Slide 02:  The out-of-box i2b2 data model does not appear to match the actual 
out-of-box i2b2 data model
        https://www.i2b2.org/software/files/PDF/current/CRC_Design.pdf (version 
1.6 documentation)
The slide has
*       OBSERVER_DIMENSION instead of PROVIDER_DIMENSION
*       AGE_NUM instead of AGE_IN_YEARS_NUM
*       GENDER_CD instead of SEX_CD
*       ETHNICITY_CD does not exist in the out-of-box model
*       Missing the MODIFIER_DIMENSION
      This also leads into the question of which version of i2b2 will we be 
using (1.6, 1.7, or another)?

Slide 03:  Why are we deviating from the standard model?
*       What is the plan for support for upgrades to i2b2 software?
*       Are these variations localized to the GPC or are the consistent across 
PCORI?
*       Why are we not leveraging modifiers (instead of adding attributes) when 
appropriate?

Slide 04:  Are the OMB codes the same as the HL7 codes for this information?
*       Where can we find the raw data sets for these codes?

Slide 06: What is the plan for when the thing which is making the observation 
does not have an NPI?

Slide 07:  Are we ignoring professionally coded (billing) diagnosis?

Slide 10: CONCEPT_PATH and CONCEPT_CD do not align as depicted in this slide.
*       Multiple CONCEPT_PATHS to one CONCEPT_CD should look something like 
this.  Only the SNOMED term should have multiple CONCEPT_PATHS because of 
poly-hierarchy
        CONCEPT_PATH    CONCEPT_CD
Diagnosis\ICD09\Diseases and Injuries\Diseases of the Digestive 
System\Appendicitis\Acute Appendicitis\Acute Appendicitis with Peritoneal 
Abscess       DX|ICD09:540.1
Diagnosis\ICD10\Diseases of the Digestive System\Diseases of Appendix\Acute 
Appendicitis\Acute Appendicitis with Localized Peritonitis  DX|ICD10:K35.3
Diagnosis\SNOMED\Clinical Finding\Disease\Inflammatory Disorder\Inflammation of 
Specific Body Structures or Tissue\Abscess of Trunk\Abdominal Abscess\Abscess 
of Peritoneum\Acute Appendicitis with Peritoneal Abscess  DX|SNOMED:51036000
Diagnosis\SNOMED\Clinical Finding\Finding by Site\Disorder by Body 
Site\Disorder of Soft Tissue\Disorder of Soft Tissue of Trunk\Acute 
Appendicitis with Peritoneal Abscess     DX|SNOMED:51036000
*       Because of how i2b2 queries its data, we cannot say that each of the 
following concepts have the same path unless each concepts ancestors and 
dependents also have a 1-to-1 mapping.

Slide 12:  How are we calculating the value(s) for INSTANCE_NUM?


Nathan S. Wilson
Ontologist
Health Information Management Center (HIMC)
______________________________________________________________________________________________________
301 S. Westfield Rd - Suite 320
Madison, WI  53717
Phone: (608) 890-5780
eMail: [email protected]



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