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Add Condition Status to CONDITION_OCCURRENCE #84
Add Condition Status to Condition_Occurrence
Condition status reflects point of care at which the condition was diagnosed: Admitting, Preliminary, Discharge/Final. Presently, Condition status is stored in the Observation table and linked to Condition_Occurrence table via Fact_Relationship.
Relevant table: CONDITION_OCCURRENCE
Presently, there is no designated vocabulary, domain, or class that represents condition status. The following concepts from SNOMED are recommended:
These concepts can be grouped into a new designated class “Condition status”.
Diagnosis discrepancy on admission may be a marker of diagnosis uncertainty or poor patient assessment/documentation. Research is needed to understand the underlying reasons for this
Admitting and discharge diagnoses may differ as a result of patient complexity, diagnostic
Importance, also with respect to other projects
This change will enhance representation and analysis of condition status in OMOP CDM and simplify ETL for the sites that are presently using Observation and Fact_Relationship tables. It will have no implications on vocabulary or existing software.