Input:
Parameter |
Example |
Mandatory |
Notes |
concept_code |
'22851','20936','22612','22523','22630','22614','22842'
, '22632', '20930','22524','27130','22525' |
Yes |
|
concept_code |
20610','20552','207096','20553','20550','20605' |
Yes |
|
drug_concept_id |
1125315, 778711, 115008, 1177480, 1112807, 1506270 |
Yes |
|
concept_code |
'97001', '97140', '97002' |
Yes |
|
concept_code |
G0283 |
Yes |
|
Sample query run:
The following is a sample run of the query. The input parameters are highlighted in blue
SELECT treatment, count(*), min( condition_days ) AS min
, max( condition_days ) AS max, avg( condition_days ) As avg_condition_days
FROM
(
SELECT CASE WHEN surgery = 1
THEN 'surgery'
WHEN drug = 1 AND pt = 1
THEN 'PT Rx'
WHEN drug = 1
THEN 'Rx Only'
ELSE 'No Treatment'
END AS treatment
, condition_days
FROM
(
SELECT person_id, diag_date
, max( drug ) AS drug, max( surgery ) AS surgery, max( pt ) AS PT
, max( condition_days ) AS condition_days
FROM /* back pain and treatments over following 60 days */
(
SELECT era.person_id, condition_era_start_date AS diag_date
, condition_era_end_date - condition_era_start_date AS condition_days + 1
, NVL( drug, 0 ) AS drug, NVL( surgery, 0 ) AS surgery
, NVL( pt, 0 ) AS pt
FROM condition_era era
JOIN /* SNOMed codes for back pain */
( SELECT DISTINCT descendant_concept_id -- concept_name
FROM vocabulary.source_to_concept_map map
JOIN vocabulary.concept_ancestor ON ancestor_concept_id = target_concept_id
JOIN vocabulary.concept ON concept_id = descendant_concept_id
WHERE source_code like '724%'
AND source_vocabulary_id = 2 /* ICD9 */
AND target_vocabulary_id = 1 /* SNOMed */
AND sysdate BETWEEN map.valid_start_date
AND map.valid_end_date
) ON descendant_concept_id = condition_concept_id
LEFT OUTER JOIN /* surgery */
( SELECT person_id, procedure_date, 1 AS surgery
FROM procedure_occurrence proc
JOIN vocabulary.concept ON concept_id = procedure_concept_id
WHERE vocabulary_id = 4 /* CPT-4 */
AND concept_code
IN( '22851','20936','22612','22523','22630','22614', '22842' '22632', '20930','22524','27130','22525'
)
) surgery
ON surgery.person_id = era.person_id
AND surgery.procedure_date BETWEEN condition_era_start_date
AND condition_era_start_date + 60
LEFT OUTER JOIN /* drugs */
( SELECT person_id, procedure_date AS drug_date, 1 AS drug
FROM procedure_occurrence proc
JOIN vocabulary.concept ON concept_id = procedure_concept_id
WHERE vocabulary_id = 4 /* CPT-4 */
AND concept_code
IN( '20610','20552','207096','20553','20550','20605'
,'20551','20600','23350' )
UNION
SELECT person_id, drug_era_start_date, 1
FROM drug_era
WHERE drug_concept_id
IN( 1125315, 778711, 1115008, 1177480, 1112807, 1506270 )
) drug
ON drug.person_id = era.person_id
AND drug.drug_date BETWEEN condition_era_start_date
AND condition_era_start_date + 60
LEFT OUTER JOIN /* pt */
( SELECT person_id, procedure_date AS pt_date, 1 AS pt
FROM procedure_occurrence proc
JOIN vocabulary.concept ON concept_id = procedure_concept_id
WHERE vocabulary_id = 4 /* CPT-4 */
AND concept_code
IN( '97001', '97140', '97002' )
UNION
SELECT person_id, procedure_date AS pt_date, 1 AS pt
FROM procedure_occurrence proc
JOIN vocabulary.concept ON concept_id = procedure_concept_id
WHERE vocabulary_id = 5 /* HCPCS */
AND concept_code = 'G0283'
) pt
ON pt.person_id = era.person_id
AND pt.pt_date BETWEEN condition_era_start_date
AND condition_era_start_date + 60
)
WHERE diag_date > '01-jan-2011'
GROUP by person_id, diag_date
ORDER BY person_id, diag_date
)
)
GROUP BY treatment ORDER BY treatment;
Output:
Output field list:
Field |
Description |
concept_code |
The concept code represents the identifier of the concept in the source data it originates from, such as SNOMED-CT concept IDs, RxNorm RXCUIs etc. Note that concept codes are not unique across vocabularies. |
drug_concept_id |
A foreign key that refers to a standard concept identifier in the vocabulary for the drug concept. |
diag_date |
A foreign key that refers to a standard condition concept identifier in the vocabulary. |
person_id |
A system-generated unique identifier for each person. |
diag_date |
|
treatment |
|
Sample output record:
Field |
Description |
concept_code |
|
drug_concept_id |
|
diag_date |
|
person_id |
|
diag_date |
|
treatment |
|
|