We are following the KU model, generating the PCORI CDM using the mapping, and 
then generating the counts from it.  I have created the demographics table and 
am stuck at the encounter table as we don't have the encounter types built out 
in i2b2. I'm planning to use the KU heron code to populate it in our i2b2 dev 
environment while we work on getting it into production.   Until/unless someone 
comes up with a better plan, that's the path I'm following.

Phillip Reeder
UT Southwestern

Sent from my iPhone

On Aug 20, 2014, at 4:34 PM, "Supreet Kathpalia" 
<[email protected]<mailto:[email protected]>> wrote:

We have initiated work on the ETL ADD at UMN and wondering how the counts are 
being generated for the encounter type.

Does there need to be consistency in our definition and mapping to each of the 
PCORI CDM encounter categories?( AV = Ambulatory Visit, ED = Emergency 
Department, IP = Inpatient Hospital Stay, IS = Non-Acute Institutional Stay, OA 
= Other Ambulatory Visit and others)

For the Epic sites, we could select certain encounter types to map to of the 
categories listed and thats the approach we started out with...

However, in looking at the PCORI- Annotated-Data Dictionary/heron_to_pcori.csv 
on bitbucket and the hierarchy on babel for KUMC it appears the ADT_PAT_CLASS 
is being mapped to the PCORI CDM encounter categories.

What is the standardized way to define the encounter type in order to generate 
counts across all sites?

Thanks and Regards,

Supreet

On Tue, Aug 19, 2014 at 10:53 AM, Nathan Graham 
<[email protected]<mailto:[email protected]>> wrote:
All,

I’ll try to respond to some of the questions from Phillip and Lindsay based on 
the approach we at KU have taken so far.  Of course, this approach may not be 
optimal (and, I’m not done yet) so I’m eager for input from the group.

Phillip: “What is the current proposal for how the counts should be generated?”

-          I don’t know that we’ve decided as a network – please correct me if 
I’m wrong.  However, as suggested by 
Dan<https://informatics.gpcnetwork.org/trac/Project/ticket/145#comment:3>, I’ve 
tried to first map the i2b2-style paths for the PCORI CDM to the i2b2 paths we 
have in our i2b2 instance at KU (HERON).  Then from there, I tried to build 
views that look like the Common Data Model Specification from 
PCORI<http://listserv.kumc.edu/pipermail/gpc-dev/attachments/20140319/da2b9f05/attachment-0001.docx>.
  I then generate the counts requested in PCORnet ETL Annotated Data Dictionary 
V1.0.xlsx<https://informatics.gpcnetwork.org/trac/Project/raw-attachment/ticket/144/PCORnet%20ETL%20Annotated%20Data%20Dictionary%20V1.0.xlsx>
 by querying against the CDM views.  The idea was that we could share much of 
the code across the network changing the mapping between the i2b2 path for 
PCORI CDM and local terminology.  I’ve made some progress with this approach 
(see pcori-annotated-data-dictionary project on 
BitBucket<https://bitbucket.org/njgraham/pcori-annotated-data-dictionary>) but 
I’m not done yet.

Phillip: “Nathan just sent an email about materializing the PCORI CDM view of 
the data warehouse.  Should we all plan to do this so that we will have a 
consistent process for generating the counts?”

-          I ran in to performance issues using the views and decided it would 
be better to just create CDM tables.  So far this is working better.  I don’t 
know if we should all take the materialized approach or not – I did it out of 
necessity.  I suspect others may experience similar performance issues using 
the view approach but I don’t know.  I’m not sure it matters if we all do 
exactly the same thing as long as we can support queries against CDM-shaped 
data.

Phillip:   “Will we be populating the CDM with all patients, regardless of the 
two visits requirement?  Historic data?  Etc?“

-          So far, I’ve taken the approach of counting all patients we have in 
i2b2.  As I recall, the “two visit in the past 30 day” constraint was for 
answering the “enrollment” questions on earlier PCORI characterization 
questions (since I don’t think we didn’t have firm guidance from PCORI on what 
enrollment means for a CDRN).  I’m not sure if we should add these constraints 
or not - the ETL Annotated Data Dictionary spreadsheet says:  “The purpose of 
this form is to provide a mechanism for PCORnet data partners to communicate 
information about how they transformed their local data into the PCORnet Common 
Data Model (CDM) Version 1.0.” so I was just taking the approach of counting 
everything we ETL for now.

Lindsay: “I think that the Enrollment Table is one of the biggest question 
marks in my mind.  What do we plan on using for this table?”

-          I haven’t done anything yet.  In the notes from the gpc-dev call on 
July 
29<http://listserv.kumc.edu/pipermail/gpc-dev/attachments/20140730/98039483/attachment-0001.pdf>,
 Jim Campbell noted that PCORI hasn’t clearly defined it yet and we can bypass 
until we get better guidance.  I don’t remember seeing better guidance yet – 
please let me know if I missed it.



From: 
[email protected]<mailto:[email protected]> 
[mailto:[email protected]<mailto:[email protected]>]
 On Behalf Of Lindsay Cowell
Sent: Tuesday, August 19, 2014 9:21 AM
To: Phillip Reeder
Cc: Dipti Ranganathan; 
[email protected]<mailto:[email protected]>

Subject: Re: [gpc-informatics] #144: ETL Annotated Data Dictionary form 
required by PCORI


On Aug 18, 2014, at 10:44 AM, Phillip Reeder 
<[email protected]<mailto:[email protected]>>
 wrote:


I think that the Enrollment Table is one of the biggest question marks in my 
mind.  What do we plan on using for this table?  PCORI is expecting a start 
date/end date for the enrollment of a patient in the dataset, so the two visits 
in 3 years definition doesn’t seem to applicable.   I’m assuming our basis 
would be algorithmic, since we don’t have regional isolation and don’t have 
insurance enrollment data.  What algorithm should we apply?  How will we store 
this in i2b2?

I think for us at UTSW we would use encounter based basis. (defined in the ETL 
spreadsheet)

Thanks


What is the current proposal for how the counts should be generated?  Nathan 
just sent an email about materializing the PCORI CDM view of the data 
warehouse.  Should we all plan to do this so that we will have a consistent 
process for generating the counts?  Will we be populating the CDM with all 
patients, regardless of the two visits requirement?  Historic data?  Etc?

Phillip

From: Dan Connolly <[email protected]<mailto:[email protected]>>
Date: Sunday, August 17, 2014 at 1:15 AM
To: Lindsay Cowell 
<[email protected]<mailto:[email protected]>>
Cc: Phillip Reeder 
<[email protected]<mailto:[email protected]>>, 
"[email protected]<mailto:[email protected]>" 
<[email protected]<mailto:[email protected]>>, Dipti 
Ranganathan 
<[email protected]<mailto:[email protected]>>,
 Susan Morrison 
<[email protected]<mailto:[email protected]>>, 
"Campbell, James R" <[email protected]<mailto:[email protected]>>
Subject: Re: [gpc-informatics] #144: ETL Annotated Data Dictionary form 
required by PCORI


Would you please point us to your earlier questions? Or give a couple examples? 
Let's try to get as much done between calls as we can.
On Aug 16, 2014 3:53 PM, Lindsay Cowell 
<[email protected]<mailto:[email protected]>> 
wrote:
Hi Jim,

The GPC team at UTSW met yesterday to work on completing the ETL Annotated
Data Dictionary.  We have many of the same questions now as we had when
generating counts for the original count table.  We would like to request
a call during which we attempt to agree across the 10 sites on a
standardized way to generate the counts (or as close as possible).
Perhaps this can happen during the next two gpc-dev calls?  Or perhaps we
need a separate time.

Thank you,

Lindsay



On 8/14/14, 10:17 PM, "Campbell, James R" 
<[email protected]<mailto:[email protected]>> wrote:

>Nathan
>I think that I have responsibility for this deliverable and so you can
>forward Wisconsin response as attachment to the ticket and I will monitor
>and collate for the network response to PCORI.
>Jim
>
>James R. Campbell MD
>[email protected]<mailto:[email protected]>
>Office: 402-559-7505<tel:402-559-7505>
>Secretary: 402-559-7299<tel:402-559-7299>
>Pager: 402-888-1230<tel:402-888-1230>
>
>> On Aug 14, 2014, at 2:56 PM, "Wilson Nathan" 
>> <[email protected]<mailto:[email protected]>>
>>wrote:
>>
>> Where or to whom should I send the Wisconsin data dictionary?
>>
>> Nathan Wilson
>>
>> -----Original Message-----
>> From: 
>> [email protected]<mailto:[email protected]>
>>[mailto:[email protected]] On Behalf Of GPC Informatics
>> Sent: Thursday, August 07, 2014 1:17 PM
>> To: [email protected]<mailto:[email protected]>; 
>> [email protected]<mailto:[email protected]>; 
>> [email protected]<mailto:[email protected]>
>> Cc: [email protected]<mailto:[email protected]>
>> Subject: Re: [gpc-informatics] #144: ETL Annotated Data Dictionary form
>>required by PCORI
>>
>> #144: ETL Annotated Data Dictionary form required by PCORI
>> ---------------------------------+------------------------
>> Reporter:  campbell             |       Owner:  ngraham
>>     Type:  task                 |      Status:  assigned
>> Priority:  major                |   Milestone:  popmednet
>> Component:  data-stds            |  Resolution:
>> Keywords:  ETL Data Dictionary  |  Blocked By:  145, 146
>> Blocking:                       |
>> ---------------------------------+------------------------
>>
>> Comment (by ngraham):
>>
>> I worked on adding the [https://bitbucket.org/njgraham/pcori-annotated-
>> data-dictionary/commits/eb6e04281dfd9fd92758da1d51c7baf1d38e8e2e
>>diagnosis  CDM view] but ran in to performance issues - see
>>ticket:146#comment:5.  I  plan to spend a little time trying to tune the
>>query.
>>
>> --
>> Ticket URL:
>><http://informatics.gpcnetwork.org/trac/Project/ticket/144#comment:9>
>> gpc-informatics <http://informatics.gpcnetwork.org/>
>> Greater Plains Network - Informatics
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--
Regards,
Supreet Kathpalia
Clinical Data Analyst
Research Development & Support
AHC Information Systems, U of MN
Ph. 612.624.5848
[email protected]<mailto:[email protected]>
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