OHDSI / Themis

Repository for OMOP CDM conventions as defined by THEMIS. These can be reference lists of concepts, pieces of standardized code for data generation or quality certification, and debates.
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cost table: guidance to represent capitation monthly cost (for primary care) #189

Open vojtechhuser opened 3 months ago

vojtechhuser commented 3 months ago

Issue Name: capitation cost

Issue Type: Lack of an ETL convention for a CDM table and/or field

Description: See current CDM spec

Related forum post: Post will be made later.

Suggested solution: Part of cost of healthcare for a patient are monthly pre-payment for primary care cost made to primary care doctor (e.g., in Czechia). I propose there to have guidance under which cost.cost_type_concept_id (in ETL Conventions) in CDM spec to have such thing represented. The health plan pays to a provider a monthly payment and if comparing cost of care between countries (an important research use case for CDM to accommodate) this is useful to have convention for. I propose a direct comment in the specs. As alternative, a convention (per decision of the CDM workgroup)

Out of 80 concepts in Type Concept vocabulary, none is a good fit https://athena.ohdsi.org/search-terms/terms?vocabulary=Type+Concept&page=1&pageSize=500&query=

This concept is close but the price is in fact decided by payer/insurance company. OMOP4976947 Provider charge list price

The proposal is to create a new concept with concept_name of 'Capitation' or 'Capitation cost' or 'Capitation payment'

Reported By: Vojta Huser