Missing ICD9CM/ICD10/ICD10CM Maps to SNOMED

[ericaVoss]

Between the Vocabulary 20150403 and 20160620 we have lost some important ICD --> SNOMED Mappings.

Attached is an XLS. The first tab shows ICD9CM/ICD10/ICD10CMs that lack a mapping to SNOMED in 3 different DBs with row counts of how often the code was found. The second tab lets you know for each code in how many of the 3 DBs was is used.

MISSING_ICD_TO_SNOMED_MAPS_V01.xlsx

A specific example, Vocab 20150403 the ICD9CM code 571.5-Cirrhosis of liver without mention of alcohol used to map to SNOMED 444246-Cirrhosis of liver not due to alcohol but now in Vocab 20160620 this CONCEPT_ID is invalid. However no SNOMED replaced this mapping. I believe in this case the code should have gone to 40484532-Nonalcoholic steatohepatitis.

Additionally if I compare 20150403 vs 20160620 I can show you all the codes that had a mapping that no longer do. See attached XLS.

20150403_VS_20160620_ICD_TO_SNOMED_V02.xlsx

Thanks to Rupa for finding this issue and Clair for nailing the issue down.

[dimshitc]

Hi, Erica, thanks for this issue reporting, I checked several concepts from MISSING_ICD_TO_SNOMED_MAPS_V01.xlsx randomly:

select c.concept_code, c.concept_name, c.vocabulary_id, r.relationship_id, r.invalid_reason, c2.concept_id, c2.concept_name, c2.invalid_reason from devv5.concept_relationship r left join devv5.concept c on c.concept_id = concept_id_1 and r.invalid_reason is null left join devv5.concept c2 on c2.concept_id = concept_id_2 where c.concept_code in ( 'S92.225G', 'S82.452G', 'S82.854K', 'M05.341', 'S82.135G', 'M84.334P', 'S92.505K', 'M1A.4411', 'S82.91XM', '362.20', '879.2', 'O40.3XX4', 'S52.511G', 'S61.247D') and relationship_id ='Maps to' ; As you can see all of them have mappings, so probably VOCABULARY_20160620.DBO you use differs from our current development schema. But on the other hand, problem with deprecated (updated) SNOMED concepts is still there (like your example 571.5-Cirrhosis of liver without mention of alcohol); Also there are some other minor issues we need to fix. So we are going to return to this work in October.

[ericaVoss]

What is the version you are currently on? Additionally, can you tell me how many of the codes in my excel now have maps now so I can make a better decision on moving to the next one or not.

Here are the ICD9s (5,297):

'V15.82','585.9','571.5','995.20','707.12','526.4','327.36','752.2','V89.01','758.7',
'692.83','728.10','676.24','799.82','795.71','038.2','666.02','441.03','414.12','V68.0',
'V65.1','999.39','E93.56','774.5','666.04','953.9','E82.50','728.19','E82.60','V45.88',
'E85.81','E93.59','V64.4','E93.58','V88.12','V88.11','401.9','443.23','004.3','942.19',
'V64.0','789.00','004.0','650','786.50','786.05','V58.81','518.81','250.00','E82.17',
'338.18','311','584.9','V58.82','038.9','780.60','E93.38','486','511.9','786.09',
'518.0','E85.85','V49.8','300.00','793.19','985.4','305.1','285.9','750.13','V62.84',
'427.89','787.01','654.21','V30.00','272.4','428.0','V72.60','794.31','303.90','414.01',
'780.79','427.31','530.81','769','780.97','784.0','V30.01','004.1','729.5','715.96',
'304.00','715.16','278.01','296.33','599.0','V54.81','786.2','288.60','244.9','434.91',
'770.89','276.51','785.0','E82.53','789.09','729.81','562.11','493.90','789.59','V43.65',
'E81.86','780.39','276.1','560.9','789.07','577.0','V45.89','276.8','401.1','429.3',
'518.89','782.3','585.6','298.9','799.02','682.6','496','285.1','305.00','296.20',
'786.59','789.06','719.46','296.80','558.9','278.00','664.11','115.91','415.19','424.0',
'V72.83','514','787.91','669.71','724.2','564.00','V57.89','458.9','574.20','765.10',
'995.91','414.00','578.9','780.2','787.3','789.01','250.02','659.71','V58.69','296.90',
'715.95','715.36','327.23','787.03','724.02','592.0','787.02','291.81','780.4','719.45',
'715.15','491.21','300.02','787.20','645.11','250.80','569.89','591','348.30','276.2',
'724.5','789.03','518.84','427.9','682.9','300.9','218.9','512.89','562.10','431',
'174.9','411.1','V71.89','998.59','410.71','V58.11','723.1','652.21','747.0','571.8',
'E82.64','162.9','287.5','309.81','763.4','745.5','780.09','V72.81','453.40','314.01',
'781.2','304.10','790.6','593.9','424.1','959.01','722.10','722.52','493.92','518.51',
'567.22','348.89','205.00','288.00','E80.20','790.7','724.4','682.2','648.81','425.4',
'782.0','436','511.89','430','V72.69','276.7','338.29','008.45','659.61','401.0',
'304.30','V72.19','305.90','345.90','280.9','765.29','682.7','779.31','540.9','272.0',
'664.01','555.9','784.2','799.3','663.31','568.0','305.20','153.9','303.91','443.9',
'115.01','661.11','578.1','553.3','435.9','346.90','263.9','560.1','728.87','202.80',
'518.82','789.04','783.3','770.81','765.18','284.19','790.29','586','295.70','292.0',
'296.30','719.7','656.81','507.0','416.8','644.03','569.83','575.0','648.91','785.6',
'738.4','774.6','295.90','715.35','304.01','296.34','584.5','204.00','977.9','556.9',
'575.8','959.11','331.4','574.10','770.84','721.3','189.0','592.1','644.21','780.52',
'275.2','296.32','590.80','307.1','786.6','959.09','V20.31','999.34','250.10','432.9',
'300.4','585.3','340','518.83','785.2','198.5','250.01','183.0','432.1','427.1',
'540.0','620.2','661.21','453.41','626.2','427.5','729.1','658.41','536.2','433.10',
'642.31','786.51','423.9','198.3','786.9','575.10','765.14','661.01','715.90','V58.89',
'573.8','723.0','625.9','428.23','765.27','571.2','413.9','296.23','296.50','651.01',
'656.71','658.13','590.10','996.66','786.07','658.11','719.41','424.2','790.5','V58.49',
'239.6','410.70','V45.86','654.23','730.27','211.3','115.11','191.9','197.7','707.15',
'482.9','770.7','154.1','771.81','V31.01','V72.85','788.20','770.6','774.2','995.90',
'553.21','576.8','560.89','785.1','765.03','646.83','789.30','V85.41','041.12','569.3',
'574.00','782.4','157.9','714.0','654.20','997.49','560.81','427.81','427.32','342.90',
'656.51','280.0','682.3','765.17','577.1','765.28','722.0','V02.51','733.90','344.1',
'535.50','642.51','492.8','338.19','799.9','578.0','466.0','185','719.47','780.99',
'403.91','313.81','796.2','572.2','648.93','276.0','730.07','807.09','775.6','300.3',
'307.9','304.20','765.25','765.19','403.90','250.60','642.41','793.11','428.21','779.89',
'428.9','820.8','203.00','410.90','656.61','999.9','262','790.4','304.40','707.03',
'277.02','V15.81','276.69','197.0','959.7','348.5','282.62','599.70','338.3','199.1',
'299.00','397.0','412','305.50','721.0','765.15','296.44','V45.81','793.6','651.03',
'737.30','V46.11','568.89','660.61','765.16','686.9','576.2','518.52','790.99','729.89',
'780.1','493.91','535.10','745.4','783.21','577.8','959.9','300.01','414.9','286.9',
'770.5','434.11','765.24','277.00','793.4','162.3','786.52','429.9','322.9','824.8',
'150.9','785.4','969.4','805.4','642.43','722.4','572.8','765.26','312.9','781.3',
'296.53','642.01','410.91','785.52','518.4','250.40','427.69','459.81','854.00','780.61',
'291.0','669.70','789.1','575.11','V72.84','458.0','995.92','275.42','770.2','268.9',
'721.1','644.13','250.11','781.99','437.3','309.0','426.4','724.1','V67.09','794.8',
'197.6','V54.09','569.5','348.31','540.1','574.50','784.59','658.23','785.51','541',
'642.53','515','782.1','682.0','V54.89','805.2','465.9','823.00','959.19','642.33',
'V85.43','296.89','730.28','296.99','348.1','780.96','564.89','251.2','710.0','648.83',
'250.13','553.20','566','796.4','304.80','309.28','719.06','338.4','041.11','596.54',
'793.0','V72.82','659.63','V85.42','427.0','481','042','821.01','765.23','285.21',
'296.40','724.03','348.4','585.4','569.81','765.20','785.50','649.11','314.00','570',
'658.03','724.9','348.9','426.82','669.51','038.11','218.1','781.0','433.30','766.1',
'656.53','414.8','428.22','E82.46','789.02','573.9','289.81','723.4','780.57','041.49',
'478.19','362.22','789.2','477.9','659.11','585.5','786.30','682.5','555.0','998.83',
'659.73','296.22','294.9','593.89','518.1','789.05','536.3','852.20','208.00','296.7',
'307.50','434.01','274.9','733.82','438.20','808.0','648.21','462','285.29','785.9',
'793.2','784.3','V58.66','153.3','276.9','V67.00','593.2','V58.67','441.4','288.50',
'707.14','V45.71','821.00','276.50','473.9','728.88','770.82','295.30','564.1','348.39',
'783.0','345.91','416.0','344.00','776.6','645.13','658.01','728.86','356.9','519.19',
'730.20','656.31','777.9','614.6','733.13','706.1','V05.3','332.0','483.8','649.73',
'891.0','920','728.85','250.90','998.11','608.4','571.1','296.54','301.83','616.0',
'V58.61','250.12','998.32','276.52','756.12','733.42','653.41','303.00','569.69','349.82',
'368.8','789.39','530.10','536.8','965.4','453.42','711.06','656.70','154.0','208.90',
'357.0','765.02','664.21','761.5','191.1','682.4','652.23','567.9','427.61','V64.41',
'557.0','959.8','654.53','724.3','444.22','786.06','V12.54','808.8','775.0','174.8',
'440.21','573.3','576.1','426.11','656.11','490','275.3','263.0','531.90','642.03',
'220','860.0','577.2','284.11','272.2','275.41','453.9','V62.85','996.59','663.11',
'433.11','770.4','424.90','661.31','535.60','362.21','255.41','079.99','225.2','595.0',
'198.89','707.05','781.94','410.41','537.89','626.8','V49.89','557.9','782.2','730.17',
'996.47','786.7','205.02','617.0','345.3','553.1','641.93','659.51','641.13','135',
'229.0','780.02','345.80','722.93','799.89','892.1','459.9','157.0','250.03','415.11',
'233.0','621.8','761.1','287.49','550.90','652.61','359.81','410.11','182.0','482.1',
'660.41','808.2','807.00','611.0','707.10','297.9','441.2','585.2','421.0','307.51',
'038.0','296.60','510.9','552.21','998.31','555.1','626.9','305.01','512.1','530.11',
'996.74','655.83','038.12','282.60','722.71','996.41','297.1','V23.89','998.89','891.1',
'959.6','345.10','648.03','V14.8','428.32','428.33','794.4','300.09','345.41','707.24',
'172.9','892.0','707.00','309.9','599.71','V58.83','764.90','791.0','428.20','309.24',
'746.89','572.0','763.0','293.0','765.13','772.11','112.0','802.8','745.2','758.0',
'555.2','440.22','V58.73','658.21','038.42','305.60','300.23','250.62','620.8','170.9',
'783.7','823.20','996.77','336.9','556.6','151.9','881.02','279.3','746.7','047.9',
'790.92','428.43','246.9','600.00','511.0','345.40','E80.31','760.0','532.90','136.9',
'493.00','783.41','535.40','171.9','959.12','440.0','692.9','441.01','747.83','813.42',
'304.90','715.97','556.8','716.96','784.7','787.99','719.42','660.01','649.31','780.62',
'V54.19','715.91','853.00','V15.41','324.1','562.13','810.00','866.00','655.73','959.3',
'188.9','553.9','996.67','293.83','648.01','355.9','666.12','593.4','852.00','289.59',
'155.0','763.84','305.70','778.4','253.2','998.2','733.00','041.89','296.24','999.32',
'070.70','162.5','V58.44','716.90','038.8','821.20','608.86','V42.81','429.2','657.01',
'996.81','652.20','724.00','296.31','560.2','569.82','V12.79','493.22','805.6','792.9',
'535.00','273.8','V58.78','396.3','709.2','791.9','494.0','V45.01','441.00','410.10',
'438.21','820.21','438.22','261','277.4','746.9','438.0','969.09','786.00','459.0',
'009.0','428.31','711.00','996.1','V54.16','852.21','342.92','552.20','E95.03','291.89',
'457.1','788.1','536.42','682.8','288.8','617.9','250.70','564.81','719.43','250.82',
'250.92','511.81','801.00','652.51','296.43','456.1','237.5','437.1','194.0','201.90',
'331.9','410.40','969.3','977.8','238.75','647.61','776.1','196.2','239.5','584.8',
'760.2','292.84','823.82','518.3','996.61','338.12','320.9','205.01','348.2','284.9',
'426.3','746.4','211.1','596.89','218.0','244.8','660.31','296.00','070.54','434.90',
'779.84','440.23','681.10','301.3','605','V04.81','041.7','748.3','402.10','780.50',
'581.9','662.11','784.51','543.9','V45.79','389.9','646.81','807.01','241.1','730.08',
'211.4','659.70','250.42','438.89','569.9','716.95','242.90','191.2','645.10','779.33',
'861.21','799.1','239.0','995.3','V54.01','038.40','343.9','438.11','879.3','652.81',
'656.83','E84.90','775.5','287.31','996.78','625.8','041.3','574.90','715.11','511.1',
'579.3','722.83','890.0','242.00','313.89','333.94','664.81','695.9','180.9','195.0',
'250.72','428.1','652.11','V42.82','788.0','750.0','285.22','742.4','913.0','041.9',
'279.9','728.2','792.0','865.09','218.2','186.9','770.88','305.40','V31.00','995.1',
'625.3','174.4','278.02','485','724.6','537.0','338.11','V58.75','785.59','651.00',
'079.3','659.53','204.10','879.8','V12.51','459.2','599.72','453.82','608.83','916.0',
'727.09','151.0','291.9','303.92','438.82','762.5','621.2','823.21','715.31','794.39',
'491.20','575.12','907.0','572.3','661.03','750.3','V53.59','041.04','239.7','078.5',
'V61.20','296.63','312.34','610.1','786.03','473.0','881.00','249.00','411.89','482.42',
'722.6','530.85','661.20','362.20','879.2','303.01','568.81','292.9','491.22','V12.55',
'V13.01','437.9','719.40','V07.2','245.2','402.90','567.38','614.4','648.11','080',
'410.72','996.69','152.0','789.9','285.3','564.09','272.1','659.21','756.6','768.3',
'824.4','642.73','239.89','513.0','658.10','041.02','996.40','394.9','V58.62','444.9',
'560.0','648.13','965.01','799.22','493.02','755.63','996.62','756.0','922.2','779.81',
'787.22','575.9','707.8','959.2','969.00','860.4','V88.01','V12.09','197.5','426.0',
'451.19','696.1','253.6','567.21','368.2','623.8','312.30','812.00','965.61','273.1',
'835.00','756.73','041.85','569.62','780.8','V72.41','482.83','626.4','733.99','657.03',
'709.8','810.02','447.6','292.89','440.20','642.91','461.9','646.71','788.30','805.8',
'358.01','530.3','V49.75','158.0','304.31','644.20','V28.89','V61.29','205.10','464.4',
'995.0','211.2','458.8','646.80','762.7','820.09','388.70','759.7','998.12','403.00',
'642.50','803.00','V58.65','348.0','V33.01','053.9','345.50','530.4','707.9','625.6',
'765.04','158.9','759.89','193','263.1','519.8','041.19','153.6','552.1','569.49',
'681.00','824.6','296.52','428.41','729.2','770.83','996.72','577.9','V23.82','608.89',
'724.8','420.90','614.2','V14.6','707.13','153.5','346.00','235.2','415.13','603.9',
'279.50','428.30','761.7','765.00','619.1','998.13','288.03','722.51','196.3','296.64',
'304.11','358.00','V61.8','777.8','054.9','383.9','225.0','414.05','174.1','191.8',
'200.20','807.08','604.90','642.40','722.73','344.9','569.1','824.0','V10.05','204.01',
'237.0','285.8','357.2','286.6','641.03','729.92','225.3','748.5','414.2','652.31',
'191.0','281.9','669.81','873.42','256.4','410.01','533.90','620.0','778.3','308.9',
'E95.04','337.9','618.01','825.25','289.9','426.2','996.42','250.81','424.3','466.19',
'747.81','283.9','440.9','648.23','648.41','792.1','599.60','410.00','530.19','642.93',
'655.71','890.1','299.80','753.29','793.7','E95.00','276.3','V50.41','786.1','617.1',
'794.30','362.23','459.89','794.2','277.09','357.81','747.10','394.0','707.09','785.3',
'426.50','576.9','715.25','996.49','117.9','155.2','952.9','682.1','854.01','179',
'641.21','995.93','110.1','323.9','298.8','811.00','V53.99','198.4','783.40','788.5',
'531.50','662.10','737.10','345.51','V85.44','772.12','197.8','452','587','593.5',
'772.14','V58.72','730.26','V34.01','238.79','752.51','763.83','934.9','736.79','362.24',
'649.01','294.10','596.51','641.01','654.41','729.90','767.19','493.12','661.13','996.52',
'998.6','170.7','454.2','519.09','850.5','008.8','155.1','296.42','453.81','494.1',
'708.9','779.0','823.80','V26.51','153.2','191.6','685.1','790.8','346.11','438.13',
'642.21','652.91','752.61','070.32','350.1','427.41','429.89','536.40','763.82','768.70',
'228.09','767.0','425.9','722.90','368.9','493.20','715.26','820.00','453.89','571.42',
'823.22','238.71','426.9','707.23','274.01','519.4','852.06','319','852.26','331.3',
'537.9','850.9','304.60','623.5','204.02','579.0','719.95','864.05','919.0','288.4',
'746.3','777.50','780.31','V12.59','200.70','539.09','V23.49','V45.02','425.11','564.01',
'910.0','530.20','656.50','661.23','715.00','600.01','V45.11','150.5','453.2','805.02',
'163.9','200.50','765.22','882.0','V67.59','054.10','646.23','E87.88','663.21','663.83',
'722.2','745.69','824.9','V45.72','492.0','721.2','780.93','153.1','266.2','996.73',
'E95.6','808.41','425.8','751.2','965.00','969.03','812.20','907.2','948.00','038.49',
'745.10','745.11','V11.8','240.9','453.6','569.42','722.91','959.4','V58.41','557.1',
'571.3','737.39','228.04','304.03','807.04','482.0','556.0','994.7','288.66','642.71',
'423.1','289.0','780.01','482.41','611.71','380.10','996.44','V45.82','784.92','958.3',
'141.9','727.00','958.7','V70.8','707.07','736.42','751.1','E95.89','289.89','611.72',
'726.33','646.73','532.40','654.51','V54.13','519.9','640.03','304.41','574.40','710.1',
'719.05','824.2','V54.12','253.5','426.13','707.04','368.16','269.9','227.3','441.9',
'620.9','655.81','996.2','763.89','277.03','403.10','654.91','V07.8','405.91','751.61',
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'959.14','712.26','597.80','359.3','755.64','V10.07','751.60','607.89','173.99','917.1',
'249.60','V07.1','368.10','V54.21','V10.29','V12.00','410.02','718.18','V10.43','598.2',
'202.87','425.7','281.8','535.11','719.56','853.03','718.17','136.8','341.21','233.5',
'270.7','812.50','941.21','V12.70','250.93','142.8','117.5','200.21','873.63','053.29',
'480.1','249.31','138','865.12','601.2','551.21','873.69','282.40','150.3','253.1',
'213.8','V07.51','442.82','842.10','E88.43','238.76','715.12','440.32','187.4','236.99',
'188.3','573.4','812.02','914.0','200.30','242.30','289.53'

Here are the ICD10s (6,864):

'E11.65','K57.30','E10.65','N40.1','R92.2','K50.90','E11.42','O09.523','Z3A.39','K57.32',
'Z3A.01','Z3A.38','Z3A.36','Z3A.37','I50.22','O09.522','Z3A.35','M06.09','Z3A.40','Y92.9',
'I25.119','O09.521','O26.893','Z3A.34','Z3A.12','O13.3','F10.129','Z3A.32','I25.110','Z3A.33',
'Z3A.28','K50.10','Z3A.19','Z3A.08','O36.5930','O99.213','O26.892','O26.891','O09.893','O09.513',
'K80.50','I50.32','O09.93','Z3A.30','Z3A.31','M05.89','Z3A.18','Z3A.11','Z3A.09','O36.63X0',
'Z3A.10','Z3A.27','Y92.009','O26.841','Z3A.29','G43.001','O32.1XX0','Z3A.24','Z3A.13','I25.118',
'O09.01','O36.8130','O60.03','I50.23','O47.03','O99.212','H35.363','Z3A.16','Z3A.21','Y92.89',
'O26.843','Y93.67','O30.043','Z3A.26','O09.293','O10.013','I50.20','I70.213','Z3A.22','K57.20',
'E11.43','Z3A.25','G43.711','Z3A.23','I50.21','N81.84','Z3A.17','G47.26','E10.10','O09.512',
'O09.92','Y93.61','O09.291','O09.892','O09.511','I50.30','F17.220','V68.0','O09.212','V65.1',
'O09.292','Z3A.15','O40.3XX0','O30.042','Z3A.14','O99.013','E10.42','O16.3','R65.21','I50.42',
'Z3A.41','O09.91','E08.9','Y93.66','G43.101','G43.011','O41.03X0','O09.811','O09.00','O26.851',
'F10.120','O09.213','O09.891','Y93.01','O09.219','L89.154','O44.02','I70.219','M27.2','O10.913',
'E11.341','O46.91','O23.41','G43.111','M89.8X1','O34.32','O36.5931','O14.03','O30.003','O99.211',
'Y92.219','O34.13','I50.43','I50.31','O26.872','K51.911','O14.93','O09.813','M85.852','O36.63X1',
'Y92.410','O09.812','N47.8','Y92.099','O24.113','Y93.23','O09.299','O26.93','O26.21','O10.012',
'O32.1XX1','O44.03','N76.89','O41.1230','G43.701','Y92.019','I26.09','L76.22','O26.842','O24.913',
'O34.12','O23.42','O36.0930','O36.8131','E08.42','O30.041','O60.02','O26.91','O14.13','O34.33',
'O26.92','Y92.838','O42.913','O36.5920','O24.013','O36.0130','E08.40','Y92.39','O30.032','Y93.64',
'P78.83','O34.81','O26.873','G43.911','H02.413','N02.8','P07.37','P07.39','O92.29','I70.211',
'O09.211','V64.4','O43.893','K57.10','I70.212','H35.361','M19.171','O46.92','L89.153','E13.65',
'O46.93','O30.033','O23.43','K91.840','O47.02','O30.001','H35.362','P07.38','Y93.72','O99.012',
'O99.343','Y92.321','F02.81','O44.12','O24.112','I50.40','E08.65','K57.31','Y92.310','O30.002',
'J45.42','L89.152','M85.851','O99.513','Q51.2','M19.172','O34.11','O36.5130','O99.331','O09.33',
'O26.852','O40.3XX1','O44.13','O99.333','E10.43','E08.621','I25.111','F19.939','P07.35','O26.853',
'L89.314','K50.813','Y92.018','L76.21','L89.324','I50.41','Y92.322','O10.912','I70.223','O09.819',
'P07.32','O26.20','O99.512','K95.89','P07.31','O26.23','O26.613','K50.913','K29.71','N99.820',
'C91.11','M06.041','O36.8120','O36.8930','O43.93','O16.2','O24.012','K57.33','L89.312','P09',
'P07.34','O41.03X1','O42.013','N02.9','O99.342','O36.5910','Y93.55','E08.21','O46.8X1','O32.4XX0',
'O36.62X0','J15.212','O11.3','P07.33','Y93.22','I70.235','O26.22','O36.0120','P07.24','N99.89',
'Y93.41','O12.03','P07.26','P07.36','E11.349','O10.011','Y92.830','M89.8X6','Y93.B3','L89.322',
'K51.211','O43.813','L89.313','Y93.45','M05.741','M96.89','O99.332','L89.323','Y93.51','J45.32',
'I70.25','O99.511','K50.911','O12.13','O13.2','Y92.017','P07.23','O32.2XX0','M05.841','O98.513',
'S06.6X9A','O32.8XX0','O99.341','O24.912','O16.1','M1A.9XX1','K57.50','O45.93','I70.245','O24.111',
'O43.123','Y93.B9','O43.193','F19.94','O09.32','T65.91XA','F10.19','O36.0131','M06.042','M19.111',
'Y92.213','Y93.F2','S06.5X9A','O99.353','O23.591','Y92.211','I25.709','Y93.62','L89.613','J45.52',
'K57.12','J95.830','O36.0110','C85.98','Y92.008','A60.02','O34.591','O99.011','Y93.65','O24.011',
'E08.8','Y93.39','F11.220','Y92.69','O09.03','A41.81','O34.31','C83.18','B37.83','O99.323',
'M05.742','O10.911','O24.313','M05.842','O24.911','O34.593','G43.811','L89.623','O09.02','V64.0',
'O26.13','O26.03','F11.229','O42.912','D61.01','N30.41','O09.43','H35.369','C92.41','O23.592',
'L89.612','I97.618','H02.411','E08.22','M05.49','O36.0920','O36.8910','I25.42','C85.91','H02.412',
'M19.112','O34.83','O36.5131','O43.891','O36.5921','F13.230','M85.871','M89.8X5','Y92.328','T85.71XA',
'K51.311','O32.0XX0','G40.A01','O32.9XX0','M85.872','O99.352','O32.1XX2','O09.613','Y92.320','O42.113',
'Y92.010','O23.593','O30.031','K91.841','O36.0121','K50.914','C85.93','O98.512','I70.221','I71.03',
'O09.11','O23.11','Y92.013','D61.89','Y93.21','I70.261','O36.8920','M85.859','O23.91','I25.700',
'O34.82','F11.120','F10.121','Y92.007','I70.222','O36.5932','S91.342A','I70.229','L89.622','L89.151',
'O44.01','I70.218','Y92.212','T65.891A','M00.061','I26.02','M1A.09X1','G40.823','I63.232','O41.02X0',
'M00.062','O09.612','F17.291','O26.833','N99.71','K50.814','O43.192','S91.341A','K57.21','O43.892',
'E08.319','O46.8X2','O41.1231','I63.231','O14.23','Y92.828','O36.61X0','O33.5XX0','I70.234','Y92.414',
'Y92.210','Y93.75','F17.213','S42.441A','K72.91','Y92.015','O23.93','Y92.000','O36.0910','S42.441D',
'N99.821','R93.9','O34.02','O13.1','F19.982','Y92.003','O36.62X1','E08.329','O09.611','O99.322',
'Y92.480','O23.92','L23.81','S42.442D','O40.2XX0','Y92.481','S62.001K','F10.188','O22.43','I25.710',
'O43.103','N02.2','J95.831','O34.592','Y93.11','I63.239','E10.341','I70.262','M85.862','L89.224',
'O99.351','O23.12','I25.719','Y92.29','S42.442A','C85.11','I70.244','Y93.52','S01.82XA','O36.5911',
'E74.02','O23.02','K50.014','E08.41','O34.03','S06.6X1A','E08.311','Y92.002','M06.061','O43.122',
'G97.41','S06.6X9D','O98.511','K57.52','G40.821','M06.071','K29.51','S06.5X9D','O36.0931','O26.811',
'O36.8121','O24.312','Y92.59','E08.43','S31.609A','L89.223','G40.A11','Y92.512','K91.71','O33.4XX0',
'Y93.53','Y92.014','O36.1930','Y92.012','K57.40','Y92.330','I25.708','M24.251','O36.5120','S62.002K',
'S92.351K','M05.731','G43.511','O46.8X3','F11.129','E08.69','F17.203','K91.86','M85.861','M06.062',
'S92.355G','O30.012','M96.671','L89.624','Y92.488','L89.304','S61.422A','S06.5X1A','V49.8','M96.672',
'M1A.00X1','O26.813','S92.352G','L89.303','O36.93X0','O45.92','M24.252','S61.421A','L89.523','O10.113',
'M85.842','O44.11','F12.129','C85.18','Y93.B1','I70.238','S92.354G','O26.832','O26.12','Y92.511',
'F13.24','O23.03','M85.841','I63.22','S06.4X9A','O41.8X30','O43.92','Y92.810','O23.13','F12.229',
'Y93.54','S61.442A','M06.031','O09.10','G40.801','Y93.63','I63.032','O45.8X3','F11.282','O99.321',
'M05.59','L89.513','S92.351G','Y92.318','M05.831','M05.771','M05.871','Y92.22','Y92.218','C85.13',
'O36.0111','O26.812','S91.321A','G40.813','G40.501','O43.102','T81.11XA','L89.614','O36.1920','M19.141',
'O42.112','I97.610','I26.01','O09.42','F19.220','M05.732','S32.009K','M05.761','Z3A.42','L89.311',
'F11.14','F14.23','M05.832','O36.8931','E08.359','M05.772','S91.322A','Y92.098','I70.248','E08.351',
'O12.12','Y93.59','M06.072','E08.49','F12.280','O24.311','M85.832','O36.61X1','L89.621','O26.612',
'I63.031','Y93.A9','T17.320A','O22.33','S92.902K','O33.5XX1','I70.269','M06.032','I97.62','G40.803',
'Y92.312','O41.1220','O32.2XX1','S92.352K','S61.441A','Y93.A1','O36.5110','T39.91XA','I25.720','M05.749',
'E08.29','Y93.A3','T65.94XA','E10.349','S61.221A','O40.2XX1','L89.302','F14.129','S01.02XA','O34.01',
'O30.102','S82.201K','O30.013','O09.623','M89.8X2','I25.799','C83.13','S92.901K','S01.521A','S92.301G',
'O43.213','L89.321','O32.0XX1','O32.9XX1','E08.622','C85.92','O36.5939','G43.411','L89.222','O23.01',
'O09.13','K51.914','Y92.214','I25.729','R75','O36.91X0','M26.212','G43.501','O09.41','I63.02',
'O36.0921','G97.51','S92.354K','C85.22','Y92.411','E08.649','G43.401','O40.3XX2','O41.93X0','M05.872',
'O43.022','S81.822A','S42.432A','T65.92XA','M06.011','S31.020A','O14.02','K91.72','S91.329A','M19.179',
'O12.02','S62.022K','C84.68','Y93.31','Y92.832','O42.012','C85.95','F19.921','O32.4XX1','F12.120',
'S42.445A','O22.92','Y92.239','K95.81','I63.212','O30.091','E08.610','O36.5121','S42.444D','M85.811',
'Y92.331','L89.611','M19.142','O36.93X1','O32.8XX1','Y92.096','F15.93','O32.1XX9','S82.201G','S92.355K',
'F15.24','O41.02X1','N47.7','E09.40','C85.94','S92.302G','O36.5922','F12.220','O14.12','O26.11',
'F14.24','I25.718','M05.811','S62.021K','F19.230','O09.622','O30.103','M05.861','I63.132','O92.20',
'F13.229','F19.24','O22.93','I63.139','O14.92','S61.229A','O26.02','S61.241A','O31.11X0','O41.1030',
'I70.232','M06.049','K29.31','S31.609D','S52.502G','O09.621','Y93.B2','O30.101','F13.231','M00.011',
'S52.502P','O43.113','O36.8911','O36.71X1','O26.53','O36.8921','E08.321','O36.92X0','S82.202K','N99.72',
'O32.2XX2','Y93.42','O36.63X9','S52.501P','O30.011','M85.812','M05.762','E08.44','M96.632','O10.413',
'I63.219','I63.549','S52.501G','C85.97','Y92.413','C84.A8','C85.12','S42.431A','F17.221','M05.849',
'M96.631','F12.180','M89.8X3','O41.8X10','S82.892G','S81.821A','O15.03','S81.022A','O09.73','O22.03',
'O11.2','S42.022K','O34.63','Y93.18','I70.239','O23.31','O23.32','S81.829A','T65.811A','I63.542',
'I69.022','Y92.79','S31.122A','Y92.821','S82.891G','I63.211','S61.220A','K29.91','I25.728','S92.901G',
'I63.131','M85.831','E13.649','S92.909K','I87.012','O36.71X0','S06.5X1D','C85.15','O32.3XX0','K29.21',
'Y93.71','F15.229','S42.022G','M1A.0711','S82.62XK','I63.29','I70.263','O36.5111','O12.23','M05.862',
'S42.432D','K72.01','M05.441','M05.641','S61.223A','S06.6X1D','F19.951','O40.1XX0','S61.222A','S42.444A',
'O09.71','N99.61','S61.240A','O31.21X0','I63.039','S42.001K','S82.61XG','S82.65XG','E08.628','M06.211',
'F19.950','K57.13','O30.112','I63.541','O36.5933','S62.024K','T39.8X5A','F13.29','L89.143','M06.012',
'S82.64XG','L89.144','O30.093','O24.813','O34.531','O32.8XX2','M05.711','L76.02','O09.12','O22.32',
'O26.611','S81.021A','M1A.0721','E08.339','L89.134','N02.0','S61.243A','C85.14','O41.8X20','K57.11',
'S51.822A','O26.831','Y93.A4','S82.852G','O26.31','M00.071','O25.11','M05.812','S92.902G','S51.821A',
'M01.X79','M19.221','S82.401G','I70.249','S42.002K','S61.422D','S52.612K','I97.611','F15.259','O33.4XX1',
'S82.841G','L89.131','S82.401K','E08.331','F19.980','I63.019','F15.14','Y92.73','O43.112','I63.09',
'F19.930','S02.2XXK','Y92.34','S42.002G','O23.33','K91.61','E09.10','S42.302K','P92.01','M96.661',
'O30.93','S92.301K','Y92.230','Y93.19','S42.445D','Y93.E3','Y93.81','K72.11','M24.259','M1A.10X1',
'S62.031K','O22.31','F19.180','F17.229','O45.8X2','O9A.113','M06.079','M00.261','H02.021','O26.43',
'S71.029A','I25.790','H02.419','B02.24','S82.62XG','O10.112','C82.58','Y92.531','O22.42','I63.011',
'N13.732','F15.920','Y93.57','M12.231','I25.701','Y92.831','O36.63X3','O36.8139','T17.220A','I70.228',
'O22.91','S02.2XXG','S81.842A','S42.291G','S22.080G','T65.892A','T85.71XD','S21.129A','M05.571','S82.841K',
'S81.841A','S82.202G','M96.662','S52.532P','I63.012','S82.851G','O22.23','M00.262','S62.032K','S42.001G',
'Y92.814','O34.521','S01.122A','C82.51','O12.11','Y93.17','I63.12','L89.511','Y92.238','S61.421D',
'Y93.16','S22.32XG','S01.22XA','F17.228','O32.1XX3','O14.22','I97.52','Y93.A2','S82.51XK','O36.63X2',
'C84.79','C85.28','O41.01X0','O09.72','F13.282','M00.072','S62.001G','S62.025K','M05.661','S82.90XK',
'O36.8230','M05.672','S42.201G','O36.92X1','O36.0911','E09.21','F15.220','Y92.234','Y92.513','S42.021K',
'O43.212','S42.431D','S62.617P','M05.642','M05.442','I97.821','O31.13X0','S62.011K','M05.712','S21.029A',
'O30.092','S82.002G','S32.010G','S81.029A','M06.212','S92.325G','M06.051','S92.001G','G04.1','S61.226A',
'S31.802A','Y92.011','M96.621','H02.024','I25.798','O36.1921','S61.225A','O31.12X0','S62.002G','O36.8132',
'M05.821','M1A.0411','O41.8X31','Y93.24','F13.280','I97.51','M00.019','S61.242A','O22.02','S61.224A',
'S82.402G','S82.301K','G43.601','O10.213','D57.02','K57.41','M05.471','S42.435A','M00.269','S82.65XK',
'S01.92XA','E08.36','I87.011','Y92.833','S92.101K','S92.251K','S81.822D','O23.511','I25.750','S92.302K',
'I67.0','M06.069','F11.182','S92.314K','O36.1910','M96.622','S22.000G','M12.232','O40.2XX2','O36.1931',
'G97.52','S31.129A','O24.812','Y92.039','S92.252G','O30.113','M05.752','O31.23X1','L89.301','A50.02',
'M01.X19','I70.434','S82.61XK','M06.021','S91.341D','S82.52XK','S52.201K','O09.31','O36.73X0','S71.142A',
'S31.125A','I87.032','E80.20','F14.229','S82.142G','O40.3XX9','S01.522A','O26.712','N13.731','S42.443A',
'Y92.63','Y92.71','Y92.199','F14.14','F19.929','S42.434A','S82.101K','L89.603','O22.13','S91.322D',
'S82.892K','S42.441K','M00.022','F19.280','C7A.091','S31.605A','K57.51','S32.000G','O36.8133','M01.X61',
'K51.014','S52.202K','E08.620','S42.302G','S42.301K','S82.841P','M05.431','M05.779','O26.52','M90.552',
'O36.1130','S91.342D','E08.39','F14.220','S82.64XK','S52.611K','Y92.482','O36.61X3','S71.121A','O43.023',
'L89.602','S01.121A','H02.025','P24.81','O43.91','S72.002K','C83.12','F17.293','P36.30','M84.375K',
'F15.929','S82.832G','L89.142','T65.91XD','T17.310A','K57.53','B60.13','S92.322G','S82.209K','S52.572P',
'O41.1430','C84.61','S82.891K','M85.869','O9A.112','M00.042','E13.52','M05.632','I70.268','P78.81',
'O31.11X1','M00.069','S31.020D','O36.8220','M05.852','O10.412','F14.180','M85.879','S51.841A','O41.93X1',
'O36.23X0','M84.374K','F11.221','M05.722','S61.227A','C84.78','S82.872G','S92.252K','S92.322K','N99.521',
'O10.111','O30.111','S51.842A','G43.609','S52.531P','O33.3XX0','O36.91X1','S72.91XK','S92.066G','S71.122A',
'S42.021G','O45.91','S62.616P','O34.73','S82.101G','S82.842G','O41.02X2','L89.133','S52.501K','F14.120',
'S31.001A','Y92.811','F15.222','M05.472','I77.73','S22.42XG','Y93.15','F11.122','E11.630','Y92.812',
'O31.22X0','M01.X42','O45.8X1','C85.96','F15.250','M05.751','S92.311K','S22.32XK','S61.429A','M00.079',
'L89.012','S81.042A','F13.19','N02.1','I63.111','O99.311','L89.521','M06.019','O40.3XX3','S52.552P',
'I97.418','I25.721','E09.39','S82.51XG','S61.244A','O25.13','S92.002G','M00.012','S82.402K','F16.24',
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'O36.0125','S02.61XG','S12.531D','S22.040G','S42.012P','S42.224G','S52.254P','S52.552Q','S62.035P','S62.317K',
'S62.344G','S62.398P','S72.044P','S72.409K','S82.131K','S92.253P','S92.525K','Y92.135','E56.9','M05.361',
'M1A.4521','M84.451P','O31.01X2','O36.1115','S62.345K','S72.321R','S82.832Q','S92.109G','S92.222P','S92.504P',
'T65.833A','I70.632','S32.432K','S42.152K','S62.330P','S62.658K','S72.144G','S82.209N','S92.042K','M05.349',
'S12.001G','M02.151','S72.035G','S12.040K','S52.252H','M05.219','S12.110K','S42.112K','S82.115G','S42.494G',
'S72.044G','S72.353G','S32.313K','S72.141H','S52.342K','Y92.123','S59.291P','S72.021G','S82.111G','S52.032H',
'S72.102P','S32.462K','S72.001M','S42.115G','I70.641','I70.648','S72.145H','S32.002K','S32.599G','S92.221P',
'C82.66','M05.252','S92.231P','S72.044K','S72.064R','S52.022R','I70.538','S22.068G','S32.472K','S72.036G',
'S12.111K','S51.029D','S72.425G','S72.143P','S42.463G','S72.8X1H','M00.122','F19.17','S72.341K','I70.532',
'S82.852N','S42.344K','S72.102G','S72.114G','S52.562K','S72.409Q','S42.341P','S12.111G','M80.032P','S22.038G',
'M84.562K','S72.136P','S31.24XD','M80.039K','S42.399P','M84.459P','S42.214G','S52.126P','S72.112P','I70.438',
'S52.579K','I70.563','S72.142R','S82.92XQ','M80.051P','S42.249K','S42.424K','S72.141Q','S82.424P','S91.225D',
'I70.75','S11.12XA','M1A.0391','S72.146G','M84.50XP','S82.001H','M80.042P','S72.092J','M80.069P','M80.059P',
'I70.562','S62.174G','S31.622A','S12.401G','S72.143R','S72.045K','S12.121K','M80.031P','M02.042','M80.012K',
'S32.411K','S42.226G','M80.80XP','S02.63XK','S42.242P','S42.471P','S52.92XR','S42.223K','S42.036G','S52.371K',
'E09.52','S12.201G','S52.091M','S62.661K','S32.599K','S72.343G','S42.226P','S92.505P','M05.311','S49.131K',
'S72.101P','S49.111K','M05.132','I70.539','M84.522K','S21.319D','S22.001K','S72.011N','S41.129D','S52.501R',
'M1A.4291','S22.018K','S82.862K','S32.002G','S82.241H','S32.435G','S72.8X2H','S12.131G','S12.121G','S12.041K',
'S72.001N','S82.851Q','S72.145K','M05.429','S72.355P','S42.033G','M80.022P','S22.010K','S82.61XJ','M80.861P',
'S92.156P','S42.121P','M80.049P','S11.22XD','S82.451P','M80.079P','S82.822P','S42.481K','Y92.025','S72.499P',
'S82.312P','M80.012P','I70.328','S92.343K','S06.337A','S82.291H','S42.343K','S79.011K','I70.341','M1A.1211',
'S72.131G','S72.455G','S11.14XA','S89.399K','S72.431K','S72.91XJ','S92.041G','S82.492P','S21.329A','M02.232',
'S82.026M','S72.023G','S72.113P','S42.324G','S12.150G','S62.122P','S06.1X8D','S62.367G','M84.412K','S72.034K',
'S52.212K','S72.091H','S72.354G','S92.153P','S72.455P','F13.26','S72.001R','S52.561K','S72.099P','M80.039P',
'M05.259','S52.042P','S82.162K','S12.631B','S41.041D','I70.441','M02.169','M84.353K','S82.399H','S82.491H',
'S32.110G','S52.023H','I70.644','S82.853Q','S42.432G','S91.049A','E87.70','S12.551D','S32.052K','S72.099G',
'S22.5XXG','S82.434J','S32.409K','M80.842K','S32.431G','S32.442K','S42.216K','M84.453K','S52.571Q','S52.612N',
'M80.859P','M84.550K','S32.028K','M05.352','M1A.2391','S12.251K','S72.8X2P','S72.141R','S02.66XG','S02.67XG',
'S42.261P','S72.146M','S82.015P','S82.026R','T17.420D','I70.568','S31.611D','S12.040G','S31.32XD','M84.58XP',
'S42.261K','E10.9','S52.272K','S52.231G','S12.34XA','S72.012R','S21.331D','S72.464G','S72.024B','S72.115K',
'S12.14XG','S42.433K','S22.079K','S72.043G','S22.069K','S52.265G','S42.123G','S82.232R','S72.21XM','T42.8X3D',
'M84.342K','S31.651A','S82.044P','S82.456G','S59.001P','M1A.3691','S72.114N','S72.125G','I70.533','S42.145G',
'S42.431G','S42.472K','S72.041P','S72.8X9H','S82.016Q','S72.121K','S82.016K','S82.231J','S72.141N','S52.601J',
'I70.65','M84.533K','S12.250D','S12.64XG','S82.034M','S82.244K','H59.229','H59.323','S12.031G','S12.351K',
'S31.040D','S32.391G','S72.144N','S82.099G','S92.051P','I70.431','S32.032K','M80.052P','S52.515G','S12.451K',
'M1A.3311','S12.301G','E44.0','S72.135M','S82.143K','S72.044Q','S12.551K','S72.009M','S72.012M','S72.052H',
'S82.254H','S82.425P','S52.034G','I70.541','S72.414P','I70.728','S72.335G','S42.334K','S82.874M','S62.90XG',
'I70.528','I70.542','S72.062G','M05.029','M80.042K','S32.412G','S72.002Q','S89.112P','M90.549','S61.129D',
'S82.464Q','M90.832','S49.102K','M84.652K'

[dimshitc]

I use current vocabulary version you can download here http://athena.ohdsi.org/, CDM Version V5

and there only 85 ICD9CM concepts and 92 ICD10CM don't have mapping. Or if you use CDM Version V4.5, it contains the same information but different format (source_to_concept map instead of concept_relationship_table). here is the query to get these missing mapping concepts select c.concept_code, c.concept_name, c.vocabulary_id from concept c left join concept_relationship r on c.concept_id = concept_id_1 and r.invalid_reason is null and relationship_id ='Maps to' left join concept c2 on c2.concept_id = concept_id_2 and c2.vocabulary_id = 'SNOMED' and c2.invalid_reason is null where c.vocabulary_id in ('ICD10CM', 'ICD9CM') and c.invalid_reason is null and c2.concept_id is null order by vocabulary_id, concept_code

[ericaVoss]

Thank you, this is helpful.

The version can be found by running this query. Please let me know the version.

SELECT VOCABULARY_VERSION
FROM VOCABULARY
WHERE VOCABULARY_ID = 'None'

@cgreich - does this make sense that a lot of the ICD9/ICD10 missings now have maps?

[cgreich]

Actually, Dima is the man to ask. :)

[dimshitc]

v5.0 17-AUG-16

[ericaVoss]

In 20161107 the missing ICD9CMs without maps went from 5,297 to 42 (see below). The top three hitters in a large claims database are:

1. V58.11-Encounter for antineoplastic chemotherapy
2. V15.82-Personal history of tobacco use
3. 585.9-Chronic kidney disease, unspecified

For ICD10CMs, the codes missing a map from the list above went from 6,864 to 36. The top three hitters in a large claims database are:

1. T65.91XA-Toxic effect of unspecified substance, accidental (unintentional), initial encounter
2. T65.891A-Toxic effect of other specified substances, accidental (unintentional), initial encounter
3. T65.94XA-Toxic effect of unspecified substance, undetermined, initial encounter

Missing ICD9CM CONCEPT_IDs

concept_id  concept_name
44820015    Doubling of uterus
44820204    Erythema [first degree] of other and multiple sites of trunk
44823646    Unspecified adverse effect of unspecified drug, medicinal and biological substance
44824833    Toxic effect of antimony and its compounds
44822856    Infection by Histoplasma capsulatum, meningitis
44823312    Engorgement of breasts associated with childbirth, postpartum condition or complication
44824259    Dissection of aorta, thoracoabdominal
44823923    Shigella dysenteriae
44821263    Apparent life threatening event in infant
44822285    Perinatal jaundice from other causes
44826156    Personal history of tobacco use
44827527    Infection by Histoplasma duboisii, meningitis
44826223    Encounter for antineoplastic immunotherapy
44826041    Infection following other infusion, injection, transfusion, or vaccination
44828362    Acute infection following transfusion, infusion, or injection of blood and blood products
44827785    Dissection of coronary artery
44825497    Inflammatory conditions of jaw
44832694    Klinefelter's syndrome
44832477    Cirrhosis of liver without mention of alcohol
44830820    Encounter for antineoplastic chemotherapy
44825082    Acquired total absence of pancreas
44831523    Calcification and ossification, unspecified
44829777    Histoplasmosis, unspecified, meningitis
44835607    Pneumococcal septicemia [Streptococcus pneumoniae septicemia]
44834373    Acquired partial absence of pancreas
44834382    Shigella sonnei
44836461    Injury to unspecified site of nerve roots and spinal plexus
44829310    Nonspecific serologic evidence of human immunodeficiency virus [HIV]
44829156    Third-stage postpartum hemorrhage, delivered, with mention of postpartum complication
44833466    Background retinopathy, unspecified
44830094    Dissection of renal artery
44835565    Shigella flexneri
44836035    Chronic kidney disease, unspecified
44834928    Third-stage postpartum hemorrhage, postpartum condition or complication
44837390    Fissure of tongue
44835824    Circadian rhythm sleep disorder, shift work type
44834780    Acute apical periodontitis of pulpal origin
44835013    Other muscular calcification and ossification
44834282    Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility
44837310    Dermatitis due to metals
44836158    Ulcer of calf
44837885    Suspected problem with amniotic cavity and membrane not found

Missing ICD10CM CONCEPT_IDs

concept_id  concept_name
45585046    Poisoning by drugs affecting uric acid metabolism, accidental (unintentional), initial encounter
35217404    Poisoning by drugs affecting uric acid metabolism, accidental (unintentional), initial encounter
35217407    Poisoning by drugs affecting uric acid metabolism, intentional self-harm, initial encounter
45560852    Poisoning by drugs affecting uric acid metabolism, intentional self-harm, initial encounter
35217413    Poisoning by drugs affecting uric acid metabolism, undetermined, initial encounter
45604377    Poisoning by drugs affecting uric acid metabolism, undetermined, initial encounter
45575491    Toxic effect of latex, accidental (unintentional), initial encounter
45546634    Toxic effect of latex, accidental (unintentional), subsequent encounter
45556194    Toxic effect of latex, assault, initial encounter
45565775    Toxic effect of latex, assault, subsequent encounter
45590002    Toxic effect of latex, undetermined, initial encounter
45556195    Toxic effect of latex, undetermined, subsequent encounter
45575492    Toxic effect of fiberglass, accidental (unintentional), initial encounter
45560976    Toxic effect of fiberglass, assault, initial encounter
45541770    Toxic effect of fiberglass, undetermined, initial encounter
45556197    Toxic effect of other specified substances, accidental (unintentional), initial encounter
45590006    Toxic effect of other specified substances, accidental (unintentional), subsequent encounter
45599686    Toxic effect of other specified substances, intentional self-harm, initial encounter
45565776    Toxic effect of other specified substances, intentional self-harm, subsequent encounter
45575493    Toxic effect of other specified substances, assault, initial encounter
45570651    Toxic effect of other specified substances, undetermined, initial encounter
45565777    Toxic effect of other specified substances, undetermined, subsequent encounter
45590007    Toxic effect of unspecified substance, accidental (unintentional), initial encounter
35218517    Toxic effect of unspecified substance, accidental (unintentional), initial encounter
35218518    Toxic effect of unspecified substance, accidental (unintentional), subsequent encounter
45599688    Toxic effect of unspecified substance, accidental (unintentional), subsequent encounter
45560978    Toxic effect of unspecified substance, intentional self-harm, initial encounter
35218520    Toxic effect of unspecified substance, intentional self-harm, initial encounter
35218521    Toxic effect of unspecified substance, intentional self-harm, subsequent encounter
45575494    Toxic effect of unspecified substance, intentional self-harm, subsequent encounter
35218523    Toxic effect of unspecified substance, assault, initial encounter
45580353    Toxic effect of unspecified substance, assault, initial encounter
35218526    Toxic effect of unspecified substance, undetermined, initial encounter
45594851    Toxic effect of unspecified substance, undetermined, initial encounter
45594852    Toxic effect of unspecified substance, undetermined, subsequent encounter
35218527    Toxic effect of unspecified substance, undetermined, subsequent encounter

[ericaVoss]

This is basically the same thing as #105 and reviewing this using Vocab 20170503.

Here are Source Codes missing Standards and have counts within a large claims database: Source_Codes_Missing_Standard_Maps.xlsx

WITH CTE_VOCAB_MAP AS (
       SELECT c.concept_code AS SOURCE_CODE, c.concept_id AS SOURCE_CONCEPT_ID, c.concept_name AS SOURCE_CODE_DESCRIPTION, c.vocabulary_id AS SOURCE_VOCABULARY_ID, 
                           c.domain_id AS SOURCE_DOMAIN_ID, c.CONCEPT_CLASS_ID AS SOURCE_CONCEPT_CLASS_ID, 
                                                   c.VALID_START_DATE AS SOURCE_VALID_START_DATE, c.VALID_END_DATE AS SOURCE_VALID_END_DATE, c.INVALID_REASON AS SOURCE_INVALID_REASON, 
                           c1.concept_id AS TARGET_CONCEPT_ID, c1.concept_name AS TARGET_CONCEPT_NAME, c1.VOCABULARY_ID AS TARGET_VOCABUALRY_ID, c1.domain_id AS TARGET_DOMAIN_ID, c1.concept_class_id AS TARGET_CONCEPT_CLASS_ID, 
                           c1.INVALID_REASON AS TARGET_INVALID_REASON, c1.standard_concept AS TARGET_STANDARD_CONCEPT
       FROM CONCEPT C
             JOIN CONCEPT_RELATIONSHIP CR
                        ON C.CONCEPT_ID = CR.CONCEPT_ID_1
                        AND CR.invalid_reason IS NULL
                        AND cr.relationship_id = 'Maps To'
              JOIN CONCEPT C1
                        ON CR.CONCEPT_ID_2 = C1.CONCEPT_ID
                        AND C1.INVALID_REASON IS NULL
       UNION
       SELECT source_code, SOURCE_CONCEPT_ID, SOURCE_CODE_DESCRIPTION, source_vocabulary_id, c1.domain_id AS SOURCE_DOMAIN_ID, c2.CONCEPT_CLASS_ID AS SOURCE_CONCEPT_CLASS_ID,
                                        c1.VALID_START_DATE AS SOURCE_VALID_START_DATE, c1.VALID_END_DATE AS SOURCE_VALID_END_DATE, 
                     stcm.INVALID_REASON AS SOURCE_INVALID_REASON,target_concept_id, c2.CONCEPT_NAME AS TARGET_CONCEPT_NAME, target_vocabulary_id, c2.domain_id AS TARGET_DOMAIN_ID, c2.concept_class_id AS TARGET_CONCEPT_CLASS_ID, 
                     c2.INVALID_REASON AS TARGET_INVALID_REASON, c2.standard_concept AS TARGET_STANDARD_CONCEPT
       FROM source_to_concept_map stcm
              LEFT OUTER JOIN CONCEPT c1
                     ON c1.concept_id = stcm.source_concept_id
              LEFT OUTER JOIN CONCEPT c2
                     ON c2.CONCEPT_ID = stcm.target_concept_id
       WHERE stcm.INVALID_REASON IS NULL
), 
CTE_MISSING_SOURCE AS (
    SELECT c.CONCEPT_CODE AS SOURCE_CODE, c.CONCEPT_NAME, VOCABULARY_ID
    FROM CONCEPT c
        LEFT OUTER JOIN (
            SELECT *
            FROM CTE_VOCAB_MAP
            WHERE SOURCE_VOCABULARY_ID IN ('ICD10CM','ICD9CM')
            AND TARGET_STANDARD_CONCEPT IS NOT NULL
            AND TARGET_INVALID_REASON IS NULL
        ) z
            ON z.SOURCE_CODE = c.CONCEPT_CODE
    WHERE c.VOCABULARY_ID IN ('ICD10CM','ICD9CM')
    AND c.CONCEPT_NAME != 'Duplicate of ICD9CM Concept, do not use, use replacement from CONCEPT_RELATIONSHIP table instead'
    AND z.SOURCE_CODE IS NULL
)
SELECT s.SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID, COUNT(DISTINCT co.PERSON_ID) AS PERSON_COUNT
FROM CTE_MISSING_SOURCE s
    JOIN LARGE_CLAIMS_DB.dbo.CONDITION_OCCURRENCE co
        ON REPLACE(s.SOURCE_CODE, '.', '') = co.CONDITION_SOURCE_VALUE
GROUP BY SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID
UNION 
SELECT s.SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID, COUNT(DISTINCT po.PERSON_ID) AS PERSON_COUNT
FROM CTE_MISSING_SOURCE s
    JOIN LARGE_CLAIMS_DB.dbo.PROCEDURE_OCCURRENCE po
        ON REPLACE(s.SOURCE_CODE, '.', '') = po.PROCEDURE_SOURCE_VALUE
GROUP BY SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID
UNION 
SELECT s.SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID, COUNT(DISTINCT o.PERSON_ID) AS PERSON_COUNT
FROM CTE_MISSING_SOURCE s
    JOIN LARGE_CLAIMS_DB.dbo.OBSERVATION o
        ON REPLACE(s.SOURCE_CODE, '.', '') = o.OBSERVATION_SOURCE_VALUE
GROUP BY SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID
ORDER BY PERSON_COUNT DESC, SOURCE_CODE

[pbr6cornell]

There's still several ICD9CM source codes on here that are unmapped but are generally important for our clinical use cases, so we should prioritize getting mappings. Examples:

SOURCE_CODE CONCEPT_NAME VOCABULARY_ID PERSON_COUNT V15.82 Personal history of tobacco use ICD9CM 1368536 655.83 Other known or suspected fetal abnormality, not elsewhere classified, affecting management of mother, antepartum condition or complication ICD9CM 480460 V58.11 Encounter for antineoplastic chemotherapy ICD9CM 358861 V58.12 Encounter for antineoplastic immunotherapy ICD9CM 56579 362.10 Background retinopathy, unspecified ICD9CM 33344 H40.023 Open angle with borderline findings, high risk, bilateral ICD10CM 30391

The nonallopathic lesions all seem to have direct mappings into SNOMED there weren't picked up, it'd be useful to capture those as well given the prevalence of these codes.

On Sat, Jun 17, 2017 at 11:44 PM, ericaVoss notifications@github.com wrote:

This is basically the same thing as #105 https://github.com/OHDSI/Vocabulary-v5.0/issues/105 and reviewing this using Vocab 20170503.

Here are Source Codes missing Standards and have counts within a large claims database: Source_Codes_Missing_Standard_Maps.xlsx https://github.com/OHDSI/Vocabulary-v5.0/files/1082885/Source_Codes_Missing_Standard_Maps.xlsx

WITH CTE_VOCAB_MAP AS ( SELECT c.concept_code AS SOURCE_CODE, c.concept_id AS SOURCE_CONCEPT_ID, c.concept_name AS SOURCE_CODE_DESCRIPTION, c.vocabulary_id AS SOURCE_VOCABULARY_ID, c.domain_id AS SOURCE_DOMAIN_ID, c.CONCEPT_CLASS_ID AS SOURCE_CONCEPT_CLASS_ID, c.VALID_START_DATE AS SOURCE_VALID_START_DATE, c.VALID_END_DATE AS SOURCE_VALID_END_DATE, c.INVALID_REASON AS SOURCE_INVALID_REASON, c1.concept_id AS TARGET_CONCEPT_ID, c1.concept_name AS TARGET_CONCEPT_NAME, c1.VOCABULARY_ID AS TARGET_VOCABUALRY_ID, c1.domain_id AS TARGET_DOMAIN_ID, c1.concept_class_id AS TARGET_CONCEPT_CLASS_ID, c1.INVALID_REASON AS TARGET_INVALID_REASON, c1.standard_concept AS TARGET_STANDARD_CONCEPT FROM CONCEPT C JOIN CONCEPT_RELATIONSHIP CR ON C.CONCEPT_ID = CR.CONCEPT_ID_1 AND CR.invalid_reason IS NULL AND cr.relationship_id = 'Maps To' JOIN CONCEPT C1 ON CR.CONCEPT_ID_2 = C1.CONCEPT_ID AND C1.INVALID_REASON IS NULL UNION SELECT source_code, SOURCE_CONCEPT_ID, SOURCE_CODE_DESCRIPTION, source_vocabulary_id, c1.domain_id AS SOURCE_DOMAIN_ID, c2.CONCEPT_CLASS_ID AS SOURCE_CONCEPT_CLASS_ID, c1.VALID_START_DATE AS SOURCE_VALID_START_DATE, c1.VALID_END_DATE AS SOURCE_VALID_END_DATE, stcm.INVALID_REASON AS SOURCE_INVALID_REASON,target_concept_id, c2.CONCEPT_NAME AS TARGET_CONCEPT_NAME, target_vocabulary_id, c2.domain_id AS TARGET_DOMAIN_ID, c2.concept_class_id AS TARGET_CONCEPT_CLASS_ID, c2.INVALID_REASON AS TARGET_INVALID_REASON, c2.standard_concept AS TARGET_STANDARD_CONCEPT FROM source_to_concept_map stcm LEFT OUTER JOIN CONCEPT c1 ON c1.concept_id = stcm.source_concept_id LEFT OUTER JOIN CONCEPT c2 ON c2.CONCEPT_ID = stcm.target_concept_id WHERE stcm.INVALID_REASON IS NULL ), CTE_MISSING_SOURCE AS ( SELECT c.CONCEPT_CODE AS SOURCE_CODE, c.CONCEPT_NAME, VOCABULARY_ID FROM CONCEPT c LEFT OUTER JOIN ( SELECT * FROM CTE_VOCAB_MAP WHERE SOURCE_VOCABULARY_ID IN ('ICD10CM','ICD9CM') AND TARGET_STANDARD_CONCEPT IS NOT NULL AND TARGET_INVALID_REASON IS NULL ) z ON z.SOURCE_CODE = c.CONCEPT_CODE WHERE c.VOCABULARY_ID IN ('ICD10CM','ICD9CM') AND c.CONCEPT_NAME != 'Duplicate of ICD9CM Concept, do not use, use replacement from CONCEPT_RELATIONSHIP table instead' AND z.SOURCE_CODE IS NULL ) SELECT s.SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID, COUNT(DISTINCT co.PERSON_ID) AS PERSON_COUNT FROM CTE_MISSING_SOURCE s JOIN LARGE_CLAIMS_DB.dbo.CONDITION_OCCURRENCE co ON REPLACE(s.SOURCE_CODE, '.', '') = co.CONDITION_SOURCE_VALUE GROUP BY SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID UNION SELECT s.SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID, COUNT(DISTINCT po.PERSON_ID) AS PERSON_COUNT FROM CTE_MISSING_SOURCE s JOIN LARGE_CLAIMS_DB.dbo.PROCEDURE_OCCURRENCE po ON REPLACE(s.SOURCE_CODE, '.', '') = po.PROCEDURE_SOURCE_VALUE GROUP BY SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID UNION SELECT s.SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID, COUNT(DISTINCT o.PERSON_ID) AS PERSON_COUNT FROM CTE_MISSING_SOURCE s JOIN LARGE_CLAIMS_DB.dbo.OBSERVATION o ON REPLACE(s.SOURCE_CODE, '.', '') = o.OBSERVATION_SOURCE_VALUE GROUP BY SOURCE_CODE, CONCEPT_NAME,VOCABULARY_ID ORDER BY PERSON_COUNT DESC, SOURCE_CODE

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[vojtechhuser]

What is the status of this problem? Resolved or still present?

[cgreich]

All done.