Added COSD Observation notes. Added data orgin information.

answerdigital · Mar 28, 2024 · a1ef81a · a1ef81a
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diff --git a/...mer/COSD/Observation/CosdV8AdultComorbidityEvaluation/CosdV8AdultComorbidityEvaluation.cs b/...mer/COSD/Observation/CosdV8AdultComorbidityEvaluation/CosdV8AdultComorbidityEvaluation.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV8AdultComorbidityEvaluation;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV8AdultComorbidityEvaluation : OmopObservation<CosdV8AdultComorbidityEvaluationRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...er/COSD/Observation/CosdV8AdultComorbidityEvaluation/CosdV8AdultComorbidityEvaluation.xml b/...er/COSD/Observation/CosdV8AdultComorbidityEvaluation/CosdV8AdultComorbidityEvaluation.xml
@@ -63,8 +63,8 @@ where o.AdultComorbidityEvaluation is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="AdultComorbidityEvaluation">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>The PERSON SCORE recorded during a Cancer Care Spell, where the ASSESSMENT TOOL is 'Adult Comorbidity Evaluation - 27'.</Description>
+		   <Origin>ADULT COMORBIDITY EVALUATION - 27 SCORE</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...Transformer/COSD/Observation/CosdV8AdultPerformanceStatus/CosdV8AdultPerformanceStatus.cs b/...Transformer/COSD/Observation/CosdV8AdultPerformanceStatus/CosdV8AdultPerformanceStatus.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV8AdultPerformanceStatus;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV8AdultPerformanceStatus : OmopObservation<CosdV8AdultPerformanceStatusRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...ransformer/COSD/Observation/CosdV8AdultPerformanceStatus/CosdV8AdultPerformanceStatus.xml b/...ransformer/COSD/Observation/CosdV8AdultPerformanceStatus/CosdV8AdultPerformanceStatus.xml
@@ -63,8 +63,8 @@ where o.AdultPerformanceStatus is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="AdultPerformanceStatus">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>A World Health Organisation classification indicating a PERSON's status relating to activity/DISABILITY.</Description>
+		   <Origin>PERFORMANCE STATUS (ADULT)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...oholHistoryCancerBeforeLastThreeMonths/CosdV8AlcoholHistoryCancerBeforeLastThreeMonths.cs b/...oholHistoryCancerBeforeLastThreeMonths/CosdV8AlcoholHistoryCancerBeforeLastThreeMonths.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV8AlcoholHistoryCancerBeforeLastThreeMonths;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV8AlcoholHistoryCancerBeforeLastThreeMonths : OmopObservation<CosdV8AlcoholHistoryCancerBeforeLastThreeMonthsRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...holHistoryCancerBeforeLastThreeMonths/CosdV8AlcoholHistoryCancerBeforeLastThreeMonths.xml b/...holHistoryCancerBeforeLastThreeMonths/CosdV8AlcoholHistoryCancerBeforeLastThreeMonths.xml
@@ -63,8 +63,8 @@ where o.AlcoholHistoryCancerBeforeLastThreeMonths is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="AlcoholHistoryCancerBeforeLastThreeMonths">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>The past history of alcohol consumption for the PATIENT during a Cancer Care Spell.</Description>
+		   <Origin>ALCOHOL HISTORY (CANCER BEFORE LAST THREE MONTHS)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...osdV8AlcoholHistoryCancerInLastThreeMonths/CosdV8AlcoholHistoryCancerInLastThreeMonths.cs b/...osdV8AlcoholHistoryCancerInLastThreeMonths/CosdV8AlcoholHistoryCancerInLastThreeMonths.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV8AlcoholHistoryCancerInLastThreeMonths;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV8AlcoholHistoryCancerInLastThreeMonths : OmopObservation<CosdV8AlcoholHistoryCancerInLastThreeMonthsRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]
@@ -24,6 +25,6 @@ internal class CosdV8AlcoholHistoryCancerInLastThreeMonths : OmopObservation<Cos
     [CopyValue(nameof(Source.AlcoholHistoryCancerInLastThreeMonths))]
     public override string? value_as_string { get; set; }
 
-    [ConstantValue(2000500004, "History Of Alcohol (Past)")]
+    [ConstantValue(2000500003, "History Of Alcohol (Current)")]
     public override int? observation_source_concept_id { get; set; }
 }
diff --git a/...sdV8AlcoholHistoryCancerInLastThreeMonths/CosdV8AlcoholHistoryCancerInLastThreeMonths.xml b/...sdV8AlcoholHistoryCancerInLastThreeMonths/CosdV8AlcoholHistoryCancerInLastThreeMonths.xml
@@ -63,8 +63,8 @@ where o.AlcoholHistoryCancerInLastThreeMonths is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="AlcoholHistoryCancerInLastThreeMonths">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>The current history of alcohol consumption for the PATIENT during a Cancer Care Spell.</Description>
+		   <Origin>ALCOHOL HISTORY (CANCER IN LAST THREE MONTHS)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...bservation/CosdV8FamilialCancerSyndromeIndicator/CosdV8FamilialCancerSyndromeIndicator.cs b/...bservation/CosdV8FamilialCancerSyndromeIndicator/CosdV8FamilialCancerSyndromeIndicator.cs
@@ -4,12 +4,13 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV8FamilialCancerSyndromeIndicator;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV8FamilialCancerSyndromeIndicator : OmopObservation<CosdV8FamilialCancerSyndromeIndicatorRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]
     public override string? nhs_number { get; set; }
 
-    [ConstantValue(4229852, "Knowledge level: procedure")]
+    [ConstantValue(44782478, "Hereditary cancer-predisposing syndrome")]
     public override int? observation_concept_id { get; set; }
 
     [Transform(typeof(DateConverter), nameof(Source.Date))]

diff --git a/...servation/CosdV8FamilialCancerSyndromeIndicator/CosdV8FamilialCancerSyndromeIndicator.xml b/...servation/CosdV8FamilialCancerSyndromeIndicator/CosdV8FamilialCancerSyndromeIndicator.xml
@@ -63,8 +63,8 @@ where o.FamilialCancerSyndromeIndicator is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="FamilialCancerSyndromeIndicator">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>An indication of whether there is a possible or confirmed familial cancer syndrome during a Cancer Care Spell.</Description>
+		   <Origin>FAMILIAL CANCER SYNDROME INDICATOR</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...tedSexualOrientationCodeAtDiagnosis/CosdV8PersonStatedSexualOrientationCodeAtDiagnosis.cs b/...tedSexualOrientationCodeAtDiagnosis/CosdV8PersonStatedSexualOrientationCodeAtDiagnosis.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV8PersonStatedSexualOrientationCodeAtDiagnosis;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV8PersonStatedSexualOrientationCodeAtDiagnosis : OmopObservation<CosdV8PersonStatedSexualOrientationCodeAtDiagnosisRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...edSexualOrientationCodeAtDiagnosis/CosdV8PersonStatedSexualOrientationCodeAtDiagnosis.xml b/...edSexualOrientationCodeAtDiagnosis/CosdV8PersonStatedSexualOrientationCodeAtDiagnosis.xml
@@ -51,8 +51,8 @@ where o.PersonStatedSexualOrientationCodeAtDiagnosis is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="PersonStatedSexualOrientationCodeAtDiagnosis">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>PERSON STATED SEXUAL ORIENTATION CODE (AT DIAGNOSIS) is the PERSON STATED SEXUAL ORIENTATION CODE at the time of the PATIENT DIAGNOSIS.</Description>
+		   <Origin>PERSON STATED SEXUAL ORIENTATION CODE (AT DIAGNOSIS)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/OmopTransformer/COSD/Observation/CosdV8SmokingStatusCode/CosdV8SmokingStatusCode.cs b/OmopTransformer/COSD/Observation/CosdV8SmokingStatusCode/CosdV8SmokingStatusCode.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV8SmokingStatusCode;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV8SmokingStatusCode : OmopObservation<CosdV8SmokingStatusCodeRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/OmopTransformer/COSD/Observation/CosdV8SmokingStatusCode/CosdV8SmokingStatusCode.xml b/OmopTransformer/COSD/Observation/CosdV8SmokingStatusCode/CosdV8SmokingStatusCode.xml
@@ -63,8 +63,8 @@ where o.SmokingStatusCode is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="SmokingStatusCode">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>SMOKING STATUS (CANCER) is for use in the Cancer Outcomes and Services Data Set: Core to identify if the PATIENT smokes tobacco only.</Description>
+		   <Origin>SMOKING STATUS (CANCER)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...ntsNonPrimaryCancerPathway/CosdV8SourceOfReferralForOutPatientsNonPrimaryCancerPathway.cs b/...ntsNonPrimaryCancerPathway/CosdV8SourceOfReferralForOutPatientsNonPrimaryCancerPathway.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV8SourceOfReferralForOutPatientsNonPrimaryCancerPathway;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV8SourceOfReferralForOutPatientsNonPrimaryCancerPathway : OmopObservation<CosdV8SourceOfReferralForOutPatientsNonPrimaryCancerPathwayRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...tsNonPrimaryCancerPathway/CosdV8SourceOfReferralForOutPatientsNonPrimaryCancerPathway.xml b/...tsNonPrimaryCancerPathway/CosdV8SourceOfReferralForOutPatientsNonPrimaryCancerPathway.xml
@@ -63,8 +63,8 @@ where o.SourceOfReferralForOutPatientsNonPrimaryCancerPathway is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="SourceOfReferralForOutPatientsNonPrimaryCancerPathway">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>SOURCE OF REFERRAL FOR OUT-PATIENTS (NON PRIMARY CANCER PATHWAY) identifies the source of referral for a Non Primary Cancer Pathway.</Description>
+		   <Origin>SOURCE OF REFERRAL FOR OUT-PATIENTS (NON PRIMARY CANCER PATHWAY)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...r/COSD/Observation/CosdV8SourceOfReferralOutPatients/CosdV8SourceOfReferralOutPatients.cs b/...r/COSD/Observation/CosdV8SourceOfReferralOutPatients/CosdV8SourceOfReferralOutPatients.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV8SourceOfReferralOutPatients;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV8SourceOfReferralOutPatients : OmopObservation<CosdV8SourceOfReferralOutPatientsRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/.../COSD/Observation/CosdV8SourceOfReferralOutPatients/CosdV8SourceOfReferralOutPatients.xml b/.../COSD/Observation/CosdV8SourceOfReferralOutPatients/CosdV8SourceOfReferralOutPatients.xml
@@ -63,8 +63,8 @@ where o.SourceOfReferralOutPatients is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="SourceOfReferralOutPatients">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>For specific National Code usage, see SOURCE OF REFERRAL FOR OUT-PATIENTS.</Description>
+		   <Origin>SOURCE OF REFERRAL FOR OUT-PATIENTS</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...mer/COSD/Observation/CosdV9AdultComorbidityEvaluation/CosdV9AdultComorbidityEvaluation.cs b/...mer/COSD/Observation/CosdV9AdultComorbidityEvaluation/CosdV9AdultComorbidityEvaluation.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9AdultComorbidityEvaluation;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9AdultComorbidityEvaluation : OmopObservation<CosdV9AdultComorbidityEvaluationRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...er/COSD/Observation/CosdV9AdultComorbidityEvaluation/CosdV9AdultComorbidityEvaluation.xml b/...er/COSD/Observation/CosdV9AdultComorbidityEvaluation/CosdV9AdultComorbidityEvaluation.xml
@@ -63,8 +63,8 @@ where o.AdultComorbidityEvaluation is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="AdultComorbidityEvaluation">
-		   <Description></Description>
-		   <Origin></Origin>
+			 <Description>The PERSON SCORE recorded during a Cancer Care Spell, where the ASSESSMENT TOOL is 'Adult Comorbidity Evaluation - 27'.</Description>
+			 <Origin>ADULT COMORBIDITY EVALUATION - 27 SCORE</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/OmopTransformer/COSD/Observation/CosdV9AsaScore/CosdV9AsaScore.cs b/OmopTransformer/COSD/Observation/CosdV9AsaScore/CosdV9AsaScore.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9AsaScore;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9AsaScore : OmopObservation<CosdV9AsaScoreRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/OmopTransformer/COSD/Observation/CosdV9AsaScore/CosdV9AsaScore.xml b/OmopTransformer/COSD/Observation/CosdV9AsaScore/CosdV9AsaScore.xml
@@ -63,8 +63,8 @@ where o.AsaScore is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="AsaScore">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>The physical status of the PATIENT as recorded by an anaesthetist for the operative procedure.</Description>
+		   <Origin>ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...Transformer/COSD/Observation/CosdV9FamilialCancerSyndrome/CosdV9FamilialCancerSyndrome.cs b/...Transformer/COSD/Observation/CosdV9FamilialCancerSyndrome/CosdV9FamilialCancerSyndrome.cs
@@ -4,12 +4,13 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9FamilialCancerSyndrome;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9FamilialCancerSyndrome : OmopObservation<CosdV9FamilialCancerSyndromeRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]
     public override string? nhs_number { get; set; }
 
-    [ConstantValue(4229852, "Knowledge level: procedure")]
+    [ConstantValue(44782478, "Hereditary cancer-predisposing syndrome")]
     public override int? observation_concept_id { get; set; }
 
     [Transform(typeof(DateConverter), nameof(Source.Date))]

diff --git a/...ransformer/COSD/Observation/CosdV9FamilialCancerSyndrome/CosdV9FamilialCancerSyndrome.xml b/...ransformer/COSD/Observation/CosdV9FamilialCancerSyndrome/CosdV9FamilialCancerSyndrome.xml
@@ -63,8 +63,8 @@ where o.FamilialCancerSyndrome is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="FamilialCancerSyndrome">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>An indication of whether there is a possible or confirmed familial cancer syndrome during a Cancer Care Spell.</Description>
+		   <Origin>FAMILIAL CANCER SYNDROME INDICATOR</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...9FamilialCancerSyndromeSubsidiaryComment/CosdV9FamilialCancerSyndromeSubsidiaryComment.cs b/...9FamilialCancerSyndromeSubsidiaryComment/CosdV9FamilialCancerSyndromeSubsidiaryComment.cs
@@ -4,12 +4,13 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9FamilialCancerSyndromeSubsidiaryComment;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9FamilialCancerSyndromeSubsidiaryComment : OmopObservation<CosdV9FamilialCancerSyndromeSubsidiaryCommentRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]
     public override string? nhs_number { get; set; }
 
-    [ConstantValue(4229852, "Knowledge level: procedure")]
+    [ConstantValue(44782478, "Hereditary cancer-predisposing syndrome")]
     public override int? observation_concept_id { get; set; }
 
     [Transform(typeof(DateConverter), nameof(Source.Date))]

diff --git a/...FamilialCancerSyndromeSubsidiaryComment/CosdV9FamilialCancerSyndromeSubsidiaryComment.xml b/...FamilialCancerSyndromeSubsidiaryComment/CosdV9FamilialCancerSyndromeSubsidiaryComment.xml
@@ -63,8 +63,8 @@ where o.FamilialCancerSyndromeSubsidiaryComment is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="FamilialCancerSyndromeSubsidiaryComment">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>FAMILIAL CANCER SYNDROME COMMENT is free text further information recorded where the FAMILIAL CANCER SYNDROME INDICATOR is National Code 'Y - Yes' or 'P - Possible', to identify distinct syndromes which may have different treatment decisions or outcomes that cannot be coded separately during a Cancer Care Spell.</Description>
+		   <Origin>FAMILIAL CANCER SYNDROME COMMENT</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...ansformer/COSD/Observation/CosdV9HistoryOfAlcoholCurrent/CosdV9HistoryOfAlcoholCurrent.cs b/...ansformer/COSD/Observation/CosdV9HistoryOfAlcoholCurrent/CosdV9HistoryOfAlcoholCurrent.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9HistoryOfAlcoholCurrent;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9HistoryOfAlcoholCurrent : OmopObservation<CosdV9HistoryOfAlcoholCurrentRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...nsformer/COSD/Observation/CosdV9HistoryOfAlcoholCurrent/CosdV9HistoryOfAlcoholCurrent.xml b/...nsformer/COSD/Observation/CosdV9HistoryOfAlcoholCurrent/CosdV9HistoryOfAlcoholCurrent.xml
@@ -63,8 +63,8 @@ where o.HistoryOfAlcoholCurrent is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="HistoryOfAlcoholCurrent">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>The current history of alcohol consumption for the PATIENT during a Cancer Care Spell.</Description>
+		   <Origin>ALCOHOL HISTORY (CANCER IN LAST THREE MONTHS)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/OmopTransformer/COSD/Observation/CosdV9HistoryOfAlcoholPast/CosdV9HistoryOfAlcoholPast.cs b/OmopTransformer/COSD/Observation/CosdV9HistoryOfAlcoholPast/CosdV9HistoryOfAlcoholPast.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9HistoryOfAlcoholPast;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9HistoryOfAlcoholPast : OmopObservation<CosdV9HistoryOfAlcoholPastRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/OmopTransformer/COSD/Observation/CosdV9HistoryOfAlcoholPast/CosdV9HistoryOfAlcoholPast.xml b/OmopTransformer/COSD/Observation/CosdV9HistoryOfAlcoholPast/CosdV9HistoryOfAlcoholPast.xml
@@ -63,8 +63,8 @@ where o.HistoryOfAlcoholPast is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="HistoryOfAlcoholPast">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>The past history of alcohol consumption for the PATIENT during a Cancer Care Spell.</Description>
+		   <Origin>ALCOHOL HISTORY (CANCER BEFORE LAST THREE MONTHS)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/OmopTransformer/COSD/Observation/CosdV9MenopausalStatus/CosdV9MenopausalStatus.cs b/OmopTransformer/COSD/Observation/CosdV9MenopausalStatus/CosdV9MenopausalStatus.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9MenopausalStatus;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9MenopausalStatus : OmopObservation<CosdV9MenopausalStatusRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/OmopTransformer/COSD/Observation/CosdV9MenopausalStatus/CosdV9MenopausalStatus.xml b/OmopTransformer/COSD/Observation/CosdV9MenopausalStatus/CosdV9MenopausalStatus.xml
@@ -51,8 +51,8 @@ where o.MenopausalStatus is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="MenopausalStatus">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>MENOPAUSAL STATUS (AT DIAGNOSIS) is the MENOPAUSAL STATUS of a PATIENT at PATIENT DIAGNOSIS.</Description>
+		   <Origin>MENOPAUSAL STATUS (AT DIAGNOSIS)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...Transformer/COSD/Observation/CosdV9PerformanceStatusAdult/CosdV9PerformanceStatusAdult.cs b/...Transformer/COSD/Observation/CosdV9PerformanceStatusAdult/CosdV9PerformanceStatusAdult.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9PerformanceStatusAdult;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9PerformanceStatusAdult : OmopObservation<CosdV9PerformanceStatusAdultRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...ransformer/COSD/Observation/CosdV9PerformanceStatusAdult/CosdV9PerformanceStatusAdult.xml b/...ransformer/COSD/Observation/CosdV9PerformanceStatusAdult/CosdV9PerformanceStatusAdult.xml
@@ -63,8 +63,8 @@ where o.PerformanceStatusAdult is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="PerformanceStatusAdult">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>A World Health Organisation classification indicating a PERSON's status relating to activity/DISABILITY.</Description>
+		   <Origin>PERFORMANCE STATUS (ADULT)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...dV9PersonSexualOrientationCodeAtDiagnosis/CosdV9PersonSexualOrientationCodeAtDiagnosis.cs b/...dV9PersonSexualOrientationCodeAtDiagnosis/CosdV9PersonSexualOrientationCodeAtDiagnosis.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9PersonSexualOrientationCodeAtDiagnosis;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9PersonSexualOrientationCodeAtDiagnosis : OmopObservation<CosdV9PersonSexualOrientationCodeAtDiagnosisRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...V9PersonSexualOrientationCodeAtDiagnosis/CosdV9PersonSexualOrientationCodeAtDiagnosis.xml b/...V9PersonSexualOrientationCodeAtDiagnosis/CosdV9PersonSexualOrientationCodeAtDiagnosis.xml
@@ -51,8 +51,8 @@ where o.PersonSexualOrientationCodeAtDiagnosis is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="PersonSexualOrientationCodeAtDiagnosis">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>PERSON STATED SEXUAL ORIENTATION CODE (AT DIAGNOSIS) is the PERSON STATED SEXUAL ORIENTATION CODE at the time of the PATIENT DIAGNOSIS.</Description>
+		   <Origin>PERSON STATED SEXUAL ORIENTATION CODE (AT DIAGNOSIS)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/...eOfReferralForNonPrimaryCancerPathway/CosdV9SourceOfReferralForNonPrimaryCancerPathway.cs b/...eOfReferralForNonPrimaryCancerPathway/CosdV9SourceOfReferralForNonPrimaryCancerPathway.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9SourceOfReferralForNonPrimaryCancerPathway;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9SourceOfReferralForNonPrimaryCancerPathway : OmopObservation<CosdV9SourceOfReferralForNonPrimaryCancerPathwayRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]

diff --git a/...OfReferralForNonPrimaryCancerPathway/CosdV9SourceOfReferralForNonPrimaryCancerPathway.xml b/...OfReferralForNonPrimaryCancerPathway/CosdV9SourceOfReferralForNonPrimaryCancerPathway.xml
@@ -63,8 +63,8 @@ where o.SourceOfReferralForNonPrimaryCancerPathway is not null
     	  <Origin>NHS NUMBER</Origin>
       </Explanation>
 		 <Explanation columnName="SourceOfReferralForNonPrimaryCancerPathway">
-		   <Description></Description>
-		   <Origin></Origin>
+		   <Description>SOURCE OF REFERRAL FOR OUT-PATIENTS (NON PRIMARY CANCER PATHWAY) identifies the source of referral for a Non Primary Cancer Pathway.</Description>
+		   <Origin>SOURCE OF REFERRAL FOR OUT-PATIENTS (NON PRIMARY CANCER PATHWAY)</Origin>
 		</Explanation>
       <Explanation columnName="Date" >
     	  <Description>Observation date</Description>

diff --git a/.../Observation/CosdV9SourceOfReferralForOutpatients/CosdV9SourceOfReferralForOutpatients.cs b/.../Observation/CosdV9SourceOfReferralForOutpatients/CosdV9SourceOfReferralForOutpatients.cs
@@ -4,6 +4,7 @@
 
 namespace OmopTransformer.COSD.Observation.CosdV9SourceOfReferralForOutpatients;
 
+[Notes("Notes", DocumentationNotes.ApproximatedDatesWarning)]
 internal class CosdV9SourceOfReferralForOutpatients : OmopObservation<CosdV9SourceOfReferralForOutpatientsRecord>
 {
     [CopyValue(nameof(Source.NhsNumber))]