary Analysis_Medication Dimension_FK
Formulary Analysis_Pharmacy Order Dimension_FK
Formulary Analysis_Pharmacy Order Dispense Dimension_FK
Formulary Analysis_Practitioner Dimension_FK
Formulary Analysis_Provider Dimension_FK

Primary Key
Formulary Analysis PK

Dependencies
NONE

Reverse Dependencies

Attribute Details

Average Dispensed Alternative Drug Differential Per Member Amount

Description	The average difference in cost per member between originally prescribed drugs and dispensed drugs. (applies only to prescriptions where dispensed drug differs from originally prescribed drug) Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Dispensed Alternative Drug Differential Per Prescription Amount

Description	The average difference in cost on prescription between originally prescribed drugs and dispensed drugs. (applies only to prescriptions where dispensed drug differs from originally prescribed drug) Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Ingredient Cost Paid Per Day Supply Amount

Description	The average amount paid on pharmacy claim for each day treatment on a prescription. Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Ingredient Cost Paid Per Member Amount

Description	The average amount paid per member on pharmacy claims for ingredients. Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Ingredient Cost Paid Per Prescription Amount

Description	The average amount paid on drug claims for ingredients on each prescription. Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Number Of Drug Switches Per Member

Description	Average number of drug switches per member . Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Decimal Float [FLOAT(15)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Paid For Pharmacy Claims Per Member Amount

Description	Average amount paid for pharmacy claims per member. Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Paid Per Prescription Amount

Description	Average amount paid per pharmacy claim. Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Rebate Per Member Amount

Description	The average amount of rebate per member. Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Rebate Per Prescription Amount

Description	The average amount of rebate per prescription. Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Average Units Dispensed

Description	The average number of units dispensed per prescription. Formula: [A/B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Decimal Float [FLOAT(15)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Calendar Dk

Description	A numeric surrogate key used to uniquely identify entities in the dimensional model.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	true
Is Required	true
Is Derived	false
Is Surrogate Key	false

Dispensed Alternative Drug Differential Amount

Description	The total difference in cost between the originally prescribed drug and dispensed drug. This only applies to prescriptions where dispensed drug differs from originally prescribed drug, during the period of analysis. Formula: [A-B] (see dependencies and their labels for measures used in the formula)
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Formulary Dimension Dk

Description	A numeric surrogate key used to uniquely identify entities in the dimensional model.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	true
Is Required	true
Is Derived	false
Is Surrogate Key	false

Geographic Area Dk

Description	A numeric surrogate key used to uniquely identify entities in the dimensional model.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	true
Is Required	true
Is Derived	false
Is Surrogate Key	false

Group Dk

Description	A numeric surrogate key used to uniquely identify entities in the dimensional model.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	true
Is Required	true
Is Derived	false
Is Surrogate Key	false

Ingredient Cost Of Originally Prescribed Drug Amount

Description	The total undiscounted cost of the originally prescribed drug ingredients or drug products, for dispensed prescriptions where a drug switch occurred, during the period of analysis.
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Ingredient Cost Paid Amount

Description	The total amount paid on drug claims for ingredients.
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Medication Dk

Description	A numeric surrogate key used to uniquely identify entities in the dimensional model.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	true
Is Required	true
Is Derived	false
Is Surrogate Key	false

Number Of Days Supply

Description	The total of estimated number of days that prescriptions will last if taken according to prescriber instructions.
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

Number Of Drugs In Formulary

Description	The count of drugs in the formulary.
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

Number Of Drug Switches

Description	The total number of drug switches, during the period of analysis.
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

Number Of Members

Description	The total count of members, during the period of analysis. This may be the total number of people with one or more active memberships at a given point in time during the period, or the average number of people with active memberships over the full period.
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

Number Of Prescriptions

Description	The count of prescriptions for drugs or other treatments. A prescription is typically an order written by a healthcare professional for a drug or other treatment for a patient.
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

Number Of Units Dispensed

Description	The total count of units of a drug dispensed.
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

Pharmacy Claim Payment Amount

Description	Sum of amounts paid for pharmacy claims.
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Pharmacy Order Dispense Dk

Description	A numeric surrogate key used to uniquely identify entities in the dimensional model.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	true
Is Required	true
Is Derived	false
Is Surrogate Key	false

Pharmacy Order Dk

Description	A numeric surrogate key used to uniquely identify entities in the dimensional model.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	true
Is Required	true
Is Derived	false
Is Surrogate Key	false

Practitioner Dk

Description	A numeric surrogate key used to uniquely identify entities in the dimensional model.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	true
Is Required	true
Is Derived	false
Is Surrogate Key	false

Provider Dk

Description	A numeric surrogate key used to uniquely identify entities in the dimensional model.
Data Type	Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKey	true
Is Required	true
Is Derived	false
Is Surrogate Key	false

Rebate Amount

Description	The total amount of rebates received from the drug manufacturer.
Data Type	Standards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKey	false
Is Required	false
Is Derived	false
Is Surrogate Key	false

Relationship Details

Formulary Analysis_Calendar Dimension_FK

Is Identifying Relationship	true
Child Table	Formulary Analysis
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Calendar Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Formulary Analysis_Geographic Area Dimension_FK

Is Identifying Relationship	true
Child Table	Formulary Analysis
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Geographic Area Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Formulary Analysis_Group Dimension_FK

Is Identifying Relationship	true
Child Table	Formulary Analysis
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Group Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Formulary Analysis_Formulary Dimension_FK

Is Identifying Relationship	true
Child Table	Formulary Analysis
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Formulary Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Formulary Analysis_Medication Dimension_FK

Is Identifying Relationship	true
Child Table	Formulary Analysis
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Medication Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Formulary Analysis_Pharmacy Order Dimension_FK

Is Identifying Relationship	true
Child Table	Formulary Analysis
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Pharmacy Order Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Formulary Analysis_Pharmacy Order Dispense Dimension_FK

Is Identifying Relationship	true
Child Table	Formulary Analysis
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Pharmacy Order Dispense Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Formulary Analysis_Practitioner Dimension_FK

Is Identifying Relationship	true
Child Table	Formulary Analysis
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Practitioner Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Formulary Analysis_Provider Dimension_FK

Is Identifying Relationship	true
Child Table	Formulary Analysis
Child Multiplicity	ZERO_TO_MANY
Child Referential Integrity: On Delete	NONE
Child Referential Integrity: On Insert	NONE
Child Referential Integrity: On Update	NONE
Parent Table	Provider Dimension
Parent Multiplicity	ONE
Parent Referential Integrity: On Delete	NONE
Parent Referential Integrity: On Insert	NONE
Parent Referential Integrity: On Update	NONE

Primary Key Details

Formulary Analysis PK

Key Attribute	Geographic Area Dk
Key Attribute	Group Dk
Key Attribute	Formulary Dimension Dk
Key Attribute	Medication Dk
Key Attribute	Pharmacy Order Dk
Key Attribute	Pharmacy Order Dispense Dk
Key Attribute	Practitioner Dk
Key Attribute	Provider Dk
Key Attribute	Calendar Dk

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Dimensional Warehouse Model Data Model