The explosion of the number of facts has been my biggest concern with the
med modifiers as well.  With 115 million medication rows, a 10x increase
would give us double our existing number of facts. At UTSW, I¹ve populated
the data for many of these modifiers into the observation_blob column in a
flat XML schema. This allows me to use them in my ETL for the PCORI CDM.
But it doesn¹t allow me to query on them in i2b2. It would be nice if i2b2
could be modified to allow me use that XML data in a query, but for now,
it¹s meeting my needs.  However with the SHRINE work we are doing, I might
be forced to populate them as modifiers.


Phillip

On 3/20/17, 10:37 AM, "Gpc-dev on behalf of Dan Connolly"
<gpc-dev-boun...@listserv.kumc.edu on behalf of dconno...@kumc.edu> wrote:

>As to who is going to look at them: i2p-transform (i.e. software to build
>PCORNet CDM from i2b2) consumes these modifiers.
>
>As to 11x: how many modifiers are you currently storing? You're already
>storing RX_BASIS, RX_FREQUENCY, RX_DAYS_SUPPLY, RX_QUANTITY, and
>RX_REFILLS somehow, yes?
>
>UNMC was proposing adding RX_STRENGTH, RX_ROUSE, RX_DOSE, and RX_SIG, but
>in discussion it emerged that "justification for including route, dose
>and detail modifiers ... is weakest in terms of use cases"
>
>I count 9 total modifiers in the proposal, 5 of which KUMC (and
>presumably the other 8 sites using the i2p-transform code) are already
>loading, and 3 of which could (from discussion so far) be removed without
>much objection. So to me, it looks like this is a proposal to go from 5
>to 6 modifiers.
>
>--
>Dan
>
>________________________________________
>From: Debbie Yoshihara [dlyos...@wisc.edu]
>Sent: Monday, March 20, 2017 10:09 AM
>To: gpc-dev@listserv.kumc.edu; Thomas Mish; campb...@unmc.edu;
>huhick...@nebraskamed.com; Dan Connolly; Russ Waitman
>Cc: jeff.kl...@mgh.harvard.edu
>Subject: RE: [gpc-informatics] #280: Medication ontology orgainzed by
>ingredient
>
>I have looked over these explosion of modifiers.
>For the med modifiers if you populated all of them that would make the
>facts 11x bigger for the med facts.
>Who is going to look at all of these? Or even populate them if they have
>them?
>
>The only other question I have is for the lab_mod, what is the difference
>between stat and expedite?
>
>--- Debbie Yoshihara
>
>
>
>-----Original Message-----
>From: Gpc-dev [mailto:gpc-dev-boun...@listserv.kumc.edu] On Behalf Of GPC
>Informatics
>Sent: Monday, March 20, 2017 8:46 AM
>To: Thomas Mish; campb...@unmc.edu; huhick...@nebraskamed.com;
>dconno...@kumc.edu; rwait...@kumc.edu
>Cc: gpc-dev@listserv.kumc.edu; jeff.kl...@mgh.harvard.edu
>Subject: Re: [gpc-informatics] #280: Medication ontology orgainzed by
>ingredient
>
>#280: Medication ontology orgainzed by ingredient
>-------------------------+----------------------------
> Reporter:  preeder      |       Owner:  mish
>     Type:  enhancement  |      Status:  assigned
> Priority:  major        |   Milestone:  snow-shrine-2
>Component:  data-stds    |  Resolution:
> Keywords:               |  Blocked By:
> Blocking:               |
>-------------------------+----------------------------
>Changes (by dconnolly):
>
> * owner:  jay.pedersen => mish
>
>
>Comment:
>
> Tom,
>
> Is Debbie likely to complete her review this morning?
>
>--
>Ticket URL:
><http://informatics.gpcnetwork.org/trac/Project/ticket/280#comment:17>
>gpc-informatics <http://informatics.gpcnetwork.org/>
>Greater Plains Network - Informatics
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>Gpc-dev mailing list
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________________________________

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Medical Center



The future of medicine, today.


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