ID

37297

Descrição

PCORnet Common Data Model (CDM) Clinical Observation 4.1 Standardized qualitative and quantitative clinical observations about a patient. PCORnet Common Data Model (CDM) The PCORnet Common Data Model (CDM) is a specification that defines a standard organization and representationof data for the PCORnet Distributed Research Network. The PCORnet CDM is a key component of the PCORnet Distributed Research Network (DRN) infrastructure. http://www.pcornet.org/pcornet-common-data-model/

Link

http://www.pcornet.org/pcornet-common-data-model/

Palavras-chave

Versões (2)
  1. 06/07/2019 06/07/2019 -
  2. 15/07/2019 15/07/2019 -
Titular dos direitos

PCORnet

Transferido a

15 de julho de 2019

DOI

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Licença

Creative Commons BY-NC 3.0
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PCORnet Common Data Model (CDM)

Inglês

Clinical Observation V4.1

1 Formulários  
Clinical Observation
Descrição

Clinical Observation

Alias
UMLS CUI-1
C3889687
OBSCLIN - ID
Descrição

Arbitrary identifier for each unique OBS_CLIN record.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2348585
UMLS CUI [1,2]
C3889687
Patient- ID
Descrição

Arbitrary person-level identifier. Used to link across tables. All PATIDs must be present in the DEMOGRAPHIC table.

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Encounter-ID
Descrição

Arbitrary encounter-level identifier used to link across tables. Populate with the ENCOUNTERID where the observation was obtained. All ENCOUNTERIDs must be present in the ENCOUNTER table.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1947978
UMLS CUI [1,2]
C1300638
OBSCLIN Provider-ID
Descrição

Provider code for the provider who ordered the observation. The provider code is a pseudoidentifier with a consistent crosswalk to the real identifier. All PROVIDERIDs must be present in the PROVIDER table.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1138603
UMLS CUI [1,2]
C1300638
UMLS CUI [1,3]
C3889687
Clinical Observation Date and Time
Descrição

Date and time of observation/measurement

Tipo de dados

datetime

Alias
UMLS CUI [1,1]
C3889687
UMLS CUI [1,2]
C1264639
Clinical Observation Type
Descrição

Terminology / vocabulary used to describe the clinical observation.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C3889687
Clinical observation code
Descrição

Code of the clinical observation in the vocabulary/terminology specified in OBSCLIN_TYPE. Results with local versions of LOINC codes (e.g., LOINC candidate codes) should be included in the RAW_ table field. The last digit of the LOINC code is a check digit and is always preceded by a hyphen. All parts of the LOINC code, including the hyphen, must be included. Do not pad codes with leading zeros.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C3889687
UMLS CUI [1,2]
C0805701
Clinical Observation result quality
Descrição

Standardized result for qualitative results. This variable should be NI for quantitative results. If qualitative result cannot be harmonized to a value in OBSCLIN_RESULT_QUAL value set, please ensure that RAW_OBSCLIN_RESULT is populated with result value.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C0332306
UMLS CUI [1,3]
C3889687
Clinical Observation Result Text
Descrição

Narrative/textual clinical observations

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C1527021
UMLS CUI [1,3]
C3889687
Clinical observation Result SNOMED CT
Descrição

If the qualitative result has been mapped to SNOMED CT, the corresponding SNOMED code can be placed here. Partners are not expected to derive or impute if not present in the source system.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1623497
UMLS CUI [1,2]
C1274040
UMLS CUI [1,3]
C3889687
Clinical Observation Result Number
Descrição

Standardized/converted result for quantitative results. Used to store quantitative results, including the numeric component of numeric results that contain operators (e.g., “<200”, “>= 0.5”). See guidance for RESULT_MODIFIER for further details.

Tipo de dados

float

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C0237753
UMLS CUI [1,3]
C3889687
Clinical Observation Result Modifier
Descrição

Modifier for result values. Any symbols in the RAW_RESULT value should be reflected in the RESULT_MODIFIER variable. For example, if the original source data value is "<=200" then RAW_RESULT=200 and RESULT_MODIFIER=LE. RESULT_NUM would also be set to “200”. If the original source data value is text, then RESULT_MODIFIER=TXIf the original source data value is a numeric value, then RESULT_MODIFIER=EQ

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1254595
UMLS CUI [1,2]
C1515926
UMLS CUI [1,3]
C3889687
Clinical Observation Result Unit
Descrição

Converted/standardized units for the result. Chose the standardized unit of measure that is most reflective of the source data (if applicable). This is a mixed case value set and entries should be handled accordingly.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1254595
UMLS CUI [1,2]
C1519795
UMLS CUI [1,3]
C3889687
RAW OBSCLIN Name
Descrição

Local name related to an individual clinical observation/measurement.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C0027365
UMLS CUI [1,3]
C3889687
UMLS CUI [2,1]
C0205313
UMLS CUI [2,2]
C0027365
UMLS CUI [2,3]
C0242485
RAW OBSCLIN Code
Descrição

Local code related to an individual clinical observation/measurement.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C0805701
UMLS CUI [1,3]
C3889687
UMLS CUI [2,1]
C0205313
UMLS CUI [2,2]
C0805701
UMLS CUI [2,3]
C0242485
RAW OBSCLIN Type
Descrição

Terminology related to the code in RAW_OBSGEN_CODE.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C0805701
UMLS CUI [1,4]
C3889687
UMLS CUI [2,1]
C0205313
UMLS CUI [2,2]
C0332307
UMLS CUI [2,3]
C0805701
UMLS CUI [2,4]
C0242485
RAW OBSCLIN Result
Descrição

The original test result value as seen in your source data. Values may include a decimal point, a sign or text (e.g., POSITIVE, NEGATIVE, DETECTED). The symbols >, <, >=, <= should be removed from the value and stored in the Modifier variable instead.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C2826772
UMLS CUI [1,3]
C3889687
RAW OBSCLIN Modifier
Descrição

The original modifier text as represented in your source data.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C3542952
UMLS CUI [1,3]
C1527021
UMLS CUI [1,4]
C3889687
RAW OBSCLIN Unit
Descrição

Original units for the result in your source data.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C2826772
UMLS CUI [1,3]
C3889687
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Similar models

Clinical Observation V4.1

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Clinical Observation
C3889687 (UMLS CUI-1)
OBSCLIN- ID
Item
OBSCLIN - ID
text
C2348585 (UMLS CUI [1,1])
C3889687 (UMLS CUI [1,2])
PAT-ID
Item
Patient- ID
text
C2348585 (UMLS CUI [1])
Encounter-ID
Item
Encounter-ID
text
C1947978 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
OBSCLIN Provider-ID
Item
OBSCLIN Provider-ID
text
C1138603 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Date and Time
Item
Clinical Observation Date and Time
datetime
C3889687 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
Item
Clinical Observation Type
text
C0332307 (UMLS CUI [1,1])
C3889687 (UMLS CUI [1,2])
OBSCLIN Type
Code List
Clinical Observation Type
CL Item
LOINC (LC)
CL Item
SNOMED CT (observable entity)  (SM)
CL Item
No information  (NI)
CL Item
Unknown  (UN)
CL Item
Other (OT)
OBSCLIN Code
Item
Clinical observation code
text
C3889687 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
OBSCLIN Result Quality
Item
Clinical Observation result quality
text
C1274040 (UMLS CUI [1,1])
C0332306 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Result Text
Item
Clinical Observation Result Text
text
C1274040 (UMLS CUI [1,1])
C1527021 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Result SNOMED
Item
Clinical observation Result SNOMED CT
text
C1623497 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Result Number
Item
Clinical Observation Result Number
float
C1274040 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
Item
Clinical Observation Result Modifier
text
C1254595 (UMLS CUI [1,1])
C1515926 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Result Modifier
Code List
Clinical Observation Result Modifier
CL Item
Equal (EQ)
CL Item
Greater than or equal to (GE)
CL Item
Greater than  (GT)
CL Item
Less than or equal to  (LE)
CL Item
Less than (LT)
CL Item
Text (TX)
CL Item
No information UN=Unknown (NI)
CL Item
Other (OT)
OBSCLIN Result Unit
Item
Clinical Observation Result Unit
text
C1254595 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
RAW OBSCLIN Name
Item
RAW OBSCLIN Name
text
C0205313 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
C0205313 (UMLS CUI [2,1])
C0027365 (UMLS CUI [2,2])
C0242485 (UMLS CUI [2,3])
RAW OBSCLIN Code
Item
RAW OBSCLIN Code
text
C0205313 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
C0205313 (UMLS CUI [2,1])
C0805701 (UMLS CUI [2,2])
C0242485 (UMLS CUI [2,3])
RAW OBSCLIN Type
Item
RAW OBSCLIN Type
text
C0205313 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
C3889687 (UMLS CUI [1,4])
C0205313 (UMLS CUI [2,1])
C0332307 (UMLS CUI [2,2])
C0805701 (UMLS CUI [2,3])
C0242485 (UMLS CUI [2,4])
RAW OBSCLIN Result
Item
RAW OBSCLIN Result
text
C0205313 (UMLS CUI [1,1])
C2826772 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
RAW OBSCLIN Modifier
Item
RAW OBSCLIN Modifier
text
C0205313 (UMLS CUI [1,1])
C3542952 (UMLS CUI [1,2])
C1527021 (UMLS CUI [1,3])
C3889687 (UMLS CUI [1,4])
RAW OBSCLIN Unit
Item
RAW OBSCLIN Unit
text
C0205313 (UMLS CUI [1,1])
C2826772 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
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