#90: Diagnoses Modifiers for data attribution
--------------------------+----------------------------
Reporter: campbell | Owner: lv
Type: design-issue | Status: accepted
Priority: major | Milestone: data-domains2
Component: data-stds | Resolution:
Keywords: | Blocked By:
Blocking: 70, 91, 120 |
--------------------------+----------------------------
Comment (by dconnolly):
Replying to [comment:10 lv]:
> Are there are requests from researchers at other sites to use these
alternative types of diagnoses?
My experience with HERON at KUMC includes at least one researcher who said
something like "you can't distinguish primary billing diagnosis? Never
mind then. Call me when you can." So when i2b2 1.6 came a long with
modifiers, we enhanced HERON to use modifiers to make the distinction in
our Sep 2012 release:
- [https://informatics.kumc.edu/work/blog/heron-waconda-update HERON
Waconda update introduces new searching modifiers for Medications and
Diagnosis]
The CDM spec says "Please do not include diagnoses generated from problem
lists, which are a different workflow and data-generating activity". HERON
at KUMC includes problem list diagnoses, so using a modifier is a
straightforward way to filter them out for CDM purposes.
The PCORNet CDM also includes `DX_SOURCE`:
- Admitting
- Discharge
- Final
- Interim
- No information
- Other
- Unknown
So PCORNet DRN queries presumably require, or at least expect, those
distinctions to be made. I don't know to what extent it would meet PCORNet
requirements to just map everything from your site to "Unknown" or
"Final". Actually, we plan to have a shared mapping from GPC terms to CDM
terms (#145), so the choice between Unknown and Final will go there. I
suppose it would map GPC's "Billing Diagnosis" top level modifier to
"Final".
That's what I can think of for requirements. More on the other topics
separately...
--
Ticket URL:
<http://informatics.gpcnetwork.org/trac/Project/ticket/90#comment:11>
gpc-informatics <http://informatics.gpcnetwork.org/>
Greater Plains Network - Informatics
_______________________________________________
Gpc-dev mailing list
[email protected]
http://listserv.kumc.edu/mailman/listinfo/gpc-dev
