Problem lists

[cyanover]

Hi All,

I’d appreciate your thoughts –

In the UK, clinicians are expected to maintain Problem Lists, which include the set of “Active Problems” for each patient, and these are presented to EHR users. Once in the list, conditions tend to be recorded less often (or not at all) and therefore analyses that rely on recent diagnoses only – as is often the case in OHDSI packages – may miss these (typically) chronic diseases. So:

• Are Problem Lists (or similar concepts) used in other healthcare system?
• How can we incorporate Problem List info into OMOP CDM?

Thanks!

[MPhilofsky (Melanie Philofsky)]

Hello @cyanover!

@cyanover

• Are Problem Lists (or similar concepts) used in other healthcare system?
• How can we incorporate Problem List info into OMOP CDM?

Problem Lists are an important part of patient care and used by all (most?) health systems. You should flag these records in your CDM with type_concept_id = 32840.

[cyanover]

Thanks, @MPhilofsky. In what OMOP tables this type_concept_id is used?

[Philip_Solovyev]

@cyanover you should use this type of concept in every OMOP table that is a target for your problem list. This field is available in almost every OMOP CDM and shows the provenance of the data

[MPhilofsky (Melanie Philofsky)]

@cyanover,

This is the correct answer:

@Philip_Solovyev

you should use this type of concept in every OMOP table that is a target for your problem list. This field is available in almost every OMOP CDM and shows the provenance of the data

[Vojtech_Huser (Vojtech (Vojta) Huser)]

If physican has epilepsy on problem list, it most likely ends up in condition_occurrence table

row will have:
condition_concept_id = “concepet for epilepsy”
condition_type_concept_id = 32840