Jim and everybody,

Related to #267<https://informatics.gpcnetwork.org/trac/Project/ticket/267>, 
discussion has resumed in the OHDSI community.

I've been invited to help complete a proposal there, but I don't think it 
should pre-empt other stuff I'm working on.

--
Dan

________________________________
From: Rimma Belenkaya [[email protected]]
Sent: Saturday, January 23, 2016 10:00 PM
To: Dan Connolly
Subject: [OHDSI Forums] [Implementers] "Smoker" in the SNOMED vocabulary : 
Condition Occurence

[http://forums.ohdsi.org/user_avatar/forums.ohdsi.org/rimma/45/241.png]         
rimma<http://forums.ohdsi.org/users/rimma>
January 24

Attached is a draft proposal for representation of tobacco smoking behavior and 
tobacco type in OMOP CDM v5 to support the PCORnet CDM requirements. Since 
these requirements are partially derived from the Meaningful Use Core Measures 
(also attached) and tobacco smoking representation in EMR, they should be a 
good starting point for comprehensive tobacco conventions for OMOP CDM. What's 
lacking in this proposal is analysis of how the proposed concepts and 
conventions will support analytical queries.

I encourage all the previously contributing or interested members, 
@Christian_Reich<http://forums.ohdsi.org/users/christian_reich>, 
@DTorok<http://forums.ohdsi.org/users/dtorok>, 
@toanong<http://forums.ohdsi.org/users/toanong>, 
@mkhayter<http://forums.ohdsi.org/users/mkhayter>, 
@schillil<http://forums.ohdsi.org/users/schillil>, 
@dckc<http://forums.ohdsi.org/users/dckc> , 
@ushah<http://forums.ohdsi.org/users/ushah>, 
@Vojtech_Huser<http://forums.ohdsi.org/users/vojtech_huser>, to get together 
and expediently turn these into a comprehensive proposal. Please let me know if 
interested.

Thank you.

Proposal
http://www.ohdsi.org/web/wiki/lib/exe/fetch.php?media=documentation:next_cdm:tobacco_handling_proposal_2016-01-23.pdf

Meaningful Use Core Measures
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/9_Record_Smoking_Status.pdf


To respond, reply to this email or visit 
http://forums.ohdsi.org/t/smoker-in-the-snomed-vocabulary-condition-occurence/1078/6
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________________________________
Previous Replies
[http://forums.ohdsi.org/user_avatar/forums.ohdsi.org/christian_reich/45/45.png]
        Christian_Reich<http://forums.ohdsi.org/users/christian_reich>
January 20

@DTorok<http://forums.ohdsi.org/users/dtorok>:

That was my initial reflex as well. However, "mean time" is not that quick with 
regard to making vocab releases, as you painfully know, and also we need to 
solve this properly. It is important.


[http://forums.ohdsi.org/user_avatar/forums.ohdsi.org/dtorok/45/41.png]         
DTorok<http://forums.ohdsi.org/users/dtorok>
January 20

In the mean time, wouldn't make sense to change the domain id to 'Observation' 
for the SNOMED concepts 'Never smoked tobacco' (id = 4144272) and 'Ex-smoker' 
(id = 4310250)?


[http://forums.ohdsi.org/user_avatar/forums.ohdsi.org/rimma/45/241.png]         
rimma<http://forums.ohdsi.org/users/rimma>
January 20

@Christian_Reich<http://forums.ohdsi.org/users/christian_reich>

Yes, we can take conventions and vocabulary that we created for CDRN as a 
foundation. However, it will need a thorough review and input from 
practitioners and analysts. I will review it and post over the weekend.


[http://forums.ohdsi.org/user_avatar/forums.ohdsi.org/christian_reich/45/45.png]
        Christian_Reich<http://forums.ohdsi.org/users/christian_reich>
January 20

@rimma<http://forums.ohdsi.org/users/rimma>:

Is this the chance for us to create a convention for smoking and other 
lifestyle choices? I believe you essentially have the solution. It keeps 
popping up, now it happened at IMS, and I don't have a good answer for Urvi. 
Let us know.


[http://forums.ohdsi.org/letter_avatar/ushah/45/2.png]  
ushah<http://forums.ohdsi.org/users/ushah>
January 19

We are coming across a few records related to "smoking, ex-smoker" which are 
mapped to Condition Occurrence due to the snomed vocabulary. Could this be 
something that gets changed in the next version of the vocabulary? The mapping 
type should not be condition, correct?


________________________________

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