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Condition Status and Condition_type_concept_id

CDM Builders
#21

For the positions, we still have Primary diagnosis for the primary or first position, and all subsequent positions are shrunk to Secondary diagnosis, @mmatheny. Rationale: There really is no difference between the, say, 4th and 13th position. Those positions are for diseases the patient is suffering from, but it’s not what led to the visit. They are an artifact of the reimbursement claim forms, and there is no deeper meaning defined for them.

Do you have a use case beyond “users continue to want”?

#22

@Christian_Reich @MPhilofsky
Thank you both… we have extensively implemented custom columns for VA uses , we label them x_* type columns to distinguish them from omop standards, but in this case, since condition_status still encompasses primary and secondary, I"ll go to our ETL group with a proposal to just limit to primary/secondary in the status_concept_id slot and store the position number in the source_value… that allows for use, and if we get user feedback that it is computationally slow or other limitations we can adapt from there. Thanks for the consultation

#23

Re-starting this thread. The documentation states:
“This concept represents the point during the visit the diagnosis was given (admitting diagnosis, final diagnosis), whether the diagnosis was determined due to laboratory findings, if the diagnosis was exclusionary, or if it was a preliminary diagnosis, among others.”

However, in the list of accepted Concepts, there are no concepts for an exclusionary diagnosis (neither for diagnosis due to laboratory findings). Further, according to OMOP conventions we should only record what was actually diagnosed. We should either update the documentation or add concepts to match.

@MPhilofsky A topic for Themis? @clairblacketer And CDM WG to fix documentation for now?

#24

True, @MaximMoinat.

How about we take out the “exclusionary diagnosis” (because it actually wasn’t made) and add “lab-based diagnosis”. Do you have data with those?

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