*Dan:* It is important to be clear what each site use under "start_date".
Especially for cases when ORDER_DATE is different from SPECIMEN_TAKEN_DATE.
I appreciate, Dan if you could gather this info.
It is important to be on the same terms when collecting data to the table
1.
*Phillip:* I agree that having order, specimen and result dates is good
practice. This is what we have here at NU as well.

Alona.


On Tue, Jan 24, 2017 at 5:49 PM, Phillip Reeder <
[email protected]> wrote:

> I’d recommend using the SPECIMEN_TAKEN_DATE/TIME for the start_date of a
> lab.  I believe it is the more clinically correct time as the results of
> labs can sometimes take days to return.  We use the specimen time, followed
> by the result time, I believe.
>
> For the PCORI CDM,  I plan on putting all of the needed date/times,
> (specimen, order, and result) into a small XML block in the
> observation_blob column so that I can have all the times when I ETL the
> data to the CDM schema.
>
> Phillip
>
> From: Gpc-dev <[email protected]> on behalf of Dan
> Connolly <[email protected]>
> Date: Tuesday, January 24, 2017 at 5:09 PM
> To: Al'ona Furmanchuk <[email protected]>, "<
> [email protected]>" <[email protected]>
> Cc: Bernard Black <[email protected]>
> Subject: RE: [gpc-informatics] #551: next-D labs for cohort selection:
> fasting glucose, HbA1c
>
> Reviewing the HERON ETL code, I see it does populate the i2b2 start_date
> for labs from Epic's result_time, which looks more like RESULT_DATE.
>
> I see that our code to build the PCORNet LAB_RESULT_CM.LAB_ORDER_DATE (
> PCORNetLoader_ora.sql#L1407
> <https://github.com/kumc-bmi/i2p-transform/blob/cycle_2/Oracle/PCORNetLoader_ora.sql#L1407>)
> uses this start_date that came from result_time, so we're fudging things a
> bit there.
>
> The HERON ETL code is used at KUMC and was the basis of work at UTHSCSA
> and UNMC. If the difference between LAB_ORDER_DATE and RESULT_DATE is
> significant for Next-D, I can find out how the other participating GPC
> sites do start_date for labs.
>
> ref:
>
>    - heron_load/epic_labs_transform.sql
>    
> <https://informatics.kumc.edu/work/browser/heron_load/epic_labs_transform.sql>
>
>
> --
> Dan
>
> ------------------------------
> *From:* Al'ona Furmanchuk [[email protected]]
> *Sent:* Tuesday, January 24, 2017 4:35 PM
> *To:* <[email protected]>
> *Cc:* Mei Liu; Dan Connolly; Taylor, Bradley; Bernard Black
> *Subject:* Re: [gpc-informatics] #551: next-D labs for cohort selection:
> fasting glucose, HbA1c
>
> Dan,
> great job!
> Meanwhile, could you please clarify actual meaning of "start_date" in
> i2b2? Is it more like "LAB_OERDER_DATE" (when lab was ordered),
> "SPECIMEN_DATE" (when specimen was taken), "RESULT_DATE" (when results
> became available)?
>
>
> Alona.
>
> On Tue, Jan 24, 2017 at 4:06 PM, GPC Informatics <[email protected]> wrote:
>
>> #551: next-D labs for cohort selection: fasting glucose, HbA1c
>> --------------------------+-----------------------
>>  Reporter:  afurmanchuk   |       Owner:  meiliu
>>      Type:  design-issue  |      Status:  accepted
>>  Priority:  major         |   Milestone:  next-d
>> Component:  data-stds     |  Resolution:
>>  Keywords:                |  Blocked By:
>>  Blocking:  545           |
>> --------------------------+-----------------------
>>
>> Comment (by dconnolly):
>>
>>  Alona, Mei,
>>
>>  I managed to prototype using i2b2 and LOINC codes:
>>
>>   - 8f27bee get FG_Intial, RG_Initial from i2b2 star schema
>>     \\[https://github.com/dckc/nextd-study-
>>  support/blob/master/NextDvariableExtractionOracleTable1GPC.sql#L138-L221
>>  NextDvariableExtractionOracleTable1GPC.sql lines  138-221]
>>
>>  At KUMC, this results in ~500K rows in RG_Intial but 0 in FG_Intial:
>>  as I noted in comment:1, the LOINC code KU Hospital maps to (`Glucose
>>  SerPl-mCnc (2345-7)`) doesn't
>>  distinguish fasting from eating.
>>
>>  Some changes were perhaps substantive, so I need you to evaluate the
>>  impact:
>>      - LAB_ORDER_DATE became start_date,
>>        which is more likely result date than order date
>>      - i2b2 start_date includes time
>>
>>  Brad, I think this approach should work at other GPC sites. I'd
>> appreciate
>>  if you'd (have George) take a look.
>>
>> --
>> Ticket URL: <http://informatics.gpcnetwork.org/trac/Project/ticket/551#
>> comment:8>
>> gpc-informatics <http://informatics.gpcnetwork.org/>
>> Greater Plains Network - Informatics
>>
>
>
>
> --
> Al’ona Furmanchuk, Ph.D.
> Research Associate
>
> Center for Health Information Partnerships,
> Northwestern University, Feinberg School of Medicine
> 633 N. Saint Clair Street, 20th floor,
> Chicago, IL 60611
> Web: http://furmanchuk.com/
> E-mail: [email protected] <[email protected]>
> Phone: 312-503-34281
>
> ------------------------------
>
> UT Southwestern
>
> Medical Center
>
> The future of medicine, today.
>



-- 
Al’ona Furmanchuk, Ph.D.
Research Associate

Center for Health Information Partnerships,
Northwestern University, Feinberg School of Medicine
633 N. Saint Clair Street, 20th floor,
Chicago, IL 60611
Web: http://furmanchuk.com/
E-mail: [email protected] <[email protected]>
Phone: 312-503-34281
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