RE: [gpc-informatics] #80: assessment of GPC vs. data privacy and security standards

2014-10-17 Thread John Steinmetz
Sounds like a good plan.  I'll update milestone 3.9 for Jan 15.

Thanks,

John.


From: GPC Informatics [d...@madmode.com]
Sent: Friday, October 17, 2014 9:20 AM
To: Dan Connolly
Cc: tachina...@wisc.edu; m...@wisc.edu; phillip.ree...@utsouthwestern.edu; John 
Steinmetz
Subject: Re: [gpc-informatics] #80: assessment of GPC vs. data privacy and 
security standards

#80: assessment of GPC vs. data privacy and security standards
--+-
 Reporter:  dconnolly |   Owner:  dconnolly
 Type:  task  |  Status:  assigned
 Priority:  major |   Milestone:  data-sec-check
Component:  data-sharing  |  Resolution:
 Keywords:  security  |  Blocked By:  79
 Blocking:|
--+-
Changes (by dconnolly):

 * cc: jsteinmetz (added)
 * priority:  minor = major
 * status:  new = assigned


Comment:

 Tom,

 Thanks for the TF update (in #79). Is the draft to the ~80% to where we
 can start to use it to make an assessment plan? Presuming it is, would you
 please sketch a plan? Or ask for volunteers in gpc-dev and follow up on a
 weekly call if necessary?

 Based on the Nov 21 SC vote plan, I'm scheduling milestone:data-sec-check
 (aka PMO milestone 3.9) for mid January. John S., please acknowledge.

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Ticket URL: http://informatics.gpcnetwork.org/trac/Project/ticket/80#comment:4
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Re: [gpc-informatics] #178: determine whether last.visit is the last fulfilled visit or the last scheduled visit

2014-10-17 Thread GPC Informatics
#178: determine whether last.visit is the last fulfilled visit or the last
scheduled visit
---+
 Reporter:  mish   |   Owner:  hhickman
 Type:  problem|  Status:  assigned
 Priority:  major  |   Milestone:  data-quality2
Component:  data-stds  |  Resolution:
 Keywords: |  Blocked By:
 Blocking: |
---+
Changes (by dconnolly):

 * owner:  dconnolly = hhickman
 * status:  new = assigned


Comment:

 Hubert,

 How are you determining visit type from Epic clarity data?

 Would you please share your SQL code? (or point me/us to it, if you
 already have)

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Re: [gpc-informatics] #141: differentiate well-child visits, sick visits, and chronic visits (utilization)

2014-10-17 Thread Alex Bokov


On 10/17/2014 10:57 AM, GPC Informatics wrote:

#141: differentiate well-child visits, sick visits, and chronic visits
(utilization)
+
  Reporter:  dconnolly   |   Owner:  bokov
  Type:  design-issue|  Status:  assigned
  Priority:  major   |   Milestone:  data-quality2
Component:  data-stds   |  Resolution:
  Keywords:  obesity-cohort  |  Blocked By:
  Blocking:  33  |
+
Changes (by dconnolly):

  * owner:  nathan.wilson = bokov
  * priority:  minor = major
  * milestone:   = data-quality2


Comment:

  Alex,

  I have to some extent lost track of whether/when this is required for the
  upcoming survey work (KeyGoalTracking#wt-survey). Would you please consult
  with the obesity group and clarify?
I would say that this is a question about whether it is possible to 
construct a query that on this information, and the answer is yes. It 
also asks whether it's possible to pivot on the results of this query by 
visit count, and the answer is yes but not built into I2B2.


The well-vs-sick is an issue that is still being discussed within the 
obesity group. One point of view is that no patient should be excluded. 
Another point of view is that patients should be excluded by a few proxy 
indicators (e.g. availability of height, specialty of the clinic they 
are visiting). A third point of view is to explicitly exclude active 
diagnoses and medications that are known to influence BMI but are not 
themselves considered to be co-morbidities of interest to the obesity group.


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Re: [gpc-informatics] #157: CDM 2.x review: outpatient medication dispense etc.

2014-10-17 Thread GPC Informatics
#157: CDM 2.x review: outpatient medication dispense etc.
---+
 Reporter:  dconnolly  |   Owner:  lv
 Type:  task   |  Status:  assigned
 Priority:  major  |   Milestone:  data-domains2
Component:  data-stds  |  Resolution:
 Keywords: |  Blocked By:
 Blocking: |
---+
Changes (by dconnolly):

 * owner:  jcampbell = lv
 * priority:  minor = major
 * milestone:   = data-domains2


Comment:

 So we have [http://listserv.kumc.edu/pipermail/gpc-dev/2014q4/000638.html
 a new CDM 2.x draft]. Is it responsive to the concerns we discussed 23 Sep
 (comment:1)?

 Laurel, would you either
   - review the draft and let us know, or
   - find a volunteer or two to do so in or before the Nov 21 meeting?

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Re: [gpc-informatics] #157: CDM 2.x review: outpatient medication dispense etc.

2014-10-17 Thread GPC Informatics
#157: CDM 2.x review: outpatient medication dispense etc.
---+
 Reporter:  dconnolly  |   Owner:  preeder
 Type:  task   |  Status:  assigned
 Priority:  major  |   Milestone:  data-domains2
Component:  data-stds  |  Resolution:
 Keywords: |  Blocked By:
 Blocking: |
---+
Changes (by dconnolly):

 * owner:  lv = preeder


Comment:

 Phillip,

 Between Jim C.'s holiday and the fact that he wasn't with us on the Sep 23
 call, I'm not sure whether our concerns were relayed to the DSSNI TF. Do
 you have a handy way to check?

 Maybe it doesn't much matter, but it would be nice to know whether they
 have already considered this input.

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http://informatics.gpcnetwork.org/trac/Project/ticket/157#comment:8
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RE: General questions about registries

2014-10-17 Thread McClay, James C
Yes, well the idea is pretty lame ☺

I’m glad you know what I’m talking about.
Have you guys implemented this for a particular patient cohort?

James McClay, MS, MD, FACEP
Associate Professor, Emergency Medicine
Chair, Biomedical Informatics Graduate Program
University of Nebraska Medical Center
402-559-3587, jmcc...@unmc.edu
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From: Dan Connolly [mailto:dconno...@kumc.edu]
Sent: Friday, October 17, 2014 3:09 PM
To: McClay, James C; gpc-dev@listserv.kumc.edu
Subject: RE: General questions about registries

It's sufficiently obvious that our paper was rejected for insufficient novelty. 
;-)

But that's exactly what the HERON i2b2/REDCap stuff is all about.

Here's ticket comment from April about 
SIENEhttps://informatics.gpcnetwork.org/trac/Project/ticket/87#comment:16 
again:

We wrote up a manuscript a while back. The submission was declined, but we've 
had enough interest that we've decided to just share it.

We're in the process of adding it to ​KUMC's digital 
archivehttp://archie.kumc.edu/; meanwhile, I've attached it to this ticket in 
editable (MS Word) 
formathttps://informatics.gpcnetwork.org/trac/Project/attachment/ticket/87/Adagarla2014-Joint-Summits-submissionRusscomments8.docx​https://informatics.gpcnetwork.org/trac/Project/raw-attachment/ticket/87/Adagarla2014-Joint-Summits-submissionRusscomments8.docx
 and fixed (PDF) 
formathttps://informatics.gpcnetwork.org/trac/Project/attachment/ticket/87/1861442_File02.pdf​https://informatics.gpcnetwork.org/trac/Project/raw-attachment/ticket/87/1861442_File02.pdf.

  *   SEINE: Methods for Electronic Data Capture and Integrated Data Repository 
Synthesis with Patient Registry Use Cases
Bhargav Adagarla1, Daniel W. Connolly1, Tamara M. McMahon1, Manikandan Nair1, 
Lisa D. VanHoose3, Priyanka Sharma2, Linda J. D’Silva3, Lemuel R. Waitman1
1Division of Medical Informatics, 2Department of Internal Medicine, 3Physical 
Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas 
City, KS

Abstract
Integrated Data Repositories (IDR) allow clinical research to leverage 
electronic health records (EHR) and other data sources while Electronic Data 
Capture (EDC) applications often support manually maintained patient 
registries.  Using i2b2 and REDCap, (IDR and EDC platforms respectively) we 
have developed methods that integrate IDR and EDC strengths supporting: 1) data 
delivery from the IDR as ready-to-use registries to exploit the annotation and 
data collection capabilities unique to EDC applications; 2) integrating EDC 
managed registries into data repositories allows investigators to use 
hypothesis generation and cohort discovery methods. This round-trip integration 
can lower lag between cohort discovery and establishing a registry. 
Investigators can also periodically augment their registry cohort as the IDR is 
enriched with additional data elements, data sources, and patients. We describe 
our open-source automated methods and provide three example registry uses cases 
for these methods: triple negative breast cancer, vertiginous syndrome, cancer 
distress.

--
Dan

From: 
gpc-dev-boun...@listserv.kumc.edumailto:gpc-dev-boun...@listserv.kumc.edu 
[gpc-dev-boun...@listserv.kumc.edu] on behalf of McClay, James C 
[jmcc...@unmc.edu]
Sent: Friday, October 17, 2014 2:58 PM
To: gpc-dev@listserv.kumc.edumailto:gpc-dev@listserv.kumc.edu
Subject: General questions about registries
GPC informatics experts:
I have a number of investigators requesting the ability to have registry type 
functionality from our i2b2 environment. I will use COPD for an example but we 
need a generalizable solution available to any investigative team. They would 
like to tag patients participating in their registry (for example consented 
COPD patients), capture some patient reported outcomes (perhaps quality of 
life), and then enter additional information that either isn’t in the EHR or 
isn’t in coded form (i.e. specific measurements from the Chest CT in COPD 
patients.)

Russ, I know the Heron network keeps track of patients who have consented to 
participate in general but this would be for specific patients who have 
consented to participate and are followed by a clinic.

My thought is to add a flag in i2b2 that would ID these patients, capture PRO 
through REDCap, provide a mechanism in REDCap to display reports such as Echo 
or CT, provide the investigator a form for capturing structured data and then 
link that back to i2b2. I know we have discussed NLP but I still don’t think it 
reliable enough for this setting.

My question: is the patently obvious how to do this or do we need to do some 
development?
Jim

James McClay, MS, MD, FACEP
Associate Professor, Emergency