What should be done with patient reported drugs or conditions

[jiawei-qian]

What should be done with patient reported drugs or conditions

CDM or THEMIS convention?

THEMIS

Table or Field level?

Field

Is this a general convention?

No

Summary of issues

1. What should be done with patient reported drugs or conditions?

Summary of answer

1. Eric Voss: RECOMMENDATION Patient reported data recommendation should land in the appropriate domain table (e.g. if a patient reports they had lymphoma it should land in the CONDITION_OCCURRENCE table. These data should be strongly typed so that it easily known which records are patient reported. Use type 32865-"Patient self-report" to identify these records.

NEXT STEPS Add into Conventions: https://ohdsi.github.io/CommonDataModel/dataModelConventions.html#Data_Model_Conventions

Related links

OHDSI Forum (Patient-Reported Drugs and Conditions): https://forums.ohdsi.org/t/patient-reported-drugs-and-conditions/3152/28 Themis GitHub: https://github.com/OHDSI/Themis/issues/25 ATHENA link: https://athena.ohdsi.org/search-terms/terms?domain=Type+Concept&standardConcept=Standard&page=1&pageSize=15&query=patient

Other comments/notes

1. In the OHDSI Forum post, Clair agreed with Erica's recommendation. And gave one example. @clairblacketer , I am not sure for patient reported history of disease. Whether we need to also create concept 35610328 for “B-cell Hodgkin Lymphoma” in CONDITION_OCCURRENCE table? Maybe we need to make sure if the patient still has this disease when he reports the disease. If not, we can only create a record in OBSERVATION table for concept 43021273 (“History of Hodgkin’s Lymphoma”).

2. In the THEMIS issue https://github.com/OHDSI/Themis/issues/25, Melanie gave a link for patient reported data. https://athena.ohdsi.org/search-terms/terms?domain=Type+Concept&standardConcept=Standard&page=1&pageSize=15&query=patient @MelaniePhilofsky , When open the link, it shows 9 concepts. I guess the first one (32865: Patient self-report) is the concept we want for patient reported drugs/conditions?

[clairblacketer]

Thanks @jiawei-qian, since this is already an accepted Themis issue we should make sure it is in the repository.

[MelaniePhilofsky]

Issue # and location

For this ratified convention, the issue number given when the issue was created by GitHub. Was this a CDM issue, Themis issue, found in CDM documentation or found on the forum?

Format as follows:

• Themis issue #25

Issue summary

What should be done with patient reported clinical events?

Convention type

Global

CDM table

NA

CDM field

All *_type_concept_id fields in the CDM

Links to issue discussion

Links to location of discussion on forums, CDM GitHub, Themis GitHub, etc.

Format as follows:

• OHDSI Forums discussion
• Themis issue #25

Provenance of data

EHR

The ratified convention

Patient reported data should be inserted into the appropriate domain table (e.g. if a patient reports they had lymphoma, it should be inserted into the CONDITION_OCCURRENCE table or if a patient reports using ibuprofen, it should be inserted into the DRUG_EXPOSURE table). Use concept_id = 32865, "Patient self-report" to identify these records.

Date of ratification/published

June 5, 2018

Downstream implications

NO

Link to DQD check

NA

Related conventions/further information

#Tags patient_reported, self_reported, home_med,

[MelaniePhilofsky]

Patient reported conventions are global conventions since they affect every clinical event record in the CDM. Should we have a page for all _type_concept_id rules? And each CDM _type_concept_id field links to the Themis page for the type concepts? @clairblacketer and @katy-sadowski

[clairblacketer]

@MelaniePhilofsky yes I think that makes the most sense since we now only have one type concept vocabulary