Before we go toward changes, lets just see if we need to. I would
appreciate if each site could fill up attached form and send back to me. I
filled some sites based on this discussion. Please, check and correct if I
got it wrong.
Alona.

On Wed, Jan 25, 2017 at 8:23 AM, Dan Connolly <dconno...@kumc.edu> wrote:

> Changes in HERON ETL from result date to order date or specimen date would
> take a month or two, depending on priorities. I suspect likewise at other
> sites.
>
> If that sort of delay is acceptable, then I can proceed to get all 8 sites
> to resolve this deference.
>
> On Jan 25, 2017 7:44 AM, Bernard Black <bbl...@kellogg.northwestern.edu>
> wrote:
>
> Let me chime in, as project PI.
>
> This was a very helpful discussion.
>
> For this study, exact dates are not important.
>
> If blood was drawn on Tuesday, and results available on Friday,
>
> If as I suspect (but we can check) generally order date, specimen date,
> and results date are all close, we can go with order date
>
>
>
> Bernie Black
>
>
>
> *************************************************************
>
> Bernard S. Black
>
> Chabraja Professor, Northwestern University
>
> Pritzker Law School and Kellogg School of Management
>
> 375 East Chicago Ave., Chicago IL 60611
>
> bbl...@northwestern.edu
>
> tel:  law:  312-503-2784; Kellogg 847-491-5049; cell: 847-807-9599
>
> papers on SSRN at:  http://ssrn.com/author=16042
>
> ************************************************************
>
>
>
> *From:* Al'ona Furmanchuk [mailto:furmanc...@icnanotox.org]
> *Sent:* Wednesday, January 25, 2017 7:31 AM
> *To:* Campbell, James R <campb...@unmc.edu>
> *Cc:* Phillip Reeder <phillip.ree...@utsouthwestern.edu>; <
> gpc-dev@listserv.kumc.edu> <gpc-dev@listserv.kumc.edu>; Bernard Black <
> bbl...@kellogg.northwestern.edu>
> *Subject:* Re: [gpc-informatics] #551: next-D labs for cohort selection:
> fasting glucose, HbA1c
>
>
>
> Guys,
>
> Order date is important for defining study sample and DM sample. specimen
> date is important for "adherence to Treatment" variable. If difference in
> dates is minor, we could uniformly switch to specimen date. But first we
> have to know what is available in each site and ( if both dates are
> available) how large is difference between dates?
>
> Sent from my iPhone
>
>
> On Jan 24, 2017, at 10:40 PM, Campbell, James R <campb...@unmc.edu> wrote:
>
> I agree with Phillip.  Clinically, the date/time reported for a lab test
> is always when the patient had blood drawn or gave the sample.  THAT is
> when the patient was 'tested'.  Nebraska records all lab test
> observation_facts with START_DATE as date/time specimen was taken.  We
> record order time and result reported time separately.
>
> Jim
>
> James R. Campbell MD
>
> campb...@unmc.edu
>
> Office: 402-559-7505 <(402)%20559-7505>
>
> Secretary: 402-559-7299 <(402)%20559-7299>
>
> Pager: 402-888-1230 <(402)%20888-1230>
>
>
> On Jan 24, 2017, at 6:07 PM, Al'ona Furmanchuk <furmanc...@icnanotox.org>
> wrote:
>
> *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 <Phillip.Reeder@
> utsouthwestern.edu> 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 <gpc-dev-boun...@listserv.kumc.edu> on behalf of Dan
> Connolly <dconno...@kumc.edu>
> *Date: *Tuesday, January 24, 2017 at 5:09 PM
> *To: *Al'ona Furmanchuk <furmanc...@icnanotox.org>, "<
> gpc-dev@listserv.kumc.edu>" <gpc-dev@listserv.kumc.edu>
> *Cc: *Bernard Black <bbl...@northwestern.edu>
> *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://urldefense.proofpoint.com/v2/url?u=https-3A__github.com_kumc-2Dbmi_i2p-2Dtransform_blob_cycle-5F2_Oracle_PCORNetLoader-5Fora.sql-23L1407&d=CwMFaQ&c=yHlS04HhBraes5BQ9ueu5zKhE7rtNXt_d012z2PA6ws&r=CqPxCu-EywA2wo4iO-6BFqfwPQ2roHdsnjQi7SSLgLE&m=yqG12qsoyrBif-jILwubW8btm4qM0DM258CMGa2kQBI&s=B7cCQmEWUNYYqTWtUNzSvO_w9AgOsBJBy3wEyxt_Bms&e=>)
> 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://urldefense.proofpoint.com/v2/url?u=https-3A__informatics.kumc.edu_work_browser_heron-5Fload_epic-5Flabs-5Ftransform.sql&d=CwMFaQ&c=yHlS04HhBraes5BQ9ueu5zKhE7rtNXt_d012z2PA6ws&r=CqPxCu-EywA2wo4iO-6BFqfwPQ2roHdsnjQi7SSLgLE&m=yqG12qsoyrBif-jILwubW8btm4qM0DM258CMGa2kQBI&s=pGsz33DfC6KcCqKPa98qqkrDL6z3BB6KNoYcWjFZ0F0&e=>
>
>
> --
> Dan
> ------------------------------
>
> *From:* Al'ona Furmanchuk [furmanc...@icnanotox.org]
> *Sent:* Tuesday, January 24, 2017 4:35 PM
> *To:* <gpc-dev@listserv.kumc.edu>
> *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 <d...@madmode.com> 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-
> <https://urldefense.proofpoint.com/v2/url?u=https-3A__github.com_dckc_nextd-2Dstudy-2D&d=CwMFaQ&c=yHlS04HhBraes5BQ9ueu5zKhE7rtNXt_d012z2PA6ws&r=CqPxCu-EywA2wo4iO-6BFqfwPQ2roHdsnjQi7SSLgLE&m=yqG12qsoyrBif-jILwubW8btm4qM0DM258CMGa2kQBI&s=pJR2npMPImLderrOyYqj8y314rhl5bxh_TdkjIazisA&e=>
>  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
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__informatics.gpcnetwork.org_trac_Project_ticket_551-23comment-3A8&d=CwMFaQ&c=yHlS04HhBraes5BQ9ueu5zKhE7rtNXt_d012z2PA6ws&r=CqPxCu-EywA2wo4iO-6BFqfwPQ2roHdsnjQi7SSLgLE&m=yqG12qsoyrBif-jILwubW8btm4qM0DM258CMGa2kQBI&s=3Jny2FAhAcvq_hCSSoufzQEnkPPqO44JMAU_Zi_XbQs&e=>
> >
>
> gpc-informatics <http://informatics.gpcnetwork.org/
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__informatics.gpcnetwork.org_&d=CwMFaQ&c=yHlS04HhBraes5BQ9ueu5zKhE7rtNXt_d012z2PA6ws&r=CqPxCu-EywA2wo4iO-6BFqfwPQ2roHdsnjQi7SSLgLE&m=yqG12qsoyrBif-jILwubW8btm4qM0DM258CMGa2kQBI&s=b8Ln6oogSoCgdKEAkaGuJNxyO_HhjpaET5QTlwV-1gE&e=>
> >
> 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/
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__furmanchuk.com_&d=CwMFaQ&c=yHlS04HhBraes5BQ9ueu5zKhE7rtNXt_d012z2PA6ws&r=CqPxCu-EywA2wo4iO-6BFqfwPQ2roHdsnjQi7SSLgLE&m=yqG12qsoyrBif-jILwubW8btm4qM0DM258CMGa2kQBI&s=VNFtxnmsnEgN7YNkkxnbm6_yI2aPx3BrxZLIEe8cUYc&e=>
> E-mail: alona.furmanc...@northwestern.edu <furmanc...@icnanotox.org>
>
> 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/
> <https://urldefense.proofpoint.com/v2/url?u=http-3A__furmanchuk.com_&d=CwMFaQ&c=yHlS04HhBraes5BQ9ueu5zKhE7rtNXt_d012z2PA6ws&r=CqPxCu-EywA2wo4iO-6BFqfwPQ2roHdsnjQi7SSLgLE&m=yqG12qsoyrBif-jILwubW8btm4qM0DM258CMGa2kQBI&s=VNFtxnmsnEgN7YNkkxnbm6_yI2aPx3BrxZLIEe8cUYc&e=>
> E-mail: alona.furmanc...@northwestern.edu <furmanc...@icnanotox.org>
>
> Phone: 312-503-34281
>
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-- 
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: alona.furmanc...@northwestern.edu <furmanc...@icnanotox.org>
Phone: 312-503-34281

Attachment: GPC-Capricorn-LabDates-2017-01-25-af.xlsx
Description: MS-Excel 2007 spreadsheet

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