Request for new cost concepts

[gowthamrao]

I would like to request two new cost-concepts.

concept_id	code	name	class	concept	validity	domain	vocab
to be assigned	OMOP generated	Patient liability	Summary	Standard	Valid	Cost	Cost
to be assigned	OMOP generated	Patient liability	Detail	Standard	Valid	Cost	Cost

[cgreich]

@gowthamrao:

What is this summary and detail business? We will need to explain this.

[gowthamrao]

Thanks @cgreich

Summary and Detail are precordinated concepts (cocnept-class) that were agreed by the CDM & Vocabulary work-group - to ensure cost concepts are not confused. In healthcare, generally, there are two types of claim

1. summary (header) level - i.e. the cost of the entire claim
2. detail (line) level - components that when added up equals summary

in practice, they don't roll-up cleanly (for various reasons). The workgroup was worried that if we dont precordinate the concepts, analysts may be double counting detail level and summary level.

[cgreich]

@gowthamrao:

the class_concept_id is not part of the name. Should we rather create things like "Itemized sell rate" and "Summary sell rate" or "Total sell rate"? Remember: These concepts have to make sense to people who don't know the vernacular of your world.

[gowthamrao]

Thank you @cgreich

That does make sense - if we argue that concept_class should not be used to determine the meaning of the concept, and the entire meaning of the concept should be contained in the concept-name.

Its a little hard now because we have precedence for using concept_class to inform the meaning of the concept (as discussed and agreed in the CDM and Vocabulary workgroup). http://athena.ohdsi.org/search-terms/terms?vocabulary=Cost&page=1&pageSize=15&query=&sort=concept_name&order=asc

But if we have violated a rule, then we could potentially correct them all - if we have to. It will be a lot of renaming, but it could be done I think.

[gowthamrao]

Please see request for two additional cost concepts

concept_id	code	name	class	concept	validity	domain	vocab
to be assigned	OMOP generated	Patient liability	Summary	Standard	Valid	Cost	Cost
to be assigned	OMOP generated	Patient liability	Detail	Standard	Valid	Cost	Cost
to be assigned	OMOP generated	actual acquisition cost	Summary	Standard	Valid	Cost	Cost
to be assigned	OMOP generated	actual acquisition cost	Detail	Standard	Valid	Cost	Cost

Actual acquisition cost (AAC) - amount paid by a pharmacy or other health care provider after all discounts, rebates and other price concessions have been deducted.

[dimshitc]

ok. we are going to add them: one small change = capitalize the first word. actual acquisition cost -> Actual acquisition cost

[Alexdavv]

https://athena.ohdsi.org/search-terms/terms?standardConcept=Standard&page=1&pageSize=15&query=Actual+acquisition+cost