#90: Diagnoses Modifiers for data attribution
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Reporter: campbell | Owner: nateapathy
Type: design-issue | Status: assigned
Priority: major | Milestone: data-domains2
Component: data-stds | Resolution:
Keywords: | Blocked By:
Blocking: 70, 91, 120 |
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Comment (by nateapathy):
Replying to [comment:11 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.
>>> We've also heard this same request on the Cerner side, but the
meaningful research distinction has always been with Primary vs. Non-
Primary and no further granularity has been brought to my attention thus
far.
>>> Regarding "problem list diagnoses," do you mean problems that have
been deemed "diagnosis-worthy" and therefore are only those diagnoses that
originated from the problem list? If that's the case, I know that the
workflow exists in Cerner to capture that, but I will have to do some more
digging to find out how we capture that in our extracts and how it might
be brought in to i2b2. Currently we do not have that flag in i2b2, if it
is for diagnoses that originated on the problem list. The alternative
would be records on the problem list that are coded with diagnosis codes,
which on the clinical side don't make them diagnoses, but could cause
confusion on this topic.
>>> I'll add other comments to separate topics as well.
--
Ticket URL:
<http://informatics.gpcnetwork.org/trac/Project/ticket/90#comment:17>
gpc-informatics <http://informatics.gpcnetwork.org/>
Greater Plains Network - Informatics
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