ID

19543

Descrizione

Sentinel: Overview and Description of the Common Data Model v6.0 "The primary goal of the Sentinel pilot is to build and operate a national public health surveillance system to monitor the safety of FDA-regulated medical products, including drugs, biologics, and devices. Sentinel is part of the Sentinel Initiative, the FDA’s response to a congressional mandate to create an active surveillance system using electronic health data. The Sentinel program will undertake three major types of activities: (1) prospective evaluation of accumulating experience about specific medical products and specific suspected safety problems; (2) evaluation of the impact of FDA actions (e.g., labeling changes) on medical practice and health outcomes; and (3) rapid assessment of past experience in response to FDA questions about specific exposures and outcomes." Sentinel Collaborating Institutions maintain data resources and provide technical, scientific, and methodological expertise as needed to meet the public health surveillance requirements of Sentinel. The Collaborating Institutions also participate as members of the Planning Board, the Safety Science Committee, the Sentinel Operations Center (SOC), and various Sentinel workgroups. Sentinel Common Data Model "The SOC Data Core coordinates the network of Sentinel Data Partners and leads development of the Sentinel Common Data Model (SCDM), a standard data structure that allows Data Partners to quickly execute distributed programs against local data. The SOC Scientific Systems Division manages creation of the Sentinel Distributed Database (SDD) using the SCDM, and maintains complete documentation of the implementation and characteristics of the SDD. The SDD refers to the data held and maintained by the Data Partners in the SCDM format. The SCDM was developed in accordance with the SCDM Guiding Principles and was modeled after the HMO Research Network Virtual Data Warehouse. The SCDM currently includes 13 tables that represent information for the data elements needed for Sentinel activities. Records are linked across tables by a unique person identifier, PatID. Details of the 13 tables are provided in this document. An additional 13 Summary Tables are created from the ""parent tables"" and are also described in this document. Revisions and enhancements to the SCDM are expected, including the addition of clinical information, incorporation of other data types and sources, and revisions based on lessons learned from use of the SDD. This may include adopting variables and formats developed by other programs." This data model is freely available to all. For more information about Sentinel visit the website at: www.sentinelsystem.org For comments and suggestions, please email: info@sentinelsystem.org

collegamento

www.sentinelsystem.org

Keywords

versioni (4)
  1. 08/01/17 08/01/17 -
  2. 29/01/17 29/01/17 -
  3. 25/08/19 25/08/19 -
  4. 25/08/19 25/08/19 -
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8 gennaio 2017

DOI

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Licenza

Creative Commons BY-NC-ND 3.0
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Sentinel Common Data Model Encounter

Inglese

Sentinel Common Data Model Encounter

1 moduli  
Encounter
Descrizione

Encounter

Alias
UMLS CUI-1
C1512346
Unique member identifier
Descrizione

Arbitrary person-level identifier. Used to link across tables. Note: PatID is a pseudoidentifier with a consistent crosswalk to the true identifier retained by the source Data Partner. For analytical data sets requiring patient-level data, only the pseudoidentifier is used to link across all information belonging to a patient.

Tipo di dati

text

Alias
UMLS CUI [1]
C2348585
Unique encounter identifier
Descrizione

A unique combination of PatID, ADate, Provider and EncType. Used to link the Encounter, Diagnosis, and Procedure tables. Note: Medical utilization data is captured in 3 tables: Encounter: the encounter record that characterizes the outpatient visit or hospital stay Diagnosis: the diagnosis or other clinical code(s) associated with the encounter record Procedure: the procedure code(s) associated with the encounter record These 3 tables and the Inpatient Pharmacy, Inpatient Transfusion, and Vital Signs table are linked by EncounterID. All diagnoses and procedures for an encounter should have the same EncounterID. It is allowable to have "orphan" diagnosis or procedure records with EncounterIDs that do not have a match in the Encounter table.

Tipo di dati

text

Alias
UMLS CUI [1,1]
C1512346
UMLS CUI [1,2]
C1300638
Admission Date
Descrizione

Encounter or admission date.

Tipo di dati

date

Alias
UMLS CUI [1]
C1302393
Discharge Date
Descrizione

Discharge date. Should be populated for all Inpatient Hospital Stay (IP) and Non-Acute Institutional Stay (IS) encounter types. May be populated for Emergency Department (ED) encounter types. Should be missing for ambulatory visit (AV or OA) encounter types.

Tipo di dati

date

Alias
UMLS CUI [1]
C2361123
Unique provider identifier
Descrizione

Provider code for the provider who is most responsible for this encounter. For encounters with multiple providers choose one so the encounter can be linked to the diagnosis and procedure tables. As with the PatID, the provider code is a pseudoidentifier with a consistent crosswalk to the real identifier. Note: The provider variable must be consistent within a health plan. An inpatient stay must only have one Provider, even if multiple providers performed procedures.

Tipo di dati

text

Alias
UMLS CUI [1,1]
C1138603
UMLS CUI [1,2]
C1300638
Geographic location (3 digit zip code): Facility Location
Descrizione

Should be left blank if missing.

Tipo di dati

integer

Alias
UMLS CUI [1]
C0421454
Encounter Type
Descrizione

Ambulatory Visit = Includes visits at outpatient clinics, same day surgeries, urgent care visits, and other same-day ambulatory hospital encounters, but excludes emergency department encounters. Emergency Department = Includes ED encounters that become inpatient stays (in which case inpatient stays would be a separate encounter). Excludes urgent care visits. ED claims should be pulled before hospitalization claims to ensure that ED with subsequent admission won't be rolled up in the hospital event. Inpatient Hospital Stay = Includes all inpatient stays, same-day hospital discharges, hospital transfers, and acute hospital care where the discharge is after the admission date. Non-Acute Institutional Stay = Includes hospice, skilled nursing facility (SNF), rehab center, nursing home, residential, overnight non-hospital dialysis and other non-hospital stays. Other Ambulatory Visit = Includes other non overnight AV encounters such as hospice visits, home health visits, skilled nursing facility visits, other non-hospital visits, as well as telemedicine, telephone and email consultations.

Tipo di dati

integer

Alias
UMLS CUI [1]
C0545082
Servicing provider identifier
Descrizione

Local facility code that identifies hospital or clinic. Taken from facility claims. Used for chart abstraction and validation.

Tipo di dati

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C1300638
Discharge Disposition
Descrizione

Should be populated for Inpatient Hospital Stay (IP) and Non-Acute Institutional Stay (IS) encounter types. May be populated for Emergency Department (ED) encounter types. Should be missing for ambulatory visit (AV or OA) encounter types.

Tipo di dati

integer

Alias
UMLS CUI [1]
C1550390
Discharge Status
Descrizione

Should be populated for Inpatient Hospital Stay (IP) and Non-Acute Institutional Stay (IS) encounter types. May be populated for Emergency Department (ED) encounter types. Should be missing for ambulatory visit (AV or OA) encounter types.

Tipo di dati

integer

Alias
UMLS CUI [1]
C0586514
3-digit Diagnosis Related Group
Descrizione

Diagnosis Related Group. Should be populated for IP and IS encounter types. May be populated for ED encounter types. Should be missing for AV or OA encounters. Use leading zeroes for codes less than 100.

Tipo di dati

integer

Alias
UMLS CUI [1]
C0011928
DRG code version
Descrizione

DRG code version. MS-DRG (current system) began on 10/1/2007. Should be populated for IP and IS encounter types. May be populated for ED encounter types. Should be missing for AV or OA encounters.

Tipo di dati

integer

Alias
UMLS CUI [1,1]
C0333052
UMLS CUI [1,2]
C0011928
Admission Source
Descrizione

Should be populated for Inpatient Hospital Stay (IP) and Non-Acute Institutional Stay (IS) encounter types. May be populated for Emergency Department (ED) encounter types. Should be missing for ambulatory visit (AV or OA) encounter types.

Tipo di dati

integer

Alias
UMLS CUI [1]
C1959907
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Similar models

Sentinel Common Data Model Encounter

1 moduli
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Encounter
C1512346 (UMLS CUI-1)
Patient ID
Item
Unique member identifier
text
C2348585 (UMLS CUI [1])
Encounter ID
Item
Unique encounter identifier
text
C1512346 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Admission Date
Item
Admission Date
date
C1302393 (UMLS CUI [1])
Discharge Date
Item
Discharge Date
date
C2361123 (UMLS CUI [1])
Provider ID
Item
Unique provider identifier
text
C1138603 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Zip Code
Item
Geographic location (3 digit zip code): Facility Location
integer
C0421454 (UMLS CUI [1])
Item
Encounter Type
integer
C0545082 (UMLS CUI [1])
Visit Type
Code List
Encounter Type
CL Item
Ambulatory Visit (1 )
CL Item
Emergency Department (2 )
CL Item
Inpatient Hospital Stay (3 )
CL Item
Non-Acute Institutional Stay (4 )
CL Item
Other Ambulatory Visit (5 )
Centre ID
Item
Servicing provider identifier
text
C0019994 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Item
Discharge Disposition
integer
C1550390 (UMLS CUI [1])
Discharge Disposition
Code List
Discharge Disposition
CL Item
Discharged "A"live (1 )
CL Item
"E"xpired (2 )
CL Item
"U"nknown (3 )
Item
Discharge Status
integer
C0586514 (UMLS CUI [1])
Discharge Status
Code List
Discharge Status
CL Item
Adult Foster Home (1 )
CL Item
Assisted Living Facility (2 )
CL Item
Against Medical Advice (3 )
CL Item
Absent without leave (4 )
CL Item
Expired (5 )
CL Item
Home health (6 )
CL Item
Home/ Self Care (7 )
CL Item
Hospice (8 )
CL Item
Other Acute Inpatient Hospital (9 )
CL Item
Nursing Home (Includes ICF) (10 )
CL Item
Other (11 )
CL Item
Rehabilitation Facility (12 )
CL Item
Residential Facility (13 )
CL Item
Still in Hospital (14 )
CL Item
Skilled Nursing Facility (15 )
CL Item
Unknown (16 )
DRG
Item
3-digit Diagnosis Related Group
integer
C0011928 (UMLS CUI [1])
Item
DRG code version
integer
C0333052 (UMLS CUI [1,1])
C0011928 (UMLS CUI [1,2])
DRG version
Code List
DRG code version
CL Item
CMS-DRG (old system) (1 )
CL Item
MS-DRG (current system) (2 )
Item
Admission Source
integer
C1959907 (UMLS CUI [1])
Admission Source
Code List
Admission Source
CL Item
Adult Foster Home (1 )
CL Item
Assisted Living Facility (2 )
CL Item
Ambulatory Visit (3 )
CL Item
Emergency Department (4 )
CL Item
Home Health (5 )
CL Item
Home / Self Care (6 )
CL Item
Hospice (7 )
CL Item
Other Acute Inpatient Hospital (8 )
CL Item
Nursing Home (Includes ICF) (9 )
CL Item
Other (10 )
CL Item
Rehabilitation Facility (11 )
CL Item
Residential Facility (12 )
CL Item
Skilled Nursing Facility (13 )
CL Item
Unknown (14 )
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