diff --git a/BigQuery/OMOP CDM Results bigquery ddl.txt b/BigQuery/OMOP CDM Results bigquery ddl.txt
new file mode 100644
index 0000000..71f243b
--- /dev/null
+++ b/BigQuery/OMOP CDM Results bigquery ddl.txt	
@@ -0,0 +1,48 @@
+/*
+ Copyright 2018-08 Observational Health Data Sciences and Informatics
+
+
+ Licensed under the Apache License, Version 2.0 (the "License");
+ you may not use this file except in compliance with the License.
+ You may obtain a copy of the License at
+
+     http://www.apache.org/licenses/LICENSE-2.0
+
+ Unless required by applicable law or agreed to in writing, software
+ distributed under the License is distributed on an "AS IS" BASIS,
+ WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ See the License for the specific language governing permissions and
+ limitations under the License.
+
+OMOP CDM v6.0 DDL
+
+bigquery script to create OMOP common data model results schema version 6.0
+
+last revised: 27-Aug-2018
+
+Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
+*/
+
+#standardsql
+
+--HINT DISTRIBUTE_ON_KEY(subject_id)
+create table cohort
+(
+  cohort_definition_id	INT64		not null ,
+  subject_id			INT64		not null ,
+  cohort_start_date		date		not null ,
+  cohort_end_date		date		not null
+)
+;
+
+
+create table cohort_definition (
+  cohort_definition_id				INT64		not null,
+  cohort_definition_name			STRING		not null,
+  cohort_definition_description		STRING		null,
+  definition_type_concept_id		INT64		not null,
+  cohort_definition_syntax			STRING		null,
+  subject_concept_id				INT64		not null,
+  cohort_initiation_date			date		null
+)
+;
diff --git a/BigQuery/OMOP CDM bigquery ddl.txt b/BigQuery/OMOP CDM bigquery ddl.txt
index 581d410..8479a73 100644
--- a/BigQuery/OMOP CDM bigquery ddl.txt	
+++ b/BigQuery/OMOP CDM bigquery ddl.txt	
@@ -1,79 +1,103 @@
-/*OMOP CDM v5.3.1 14June2018*/
+/*
+ Copyright 2018-08 Observational Health Data Sciences and Informatics
+
+
+ Licensed under the Apache License, Version 2.0 (the "License");
+ you may not use this file except in compliance with the License.
+ You may obtain a copy of the License at
+
+     http://www.apache.org/licenses/LICENSE-2.0
+
+ Unless required by applicable law or agreed to in writing, software
+ distributed under the License is distributed on an "AS IS" BASIS,
+ WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ See the License for the specific language governing permissions and
+ limitations under the License.
+
+OMOP CDM v6.0 DDL
+
+bigquery script to create OMOP common data model version 6.0
+
+last revised: 27-Aug-2018
+
+Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
+*/
+
 #standardsql
 create table concept (
-  concept_id			    INT64			  not null ,
-  concept_name			  STRING     	not null ,
-  domain_id				    STRING   		not null ,
-  vocabulary_id			  STRING   		not null ,
-  concept_class_id		STRING  		not null ,
-  standard_concept		STRING  		         ,
-  concept_code			  STRING  		not null ,
-  valid_start_DATE		DATE			  not null ,
-  valid_end_DATE		  DATE			  not null ,
-  invalid_reason		  STRING
+  concept_id			INT64		not null ,
+  concept_name			STRING		not null ,
+  domain_id				STRING		not null ,
+  vocabulary_id			STRING		not null ,
+  concept_class_id		STRING		not null ,
+  standard_concept		STRING		null ,
+  concept_code			STRING		not null ,
+  valid_start_date		date		not null ,
+  valid_end_date		date		not null ,
+  invalid_reason		STRING		null
 )
 ;
 
 
 create table vocabulary (
-  vocabulary_id			    STRING   		not null,
-  vocabulary_name		    STRING     	not null,
-  vocabulary_reference	STRING     	not null,
-  vocabulary_version	  STRING     	        ,
-  vocabulary_concept_id	INT64			  not null
+  vocabulary_id			    STRING		not null,
+  vocabulary_name		    STRING		not null,
+  vocabulary_reference		STRING		not null,
+  vocabulary_version	  	STRING		null,
+  vocabulary_concept_id		INT64		not null
 )
 ;
 
 
 create table domain (
-  domain_id			    STRING   		not null,
-  domain_name		    STRING    	not null,
-  domain_concept_id	INT64			  not null
+  domain_id			    STRING		not null,
+  domain_name		    STRING		not null,
+  domain_concept_id		INT64		not null
 )
 ;
 
 
 create table concept_class (
-  concept_class_id			    STRING  		not null,
-  concept_class_name		    STRING    	not null,
-  concept_class_concept_id	INT64		 	  not null
+  concept_class_id			    STRING		not null,
+  concept_class_name		    STRING		not null,
+  concept_class_concept_id		INT64		not null
 )
 ;
 
 
 create table concept_relationship (
-  concept_id_1			INT64			not null,
-  concept_id_2			INT64			not null,
-  relationship_id		STRING  	not null,
-  valid_start_DATE	DATE			not null,
-  valid_end_DATE		DATE			not null,
-  invalid_reason		STRING
+  concept_id_1			INT64		not null,
+  concept_id_2			INT64		not null,
+  relationship_id		STRING		not null,
+  valid_start_date		date		not null,
+  valid_end_date		date		not null,
+  invalid_reason		STRING		null
   )
 ;
 
 
 create table relationship (
-  relationship_id			    STRING   		not null,
-  relationship_name			  STRING    	not null,
-  is_hierarchical			    STRING  		not null,
-  defines_ancestry			  STRING  		not null,
-  reverse_relationship_id	STRING  		not null,
-  relationship_concept_id	INT64			  not null
+  relationship_id			STRING		not null,
+  relationship_name			STRING		not null,
+  is_hierarchical			STRING		not null,
+  defines_ancestry			STRING		not null,
+  reverse_relationship_id	STRING		not null,
+  relationship_concept_id	INT64		not null
 )
 ;
 
 
 create table concept_synonym (
-  concept_id			      INT64			  not null,
-  concept_synonym_name	STRING    	not null,
-  language_concept_id	  INT64			  not null
+  concept_id			INT64		not null,
+  concept_synonym_name	STRING		not null,
+  language_concept_id	INT64		not null
 )
 ;
 
 
 create table concept_ancestor (
-  ancestor_concept_id		    INT64		not null,
-  descendant_concept_id		  INT64		not null,
+  ancestor_concept_id		INT64		not null,
+  descendant_concept_id		INT64		not null,
   min_levels_of_separation	INT64		not null,
   max_levels_of_separation	INT64		not null
 )
@@ -81,73 +105,48 @@ create table concept_ancestor (
 
 
 create table source_to_concept_map (
-  source_code				      STRING  		not null,
-  source_concept_id			  INT64			  not null,
-  source_vocabulary_id		STRING  		not null,
-  source_code_description	STRING    	        ,
-  target_concept_id			  INT64			  not null,
-  target_vocabulary_id		STRING  		not null,
-  valid_start_DATE			  DATE		    not null,
-  valid_end_DATE			    DATE		    not null,
-  invalid_reason			    STRING
+  source_code				STRING		not null,
+  source_concept_id			INT64		not null,
+  source_vocabulary_id		STRING		not null,
+  source_code_description	STRING		null,
+  target_concept_id			INT64		not null,
+  target_vocabulary_id		STRING		not null,
+  valid_start_date			date		not null,
+  valid_end_date			date		not null,
+  invalid_reason			STRING		null
 )
 ;
 
 
-
-
 create table drug_strength (
-  drug_concept_id				      INT64		  not null,
-  ingredient_concept_id			  INT64		  not null,
-  amount_value					      FLOAT64		        ,
-  amount_unit_concept_id		  INT64		          ,
-  numerator_value				      FLOAT64		        ,
-  numerator_unit_concept_id		INT64		          ,
-  denominator_value				    FLOAT64		        ,
-  denominator_unit_concept_id	INT64		          ,
-  box_size						        INT64		          ,
-  valid_start_DATE				    DATE		   not null,
-  valid_end_DATE				      DATE		   not null,
-  invalid_reason				      STRING
-)
-;
-
-
-
-create table cohort_definition (
-  cohort_definition_id				    INT64			  not null,
-  cohort_definition_name			    STRING    	not null,
-  cohort_definition_description		STRING    	        ,
-  definition_type_concept_id		  INT64			  not null,
-  cohort_definition_syntax			  STRING     	        ,
-  subject_concept_id				      INT64			  not null,
-  cohort_initiation_DATE			    DATE
-)
-;
-
-
-create table attribute_definition (
-  attribute_definition_id		  INT64			  not null,
-  attribute_name				      STRING    	not null,
-  attribute_description			  STRING    	        ,
-  attribute_type_concept_id		INT64			  not null,
-  attribute_syntax				    STRING
+  drug_concept_id				INT64		  not null,
+  ingredient_concept_id			INT64		  not null,
+  amount_value					FLOAT64		  null,
+  amount_unit_concept_id		INT64		  null,
+  numerator_value				FLOAT64		  null,
+  numerator_unit_concept_id		INT64		  null,
+  denominator_value				FLOAT64		  null,
+  denominator_unit_concept_id	INT64		  null,
+  box_size						INT64		  null,
+  valid_start_date				date		  not null,
+  valid_end_date				date		  not null,
+  invalid_reason				STRING  	  null
 )
 ;
 
 
 create table cdm_source
 (
-  cdm_source_name					        STRING      	not null ,
-  cdm_source_abbreviation			    STRING    		     ,
-  cdm_holder							        STRING      	     ,
-  source_description					    STRING      	     ,
-  source_documentation_reference	STRING      	     ,
-  cdm_etl_reference					      STRING      	     ,
-  source_release_DATE				      DATE			         ,
-  cdm_release_DATE					      DATE			         ,
-  cdm_version						          STRING    		     ,
-  vocabulary_version					    STRING
+  cdm_source_name					STRING		not null ,
+  cdm_source_abbreviation			STRING		null ,
+  cdm_holder						STRING		null ,
+  source_description			 	STRING		null ,
+  source_documentation_reference	STRING		null ,
+  cdm_etl_reference					STRING		null ,
+  source_release_date				date		null ,
+  cdm_release_date					date		null ,
+  cdm_version						STRING		null ,
+  vocabulary_version				STRING		null
 )
 ;
 
@@ -156,37 +155,40 @@ create table metadata
 (
   metadata_concept_id       INT64       not null ,
   metadata_type_concept_id  INT64       not null ,
-  name                      STRING      not null ,
-  value_as_string           STRING               ,
-  value_as_concept_id       INT64                ,
-  metadata_DATE             DATE                 ,
-  metadata_DATETIME         DATETIME
+  name                      STRING  	not null ,
+  value_as_string           STRING  	null ,
+  value_as_concept_id       INT64       null ,
+  metadata_date             date        null ,
+  metadata_datetime         DATETIME    null
 )
 ;
 
+insert into metadata (metadata_concept_id, metadata_type_concept_id, name, value_as_string, value_as_concept_id, metadata_date, measurement_datetime) --Added cdm version record
+values (0, 0, 'CDM Version', '6.0', 0, NULL, NULL)
+;
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table person
 (
-  person_id						        INT64	  	not null ,
-  gender_concept_id				    INT64	  	not null ,
-  year_of_birth					      INT64	  	not null ,
-  month_of_birth				      INT64	  	         ,
-  day_of_birth					      INT64	  	         ,
-  birth_DATETIME				      DATETIME	         ,
-  race_concept_id				      INT64		  not null,
-  ethnicity_concept_id			  INT64	  	not null,
-  location_id					        INT64		           ,
-  provider_id					        INT64		           ,
-  care_site_id					      INT64		           ,
-  person_source_value			    STRING             ,
-  gender_source_value			    STRING             ,
-  gender_source_concept_id	  INT64		           ,
-  race_source_value				    STRING             ,
-  race_source_concept_id		  INT64		           ,
-  ethnicity_source_value		  STRING             ,
-  ethnicity_source_concept_id	INT64
+  person_id						INT64	  	not null , --INT64s added
+  gender_concept_id				INT64	  	not null ,
+  year_of_birth					INT64	  	not null ,
+  month_of_birth				INT64	  	null,
+  day_of_birth					INT64	  	null,
+  birth_datetime				DATETIME	null,
+  race_concept_id				INT64		not null,
+  ethnicity_concept_id			INT64	  	not null,
+  location_id					INT64		null,
+  provider_id					INT64		null,
+  care_site_id					INT64		null,
+  person_source_value			STRING 		null,
+  gender_source_value			STRING 		null,
+  gender_source_concept_id	  	INT64		not null,
+  race_source_value				STRING 		null,
+  race_source_concept_id		INT64		not null,
+  ethnicity_source_value		STRING 		null,
+  ethnicity_source_concept_id	INT64		not null
 )
 ;
 
@@ -194,11 +196,11 @@ create table person
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table observation_period
 (
-  observation_period_id				      INT64		not null ,
-  person_id							            INT64		not null ,
-  observation_period_start_DATE		  DATE		not null ,
-  observation_period_end_DATE		    DATE		not null ,
-  period_type_concept_id			      INT64		not null
+  observation_period_id				  INT64		not null ,
+  person_id							  INT64		not null ,
+  observation_period_start_date		  date		not null ,
+  observation_period_end_date		  date		not null ,
+  period_type_concept_id			  INT64		not null
 )
 ;
 
@@ -206,35 +208,21 @@ create table observation_period
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table specimen
 (
-  specimen_id						      INT64			not null ,
-  person_id							      INT64			not null ,
-  specimen_concept_id				  INT64			not null ,
-  specimen_type_concept_id		INT64			not null ,
-  specimen_DATE						    DATE			not null ,
-  specimen_DATETIME					  DATETIME	      	 ,
-  quantity							      FLOAT64			       ,
-  unit_concept_id					    INT64			         ,
-  anatomic_site_concept_id		INT64			         ,
-  disease_status_concept_id		INT64			         ,
-  specimen_source_id				  STRING  	         ,
-  specimen_source_value				STRING  	         ,
-  unit_source_value					  STRING  	         ,
-  anatomic_site_source_value	STRING  	         ,
-  disease_status_source_value STRING
-)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(person_id)
-create table death
-(
-  person_id							  INT64			not null ,
-  death_DATE							DATE			not null ,
-  death_DATETIME					DATETIME	      	 ,
-  death_type_concept_id   INT64			not null ,
-  cause_concept_id			  INT64			         ,
-  cause_source_value			STRING  	         ,
-  cause_source_concept_id INT64
+  specimen_id					INT64		not null ,
+  person_id						INT64		not null ,
+  specimen_concept_id			INT64		not null ,
+  specimen_type_concept_id		INT64		not null ,
+  specimen_date					date		null ,
+  specimen_datetime				DATETIME	not null ,
+  quantity						FLOAT64		null ,
+  unit_concept_id				INT64		null ,
+  anatomic_site_concept_id		INT64		not null ,
+  disease_status_concept_id		INT64		not null ,
+  specimen_source_id			STRING		null ,
+  specimen_source_value			STRING		null ,
+  unit_source_value				STRING		null ,
+  anatomic_site_source_value	STRING		null ,
+  disease_status_source_value 	STRING		null
 )
 ;
 
@@ -242,23 +230,23 @@ create table death
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table visit_occurrence
 (
-  visit_occurrence_id			      INT64			not null ,
-  person_id						          INT64			not null ,
-  visit_concept_id				      INT64			not null ,
-  visit_start_DATE				      DATE			not null ,
-  visit_start_DATETIME				  DATETIME	         ,
-  visit_end_DATE					      DATE			not null ,
-  visit_end_DATETIME					  DATETIME		       ,
+  visit_occurrence_id			    INT64			not null ,
+  person_id						    INT64			not null ,
+  visit_concept_id				    INT64			not null ,
+  visit_start_date				    date			null ,
+  visit_start_datetime				DATETIME		not null ,
+  visit_end_date					date			null ,
+  visit_end_datetime				DATETIME		not null ,
   visit_type_concept_id			    INT64			not null ,
-  provider_id					          INT64			         ,
-  care_site_id					        INT64			         ,
-  visit_source_value				    STRING  	         ,
-  visit_source_concept_id		    INT64			         ,
-  admitting_source_concept_id	  INT64			         ,
-  admitting_source_value		    STRING  	         ,
-  discharge_to_concept_id		    INT64   	         ,
-  discharge_to_source_value		  STRING  	         ,
-  preceding_visit_occurrence_id	INT64
+  provider_id					    INT64			null,
+  care_site_id					    INT64			null,
+  visit_source_value				STRING			null,
+  visit_source_concept_id		    INT64			not null ,
+  admitted_from_concept_id      	INT64     		not NULL ,   /*Changed from admitting_source_* */
+  admitted_from_source_value    	STRING 			NULL ,
+  discharge_to_source_value		  	STRING			null ,
+  discharge_to_concept_id		    INT64   		not null ,
+  preceding_visit_occurrence_id		INT64			null
 )
 ;
 
@@ -266,25 +254,25 @@ create table visit_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table visit_detail
 (
-  visit_detail_id                    INT64     not null ,
-  person_id                          INT64     not null ,
-  visit_detail_concept_id            INT64     not null ,
-  visit_detail_start_DATE            DATE      not null ,
-  visit_detail_start_DATETIME        DATETIME           ,
-  visit_detail_end_DATE              DATE      not null ,
-  visit_detail_end_DATETIME          DATETIME           ,
-  visit_deatil_type_concept_id       INT64     not null ,
-  provider_id                        INT64              ,
-  care_site_id                       INT64              ,
-  admitting_source_concept_id        INT64              ,
-  discharge_to_concept_id            INT64              ,
-  preceding_visit_detail_id          INT64              ,
-  visit_detail_source_value          STRING             ,
-  visit_deatil_source_concept_id     INT64              ,
-  admitting_source_value             STRING             ,
-  discharge_to_source_value          STRING             ,
-  visit_detail_parent_id             INT64              ,
-  visit_occurrence_id                INT64     not null
+  visit_detail_id                    INT64      not null ,
+  person_id                          INT64      not null ,
+  visit_detail_concept_id            INT64     	not null ,
+  visit_detail_start_date            date       null ,
+  visit_detail_start_datetime        DATETIME   not null ,
+  visit_detail_end_date              date       null ,
+  visit_detail_end_datetime          DATETIME	not null ,
+  visit_detail_type_concept_id       INT64     	not null ,
+  provider_id                        INT64     	null ,
+  care_site_id                       INT64     	null ,
+  discharge_to_concept_id            INT64     	not null ,
+  admitted_from_concept_id           INT64     	not NULL , /*Changed from admitting_source_* */
+  admitted_from_source_value         STRING 	NULL ,
+  visit_detail_source_value          STRING 	null ,
+  visit_detail_source_concept_id     INT64     	not null ,
+  discharge_to_source_value          STRING 	null ,
+  preceding_visit_detail_id          INT64      null ,
+  visit_detail_parent_id             INT64      null ,
+  visit_occurrence_id                INT64      not null
 )
 ;
 
@@ -292,20 +280,20 @@ create table visit_detail
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table procedure_occurrence
 (
-  procedure_occurrence_id		  INT64			not null ,
-  person_id						        INT64			not null ,
-  procedure_concept_id			  INT64			not null ,
-  procedure_DATE				      DATE			not null ,
-  procedure_DATETIME			    DATETIME	  	     ,
+  procedure_occurrence_id		INT64			not null ,
+  person_id						INT64			not null ,
+  procedure_concept_id			INT64			not null ,
+  procedure_date				date			null ,
+  procedure_datetime			DATETIME		not null ,
   procedure_type_concept_id		INT64			not null ,
-  modifier_concept_id			    INT64			         ,
-  quantity						        INT64			         ,
-  provider_id					        INT64			         ,
-  visit_occurrence_id			    INT64			         ,
-  visit_detail_id             INT64              ,
-  procedure_source_value		  STRING  	         ,
-  procedure_source_concept_id	INT64			         ,
-  modifier_source_value		   STRING
+  modifier_concept_id			INT64			not null ,
+  quantity						INT64			null ,
+  provider_id					INT64			null ,
+  visit_occurrence_id			INT64			null ,
+  visit_detail_id             	INT64     		null ,
+  procedure_source_value		STRING			null ,
+  procedure_source_concept_id	INT64			not null ,
+  modifier_source_value		    STRING			null 
 )
 ;
 
@@ -313,29 +301,29 @@ create table procedure_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table drug_exposure
 (
-  drug_exposure_id				      INT64			  not null ,
-  person_id						          INT64			  not null ,
-  drug_concept_id				        INT64			  not null ,
-  drug_exposure_start_DATE		  DATE			  not null ,
-  drug_exposure_start_DATETIME  DATETIME		         ,
-  drug_exposure_end_DATE		    DATE			  not null ,
-  drug_exposure_end_DATETIME	  DATETIME		         ,
-  verbatim_end_DATE				      DATE			           ,
-  drug_type_concept_id			    INT64			  not null ,
-  stop_reason					          STRING  		         ,
-  refills						            INT64		  	         ,
-  quantity						          FLOAT64			         ,
-  days_supply					          INT64		  	         ,
-  sig							              STRING               ,
-  route_concept_id				      INT64			           ,
-  lot_number					          STRING  	           ,
-  provider_id					          INT64			           ,
-  visit_occurrence_id			      INT64			           ,
-  visit_detail_id               INT64                ,
-  drug_source_value				      STRING  	           ,
-  drug_source_concept_id		    INT64			           ,
-  route_source_value			      STRING  	           ,
-  dose_unit_source_value		    STRING
+  drug_exposure_id				    INT64			not null ,
+  person_id						    INT64			not null ,
+  drug_concept_id				    INT64			not null ,
+  drug_exposure_start_date		  	date			null ,
+  drug_exposure_start_datetime  	DATETIME		not null ,
+  drug_exposure_end_date		    date			null ,
+  drug_exposure_end_datetime	  	DATETIME		not null ,
+  verbatim_end_date				    date			null ,
+  drug_type_concept_id			    INT64			not null ,
+  stop_reason					    STRING			null ,
+  refills						    INT64			null ,
+  quantity						    FLOAT64			null ,
+  days_supply					    INT64		  	null ,
+  sig							    STRING			null ,
+  route_concept_id				    INT64			not null ,
+  lot_number					    STRING	  		null ,
+  provider_id					    INT64			null ,
+  visit_occurrence_id			    INT64			null ,
+  visit_detail_id               	INT64       	null ,
+  drug_source_value				    STRING	  		null ,
+  drug_source_concept_id		    INT64			not null ,
+  route_source_value			    STRING	  		null ,
+  dose_unit_source_value		    STRING	  		null
 )
 ;
 
@@ -343,21 +331,21 @@ create table drug_exposure
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table device_exposure
 (
-  device_exposure_id			        INT64		  	not null ,
-  person_id						            INT64			  not null ,
-  device_concept_id			        	INT64			  not null ,
-  device_exposure_start_DATE	    DATE			  not null ,
-  device_exposure_start_DATETIME  DATETIME		         ,
-  device_exposure_end_DATE		    DATE			           ,
-  device_exposure_end_DATETIME    DATETIME		         ,
-  device_type_concept_id		      INT64			  not null ,
-  unique_device_id			        	STRING  		         ,
-  quantity						            INT64			           ,
-  provider_id					            INT64			           ,
-  visit_occurrence_id			        INT64			           ,
-  visit_detail_id                 INT64                ,
-  device_source_value			        STRING    	         ,
-  device_source_concept_id		    INT64
+  device_exposure_id			  INT64		  	not null ,
+  person_id						  INT64			not null ,
+  device_concept_id			      INT64			not null ,
+  device_exposure_start_date	  date			null ,
+  device_exposure_start_datetime  DATETIME		not null ,
+  device_exposure_end_date		  date			null ,
+  device_exposure_end_datetime    DATETIME		null ,
+  device_type_concept_id		  INT64			not null ,
+  unique_device_id			      STRING		null ,
+  quantity						  INT64			null ,
+  provider_id					  INT64			null ,
+  visit_occurrence_id			  INT64			null ,
+  visit_detail_id                 INT64       	null ,
+  device_source_value			  STRING		null ,
+  device_source_concept_id		  INT64			not null
 )
 ;
 
@@ -366,21 +354,21 @@ create table device_exposure
 create table condition_occurrence
 (
   condition_occurrence_id		    INT64			not null ,
-  person_id						          INT64			not null ,
+  person_id						    INT64			not null ,
   condition_concept_id			    INT64			not null ,
-  condition_start_DATE			    DATE			not null ,
-  condition_start_DATETIME		  DATETIME		       ,
-  condition_end_DATE			      DATE			         ,
-  condition_end_DATETIME		    DATETIME		       ,
-  condition_type_concept_id		  INT64			not null ,
-  stop_reason					          STRING   	         ,
-  provider_id					          INT64			         ,
-  visit_occurrence_id			      INT64			         ,
-  visit_detail_id               INT64              ,
-  condition_source_value		    STRING  	         ,
-  condition_source_concept_id	  INT64			         ,
-  condition_status_source_value	STRING             ,
-  condition_status_concept_id	  INT64
+  condition_start_date			    date			null ,
+  condition_start_datetime		  	DATETIME		not null ,
+  condition_end_date			    date			null ,
+  condition_end_datetime		    DATETIME		null ,
+  condition_type_concept_id		  	INT64			not null ,
+  condition_status_concept_id	  	INT64			not null ,
+  stop_reason					    STRING			null ,
+  provider_id					    INT64			null ,
+  visit_occurrence_id			    INT64			null ,
+  visit_detail_id               	INT64     		null ,
+  condition_source_value		    STRING			null ,
+  condition_source_concept_id	  	INT64			not null ,
+  condition_status_source_value		STRING			null
 )
 ;
 
@@ -388,26 +376,26 @@ create table condition_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table measurement
 (
-  measurement_id				        INT64			not null ,
-  person_id						          INT64			not null ,
+  measurement_id				    INT64			not null ,
+  person_id						    INT64			not null ,
   measurement_concept_id		    INT64			not null ,
-  measurement_DATE				      DATE			not null ,
-  measurement_DATETIME          DATETIME           ,
-  measurement_time              STRING             ,
-  measurement_type_concept_id	  INT64			not null ,
-  operator_concept_id			      INT64			         ,
-  value_as_number				        FLOAT64			       ,
-  value_as_concept_id			      INT64			         ,
-  unit_concept_id				        INT64			         ,
-  range_low					          	FLOAT64			       ,
-  range_high					          FLOAT64			       ,
-  provider_id					          INT64			         ,
-  visit_occurrence_id			      INT64			         ,
-  visit_detail_id               INT64              ,
-  measurement_source_value		  STRING             ,
-  measurement_source_concept_id	INT64			         ,
-  unit_source_value				      STRING  	         ,
-  value_source_value			      STRING
+  measurement_date				    date			null ,
+  measurement_datetime			    DATETIME		not null ,
+  measurement_time              	STRING 			null,
+  measurement_type_concept_id	  	INT64			not null ,
+  operator_concept_id			    INT64			null ,
+  value_as_number				    FLOAT64			null ,
+  value_as_concept_id			    INT64			null ,
+  unit_concept_id				    INT64			null ,
+  range_low					        FLOAT64			null ,
+  range_high					    FLOAT64			null ,
+  provider_id					    INT64			null ,
+  visit_occurrence_id			    INT64			null ,
+  visit_detail_id               	INT64     		null ,
+  measurement_source_value		  	STRING			null ,
+  measurement_source_concept_id		INT64			not null ,
+  unit_source_value				    STRING			null ,
+  value_source_value			    STRING			null
 )
 ;
 
@@ -415,20 +403,22 @@ create table measurement
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table note
 (
-  note_id						    INT64			  not null ,
-  person_id						  INT64			  not null ,
-  note_DATE						  DATE			  not null ,
-  note_DATETIME					DATETIME	           ,
-  note_type_concept_id	INT64			  not null ,
-  note_class_concept_id INT64			  not null ,
-  note_title					  STRING    	         ,
-  note_text						  STRING               ,
-  encoding_concept_id		INT64			  not null ,
-  language_concept_id		INT64			  not null ,
-  provider_id					  INT64			           ,
-  visit_occurrence_id		INT64			           ,
-  visit_detail_id       INT64                ,
-  note_source_value			STRING
+  note_id						INT64		not null ,
+  person_id						INT64		not null ,
+  note_event_id         		INT64       null , 
+  note_event_field_concept_id	INT64		not NULL , 
+  note_date						date		null ,
+  note_datetime					DATETIME	not null ,
+  note_type_concept_id			INT64		not null ,
+  note_class_concept_id 		INT64		not null ,
+  note_title					STRING		null ,
+  note_text						STRING  	null ,
+  encoding_concept_id			INT64		not null ,
+  language_concept_id			INT64		not null ,
+  provider_id					INT64		null ,
+  visit_occurrence_id			INT64		null ,
+  visit_detail_id       		INT64       null ,
+  note_source_value				STRING		null
 )
 ;
 
@@ -436,20 +426,20 @@ create table note
 
 create table note_nlp
 (
-  note_nlp_id					        INT64			           ,
-  note_id						          INT64			           ,
-  section_concept_id			    INT64			           ,
-  snippet						          STRING    	         ,
-  "offset"					          STRING    	         ,
-  lexical_variant				      STRING    	not null ,
-  note_nlp_concept_id			    INT64			           ,
-  note_nlp_source_concept_id  INT64			           ,
-  nlp_system					        STRING	             ,
-  nlp_DATE						        DATE			  not null ,
-  nlp_DATETIME					      DATETIME		         ,
-  term_exists					        STRING   		         ,
-  term_temporal					      STRING   		         ,
-  term_modifiers				      STRING
+  note_nlp_id					INT64		not null ,
+  note_id						INT64		not null ,
+  section_concept_id			INT64		not null ,
+  snippet						STRING		null ,
+  "offset"					    STRING		null ,
+  lexical_variant				STRING		not null ,
+  note_nlp_concept_id			INT64		not null ,
+  nlp_system					STRING		null ,
+  nlp_date						date		not null ,
+  nlp_datetime					DATETIME	null ,
+  term_exists					STRING		null ,
+  term_temporal					STRING		null ,
+  term_modifiers				STRING		null ,
+  note_nlp_source_concept_id	INT64		not null
 )
 ;
 
@@ -457,34 +447,68 @@ create table note_nlp
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table observation
 (
-  observation_id					      INT64			not null ,
-  person_id						          INT64			not null ,
-  observation_concept_id			  INT64			not null ,
-  observation_DATE				      DATE			not null ,
-  observation_DATETIME				  DATETIME		       ,
-  observation_type_concept_id	  INT64			not null ,
-  value_as_number				        FLOAT64			   ,
-  value_as_string				        STRING   	     ,
-  value_as_concept_id			      INT64			     ,
-  qualifier_concept_id			    INT64			     ,
-  unit_concept_id				        INT64			     ,
-  provider_id					          INT64			     ,
-  visit_occurrence_id			      INT64			     ,
-  visit_detail_id               INT64          ,
-  observation_source_value		  STRING  	     ,
-  observation_source_concept_id	INT64			     ,
-  unit_source_value				      STRING  	     ,
-  qualifier_source_value			  STRING
+  observation_id					INT64			not null ,
+  person_id						    INT64			not null ,
+  observation_concept_id			INT64			not null ,
+  observation_date				    date			null ,
+  observation_datetime				DATETIME		not null ,
+  observation_type_concept_id	    INT64			not null ,
+  value_as_number				    FLOAT64			null ,
+  value_as_string				    STRING			null ,
+  value_as_concept_id			    INT64			null ,
+  qualifier_concept_id			    INT64			null ,
+  unit_concept_id				    INT64			null ,
+  provider_id					    INT64			null ,
+  visit_occurrence_id			    INT64			null ,
+  visit_detail_id               	INT64      		null ,
+  observation_source_value		  	STRING			null ,
+  observation_source_concept_id		INT64			not null ,
+  unit_source_value				    STRING			null ,
+  qualifier_source_value			STRING			null ,
+  observation_event_id				INT64			null , 
+  obs_event_field_concept_id		INT64			not NULL , 
+  value_as_datetime					DATETIME		null
+)
+;
+
+
+create table survey_conduct 
+(
+  survey_conduct_id					INT64		not null ,
+  person_id						    INT64		not null ,
+  survey_concept_id			  		INT64		not null ,
+  survey_start_date				    date		null ,
+  survey_start_datetime				DATETIME	null ,
+  survey_end_date					date		null ,
+  survey_end_datetime				DATETIME	not null ,
+  provider_id						INT64		null ,
+  assisted_concept_id	  			INT64		not null ,
+  respondent_type_concept_id		INT64		not null ,
+  timing_concept_id					INT64		not null ,
+  collection_method_concept_id		INT64		not null ,
+  assisted_source_value		  		STRING		null ,
+  respondent_type_source_value		STRING  	null ,
+  timing_source_value				STRING		null ,
+  collection_method_source_value	STRING		null ,
+  survey_source_value				STRING		null ,
+  survey_source_concept_id			INT64		not null ,
+  survey_source_identifier			STRING		null ,
+  validated_survey_concept_id		INT64		not null ,
+  validated_survey_source_value		STRING		null ,
+  survey_version_number				STRING		null ,
+  visit_occurrence_id				INT64		null ,
+  visit_detail_id					INT64		null ,
+  response_visit_occurrence_id		INT64		null
 )
 ;
 
 
 create table fact_relationship
 (
-  domain_concept_id_1			INT64			not null ,
-  fact_id_1						    INT64			not null ,
-  domain_concept_id_2			INT64			not null ,
-  fact_id_2						    INT64			not null ,
+  domain_concept_id_1		INT64			not null ,
+  fact_id_1					INT64			not null ,
+  domain_concept_id_2		INT64			not null ,
+  fact_id_2					INT64			not null ,
   relationship_concept_id	INT64			not null
 )
 ;
@@ -493,44 +517,60 @@ create table fact_relationship
 create table location
 (
   location_id					  INT64			not null ,
-  address_1						  STRING	           ,
-  address_2						  STRING    		     ,
-  city							    STRING    		     ,
-  state							    STRING   		       ,
-  zip							      STRING   	         ,
-  county							  STRING    		     ,
-  location_source_value STRING
+  address_1						  STRING		null ,
+  address_2						  STRING		null ,
+  city							  STRING		null ,
+  state							  STRING		null ,
+  zip							  STRING		null ,
+  county						  STRING		null ,
+  country						  STRING		null ,
+  location_source_value 		  STRING	    null ,
+  latitude						  FLOAT64		null ,
+  longitude						  FLOAT64		null
+)
+;
+
+
+create table location_history
+(
+  location_history_id           INT64      	not null ,
+  location_id			        INT64		not null ,
+  relationship_type_concept_id	INT64		not null ,  --Recent addition based on github discussion
+  domain_id				        STRING 		not null ,
+  entity_id				        INT64		not null ,
+  start_date			        date		not null ,
+  end_date				        date		null
 )
 ;
 
 
 create table care_site
 (
-  care_site_id						      INT64			  not null ,
-  care_site_name						    STRING               ,
-  place_of_service_concept_id	  INT64			           ,
-  location_id						        INT64			           ,
-  care_site_source_value			  STRING    		       ,
-  place_of_service_source_value STRING
+  care_site_id					INT64	not null ,
+  care_site_name				STRING  null ,
+  place_of_service_concept_id	INT64	not null ,
+  location_id					INT64	null ,
+  care_site_source_value		STRING	null ,
+  place_of_service_source_value STRING	null
 )
 ;
 
 
 create table provider
 (
-  provider_id					        INT64			  not null ,
-  provider_name					      STRING     	         ,
-  npi							            STRING    	         ,
-  dea							            STRING    		       ,
-  specialty_concept_id			  INT64			           ,
-  care_site_id					      INT64			           ,
-  year_of_birth					      INT64			           ,
-  gender_concept_id				    INT64			           ,
-  provider_source_value			  STRING    		       ,
-  specialty_source_value			STRING    		       ,
-  specialty_source_concept_id	INT64			           ,
-  gender_source_value			    STRING    		       ,
-  gender_source_concept_id		INT64
+  provider_id					INT64		not null ,
+  provider_name					STRING		null ,
+  npi							STRING		null ,
+  dea							STRING		null ,
+  specialty_concept_id			INT64		not null ,
+  care_site_id					INT64		null ,
+  year_of_birth					INT64		null ,
+  gender_concept_id				INT64		not null ,
+  provider_source_value			STRING		null ,
+  specialty_source_value		STRING		null ,
+  specialty_source_concept_id	INT64		not null ,
+  gender_source_value			STRING		null ,
+  gender_source_concept_id		INT64		not null
 )
 ;
 
@@ -538,76 +578,51 @@ create table provider
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table payer_plan_period
 (
-  payer_plan_period_id			    INT64			not null ,
-  person_id						          INT64			not null ,
-  payer_plan_period_start_DATE  DATE			not null ,
-  payer_plan_period_end_DATE		DATE			not null ,
-  payer_concept_id              INT64              ,
-  payer_source_value				    STRING    	       ,
-  payer_source_concept_id       INT64              ,
-  plan_concept_id               INT64              ,
-  plan_source_value				      STRING    	       ,
-  plan_source_concept_id        INT64              ,
-  sponsor_concept_id            INT64              ,
-  sponsor_source_value          STRING             ,
-  sponsor_source_concept_id     INT64              ,
-  family_source_value			      STRING    	       ,
-  stop_reason_concept_id        INT64              ,
-  stop_reason_source_value      STRING             ,
-  stop_reason_source_concept_id INT64
+  payer_plan_period_id			INT64		not null ,
+  person_id						INT64		not null ,
+  contract_person_id            INT64       null ,
+  payer_plan_period_start_date  date		not null ,
+  payer_plan_period_end_date	date		not null ,
+  payer_concept_id              INT64       not null ,
+  plan_concept_id               INT64       not null ,
+  contract_concept_id           INT64       not null ,
+  sponsor_concept_id            INT64       not null ,
+  stop_reason_concept_id        INT64       not null ,
+  payer_source_value			STRING	  	null ,
+  payer_source_concept_id       INT64       not null ,
+  plan_source_value				STRING	  	null ,
+  plan_source_concept_id        INT64       not null ,
+  contract_source_value         STRING   	null ,
+  contract_source_concept_id    INT64       not null ,
+  sponsor_source_value          STRING   	null ,
+  sponsor_source_concept_id     INT64       not null ,
+  family_source_value			STRING	  	null ,
+  stop_reason_source_value      STRING   	null ,
+  stop_reason_source_concept_id INT64       not null
 )
 ;
 
 
 create table cost
 (
-  cost_id					          INT64	    not null ,
-  cost_event_id             INT64     not null ,
-  cost_domain_id            STRING    not null ,
-  cost_type_concept_id      INT64     not null ,
-  currency_concept_id			  INT64			         ,
-  total_charge						  FLOAT64			       ,
-  total_cost						    FLOAT64			       ,
-  total_paid						    FLOAT64			       ,
-  paid_by_payer					    FLOAT64			       ,
-  paid_by_patient						FLOAT64			       ,
-  paid_patient_copay				FLOAT64			       ,
-  paid_patient_coinsurance  FLOAT64			       ,
-  paid_patient_deductible		FLOAT64			       ,
-  paid_by_primary						FLOAT64			       ,
-  paid_ingredient_cost			FLOAT64			       ,
-  paid_dispensing_fee				FLOAT64			       ,
-  payer_plan_period_id			INT64			         ,
-  amount_allowed		        FLOAT64			       ,
-  revenue_code_concept_id		INT64			         ,
-  revenue_code_source_value  STRING            ,
-  drg_concept_id			      INT64		           ,
-  drg_source_value			    STRING
-)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(subject_id)
-create table cohort
-(
-  cohort_definition_id	INT64		not null ,
-  subject_id						INT64		not null ,
-  cohort_start_DATE			DATE			not null ,
-  cohort_end_DATE				DATE			not null
-)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(subject_id)
-create table cohort_attribute
-(
-  cohort_definition_id		INT64		  not null ,
-  subject_id						  INT64		  not null ,
-  cohort_start_DATE				DATE			not null ,
-  cohort_end_DATE				  DATE			not null ,
-  attribute_definition_id INT64		  not null ,
-  value_as_number				  FLOAT64			       ,
-  value_as_concept_id			INT64
+  cost_id						INT64	    not null ,
+  person_id						INT64		not null,
+  cost_event_id					INT64       not null ,
+  cost_event_field_concept_id	INT64		NOT NULL , 
+  cost_concept_id				INT64		not null ,
+  cost_type_concept_id		 	INT64     	not null ,
+  currency_concept_id			INT64		not null ,
+  cost							FLOAT64		null ,
+  incurred_date					date		not null ,
+  billed_date					date		null ,
+  paid_date						date		null ,
+  revenue_code_concept_id		INT64		not null ,
+  drg_concept_id			    INT64		not null ,
+  cost_source_value				STRING		null ,
+  cost_source_concept_id	  	INT64		not null ,
+  revenue_code_source_value 	STRING 		null ,
+  drg_source_value			    STRING		null ,
+  payer_plan_period_id			INT64		null
 )
 ;
 
@@ -615,13 +630,13 @@ create table cohort_attribute
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table drug_era
 (
-  drug_era_id					INT64			not null ,
-  person_id						INT64			not null ,
+  drug_era_id				INT64			not null ,
+  person_id					INT64			not null ,
   drug_concept_id			INT64			not null ,
-  drug_era_start_DATE	DATE			not null ,
-  drug_era_end_DATE		DATE		  not null ,
-  drug_exposure_count	INT64	             ,
-  gap_days						INT64
+  drug_era_start_datetime	datetime		not null ,
+  drug_era_end_datetime		datetime		not null ,
+  drug_exposure_count		INT64			null ,
+  gap_days					INT64			null
 )
 ;
 
@@ -629,13 +644,13 @@ create table drug_era
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table dose_era
 (
-  dose_era_id					  INT64			not null ,
-  person_id						  INT64			not null ,
-  drug_concept_id				INT64			not null ,
-  unit_concept_id				INT64			not null ,
-  dose_value						FLOAT64		not null ,
-  dose_era_start_DATE		DATE			not null ,
-  dose_era_end_DATE	    DATE			not null
+  dose_era_id				INT64			not null ,
+  person_id					INT64			not null ,
+  drug_concept_id			INT64			not null ,
+  unit_concept_id			INT64			not null ,
+  dose_value				FLOAT64			not null ,
+  dose_era_start_datetime	datetime		not null ,
+  dose_era_end_datetime		datetime		not null
 )
 ;
 
@@ -643,11 +658,11 @@ create table dose_era
 --HINT DISTRIBUTE_ON_KEY(person_id)
 create table condition_era
 (
-  condition_era_id				    INT64			not null ,
-  person_id						        INT64			not null ,
-  condition_concept_id			  INT64			not null ,
-  condition_era_start_DATE		DATE			not null ,
-  condition_era_end_DATE			DATE			not null ,
-  condition_occurrence_count	INT64
+  condition_era_id					INT64			not null ,
+  person_id							INT64			not null ,
+  condition_concept_id				INT64			not null ,
+  condition_era_start_datetime		datetime		not null ,
+  condition_era_end_datetime		datetime		not null ,
+  condition_occurrence_count		INT64			null
 )
 ;
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deleted file mode 100644
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deleted file mode 100644
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diff --git a/Documentation/CommonDataModel_Wiki_Files/Background/Background.md b/Documentation/CommonDataModel_Wiki_Files/Background/Background.md
index 8ebd54a..d7b9388 100644
--- a/Documentation/CommonDataModel_Wiki_Files/Background/Background.md
+++ b/Documentation/CommonDataModel_Wiki_Files/Background/Background.md
@@ -4,11 +4,11 @@
 
 The Observational Medical Outcomes Partnership (OMOP) was a public-private partnership established to inform the appropriate use of observational healthcare databases for studying the effects of medical products. Over the course of the 5-year project and through its community of researchers from industry, government, and academia, OMOP successfully achieved its aims to:
 
-  - Conduct methodological research to empirically evaluate the performance of various analytical methods on their ability to identify true associations and avoid false findings, 
-  - Develop tools and capabilities for transforming, characterizing, and analyzing disparate data sources across the health care delivery spectrum, and 
-  - Establish a shared resource so that the broader research community can collaboratively advance the science. 
+  - Conduct methodological research to empirically evaluate the performance of various analytical methods on their ability to identify true associations and avoid false findings 
+  - Develop tools and capabilities for transforming, characterizing, and analysing disparate data sources across the health care delivery spectrum 
+  - Establish a shared resource so that the broader research community can collaboratively advance the science
 
-The results of OMOP's research has been widely published and presented at scientific conferences, including [annual symposia](https://www.ohdsi.org/events/2017-ohdsi-symposium/).
+The results of OMOP's research has been widely published and presented at scientific conferences, including [annual symposia](https://www.ohdsi.org/events/2018-ohdsi-symposium/).
 
 The OMOP Legacy continues...
 
@@ -16,4 +16,4 @@ The community is actively using the OMOP Common Data Model for their various res
 
 The Observational Health Data Sciences and Informatics (OHDSI) has been established as a multi-stakeholder, interdisciplinary collaborative to create open-source solutions that bring out the value of observational health data through large-scale analytics. The OHDSI collaborative includes all of the original OMOP research investigators, and will develop its tools using the OMOP Common Data Model. Learn more at [ohdsi.org](http://ohdsi.org).
 
-The OMOP Common Data Model will continue to be an open-source, community standard for observational healthcare data. The model specifications and associated work products will be placed in the public domain, and the entire research community is encouraged to use these tools to support everybody's own research activities.
+The OMOP Common Data Model will continue to be an open-source community standard for observational healthcare data. The model specifications and associated work products will be placed in the public domain, and the entire research community is encouraged to use these tools to support everybody's own research activities.
diff --git a/Documentation/CommonDataModel_Wiki_Files/Background/Data-Model-Conventions.md b/Documentation/CommonDataModel_Wiki_Files/Background/Data-Model-Conventions.md
index 09546d6..f4a8f22 100644
--- a/Documentation/CommonDataModel_Wiki_Files/Background/Data-Model-Conventions.md
+++ b/Documentation/CommonDataModel_Wiki_Files/Background/Data-Model-Conventions.md
@@ -1,10 +1,14 @@
-There are a number of implicit and explicit conventions that have been adopted in the CDM. Developers of methods that run methods against the CDM need to understand these conventions.
+There are a number of implicit and explicit conventions that have been adopted in the CDM. Developers of methods that run against the CDM need to understand these conventions.
+
+### General conventions of schemas
+
+New to CDM v6.0 is the concept of schemas. This allows for more separation between read-only and writeable tables. The clinical data, event, and vocabulary tables are in the 'CDM' schema and tables that need to be manipulated by web-based tools or end users have moved to the 'Results' schema. Currently the only two tables in the 'Results' schema are COHORT and COHORT_DEFINITON, though likely more will be added over the course of v6.0 point releases. 
 
 ### General conventions of data tables
 
-The CDM is platform-independent. Data types are defined generically using ANSI SQL data types (VARCHAR, INTEGER, FLOAT, DATE, TIME, CLOB). Precision is provided only for VARCHAR. It reflects the minimal required string length and can be expanded within a CDM instantiation. The CDM does not prescribe the date and time format. Standard queries against CDM may vary for local instantiations and date/time configurations. 
+The CDM is platform-independent. Data types are defined generically using ANSI SQL data types (VARCHAR, INTEGER, FLOAT, DATE, DATETIME, CLOB). Precision is provided only for VARCHAR. It reflects the minimal required string length and can be expanded within a CDM instantiation. The CDM does not prescribe the date and datetime format. Standard queries against CDM may vary for local instantiations and date/datetime configurations. 
 
-In most cases, the first field in each table ends in "_id", containing a record identifier that can be used as a foreign key in another table.
+In most cases, the first field in each table ends in '_ID', containing a record identifier that can be used as a foreign key in another table.
 
 ### General conventions of fields 
 
@@ -12,74 +16,75 @@ Variable names across all tables follow one convention:
 
 Notation|Description
 ---------------------|--------------------------------------------------
-|<entity>_SOURCE_VALUE|Verbatim information from the source data, typically used in ETL to map to CONCEPT_ID, and not to be used by any standard analytics. For example, condition_source_value = '787.02' was the ICD-9 code captured as a diagnosis from the administrative claim|
-|<entity>_ID|Unique identifiers for key entities, which can serve as foreign keys to establish relationships across entities For example, person_id uniquely identifies each individual. visit_occurrence_id uniquely identifies a PERSON encounter at a point of care.|
-|<entity>_CONCEPT_ID|Foreign key into the Standardized Vocabularies (i.e. the standard_concept attribute for the corresponding term is true), which serves as the primary basis for all standardized analytics For example, condition_concept_id = 31967 contains reference value for SNOMED concept of 'Nausea'|
-|<entity>_SOURCE_CONCEPT_ID|Foreign key into the Standardized Vocabularies representing the concept and terminology used in the source data, when applicable For example, condition_source_concept_id = 35708202 denotes the concept of 'Nausea' in the MedDRA terminology; the analogous condition_concept_id might be 31967, since SNOMED-CT is the Standardized Vocabularies for most clinical diagnoses and findings.|
-|<entity>_TYPE_CONCEPT_ID|Delineates the origin of the source information, standardized within the Standardized Vocabularies For example, drug_type_concept_id can allow analysts to discriminate between 'Pharmacy dispensing' and 'Prescription written'|
+|<entity>_SOURCE_VALUE|Verbatim information from the source data, typically used in ETL to map to CONCEPT_ID, and not to be used by any standard analytics. For example, CONDITION_SOURCE_VALUE = '787.02' was the ICD-9 code captured as a diagnosis from the administrative claim.|
+|<entity>_ID|Unique identifiers for key entities, which can serve as foreign keys to establish relationships across entities. For example, PERSON_ID uniquely identifies each individual. VISIT_OCCURRENCE_ID uniquely identifies a PERSON encounter at a point of care.|
+|<entity>_CONCEPT_ID|Foreign key into the Standardized Vocabularies (i.e. the standard_concept attribute for the corresponding term is true), which serves as the primary basis for all standardized analytics. For example, CONDITION_CONCEPT_ID = [31967](http://athena.ohdsi.org/search-terms/terms/31967) contains the reference value for the SNOMED concept of 'Nausea'|
+|<entity>_SOURCE_CONCEPT_ID|Foreign key into the Standardized Vocabularies representing the concept and terminology used in the source data, when applicable. For example, CONDITION_SOURCE_CONCEPT_ID = [45431665](http://athena.ohdsi.org/search-terms/terms/45431665) denotes the concept of 'Nausea' in the Read terminology; the analogous CONDITION_CONCEPT_ID might be 31967, since SNOMED-CT is the Standardized Vocabulary for most clinical diagnoses and findings.|
+|<entity>_TYPE_CONCEPT_ID|Delineates the origin of the source information, standardized within the Standardized Vocabularies. For example, DRUG_TYPE_CONCEPT_ID can allow analysts to discriminate between 'Pharmacy dispensing' and 'Prescription written'|
 
 ### Representation of content through Concepts 
 
-In CDM data tables the meaning of the content of each record is represented using Concepts. Concepts are stored with their concept_id as foreign keys to the CONCEPT table in the Standardized Vocabularies, which contains Concepts necessary to describe the healthcare experience of a patient. If a Standard Concept does not exist or cannot be identified, the Concept with the concept_id 0 is used, representing a non-existing or unmappable concept.
+In CDM data tables the meaning of the content of each record is represented using Concepts. Concepts are stored with their CONCEPT_ID as foreign keys to the CONCEPT table in the Standardized Vocabularies, which contains Concepts necessary to describe the healthcare experience of a patient. If a Standard Concept does not exist or cannot be identified, the Concept with the CONCEPT_ID 0 is used, representing a non-existing or un-mappable concept.
 
-Records in the CONCEPT table contain all the detailed information about it (name, relationships, types etc.). Concepts, Concept Relationships and other information relating to Concepts contained in the tables of the Standardized Vocabularies..
+Records in the CONCEPT table contain all the detailed information about it (name, domain, class etc.). Concepts, Concept Relationships and other information relating to Concepts is contained in the tables of the Standardized Vocabularies.
 
 ### Difference between Concept IDs and Source Values 
 
 Many tables contain equivalent information multiple times: As a Source Value, a Source Concept and as a Standard Concept.  
 
-  * Source Values contains the codes from public code systems such as ICD-9-CM, NDC, CPT-4 etc. or local controlled vocabularies (such as F for female and M for male) copied from the source data. Source Values are stored in the _source_value field in the data tables. 
-  * Concepts are CDM-specific entities that represent the meaning of a clinical fact. Most concepts are based on code systems used in healthcare (called Source Concepts), while others were created de-novo (concept_code = "OMOP generated"). Concepts have unique IDs across all domains. 
-  * Source Concepts are the concepts that represent the code used in the source. Source Concepts are only used for common healthcare code systems, but not for OMOP-generated Concepts. Source Concepts are stored in the source_concept_id field in the data tables.
-  * Standard Concepts are those concepts that are used to define the unique meaning of a clinical entity. For each entity there is one Standard Concept. Standard Concepts are typically drawn from existing public vocabulary sources. Concepts that have the equivalent meaning to a Standard Concept are mapped to the Standard Concept. Standard Concepts are referred to in the concept_id field of the data tables. 
+  * Source Values contain the codes from public code systems such as ICD-9-CM, NDC, CPT-4 etc. or locally controlled vocabularies (such as F for female and M for male) copied from the source data. Source Values are stored in the *_SOURCE_VALUE fields in the data tables. 
+  * Concepts are CDM-specific entities that represent the meaning of a clinical fact. Most concepts are based on code systems used in healthcare (called Source Concepts), while others were created de-novo (CONCEPT_CODE = 'OMOP generated'). Concepts have unique IDs across all domains. 
+  * Source Concepts are the concepts that represent the code used in the source. Source Concepts are only used for common healthcare code systems, not for OMOP-generated Concepts. Source Concepts are stored in the *_SOURCE_CONCEPT_ID field in the data tables.
+  * Standard Concepts are those concepts that are used to define the unique meaning of a clinical entity. For each entity there is one Standard Concept. Standard Concepts are typically drawn from existing public vocabulary sources. Concepts that have the equivalent meaning to a Standard Concept are mapped to the Standard Concept. Standard Concepts are referred to in the <entity>_CONCEPT_ID field of the data tables. 
 
 Source Values are only provided for convenience and quality assurance (QA) purposes. Source Values and Source Concepts are optional, while Standard Concepts are mandatory. Source Values may contain information that is only meaningful in the context of a specific data source. 
 
 ### Difference between general Concepts and Type Concepts 
 
-Type Concepts (ending in _type_concept_id) and general Concepts (ending in _concept_id) are part of many tables. The former are special Concepts with the purpose of indicating where the data are derived from in the source. For example, the Type Concept field can be used to distinguish a DRUG_EXPOSURE record that is derived from a pharmacy-dispensing claim from one indicative of a prescription written in an electronic health record (EHR).
+Type Concepts (ending in _TYPE_CONCEPT_ID) and general Concepts (ending in _CONCEPT_ID) are part of many tables. The former are special Concepts with the purpose of indicating where the data are derived from in the source. For example, the Type Concept field can be used to distinguish a DRUG_EXPOSURE record that is derived from a pharmacy-dispensing claim from one indicative of a prescription written in an electronic health record (EHR).
 
 ### Time span of available data 
 
-Data tables for clinical data contain a date stamp (ending in _date, _start_date or _end_date), indicating when that clinical event occurred. As a rule, no record can be outside of a valid OBSERVATION_PERIOD time period. Clinical information that relates to events happened prior the first OBSERVATION_PERIOD, it will be captured as a record in the OBSERVATION table of 'Medical history' (concept_id = 43054928), with the observation_date set to the first observation_period_start_date of that patient, and the value_as_concept_id set to the corresponding concept_id for the condition/drug/procedure that occurred in the past. No data occurring after the last observation_period_end_date can be valid records in the CDM.
+Data tables for clinical data contain a datetime stamp (ending in _DATETIME, _START_DATETIME or _END_DATETIME), indicating when that clinical event occurred. As a rule, no record can be outside of a valid OBSERVATION_PERIOD time period. Clinical information that relates to events that happened prior to the first OBSERVATION_PERIOD will be captured as a record in the OBSERVATION table as 'Medical history' (CONCEPT_ID = 43054928), with the OBSERVATION_DATETIME set to the first OBSERVATION_PERIOD_START_DATE of that patient, and the VALUE_AS_CONCEPT_ID set to the corresponding CONCEPT_ID for the condition/drug/procedure that occurred in the past. No data occurring after the last OBSERVATION_PERIOD_END_DATE can be valid records in the CDM.
+  * When mapping source data to the CDM, if time is unknown the default time of 00:00:00 should be chosen. If a time of 00:00:00 is given in the source data it should be shifted to 00:00:01 ([THEMIS issue #10](https://github.com/OHDSI/Themis/issues/10)).
 
 ### Content of each table 
 
-For the tables of the main domains of the CDM it is imperative that used concepts are strictly limited to the domain. For example, the CONDITION_OCCURRENCE table contains only information about conditions (diagnoses, signs, symptoms), but no information about procedures. Not all source coding schemes adhere to such rules. For example, ICD-9-CM codes, which contain mostly diagnoses of human disease, also contain information about the status of patients having received a procedure: V25.5 "Encounter for insertion of implantable subdermal contraceptive" defines a procedure and is therefore stored in the PROCEDURE_OCCURRENCE table.
+For the tables of the main domains of the CDM it is imperative that concepts used are strictly limited to the domain. For example, the CONDITION_OCCURRENCE table contains only information about conditions (diagnoses, signs, symptoms), but no information about procedures. Not all source coding schemes adhere to such rules. For example, ICD-9-CM codes, which contain mostly diagnoses of human disease, also contain information about the status of patients having received a procedure. The ICD-9-CM code V20.3 'Newborn health supervision' defines a continuous procedure and is therefore stored in the PROCEDURE_OCCURRENCE table.
 
-### Differentiating between source values, source concept ids, and standard concept ids 
+### Differentiating between Source Values, Source Concept Ids, and Standard Concept Ids 
 
-Each table contains fields for source values, source concept ids, and standard concept ids. 
+Each table contains fields for Source Values, Source Concept Ids, and Standard Concept Ids. 
 
-  * Source values are fields to maintain the verbatim information from the source database, are stored as unstructured text, and are generally not to be used by any standardized analytics.
-  * Source concept ids provide a repeatable representation of the source concept, when the source data are drawn from a commonly-used internationally-recognized vocabulary that has been distributed with the OMOP Common Data Model. Specific use cases where source vocabulary-specific analytics are required can be accommodated by the use of the source concept id fields, but these are generally not applicable across disparate data sources. The standard concept id fields are **strongly suggested** to be used in all standardized analytics, as specific vocabularies have been established within each data domain to facilitate standardization of both structure and content within the OMOP Common Data Model.
+  * Source Values are fields to maintain the verbatim information from the source database, stored as unstructured text, and are generally not to be used by any standardized analytics. There is no standardization for these fields and these columns can be used as the local CDM builders see fit. A typical example would be an ICD-9 code without the decimal from an administrative claim as condition_source_value = '78702' which is how it appeared in the source ([THEMIS issue #15](https://github.com/OHDSI/Themis/issues/15)).
+  * Source Concept Ids provide a repeatable representation of the source concept, when the source data are drawn from a commonly-used, internationally-recognized vocabulary that has been distributed with the OMOP Common Data Model. Specific use cases where source vocabulary-specific analytics are required can be accommodated by the use of the *_SOURCE_CONCEPT_ID fields, but these are generally not applicable across disparate data sources. The standard *_CONCEPT_ID fields are **strongly suggested** to be used in all standardized analytics, as specific vocabularies have been established within each data domain to facilitate standardization of both structure and content within the OMOP Common Data Model.
 
 The following provide conventions for processing source data using these three fields in each domain:
 
 When processing data where the source value is either free text or a reference to a coding scheme that is not contained within the Standardized Vocabularies:
 
-  - Map all source values directly to standard concept_ids. Store these mappings in the SOURCE_TO_CONCEPT_MAP table. 
-    - If the source code is not mappable to a vocabulary term, the source_concept_id field is set to 0
+  - Map all Source Values to the corresponding Standard CONCEPT_IDs. Store the CONCEPT_IDs in the TARGET_CONCEPT_ID field of the SOURCE_TO_CONCEPT_MAP table. 
+    - If a CONCEPT_ID is not available for the source code, the TARGET_CONCEPT_ID field is set to 0.
 
-When processing your data where source value is a reference to a coding scheme contained within the Standardized Vocabularies:
+When processing your data where Source Value is a reference to a coding scheme contained within the Standardized Vocabularies:
   
-  - Map all your source values to the corresponding concept_ids in the source vocabulary. Store the result in the source_concept_id field. 
+  - Find all CONCEPT_IDs in the Source Vocabulary that correspond to your Source Values. Store the result in the SOURCE_CONCEPT_ID field. 
     - If the source code follows the same formatting as the distributed vocabulary, the mapping can be directly obtained from the CONCEPT table using the CONCEPT_CODE field. 
-    - If the source code uses alternative formatting (ex. format has removed decimal point from ICD-9 codes), you will need to perform the formatting transformation within the ETL. In this case, you may wish to store the mappings from original codes to source concept ids in the SOURCE_TO_CONCEPT_MAP table.
-    - If the source code is not mappable to a vocabulary term, the source_concept_id field is set to 0
-  - Use the CONCEPT_RELATIONSHIP table to identify the standard concept_id that corresponds to the source_concept_id in the domain.
-    - Each source_concept_id can have 1 or more Standard concept_id mapped to it. Each Standard concept_id belongs to only one primary domain, but when a source concept_id maps to multiple standard concept_ids, it is possible for that source_concept_id to result in records being produced across multiple domains. For example, HCPCS code for infusion of a drug will map to a concept in the procedure domain of the infusion and a different concept in the drug domain for the product infused. It is also possible for one source_concept_id to map to multiple standard concept_ids within the same domain. For example, ICD-9 for 'viral hepatitis with hepatic coma' maps to SNOMED 'viral hepatitis' and a different concept for 'hepatic coma' in which case multiple condition_occurrence records will be generated for the one source value record.
-    - If the source_concept_id is not mappable to any standard concept_id, the concept_id field is set to 0.
-  - Write the data record into table(s) corresponding to the domain of the standard concept_id(s). 
-    - If the source value is mapped to source_concept_id, but the source_concept_id is not mapped to a standard concept_id, then the domain for the data record, and hence it's table location, is determined by the domain_id field of the CONCEPT record the source_concept_id refers to. The standard concept_id is set to 0. 
-    - If the source value cannot be mapped to a source_concept_id or standard concept_id, then direct the data record to the most appropriate CDM domain based on your local knowledge of the intent of the source data and associated value. For example, if the unmappable source_value came from a 'diagnosis' table, then in the absence of other information, you may choose to record that fact in the CONDITION_OCCURRENCE table.
+    - If the source code uses alternative formatting (ex. format has removed decimal point from ICD-9 codes), you will need to perform the formatting transformation within the ETL. In this case, you may wish to store the mappings from original codes to SOURCE_CONCEPT_IDs in the SOURCE_TO_CONCEPT_MAP table.
+    - If the source code is not found in a vocabulary, the SOURCE_CONCEPT_ID field is set to 0
+  - Use the CONCEPT_RELATIONSHIP table to identify the Standard CONCEPT_ID that corresponds to the SOURCE_CONCEPT_ID in the domain.
+    - Each SOURCE_CONCEPT_ID can have 1 or more Standard CONCEPT_IDs mapped to it. Each Standard CONCEPT_ID belongs to only one primary domain but when a source CONCEPT_ID maps to multiple Standard CONCEPT_IDs, it is possible for that SOURCE_CONCEPT_ID to result in records being produced across multiple domains. For example, ICD-10-CM code Z34.00 'Encounter for supervision of normal first pregnancy, unspecified trimester' will be mapped to the SNOMED concept 'Routine antenatal care' in the procedure domain and the concept in the condition domain 'Primagravida'. It is also possible for one SOURCE_CONCEPT_ID to map to multiple Standard CONCEPT_IDs within the same domain. For example, ICD-9-CM code 070.43 'Hepatitis E with hepatic coma' maps to the SNOMED concept for 'Acute hepatitis E' and a second SNOMED concept for 'Hepatic coma', in which case multiple CONDITION_OCCURRENCE records will be generated for the one source value record.
+    - If the SOURCE_CONCEPT_ID is not mappable to any Standard CONCEPT_ID, the <entity>_CONCEPT_ID field is set to 0.
+  - Write the data record into the table(s) corresponding to the domain of the Standard CONCEPT_ID(s). 
+    - If the Source Value has a SOURCE_CONCEPT_ID but the SOURCE_CONCEPT_ID is not mapped to a Standard CONCEPT_ID, then the domain for the data record, and hence it's table location, is determined by the DOMAIN_ID field of the CONCEPT record the SOURCE_CONCEPT_ID refers to. The Standard <entity>_CONCEPT_ID is set to 0. 
+    - If the Source Value cannot be mapped to a SOURCE_CONCEPT_ID or Standard CONCEPT_ID, then direct the data record to the most appropriate CDM domain based on your local knowledge of the intent of the source data and associated value. For example, if the un-mappable Source Value came from a 'diagnosis' table then, in the absence of other information, you may choose to record that fact in the CONDITION_OCCURRENCE table.
 
-Each standard concept_id field has a set of allowable concept_id values. The allowable values are defined by the domain of the concepts. For example, there is a domain concept of 'Gender', for which there are only two allowable standard concepts of practical use (8507- 'Male', 8532- 'Female') and one allowable generic concept to represent a standard notion of 'no information' (concept_id = 0).
+Each Standard CONCEPT_ID field has a set of allowable CONCEPT_ID values. The allowable values are defined by the domain of the concepts. For example, there is a domain concept of 'Gender', for which there are only two allowable standard concepts of practical use (8507 - 'Male', 8532- 'Female') and one allowable generic concept to represent a standard notion of 'no information' (concept_id = 0). This 'no information' concept should be used when there is no mapping to a standard concept available or if there is no information available for that field. The exceptions are MEASUREMENT.VALUE_AS_CONCEPT_ID, OBSERVATION.VALUE_AS_CONCEPT_ID, MEASUREMENT.UNIT_CONCEPT_ID, OBSERVATION.UNIT_CONCEPT_ID, MEASUREMENT.OPERATOR_CONCEPT_ID, and OBSERVATION.MODIFIER_CONCEPT_ID, which can be NULL if the data do not contain the information ([THEMIS issue #11](https://github.com/OHDSI/Themis/issues/11)).  
 
-There is no constraint on allowed concept_ids within the source_concept_id fields. 
+There is no constraint on allowed CONCEPT_IDs within the SOURCE_CONCEPT_ID fields. 
 
-### Custom source_to_concept_maps 
+### Custom SOURCE_TO_CONCEPT_MAPs 
 
-When the source data uses coding systems that are not currently in the Standardized Vocabularies (e.g. ICPC codes for diagnoses), the convention is to store the mapping of such source codes to Standard Concepts in the SOURCE_TO_CONCEPT_MAP table. The codes used in the data source can be recorded in the source_value fields, but no source_concept_id will be available.
+When the source data uses coding systems that are not currently in the Standardized Vocabularies (e.g. ICPC codes for diagnoses), the convention is to store the mapping of such source codes to Standard Concepts in the SOURCE_TO_CONCEPT_MAP table. The codes used in the data source can be recorded in the SOURCE_VALUE fields, but no SOURCE_CONCEPT_ID will be available.
 
 Custom source codes are not allowed to map to Standard Concepts that are marked as invalid.
diff --git a/Documentation/CommonDataModel_Wiki_Files/Background/Design-Principles.md b/Documentation/CommonDataModel_Wiki_Files/Background/Design-Principles.md
index 090a345..278e902 100644
--- a/Documentation/CommonDataModel_Wiki_Files/Background/Design-Principles.md
+++ b/Documentation/CommonDataModel_Wiki_Files/Background/Design-Principles.md
@@ -2,13 +2,13 @@ The CDM is designed to include all observational health data elements (experienc
 
 Therefore, the CDM is designed to store observational data to allow for research, under the following principles:  
  
-  - **Suitability for purpose:** The CDM aims at providing data organized in a way optimal for analysis, rather than for the purpose of operational needs of health care providers or payers. 
+  - **Suitability for purpose:** The CDM aims to provide data organized in a way optimal for analysis, rather than for the purpose of addressing the operational needs of health care providers or payers. 
   - **Data protection:** All data that might jeopardize the identity and protection of patients, such as names, precise birthdays etc. are limited. Exceptions are possible where the research expressly requires more detailed information, such as precise birth dates for the study of infants.
   - **Design of domains:** The domains are modeled in a person-centric relational data model, where for each record the identity of the person and a date is captured as a minimum.
-  - **Rationale for domains:** Domains are identified and separately defined in an Entity-relationship model if they have an analysis use case and the domain has specific attributes that are not otherwise applicable.  All other data can be preserved as an observation in an entity-attribute-value structure.
+  - **Rationale for domains:** Domains are identified and separately defined in an entity-relationship model if they have an analysis use case and the domain has specific attributes that are not otherwise applicable.  All other data can be preserved as an observation in an entity-attribute-value structure.
   - **Standardized Vocabularies:** To standardize the content of those records, the CDM relies on the Standardized Vocabularies containing all necessary and appropriate corresponding standard healthcare concepts.
   - **Reuse of existing vocabularies:** If possible, these concepts are leveraged from national or industry standardization or vocabulary definition organizations or initiatives, such as the National Library of Medicine, the Department of Veterans' Affairs, the Center of Disease Control and Prevention, etc.
   - **Maintaining source codes:** Even though all codes are mapped to the Standardized Vocabularies, the model also stores the original source code to ensure no information is lost.
   - **Technology neutrality:** The CDM does not require a specific technology. It can be realized in any relational database, such as Oracle, SQL Server etc., or as SAS analytical datasets.
   - **Scalability:** The CDM is optimized for data processing and computational analysis to accommodate data sources that vary in size, including databases with up to hundreds of millions of persons and billions of clinical observations.
-  - **Backwards compatibility:** All changes from previous CDMs are clearly delineated. Older versions of the CDM can be easily created from this CDMv5, and no information is lost that was present previously.
+  - **Backwards compatibility:** All changes from previous CDMs are clearly delineated in the [github repository](https://github.com/OHDSI/CommonDataModel). Older versions of the CDM can be easily created from the CDMv5, and no information is lost that was present previously.
diff --git a/Documentation/CommonDataModel_Wiki_Files/Frequently-Asked-Questions.md b/Documentation/CommonDataModel_Wiki_Files/Frequently-Asked-Questions.md
index 249fb28..1c79bc7 100644
--- a/Documentation/CommonDataModel_Wiki_Files/Frequently-Asked-Questions.md
+++ b/Documentation/CommonDataModel_Wiki_Files/Frequently-Asked-Questions.md
@@ -31,9 +31,13 @@ Year_of_birth, month_of_birth, day_of_birth and birth_datetime are all fields in
 
 Standard Concepts are used to denote all clinical entities throughout the OMOP common data model, including gender, race, and ethnicity. Source values are mapped to Standard Concepts during the extract, transform, load (ETL) process of converting a database to the OMOP Common Data Model. These are then stored in the Gender_concept_id, Race_concept_id and Ethnicity_concept_id fields in the Person table.  Because the standard concepts span across all clinical domains, and in keeping with Cimino’s ‘Desiderata for Controlled Medical Vocabularies in the Twenty-First Century’, the identifiers are unique, persistent nonsematic identifiers.  Gender, for example, is stored as either 8532 (female) or 8507 (male) in gender_concept_id while the original value from the source is stored in gender_source_value (M, male, F, etc)..
 
+**7. Are there conditions/procedures/drugs or other domains that should be masked or hidden in the CDM? 
+
+The masking of information related to a person is dependent on the organization's privacy policies and may vary by data asset ([THEMIS issue #21](https://github.com/OHDSI/Themis/issues/21)). 
+
 **7. How is time-varying patient information such as location of residence addressed in the model?**
 
-The OMOP common data model has been pragmatically defined based on the desired analytic use cases of the community, as well as the available types of data that community members have access to.  Currently in the model, Each each person record has associated demographic attributes which are assumed to be constant for the patient throughout the course of their periods of observation. For example, the location or primary care provider is expected to have a unique value per person, even though in life these data may change over time. Typically, the most recent information is chosen though it is up to the person performing the transformation which value to store.
+The OMOP common data model has been pragmatically defined based on the desired analytic use cases of the community, as well as the available types of data that community members have access to.  Prior to CDM v6.0, each person record had associated demographic attributes which are assumed to be constant for the patient throughout the course of their periods of observation, like location and primary care provider. With the release of CDM v6.0, the Location_History table is now available to track the movements of people, care sites, and providers over time. Only the most recent location_id should be stored in the Person table to eliminate duplication, while the person's movements are stored in Location_History.
 
 Something like marital status is a little different as it is considered to be an observation rather than a demographic attribute. This means that it is housed in the Observation table rather than the Person table, giving the opportunity to store each change in status as a unique record. 
 
@@ -57,7 +61,7 @@ An observation period is considered as the time at which a patient is at-risk to
 
 If your data use any of the 55 source vocabularies that are currently supported, the mappings have been done for you. The full list is available from the open-source [ATHENA](http://athena.ohdsi.org/search-terms/terms) tool under the download tab (see below). You can choose to download the ten [vocabulary tables](https://github.com/OHDSI/CommonDataModel/wiki/Standardized-Vocabularies) from there as well – you will need a copy in your environment if you plan on building a CDM. 
 
-![](https://github.com/OHDSI/CommonDataModel/blob/master/Documentation/CommonDataModel_Wiki_Files/Athena_download_box.png)
+![](https://github.com/OHDSI/CommonDataModel/blob/master/Documentation/CommonDataModel_Wiki_Files/images/Athena_download_box.png)
 
 The [ATHENA](http://athena.ohdsi.org/search-terms/terms) tool also allows you to explore the vocabulary before downloading it if you are curious about the mappings or if you have a specific code in mind and would like to know which standard concept it is associated with; just click on the search tab and type in a keyword to begin searching.
 
@@ -65,7 +69,7 @@ The [ATHENA](http://athena.ohdsi.org/search-terms/terms) tool also allows you to
 
 Yes, all mappings are available in the [Concept_relationship](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_RELATIONSHIP) table (which can be downloaded from [ATHENA](http://athena.ohdsi.org/search-terms/terms)). Each value in a supported source terminology is assigned a Concept_id (which is considered non-standard). Each Source_concept_id will have a mapping to a Standard_concept_id. For example:
 
-![](https://github.com/OHDSI/CommonDataModel/blob/master/Documentation/CommonDataModel_Wiki_Files/Sepsis_to_SNOMED.png)
+![](https://github.com/OHDSI/CommonDataModel/blob/master/Documentation/CommonDataModel_Wiki_Files/images/Sepsis_to_SNOMED.png)
 
 In this case the standard SNOMED concept 201826 for type 2 diabetes mellitus would be stored in the Condition_occurrence table as the Condition_concept_id and the ICD10CM concept 1567956 for type 2 diabetes mellitus would be stored as the Condition_source_concept_id.
 
@@ -79,9 +83,11 @@ Yes, that is the beauty of the community! If you find a mapping in the vocabular
 
 **15. What if I have source codes that are specific to my site? How would these be mapped?**
 
-We have a tool called [Usagi](https://github.com/OHDSI/Usagi) (pictured below) that is designed to create mappings between coding systems and the Vocabulary Standard Concepts by using concept names and synonyms to find potential matches.
+ In the OMOP Vocabulary there is an empty table called the Source_to_concept_map. It is a simple table structure that allows you to establish mapping(s) for each source code with a standard concept in the OMOP Vocabulary (TARGET_CONCEPT_ID). This work can be facilitated by the OHDSI tool [Usagi](https://github.com/OHDSI/Usagi) (pictured below) which searches for text similarity between your source code descriptions and the OMOP Vocabulary and exports mappings in a SOURCE_TO_CONCEPT_MAP table structure. Example Source_to_concept_map files can be found [here](https://github.com/OHDSI/ETL-CDMBuilder/tree/master/man/VOCABULARY_ADDITIONS). These generated Source_to_concept_map files are then loaded into the OMOP Vocabulary's empty Source_to_concept_map prior to processing the native data into the CDM so that the CDM builder can use them in a build.
+ 
+![](https://github.com/OHDSI/CommonDataModel/blob/master/Documentation/CommonDataModel_Wiki_Files/images/Usagi.png)
 
-![](https://github.com/OHDSI/CommonDataModel/blob/master/Documentation/CommonDataModel_Wiki_Files/Usagi.png)
+If an source code is not supported by the OMOP Vocabulary, one can create a new records in the CONCEPT table, however the CONCEPT_IDs should start >2000000000 so that it is easy to tell between the OMOP Vocabulary concepts and the site specific concepts. Once those concepts exist CONCEPT_RELATIONSHIPS can be generated to assign them to a standard terminologies, USAGI can facilitate this process as well ([THEMIS issue #22](https://github.com/OHDSI/Themis/issues/22)).  
 
 **16. How are one-to-many mappings applied?**
 
@@ -129,7 +135,7 @@ The community! All the tools are open source meaning that anyone can submit an i
 **24. Do the current tools allow a user to define a treatment gap (persistence window) of any value when creating treatment episodes?**
 
 Yes – the ATLAS tool allows you to specify a persistence window between drug exposures when defining a cohort (see image below).
-![](https://github.com/OHDSI/CommonDataModel/blob/master/Documentation/CommonDataModel_Wiki_Files/ATLAS_Persistence_Window.PNG)
+![](https://github.com/OHDSI/CommonDataModel/blob/master/Documentation/CommonDataModel_Wiki_Files/images/ATLAS_Persistence_Window.PNG)
 
 **25. Can the current tools identify medication use during pregnancy?**
 
diff --git a/Documentation/CommonDataModel_Wiki_Files/License.md b/Documentation/CommonDataModel_Wiki_Files/License.md
index 5454bc9..834478c 100644
--- a/Documentation/CommonDataModel_Wiki_Files/License.md
+++ b/Documentation/CommonDataModel_Wiki_Files/License.md
@@ -4,5 +4,4 @@ This work is based on work by the Observational Medical Outcomes Partnership (OM
 
 All derivative work after the OMOP CDM v4 specification is dedicated to the public domain.  Observational Health Data Sciences and Informatics (OHDSI) has waived all copyright and related or neighboring rights to the extent allowed by law.
 
-![](http://www.ohdsi.org/web/wiki/lib/exe/fetch.php?cache=&w=88&h=31&tok=3977bb&media=documentation:cdm:cdm:public_domain.png)
-http://creativecommons.org/publicdomain/zero/1.0/ 
+[![](http://www.ohdsi.org/web/wiki/lib/exe/fetch.php?cache=&w=88&h=31&tok=3977bb&media=documentation:cdm:cdm:public_domain.png)](http://creativecommons.org/publicdomain/zero/1.0/) 
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/COHORT.md b/Documentation/CommonDataModel_Wiki_Files/ResultsSchema/COHORT.md
similarity index 100%
rename from Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/COHORT.md
rename to Documentation/CommonDataModel_Wiki_Files/ResultsSchema/COHORT.md
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/COHORT_DEFINITION.md b/Documentation/CommonDataModel_Wiki_Files/ResultsSchema/COHORT_DEFINITION.md
similarity index 100%
rename from Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/COHORT_DEFINITION.md
rename to Documentation/CommonDataModel_Wiki_Files/ResultsSchema/COHORT_DEFINITION.md
diff --git a/Documentation/CommonDataModel_Wiki_Files/ResultsSchema/Results-Schema.md b/Documentation/CommonDataModel_Wiki_Files/ResultsSchema/Results-Schema.md
new file mode 100644
index 0000000..07528b9
--- /dev/null
+++ b/Documentation/CommonDataModel_Wiki_Files/ResultsSchema/Results-Schema.md
@@ -0,0 +1,4 @@
+[COHORT](https://github.com/OHDSI/CommonDataModel/wiki/COHORT)   
+[COHORT_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/COHORT_DEFINITION)  
+
+New to CDM v6.0 is the concept of schemas. This allows for more separation between read-only and writeable tables. The clinical data, event, and vocabulary tables are in the 'CDM' schema and tables that need to be manipulated by web-based tools or end users have moved to the 'Results' schema. Currently the only two tables in the 'Results' schema are COHORT and COHORT_DEFINITON, though likely more will be added over the course of v6.0 point releases. 
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/Sepsis_to_SNOMED.png b/Documentation/CommonDataModel_Wiki_Files/Sepsis_to_SNOMED.png
deleted file mode 100644
index 3732431..0000000
Binary files a/Documentation/CommonDataModel_Wiki_Files/Sepsis_to_SNOMED.png and /dev/null differ
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/CONDITION_OCCURRENCE.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/CONDITION_OCCURRENCE.md
index 06a0638..25dcb6e 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/CONDITION_OCCURRENCE.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/CONDITION_OCCURRENCE.md
@@ -1,41 +1,39 @@
-Conditions are records of a Person suggesting the presence of a disease or medical condition stated as a diagnosis, a sign or a symptom, which is either observed by a Provider or reported by the patient. Conditions are recorded in different sources and levels of standardization, for example:
+Conditions are records of a Person suggesting the presence of a disease or medical condition stated as a diagnosis, a sign, or a symptom, which is either observed by a Provider or reported by the patient. Conditions are recorded in different sources and levels of standardization, for example:
 
-  * Medical claims data include diagnoses coded in ICD-9-CM that are submitted as part of a reimbursement claim for health services and 
-  * EHRs may capture Person Conditions in the form of diagnosis codes or symptoms.
+  * Medical claims data include diagnoses coded in Source Vocabularies such as ICD-9-CM that are submitted as part of a reimbursement claim for health services 
+  * EHRs may capture Person conditions in the form of diagnosis codes or symptoms
 
 Field|Required|Type|Description
 :--------------------------------|:--------|:------------|:------------------------------------------------------------
-| condition_occurrence_id        | Yes       | integer      | A unique identifier for each Condition Occurrence event.                                                                                                                                                         |
-| person_id                      | Yes       | integer      | A foreign key identifier to the Person who is experiencing the condition. The demographic details of that Person are stored in the PERSON table.                                                                 |
-| condition_concept_id           | Yes       | integer      | A foreign key that refers to a Standard Condition Concept identifier in the Standardized Vocabularies.                                                                                                           |
-| condition_start_date           | Yes       | date         | The date when the instance of the Condition is recorded.                                                                                                                                                         |
-| condition_start_datetime       | No        | datetime     | The date and time when the instance of the Condition is recorded.                                                                                                                                                |
+| condition_occurrence_id        | Yes       | bigint       | A unique identifier for each Condition Occurrence event.                                                                                                                                                         |
+| person_id                      | Yes       | bigint       | A foreign key identifier to the Person who is experiencing the condition. The demographic details of that Person are stored in the PERSON table.                                                                 |
+| condition_concept_id           | Yes       | integer      | A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies belonging to the 'Condition' domain.                                                                                                           |
+| condition_start_date           | No        | date         | The date when the instance of the Condition is recorded.                                                                                                                                                         |
+| condition_start_datetime       | Yes       | datetime     | The date and time when the instance of the Condition is recorded.                                                                                                                                                |
 | condition_end_date             | No        | date         | The date when the instance of the Condition is considered to have ended.                                                                                                                                         |
-| condition_end_datetime         | No        | date         | The date when the instance of the Condition is considered to have ended.                                                                                                                                         |
-| condition_type_concept_id      | Yes       | integer      | A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the source data from which the condition was recorded, the level of standardization, and the type of occurrence.  |
-| stop_reason                    | No        | varchar(20)  | The reason that the condition was no longer present, as indicated in the source data.                                                                                                                            |
+| condition_end_datetime         | No        | datetime     | The date when the instance of the Condition is considered to have ended.                                                                                                                                         |
+| condition_type_concept_id      | Yes       | integer      | A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the source data from which the Condition was recorded, the level of standardization, and the type of occurrence. These belong to the 'Condition Type' vocabulary  |
+| condition_status_concept_id    | Yes        | integer      | A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies reflecting the point of care at which the Condition was diagnosed.          |
+| stop_reason                    | No        | varchar(20)  | The reason that the Condition was no longer present, as indicated in the source data.                                                                                                                            |
 | provider_id                    | No        | integer      | A foreign key to the Provider in the PROVIDER table who was responsible for capturing (diagnosing) the Condition.                                                                                                |
 | visit_occurrence_id            | No        | integer      | A foreign key to the visit in the VISIT_OCCURRENCE table during which the Condition was determined (diagnosed).                                                                                                  |
 | visit_detail_id                | No        | integer      | A foreign key to the visit in the VISIT_DETAIL table during which the Condition was determined (diagnosed).    																								   |
-| condition_source_value         | No        | varchar(50)  | The source code for the condition as it appears in the source data. This code is mapped to a standard condition concept in the Standardized Vocabularies and the original code is stored here for reference.     |
-| condition_source_concept_id    | No        | integer      | A foreign key to a Condition Concept that refers to the code used in the source.                                                                                                                                 |
-| condition_status_source_value  | No        | varchar(50)  | The source code for the condition status as it appears in the source data.    																																   |
-| condition_status_concept_id    | No        | integer      | A foreign key to the predefined Concept in the Standard Vocabulary reflecting the condition status 																											   |                                                                                                                               
+| condition_source_value         | No        | varchar(50)  | The source code for the Condition as it appears in the source data. This code is mapped to a Standard Condition Concept in the Standardized Vocabularies and the original code is stored here for reference.     |
+| condition_source_concept_id    | Yes        | integer      | A foreign key to a Condition Concept that refers to the code used in the source.                                                                                                                                 |
+| condition_status_source_value  | No        | varchar(50)  | The source code for the condition status as it appears in the source data.  This code is mapped to a Standard Concept in the Standardized Vocabularies and the original code is stored here for reference.   |
+                                                                                                                               
 
 ### Conventions 
 
-  * Valid Condition Concepts belong to the "Condition" domain. 
-  * Condition records are typically inferred from diagnostic codes recorded in the source data. Such code system, like ICD-9-CM, ICD-10-CM, Read etc., provide a comprehensive coverage of conditions. However, if the diagnostic code in the source does not define a condition, but rather an observation or a procedure, then such information is not stored in the CONDITION_OCCURRENCE table, but in the respective tables instead.
-  * Source Condition identifiers are mapped to Standard Concepts for Conditions in the Standardized Vocabularies. When the source code cannot be translated into a Standard Concept, a CONDITION_OCCURRENCE entry is stored with only the corresponding source_concept_id and source_value, while the condition_concept_id is set to 0. 
-  * Family history and past diagnoses ("history of") are not recorded in the CONDITION_OCCURRENCE table. Instead, they are listed in the OBSERVATION table.
-  * Codes written in the process of establishing the diagnosis, such as "question of" of and "rule out", are not represented here.  Instead, they are listed in the OBSERVATION table, if they are used for analyses.
-  * A Condition Occurrence Type is assigned based on the data source and type of condition attribute, for example:
-    * ICD-9-CM Primary Diagnosis from inpatient and outpatient Claims
-    * ICD-9-CM Secondary Diagnoses from inpatient and outpatient Claims
-    * Diagnoses or problems recorded in an EHR.
-  * The Stop Reason indicates why a Condition is no longer valid with respect to the purpose within the source data. Typical values include "Discharged", "Resolved", etc.  Note that a Stop Reason does not necessarily imply that the condition is no longer occurring.
-  * Condition source codes are typically ICD-9-CM, Read or ICD-10 diagnosis codes from medical claims or discharge status/visit diagnosis codes from EHRs.
-  * Presently, there is no designated vocabulary, domain, or class that represents condition status. The following concepts from SNOMED are recommended:
-    * Admitting diagnosis: 4203942
-    * Final diagnosis: 4230359 (should also be used for discharge diagnosis)
-    * Preliminary diagnosis: 4033240
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Valid Condition Concepts belong to the 'Condition' domain. 
+| 2  | Condition records are typically inferred from diagnostic codes recorded in the source data. Such code systems, like ICD-9-CM, ICD-10-CM, Read etc., provide a comprehensive coverage of conditions. However, if the diagnostic code in the source does not define a condition, but rather an observation or a procedure, then such information is not stored in the CONDITION_OCCURRENCE table, but in the respective tables indicated by the domain.
+| 3  | Source Condition identifiers are mapped to Standard Concepts for Conditions in the Standardized Vocabularies. When the source code cannot be translated into a Standard Concept, a CONDITION_OCCURRENCE entry is stored with only the corresponding SOURCE_CONCEPT_ID and SOURCE_VALUE, while the CONDITION_CONCEPT_ID is set to 0. 
+| 4  | Family history and past diagnoses ('history of') are not recorded in the CONDITION_OCCURRENCE table. Instead, they are listed in the OBSERVATION table.
+| 5  | Codes written in the process of establishing the diagnosis, such as 'question of' of and 'rule out', are not represented here.  Instead, they are listed in the OBSERVATION table, if they are used for analyses.
+| 6  | A Condition Occurrence Type is assigned based on the data source and type of condition attribute, for example:<br><ul><li>ICD-9-CM Primary Diagnosis from inpatient and outpatient claims</li><li>ICD-9-CM Secondary Diagnoses from inpatient and outpatient claims</li><li>Diagnoses or problems recorded in an EHR.</li></ul> |
+| 7  | Valid Condition Occurrence Type Concepts belong to the 'Condition Type' vocabulary in the 'Type Concept' domain.
+| 8  | The Stop Reason indicates why a Condition is no longer valid with respect to the purpose within the source data. Typical values include 'Discharged', 'Resolved', etc.  Note that a Stop Reason does not necessarily imply that the condition is no longer occurring.
+| 9  | Condition source codes are typically ICD-9-CM, Read or ICD-10-CM diagnosis codes from medical claims or discharge status/visit diagnosis codes from EHRs.
+| 10 | Presently, there is no designated vocabulary, domain, or class that represents condition status. The following concepts from SNOMED are recommended:<br><ul><li>Admitting diagnosis: 4203942</li><li>Final diagnosis: 4230359 (should also be used for discharge diagnosis</li><li>Preliminary diagnosis: 4033240</li></ul> |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DEATH.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DEATH.md
index 091329c..9167ec5 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DEATH.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DEATH.md
@@ -1,21 +1,21 @@
-The death domain contains the clinical event for how and when a Person dies. A person can have up to one record if the source system contains evidence about the Death, such as:
+As of OMOP CDM v6.0, the DEATH table has been deprecated in favor of storing the cause of death in the CONDITION_OCCURRENCE table, any observations relating to death stored in the OBSERVATION table, and a singular death date will be chosen and stored in the PERSON table.
+
+The 'Death' domain contains the clinical events surrounding how and when a Person dies. A Person can have information in the source system containing evidence about the Death, such as:
 
   * Condition Code in the Header or Detail information of claims
   * Status of enrollment into a health plan
   * Explicit record in EHR data
 
-Field|Required|Type|Description
-:-------------------------|:--------|:-----|:----------------------------------------------
-|person_id|Yes|integer|A foreign key identifier to the deceased person. The demographic details of that person are stored in the person table.|
-|death_date |Yes|date|The date the person was deceased. If the precise date including day or month is not known or not allowed, December is used as the default month, and the last day of the month the default day.|
-|death_datetime |No|datetime|The date and time the person was deceased. If the precise date including day or month is not known or not allowed, December is used as the default month, and the last day of the month the default day.|
-|death_type_concept_id|Yes|integer|A foreign key referring to the predefined concept identifier in the Standardized Vocabularies reflecting how the death was represented in the source data.|
-|cause_concept_id|No|integer|A foreign key referring to a standard concept identifier in the Standardized Vocabularies for conditions.|
-|cause_source_value|No|varchar(50)|The source code for the cause of death as it appears in the source data. This code is mapped to a standard concept in the Standardized Vocabularies and the original code is, stored here for reference.|
-|cause_source_concept_id|No|integer|A foreign key to the concept that refers to the code used in the source. Note, this variable name is abbreviated to ensure it will be allowable across database platforms.|
-
 ### Conventions 
-  * Living patients should not contain any information in the DEATH table.
-  * Each Person may have more than one record of death in the source data. It is the task of the ETL to pick the most plausible or most accurate records to be aggregated and stored as a single record in the DEATH table.
-  * If the Death Date cannot be precisely determined from the data, the best approximation should be used.
-  * Valid Concepts for the cause_concept_id have domain_id='Condition'.
\ No newline at end of file
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Living patients should not have a value in PERSON.DEATH_DATETIME, nor should they have any records relating to death either in the CONDITION_OCCURRENCE or OBSERVATION tables
+| 2  | Only one death date per individual can be used. If a patient has clinical activity (e.g. prescriptions filled, labs performed, etc) more than 60+ days after death you may want to drop the death record as it may have been falsely reported. If multiple records of death exist on multiple days you may select the death that you deem most reliable (e.g. death at discharge) or select the latest death date ([THEMIS issue #6](https://github.com/OHDSI/Themis/issues/6)).
+| 3  | If multiple death records occur, the date and the person have to be the same, but the cause can be different. Can be reported by different sources as well ([THEMIS issue #5](https://github.com/OHDSI/Themis/issues/5)).
+| 4  | If PERSON.DEATH_DATETIME cannot be precisely determined from the data, the best approximation should be used.
+| 5  | Any cause of death should be stored in the CONDITION_OCCURRENCE table, using the CONDITION_TYPE vocabulary with the DEATH_TYPE concept class.
+| 6  | All observations relating to death should be stored in the OBSERVATION table, including the concept [4306655](http://athena.ohdsi.org/search-terms/terms/4306655). 
+| 7  | The DEATH_DATETIME in the PERSON table should not be used as the way to find all deaths<br><ul><li>`select * from PERSON where death_datetime is not null` should not be the practice</li><li>Rather, deaths should be found through the OBSERVATION table and the PERSON table is only used to determine which death date should be used in analysis</li></ul>
+  
+  
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DEVICE_EXPOSURE.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DEVICE_EXPOSURE.md
index fdfd3a6..efb2fad 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DEVICE_EXPOSURE.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DEVICE_EXPOSURE.md
@@ -1,29 +1,33 @@
-The device exposure domain captures information about a person's exposure to a foreign physical object or instrument that which is used for diagnostic or therapeutic purposes through a mechanism beyond chemical action. Devices include implantable objects (e.g. pacemakers, stents, artificial joints), medical equipment and supplies (e.g. bandages, crutches, syringes), other instruments used in medical procedures (e.g. sutures, defibrillators) and material used in clinical care (e.g. adhesives, body material, dental material, surgical material).
+The 'Device' domain captures information about a person's exposure to a foreign physical object or instrument which is used for diagnostic or therapeutic purposes through a mechanism beyond chemical action. Devices include implantable objects (e.g. pacemakers, stents, artificial joints), medical equipment and supplies (e.g. bandages, crutches, syringes), other instruments used in medical procedures (e.g. sutures, defibrillators) and material used in clinical care (e.g. adhesives, body material, dental material, surgical material).
 
 Field|Required|Type|Description
 :--------------------------------|:--------|:------------|:--------------------------------------------
-|device_exposure_id|Yes|integer|A system-generated unique identifier for each Device Exposure.|
-|person_id|Yes|integer|A foreign key identifier to the Person who is subjected to the Device. The demographic details of that person are stored in the Person table.|
-|device_concept_id|Yes|integer|A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the Device concept.|
-|device_exposure_start_date|Yes|date|The date the Device or supply was applied or used.|
-|device_exposure_start_datetime|No|datetime|The date and time the Device or supply was applied or used.|
-|device_exposure_end_date|No|date|The date the Device or supply was removed from use.|
-|device_exposure_end_datetime|No|datetime|The date and time the Device or supply was removed from use.|
-|device_type_concept_id|Yes|integer|A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of Device Exposure recorded. It indicates how the Device Exposure was represented in the source data.|
-|unique_device_id |No|varchar(50)|A UDI or equivalent identifying the instance of the Device used in the Person.|
-|quantity|No|integer|The number of individual Devices used for the exposure.|
-|provider_id|No|integer|A foreign key to the provider in the PROVIDER table who initiated of administered the Device.|
-|visit_occurrence_id|No|integer|A foreign key to the visit in the VISIT_OCCURRENCE table during which the device was used.|
-|visit_detail_id|No|integer|A foreign key to the visit detail in the VISIT_DETAIL table during which the Drug Exposure was initiated.|
-|device_source_value|No|varchar(50)|The source code for the Device as it appears in the source data. This code is mapped to a standard Device Concept in the Standardized Vocabularies and the original code is stored here for reference.|
-|device_source_concept_id|No|integer|A foreign key to a Device Concept that refers to the code used in the source.|
+| device_exposure_id			| Yes	| bigint	| A system-generated unique identifier for each Device Exposure.                                                                                                                     |
+| person_id						| Yes	| bigint	| A foreign key identifier to the Person who is subjected to the Device. The demographic details of that Person are stored in the PERSON table.                                      |
+| device_concept_id				| Yes	| integer	| A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies belonging to the 'Device' domain.                                                    |   
+| device_exposure_start_date	| No	| date		| The date the Device or supply was applied or used.                                                                                                                                 |
+| device_exposure_start_datetime| Yes	| datetime	| The date and time the Device or supply was applied or used.                                                                                                                                 |
+| device_exposure_end_date		| No	| date		| The date use of the Device or supply was ceased.                                                                                                                                   |
+| device_exposure_end_datetime	| No	| datetime	| The date and time use of the Device or supply was ceased.                                                                                                                          |
+| device_type_concept_id		| Yes	| integer	| A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of Device Exposure recorded. It indicates how the Device Exposure was represented in the source data and belongs to the 'Device Type' domain.|
+| unique_device_id 				| No	| varchar(50)| A UDI or equivalent identifying the instance of the Device used in the Person.                                                                                                     |
+| quantity						| No	| integer	| The number of individual Devices used in the exposure.                                                                                                                             |
+| provider_id					| No	| integer	| A foreign key to the provider in the PROVIDER table who initiated or administered the Device.                                                                                      |
+| visit_occurrence_id			| No	| integer	| A foreign key to the visit in the VISIT_OCCURRENCE table during which the Device was used.                                                                                         |
+| visit_detail_id				| No	| integer	| A foreign key to the visit detail record in the VISIT_DETAIL table during which the Device was used.                                                                               |
+| device_source_value			| No	| varchar(50)| The source code for the Device as it appears in the source data. This code is mapped to a Standard Device Concept in the Standardized Vocabularies and the original code is stored here for reference.|
+| device_source_concept_id		| Yes	| integer	| A foreign key to a Device Concept that refers to the code used in the source.|
 
-### Conventions 
+### Conventions
 
-  * The distinction between Devices or supplies and procedures are sometimes blurry, but the former are physical objects while the latter are actions, often to apply a Device or supply. 
-  * For medical devices that are regulated by the FDA, if a Unique Device Identification (UDI) is provided if available in the data source, and is recorded in the unique_device_id field.
-  * Valid Device Concepts belong to the "Device" domain.  The Concepts of this domain are derived from the DI portion of a UDI or based on other source vocabularies, like HCPCS.
-  * A Device Type is assigned to each Device Exposure to track from what source the information was drawn or inferred. The valid domain_id for these Concepts is "Device Type".
-  * The Visit during which the Device was first used is recorded through a reference to the VISIT_OCCURRENCE table. This information is not always available.
-  * The Visit Detail during which the Device was first used is recorded through a reference to the VISIT_DETAIL table. This information is not always available.
-  * The Provider exposing the patient to the Device is recorded through a reference to the PROVIDER table. This information is not always available.
+No.|Convention Description
+:--------|:------------------------------------ 
+| 1  | The distinction between Devices or supplies and Procedures are sometimes blurry, but the former are physical objects while the latter are actions, often to apply a Device or supply.| 
+| 2  | For medical devices that are regulated by the FDA, a Unique Device Identification (UDI) is provided if available in the data source and is recorded in the UNIQUE_DEVICE_ID field.|
+| 3  | Valid Device Concepts belong to the 'Device' domain.  The Concepts of this domain are derived from the DI portion of a UDI or based on other source vocabularies, like HCPCS.|
+| 4  | A Device Type is assigned to each Device Exposure to track from what source the information was drawn or inferred. The valid vocabulary for these Concepts is 'Device Type'.|
+| 5  | The Visit during which the Device was first used is recorded through a reference to the VISIT_OCCURRENCE table. |
+| 6  | The Visit Detail during which the Device was first used is recorded through a reference to the VISIT_DETAIL table.| 
+| 7  | The Provider exposing the patient to the Device is recorded through a reference to the PROVIDER table. 
+| 8  | When dealing with duplicate records, the ETL must determine whether to sum them up into one record or keep them separate. Things to consider are:<br><ul><li>Same Device/Procedure</li><li>Same DEVICE_EXPOSURE_START_DATETIME</li><li> Same Visit Occurrence or Visit Detail</li><li>Same Provider</li><li>Same Modifier for Procedures</li><li>Same COST_ID</li></ul>[THEMIS issue #27](https://github.com/OHDSI/Themis/issues/27) |
+| 9  | If a Device Exposure has a quantity of '0' in the source, this should default to '1' in the ETL. If there is a record in the source it can be assumed the exposure occurred at least once ([THEMIS issue #26](https://github.com/OHDSI/Themis/issues/26)). |
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DRUG_EXPOSURE.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DRUG_EXPOSURE.md
index b44a4b5..028f86f 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DRUG_EXPOSURE.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/DRUG_EXPOSURE.md
@@ -1,47 +1,51 @@
-The drug exposure domain captures records about the utilization of a Drug when ingested or otherwise introduced into the body. A Drug is a biochemical substance formulated in such a way that when administered to a Person it will exert a certain physiological effect. Drugs include prescription and over-the-counter medicines, vaccines, and large-molecule biologic therapies. Radiological devices ingested or applied locally do not count as Drugs.
+The 'Drug' domain captures records about the utilization of a Drug when ingested or otherwise introduced into the body. A Drug is a biochemical substance formulated in such a way that when administered to a Person it will exert a certain physiological effect. Drugs include prescription and over-the-counter medicines, vaccines, and large-molecule biologic therapies. Radiological devices ingested or applied locally do not count as Drugs.
 
 Drug Exposure is inferred from clinical events associated with orders, prescriptions written, pharmacy dispensings, procedural administrations, and other patient-reported information, for example:
 
-  * The "Prescription" section of an EHR captures prescriptions written by physicians or from electronic ordering systems
-  * The "Medication list" section of an EHR for both non-prescription products and medications prescribed by other providers
+  * The 'Prescription' section of an EHR captures prescriptions written by physicians or from electronic ordering systems
+  * The 'Medication list' section of an EHR for both non-prescription products and medications prescribed by other providers
   * Prescriptions filled at dispensing providers such as pharmacies, and then captured in reimbursement claim systems
   * Drugs administered as part of a Procedure, such as chemotherapy or vaccines.
 
 Field|Required|Type|Description
 :------------------------------|:--------|:------------|:------------------------------------------------
-|drug_exposure_id|Yes|integer|A system-generated unique identifier for each Drug utilization event.|
-|person_id|Yes|integer|A foreign key identifier to the person who is subjected to the Drug. The demographic details of that person are stored in the person table.|
-|drug_concept_id|Yes|integer|A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the Drug concept.|
-|drug_exposure_start_date|Yes|date|The start date for the current instance of Drug utilization. Valid entries include a start date of a prescription, the date a prescription was filled, or the date on which a Drug administration procedure was recorded.|
-|drug_exposure_start_datetime|No|datetime|The start date and time for the current instance of Drug utilization. Valid entries include a start date of a prescription, the date a prescription was filled, or the date on which a Drug administration procedure was recorded.|
-|drug_exposure_end_date|Yes|date|The end date for the current instance of Drug utilization. It is not available from all sources.|
-|drug_exposure_end_datetime|No|datetime|The end date and time for the current instance of Drug utilization. It is not available from all sources.|
-|verbatim_end_date|No|date|The known end date of a drug_exposure as provided by the source|
-|drug_type_concept_id|Yes|integer| A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of Drug Exposure recorded. It indicates how the Drug Exposure was represented in the source data.|
-|stop_reason|No|varchar(20)|The reason the Drug was stopped. Reasons include regimen completed, changed, removed, etc.|
-|refills|No|integer|The number of refills after the initial prescription. The initial prescription is not counted, values start with 0.|
-|quantity |No|float|The quantity of drug as recorded in the original prescription or dispensing record.|
-|days_supply|No|integer|The number of days of supply of the medication as recorded in the original prescription or dispensing record.|
-|sig|No|varchar(MAX)|The directions ("signetur") on the Drug prescription as recorded in the original prescription (and printed on the container) or dispensing record.|
-|route_concept_id|No|integer|A foreign key to a predefined concept in the Standardized Vocabularies reflecting the route of administration.|
-|lot_number|No|varchar(50)|An identifier assigned to a particular quantity or lot of Drug product from the manufacturer.|
-|provider_id|No|integer|A foreign key to the provider in the PROVIDER table who initiated (prescribed or administered) the Drug Exposure.|
-|visit_occurrence_id|No|integer|A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Drug Exposure was initiated.|
-|visit_detail_id|No|integer|A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Drug Exposure was initiated.|
-|drug_source_value|No|varchar(50)|The source code for the Drug as it appears in the source data. This code is mapped to a Standard Drug concept in the Standardized Vocabularies and the original code is, stored here for reference.|
-|drug_source_concept_id|No|integer|A foreign key to a Drug Concept that refers to the code used in the source.|
-|route_source_value|No|varchar(50)|The information about the route of administration as detailed in the source.|
-|dose_unit_source_value|No|varchar(50)|The information about the dose unit as detailed in the source.|
+| drug_exposure_id				| Yes	| bigint	| A system-generated unique identifier for each Drug utilization event.                                                                                                            |
+|person_id						|Yes	|bigint		|A foreign key identifier to the Person who is subjected to the Drug. The demographic details of that Person are stored in the PERSON table.                                      |
+|drug_concept_id				|Yes	|integer	|A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies belonging to the 'Drug' domain.                                                      |
+|drug_exposure_start_date		|No		|date		|The start date for the current instance of Drug utilization. Valid entries include a start date of a prescription, the date a prescription was filled, or the date on which a Drug administration procedure was recorded.|
+|drug_exposure_start_datetime	|Yes	|datetime	|The start date and time for the current instance of Drug utilization. Valid entries include a start datetime of a prescription, the date and time a prescription was filled, or the date and time on which a Drug administration procedure was recorded.|
+|drug_exposure_end_date			|No		|date		|The end date for the current instance of Drug utilization. Depending on different sources, it could be a known or an inferred date and denotes the last day at which the patient was still exposed to Drug.                                                                                 |
+|drug_exposure_end_datetime		|No		|datetime	|The end date and time for the current instance of Drug utilization. Depending on different sources, it could be a known or an inferred date and time and denotes the last day at which the patient was still exposed to Drug.                                                                       |
+|verbatim_end_date				|No		|date		|The known end date of a drug_exposure as provided by the source.                                                                                                                  |
+|drug_type_concept_id			|Yes	|integer	| A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of Drug Exposure recorded. It indicates how the Drug Exposure was represented in the source data and belongs to the 'Drug Type' vocabulary.|
+|stop_reason					|No		|varchar(20)|The reason the Drug was stopped. Reasons include regimen completed, changed, removed, etc.                                                                                       |
+|refills						|No		|integer	|The number of refills after the initial prescription. The initial prescription is not counted, values start with null.                                                           |
+|quantity 						|No		|float		|The quantity of drug as recorded in the original prescription or dispensing record.                                                                                              |
+|days_supply					|No		|integer	|The number of days of supply of the medication as prescribed. This reflects the intention of the provider for the length of exposure.                                            |
+|sig							|No		|varchar(MAX)|The directions ('signetur') on the Drug prescription as recorded in the original prescription (and printed on the container) or dispensing record.                              |
+|route_concept_id				|Yes		|integer	|A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies reflecting the route of administration and belonging to the 'Route' domain.              |
+|lot_number						|No		|varchar(50)|An identifier assigned to a particular quantity or lot of Drug product from the manufacturer.                                                                                     |
+|provider_id					|No		|integer|A foreign key to the provider in the PROVIDER table who initiated (prescribed or administered) the Drug Exposure.|
+|visit_occurrence_id			|No		|integer|A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Drug Exposure was initiated.|
+|visit_detail_id				|No		|integer|A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Drug Exposure was initiated.|
+|drug_source_value				|No		|varchar(50)|The source code for the Drug as it appears in the source data. This code is mapped to a Standard Drug concept in the Standardized Vocabularies and the original code is, stored here for reference.|
+|drug_source_concept_id			|Yes		|integer|A foreign key to a Drug Concept that refers to the code used in the source.|
+|route_source_value				|No		|varchar(50)|The information about the route of administration as detailed in the source.|
+|dose_unit_source_value			|No		|varchar(50)|The information about the dose unit as detailed in the source.|
 
 ### Conventions 
 
-  * Valid Concepts for the drug_concept_id field belong to the "Drug" domain. Most Concepts in the Drug domain are based on RxNorm, but some may come from other sources. Concepts are members of the Clinical Drug or Pack, Branded Drug or Pack, Drug Component or Ingredient classes.
-  * Source drug identifiers, including NDC codes, Generic Product Identifiers, etc. are mapped to Standard Drug Concepts in the Standardized Vocabularies (e.g., based on RxNorm). When the Drug Source Value of the code cannot be translated into standard Drug Concept IDs, a Drug exposure entry is stored with only the corresponding source_concept_id and drug_source_value and a drug_concept_id of 0.
-  * The Drug Concept with the most detailed content of information is preferred during the mapping process. These are indicated in the concept_class_id field of the Concept and are recorded in the following order of precedence: "Branded Pack", "Clinical Pack", "Branded Drug", "Clinical Drug", "Branded Drug Component", "Clinical Drug Component", "Branded Drug Form", "Clinical Drug Form", and only if no other information is available "Ingredient". Note: If only the drug class is known, the drug_concept_id should contain 0.
-  * A Drug Type is assigned to each Drug Exposure to track from what source the information was drawn or inferred from. The valid domain_id for these Concepts is "Drug Type".
-  * The content of the refills field determines the current number of refills, not the number of remaining refills. For example, for a drug prescription with 2 refills, the content of this field for the 3 Drug Exposure events are null, 1 and 2.
-  * The route_concept_id refers to a Standard Concepts of the "Route" domain. Note: Route information can also be inferred from the Drug product itself by determining the Drug Form of the Concept, creating some partial overlap of the same type of information. However, the route_concept_id could resolve ambiguities of how a certain Drug Form is actually applied. For example, a "Solution" could be used orally or parentherally, and this field will make this determination. 
-  * The lot_number field contains an identifier assigned from the manufacturer of the Drug product. 
-  * If possible, the visit in which the drug was prescribed or delivered is recorded in the visit_occurrence_id field through a reference to the visit table.
-  * If possible, the prescribing or administering provider (physician or nurse) is recorded in the provider_id field through a reference to the provider table.
-  * The drug_exposure_end_date denotes the day the drug exposure ended for the patient. This could be that the duration of drug_supply was reached (in which case drug_exposure_end_date = drug_exposure_start_date + days_supply -1), or because the exposure was stopped (medication changed, medication discontinued, etc.)
+No.|Convention Description
+:--------|:------------------------------------ 
+| 1  | Valid Concepts for the DRUG_CONCEPT_ID field belong to the 'Drug' domain. Most Concepts in the Drug domain are based on RxNorm, but some may come from other sources. Concepts are members of the Clinical Drug or Pack, Branded Drug or Pack, Drug Component or Ingredient classes. |
+| 2  | Source drug identifiers, including NDC codes, Generic Product Identifiers, etc. are mapped to Standard Drug Concepts in the Standardized Vocabularies (e.g., based on RxNorm). When the Drug Source Value of the code cannot be translated into Standard Drug Concept IDs, a Drug exposure entry is stored with only the corresponding SOURCE_CONCEPT_ID and DRUG_SOURCE_VALUE and a DRUG_CONCEPT_ID of 0.
+| 3  | The Drug Concept with the most detailed content of information is preferred during the mapping process. These are indicated in the CONCEPT_CLASS_ID field of the Concept and are recorded in the following order of precedence: 'Branded Pack', 'Clinical Pack', 'Branded Drug', 'Clinical Drug', 'Branded Drug Component', 'Clinical Drug Component', 'Branded Drug Form', 'Clinical Drug Form', and only if no other information is available 'Ingredient'. Note: If only the drug class is known, the DRUG_CONCEPT_ID field should contain 0.
+| 4  | A Drug Type is assigned to each Drug Exposure to track from what source the information was drawn or inferred from. The valid CONCEPT_CLASS_ID for these Concepts is 'Drug Type'. |
+| 5  | The content of the refills field determines the current number of refills, not the number of remaining refills. For example, for a drug prescription with 2 refills, the content of this field for the 3 Drug Exposure events are null, 1 and 2.|
+| 6  | The ROUTE_CONCEPT_ID refers to a Standard Concepts of the 'Route' domain. Note: Route information can also be inferred from the Drug product itself by determining the Drug Form of the Concept, creating some partial overlap of the same type of information. Therefore, route information should be stored in DRUG_CONCEPT_ID (as a drug with corresponding Dose Form). The ROUTE_CONCEPT_ID could be used for storing more granular forms e.g. 'Intraventricular cardiac'.| 
+| 7  | The LOT_NUMBER field contains an identifier assigned from the manufacturer of the Drug product. |
+| 8  | If possible, the visit in which the drug was prescribed or delivered is recorded in the VISIT_OCCURRENCE_ID field through a reference to the visit table.|
+| 9  | If possible, the prescribing or administering provider (physician or nurse) is recorded in the PROVIDER_ID field through a reference to the provider table.
+| 10 | The DRUG_EXPOSURE_END_DATE denotes the day the drug exposure ended for the patient. This could be that the duration of DRUG_SUPPLY was reached (in which case DRUG_EXPOSURE_END_DATETIME = DRUG_EXPOSURE_START_DATETIME + DAYS_SUPPLY -1 day), or because the exposure was stopped (medication changed, medication discontinued, etc.)|
+| 11 | When the native data suggests a drug exposure has a days supply less than 0, drop the record as unknown if a person has received the drug or not ([THEMIS issue #24](https://github.com/OHDSI/Themis/issues/24)).|
+| 12 | If a patient has multiple records on the same day for the same drug or procedures the ETL should not de-dupe them unless there is probable reason to believe the item is a true data duplicate ([THEMIS issue #14](https://github.com/OHDSI/Themis/issues/14)).|
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/FACT_RELATIONSHIP.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/FACT_RELATIONSHIP.md
index 6660069..b94525b 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/FACT_RELATIONSHIP.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/FACT_RELATIONSHIP.md
@@ -1,4 +1,4 @@
-The FACT_RELATIONSHIP table contains records about the relationships between facts stored as records in any table of the CDM. Relationships can be defined between facts from the same domain (table), or different domains. Examples of Fact Relationships include: Person relationships (parent-child), care site relationships (hierarchical organizational structure of facilities within a health system), indication relationship (between drug exposures and associated conditions), usage relationships (of devices during the course of an associated procedure), or facts derived from one another (measurements derived from an associated specimen).
+The FACT_RELATIONSHIP table contains records about the relationships between facts stored as records in any table of the CDM. Relationships can be defined between facts from the same domain, or different domains. Examples of Fact Relationships include: Person relationships (parent-child), care site relationships (hierarchical organizational structure of facilities within a health system), indication relationship (between drug exposures and associated conditions), usage relationships (of devices during the course of an associated procedure), or facts derived from one another (measurements derived from an associated specimen).
 
 Field|Required|Type|Description
 :-------------------------|:--------|:------------|:--------------------------------------------------------------
@@ -9,6 +9,7 @@ Field|Required|Type|Description
 |relationship_concept_id |Yes|integer|A foreign key to a Standard Concept ID of relationship in the Standardized Vocabularies.|
 
 ### Conventions 
-  * All relationships are directional, and each relationship is represented twice symmetrically within the FACT_RELATIONSHIP table. For example, two persons if person_id = 1 is the mother of person_id = 2 two records are in the FACT_RELATIONSHIP table (all strings in fact concept_id records in the Concept table:
-    * Person, 1, Person, 2, parent of
-    * Person, 2, Person, 1, child of
+
+No.|Convention Description
+:--------|:------------------------------------ 
+| 1  | All relationships are directional, and each relationship is represented twice symmetrically within the FACT_RELATIONSHIP table. For example, two persons if person_id = 1 is the mother of person_id = 2 two records are in the FACT_RELATIONSHIP table (all strings in fact concept_id records in the Concept table:<br><ul><li>Person, 1, Person, 2, parent of</li><li>Person, 2, Person, 1, child of</li></ul>|
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/MEASUREMENT.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/MEASUREMENT.md
index 6a8b468..0df513e 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/MEASUREMENT.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/MEASUREMENT.md
@@ -4,37 +4,40 @@ Field|Required|Type|Description
 :----------------------------------|:--------|:------------|:------------------------------------------------
 |measurement_id|Yes|integer|A unique identifier for each Measurement.|
 |person_id|Yes|integer|A foreign key identifier to the Person about whom the measurement was recorded. The demographic details of that Person are stored in the PERSON table.|
-|measurement_concept_id|Yes|integer|A foreign key to the standard measurement concept identifier in the Standardized Vocabularies.|
-|measurement_date|Yes|date|The date of the Measurement.|
-|measurement_datetime|No|datetime|The date and time of the Measurement. Some database systems don't have a datatype of time. To accomodate all temporal analyses, datatype datetime can be used (combining measurement_date and measurement_time [forum discussion](http://forums.ohdsi.org/t/date-time-and-datetime-problem-and-the-world-of-hours-and-1day/314))|
+|measurement_concept_id|Yes|integer|A foreign key to the standard measurement concept identifier in the Standardized Vocabularies. These belong to the 'Measurement' domain, but could overlap with the 'Observation' domain (see #3 below).|
+|measurement_date|No|date|The date of the Measurement.|
+|measurement_datetime|Yes|datetime|The date and time of the Measurement. Some database systems don't have a datatype of time. To accommodate all temporal analyses, datatype datetime can be used (combining measurement_date and measurement_time [forum discussion](http://forums.ohdsi.org/t/date-time-and-datetime-problem-and-the-world-of-hours-and-1day/314))|
 |measurement_time |No|varchar(10)|The time of the Measurement. This is present for backwards compatibility and will be deprecated in an upcoming version|
-|measurement_type_concept_id|Yes|integer|A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the provenance from where the Measurement record was recorded.|
-|operator_concept_id|No|integer|A foreign key identifier to the predefined Concept in the Standardized Vocabularies reflecting the mathematical operator that is applied to the value_as_number. Operators are <, <=, =, >=, >.|
+|measurement_type_concept_id|Yes|integer|A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the provenance from where the Measurement record was recorded. These belong to the 'Meas Type' vocabulary|
+|operator_concept_id|No|integer|A foreign key identifier to the predefined Concept in the Standardized Vocabularies reflecting the mathematical operator that is applied to the value_as_number. Operators are <, <=, =, >=, > and these concepts belong to the 'Meas Value Operator' domain.|
 |value_as_number|No|float|A Measurement result where the result is expressed as a numeric value.|
-|value_as_concept_id|No|integer|A foreign key to a Measurement result represented as a Concept from the Standardized Vocabularies (e.g., positive/negative, present/absent, low/high, etc.).|
-|unit_concept_id|No|integer|A foreign key to a Standard Concept ID of Measurement Units in the Standardized Vocabularies.|
+|value_as_concept_id|No|integer|A foreign key to a Measurement result represented as a Concept from the Standardized Vocabularies (e.g., positive/negative, present/absent, low/high, etc.). These belong to the 'Meas Value' domain|
+|unit_concept_id|No|integer|A foreign key to a Standard Concept ID of Measurement Units in the Standardized Vocabularies that belong to the 'Unit' domain.|
 |range_low|No|float|The lower limit of the normal range of the Measurement result. The lower range is assumed to be of the same unit of measure as the Measurement value.|
 |range_high|No|float|The upper limit of the normal range of the Measurement. The upper range is assumed to be of the same unit of measure as the Measurement value.|
 |provider_id|No|integer|A foreign key to the provider in the PROVIDER table who was responsible for initiating or obtaining the measurement.|
 |visit_occurrence_id|No|integer|A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Measurement was recorded.|
 |visit_detail_id|No|integer|A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Measurement was recorded. |
 |measurement_source_value|No|varchar(50)|The Measurement name as it appears in the source data. This code is mapped to a Standard Concept in the Standardized Vocabularies and the original code is stored here for reference.|
-|measurement_source_concept_id|No|integer|A foreign key to a Concept in the Standard Vocabularies that refers to the code used in the source.|
+|measurement_source_concept_id|Yes|integer|A foreign key to a Concept in the Standard Vocabularies that refers to the code used in the source.|
 |unit_source_value|No|varchar(50)|The source code for the unit as it appears in the source data. This code is mapped to a standard unit concept in the Standardized Vocabularies and the original code is stored here for reference.|
 |value_source_value|No|varchar(50)|The source value associated with the content of the value_as_number or value_as_concept_id as stored in the source data.|
 
 ### Conventions 
 
-  * Measurements differ from Observations in that they require a standardized test or some other activity to generate a quantitative or qualitative result. For example, LOINC 1755-8 concept_id 3027035 'Albumin [Mass/time] in 24 hour Urine' is the lab test to measure a certain chemical in a urine sample.
-  * Even though each Measurement always have a result, the fields value_as_number and value_as_concept_id are not mandatory. When the result is not known, the Measurement record represents just the fact that the corresponding Measurement was carried out, which in itself is already useful information for some use cases.
-  * Valid Measurement Concepts (measurement_concept_id) belong to the 'Measurement' domain, but could overlap with the 'Observation' domain. This is due to the fact that there is a continuum between systematic examination or testing (Measurement) and a simple determination of fact (Observation). When the Measurement Source Value of the code cannot be translated into a standard Measurement Concept ID, a Measurement entry is stored with only the corresponding source_concept_id and measurement_source_value and a measurement_concept_id of 0.
-  * Measurements are stored as attribute value pairs, with the attribute as the Measurement Concept and the value representing the result. The value can be a Concept (stored in value_as_concept), or a numerical value (value_as_number) with a Unit (unit_concept_id). 
-  * Valid Concepts for the value_as_concept field belong to the 'Meas Value' domain. 
-  * For some Measurement Concepts, the result is included in the test. For example, ICD10 concept_id 45595451 "Presence of alcohol in blood, level not specified" indicates a Measurement and the result (present).  In those situations, the CONCEPT_RELATIONSHIP table in addition to the "Maps to" record contains a second record with the relationship_id set to "Maps to value". In this example, the "Maps to" relationship directs to 4041715 "Blood ethanol measurement" as well as a "Maps to value" record to 4181412 "Present".
-  * The operator_concept_id is optionally given for relative Measurements where the precise value is not available but its relation to a certain benchmarking value is. For example, this can be used for minimal detection thresholds of a test.
-  * The meaning of Concept 4172703 for '=' is identical to omission of a operator_concept_id value. Since the use of this field is rare, it's important when devising analyses to not to forget testing for the content of this field for values different from =.
-  * Valid Concepts for the operator_concept_id field belong to the 'Meas Value Operator' domain.
-  * The Unit is optional even if a value_as_number is provided.
-  * If reference ranges for upper and lower limit of normal as provided (typically by a laboratory) these are stored in the range_high and range_low fields. Ranges have the same unit as the value_as_number.
-  * The Visit during which the observation was made is recorded through a reference to the VISIT_OCCURRENCE table. This information is not always available.
-  * The Provider making the observation is recorded through a reference to the PROVIDER table. This information is not always available.
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | Measurements differ from Observations in that they require a standardized test or some other activity to generate a quantitative or qualitative result. For example, LOINC 1755-8 concept_id 3027035 'Albumin [Mass/time] in 24 hour Urine' is the lab test to measure a certain chemical in a urine sample.|
+| 2  | Even though each Measurement always have a result, the fields VALUE_AS_NUMBER and VALUE_AS_CONCEPT_ID are not mandatory. When the result is not known, the Measurement record represents just the fact that the corresponding Measurement was carried out, which in itself is already useful information for some use cases.|
+| 3  | Valid Measurement Concepts (MEASUREMENT_CONCEPT_ID) belong to the 'Measurement' domain, but could overlap with the 'Observation' domain. This is due to the fact that there is a continuum between systematic examination or testing (Measurement) and a simple determination of fact (Observation). When the Measurement Source Value of the code cannot be translated into a standard Measurement Concept ID, a Measurement entry is stored with only the corresponding SOURCE_CONCEPT_ID and MEASUREMENT_SOURCE_VALUE and a MEASUREMENT_CONCEPT_ID of 0.|
+| 4  | Measurements are stored as attribute value pairs, with the attribute as the Measurement Concept and the value representing the result. The value can be a Concept (stored in VALUE_AS_CONCEPT), or a numerical value (VALUE_AS_NUMBER) with a Unit (UNIT_CONCEPT_ID). |
+| 5  | Valid Concepts for the VALUE_AS_CONCEPT field belong to the 'Meas Value' domain. |
+| 6  | For some Measurement Concepts, the result is included in the test. For example, ICD10 concept_id 45595451 'Presence of alcohol in blood, level not specified' indicates a Measurement and the result (present).  In those situations, the CONCEPT_RELATIONSHIP table in addition to the 'Maps to' record contains a second record with the relationship_id set to 'Maps to value'. In this example, the 'Maps to' relationship directs to 4041715 'Blood ethanol measurement' as well as a 'Maps to value' record to 4181412 'Present'.|
+| 7  | The OPERATOR_CONCEPT_ID is optionally given for relative Measurements where the precise value is not available but its relation to a certain benchmarking value is. For example, this can be used for minimal detection thresholds of a test.|
+| 8  | The meaning of Concept 4172703 for '=' is identical to omission of a OPERATOR_CONCEPT_ID value. Since the use of this field is rare, it's important when devising analyses to not to forget testing for the content of this field for values different from =.|
+| 9  | Valid Concepts for the OPERATOR_CONCEPT_ID field belong to the 'Meas Value Operator' domain.|
+| 10 | The Unit is optional even if a VALUE_AS_NUMBER is provided.|
+| 11 | If reference ranges for upper and lower limit of normal as provided (typically by a laboratory) these are stored in the RANGE_HIGH and RANGE_LOW fields. Ranges have the same unit as the VALUE_AS_NUMBER.|
+| 12 | The Visit during which the observation was made is recorded through a reference to the VISIT_OCCURRENCE table. This information is not always available.|
+| 13 | The Provider making the observation is recorded through a reference to the PROVIDER table. This information is not always available.|
+| 14 | If there is a negative value coming from the source, set the VALUE_AS_NUMBER to NULL, with the exception of the following Measurements (listed as LOINC codes):<br><ul><li>1925-7 Base excess in Arterial blood by calculation</li><li>1927-3 Base excess in Venous blood by calculation</li><li>8632-2 QRS-Axis</li><li>11555-0 Base excess in Blood by calculation</li><li>1926-5 Base excess in Capillary blood by calculation</li><li>28638-5 Base excess in Arterial cord blood by calculation</li><li>28639-3 Base excess in Venous cord blood by calculation</li></ul> [THEMIS issue #16](https://github.com/OHDSI/Themis/issues/16) | 
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/NOTE.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/NOTE.md
index e639113..baeb409 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/NOTE.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/NOTE.md
@@ -2,131 +2,45 @@ The NOTE table captures unstructured information that was recorded by a provider
 
 Field|Required|Type|Description
 :--------------------|:--------|:------------|:--------------------------------------------------------
-|note_id				|Yes|integer|A unique identifier for each note.|
-|person_id				|Yes|integer|A foreign key identifier to the Person about whom the Note was recorded. The demographic details of that Person are stored in the PERSON table.|
-|note_date 				|Yes|date|The date the note was recorded.|
-|note_datetime			|No|datetime|The date and time the note was recorded.|
-|note_type_concept_id	|Yes|integer|A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the type, origin or provenance of the Note.|
-|note_class_concept_id	|Yes|	integer|	A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the HL7 LOINC Document Type Vocabulary classification of the note.|
-|note_title				|No|	varchar(250)|	The title of the Note as it appears in the source.|
-|note_text				|Yes|varchar(MAX)|The content of the Note.|
-|encoding_concept_id	|Yes	|integer|	A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the note character encoding type|
-|language_concept_id	|Yes	|integer	|A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the language of the note|
-|provider_id			|No|integer|A foreign key to the Provider in the PROVIDER table who took the Note.|
-|visit_occurrence_id	|No|integer|A foreign key to the Visit in the VISIT_OCCURRENCE table when the Note was taken.|
-|visit_detail_id		|No|integer|A foreign key to the Visit in the VISIT_DETAIL table when the Note was taken.|
-|note_source_value		|No|varchar(50)|The source value associated with the origin of the Note|
+|note_id					|Yes|integer|A unique identifier for each note.|
+|person_id					|Yes|integer|A foreign key identifier to the Person about whom the Note was recorded. The demographic details of that Person are stored in the PERSON table.|
+|note_event_id				|No |integer|A foreign key identifier to the event (e.g. Measurement, Procedure, Visit, Drug Exposure, etc) record during which the note was recorded.|
+|note_event_field_concept_id |No|integer|A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the field to which the note_event_id is referring. |
+|note_date 					|No|date|The date the note was recorded.|
+|note_datetime				|Yes|datetime|The date and time the note was recorded.|
+|note_type_concept_id		|Yes|integer|A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the type, origin or provenance of the Note. These belong to the 'Note Type' vocabulary|
+|note_class_concept_id		|Yes|	integer|	A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the HL7 LOINC Document Type Vocabulary classification of the note.|
+|note_title					|No|	varchar(250)|	The title of the Note as it appears in the source.|
+|note_text					|Yes|varchar(MAX)|The content of the Note.|
+|encoding_concept_id		|Yes	|integer|	A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the note character encoding type|
+|language_concept_id		|Yes	|integer	|A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the language of the note|
+|provider_id				|No|integer|A foreign key to the Provider in the PROVIDER table who took the Note.|
+|visit_occurrence_id		|No|integer|A foreign key to the Visit in the VISIT_OCCURRENCE table when the Note was taken.|
+|visit_detail_id			|No|integer|A foreign key to the Visit in the VISIT_DETAIL table when the Note was taken.|
+|note_source_value			|No|varchar(50)|The source value associated with the origin of the Note|
 
 ### Conventions 
-  * The NOTE table contains free text (in ASCII, or preferably in UTF8 format) taken by a healthcare Provider.
-  * The Visit during which the note was written is recorded through a reference to the VISIT_OCCURRENCE table. This information is not always available.
-  * The Provider making the note is recorded through a reference to the PROVIDER table. This information is not always available.
-  * The type of note_text is CLOB or varchar(MAX) depending on RDBMS
-  * note_class_concept_id is a foreign key to the CONCEPT table to describe a standardized combination of five LOINC axes (role, domain, setting, type of service, and document kind). See below for description.
+
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | The NOTE table contains free text (in ASCII, or preferably in UTF8 format) taken by a healthcare Provider.|
+| 2  | The Visit during which the note was written is recorded through a reference to the VISIT_OCCURRENCE table. This information is not always available.|
+| 3  | The Provider making the note is recorded through a reference to the PROVIDER table. This information is not always available.|
+| 4  | The type of note_text is CLOB or varchar(MAX) depending on RDBMS|
+| 5  | NOTE_CLASS_CONCEPT_ID is a foreign key to the CONCEPT table to describe a standardized combination of five LOINC axes (role, domain, setting, type of service, and document kind). See below for description.|
   
 ### Mapping of clinical documents to Clinical Document Ontology (CDO) and standard terminology
 
 HL7/LOINC CDO is a standard for consistent naming of documents to support a range of use cases: retrieval, organization, display, and exchange. It guides the creation of LOINC codes for clinical notes. CDO annotates each document with 5 dimensions:
 
-* **Kind of Document:** Characterizes the generalc structure of the document at a macro level (e.g. Anesthesia Consent)
+* **Kind of Document:** Characterizes the general structure of the document at a macro level (e.g. Anesthesia Consent)
 * **Type of Service**: Characterizes the kind of service or activity (e.g. evaluations, consultations, and summaries). The notion of time sequence, e.g., at the beginning (admission) at the end (discharge) is subsumed in this axis. Example: Discharge Teaching.
 * **Setting:** Setting is an extension of CMS�s definitions (e.g. Inpatient, Outpatient)
 * **Subject Matter Domain (SMD):** Characterizes the subject matter domain of a note (e.g. Anesthesiology)
 * **Role:** Characterizes the training or professional level of the author of the document, but does not break down to specialty or subspecialty (e.g. Physician)
 
-Each combination of these 5 dimensions should roll up to a unique LOINC code. For example, Dentistry Hygienist Outpatient Progress note (LOINC code 34127-1) has the following dimensions:
+Each combination of these 5 dimensions rolls up to a unique LOINC code. 
 
 * According to CDO requirements, only 2 of the 5 dimensions are required to properly annotate a document: Kind of Document and any one of the other 4 dimensions.
-* However, not all the permutations of the CDO dimensions will necessarily yield an existing LOINC code.2 HL7/LOINC workforce is committed to establish new LOINC codes for each new encountered combination of CDO dimensions. 3
- 
-Automation of mapping of clinical notes to a standard terminology based on the note title is possible when it is driven by ontology (aka CDO). Mapping to individual LOINC codes which may or may not exist for a particular note type cannot be fully automated. To support mapping of clinical notes to CDO in OMOP CDM, we propose the following approach:
-
-#### 1.  Add all LOINC concepts representing 5 CDO dimensions to the Concept table. For example:
-
-Field | Record 1 | Record 2
-:-- | :-- | :--
-concept_id | 55443322132 | 55443322175
-concept_name | Administrative note | Against medical advice note
-concept_code | LP173418-7 | LP173388-2
-vocabulary_id | LOINC | LOINC
-
-#### 2. Represent CDO hierarchy in the Concept_Relationship table using the �Subsumes� � �Is a� relationship pair. For example:
-
-Field | Record 1 | Record 2
-:-- | :-- | :--
-concept_id_1 | 55443322132 | 55443322175
-concept_id_2 | 55443322175 | 55443322132
-relationship_id | Subsumes | Is a
-
-#### 3. Add LOINC document codes to the Concept table (e.g. Dentistry Hygienist Outpatient Progress note, LOINC code 34127-1). For example:
-
-Field | Record 1 | Record 2
-:-- | :-- | :--
-concept_id | 193240 | 193241
-concept_name | Dentistry Hygienist Outpatient Progress note | Consult note
-concept_code | 34127-1 | 11488-4
-vocabulary_id | LOINC | LOINC
-
-#### 4.  Represent dimensions of each document concept in Concept_Relationship table by its relationships to the respective concepts from CDO. 
-
-* Use the �Member Of� � �Has Member�  (new) relationship pair. 
-* Using example from the Dentistry Hygienist Outpatient Progress note (LOINC code 34127-1):
-
-concept_id_1 | concept_id_1 | relationship_id
-:-- | :-- | :--
-193240 | 55443322132 | Member Of
-55443322132 | 193240 | Has Member
-193240 | 55443322175 | Member Of
-55443322175 | 193240 | Has Member
-193240 | 55443322166 | Member Of
-55443322166 | 193240 | Has Member
-193240 | 55443322107 | Member Of
-55443322107 | 193240 | Has Member
-193240 | 55443322146 | Member Of
-55443322146 | 193240 | Has Member
-
-Where concept codes represent the following concepts:
-
-Content | Description
-:---------- | :--------------------------------------------------------------------
-193240 | Corresponds to LOINC 34127-1, Dentistry Hygienist Outpatient Progress note
-55443322132 | Corresponds to LOINC LP173418-7, Kind of Document = Note
-55443322175 | Corresponds to LOINC LP173213-2, Type of Service = Progress
-55443322166 | Corresponds to LOINC LP173051-6, Setting = Outpatient
-55443322107 | Corresponds to LOINC LP172934-4, Subject Matter Domain �= Dentistry
-55443322146 | Corresponds to LOINC LP173071-4, Role = Hygienist
-
-Most of the codes will not have all 5 dimensions. Therefore, they may be represented by 2-5 relationship pairs.
-
-#### 5. If LOINC does not have a code corresponding to a permutation of the 5 CDO encountered in the source, this code will be generated as OMOP vocabulary code. 
-
-* Its relationships to the CDO dimensions will be represented exactly as those of existing LOINC concepts (as described above). If/when a proper LOINC code for this permutation is released, the old code should be deprecated.  Transition between the old and new codes should be represented by �Concept replaces� � �Concept replaced by� pairs.
-
-#### 6.  Mapping from the source data will be performed to the 2-5 CDO dimensions.
-
-Query below finds LOINC code for Dentistry Hygienist Outpatient Progress note (see example above) that has all 5 dimensions:
-
-```sql	
-	SELECT   
-	FROM Concept_Relationship  
-	WHERE relationship_id = �Has Member� AND
-		(concept_id_1 = 55443322132 
-		OR concept_id_1 = 55443322175
-		OR concept_id_1 = 55443322166
-		OR concept_id_1 = 55443322107
-		OR concept_id_1 = 55443322146)
-	GROUP BY concept_ID_2
-```
-
-If less than 5 dimensions are available, `HAVING COUNT(n)` clause should be added to get a unique record at the intersection of these dimensions. n is the number of dimensions available:
-
-```sql
-	SELECT  
-	FROM Concept_Relationship  
-	WHERE relationship_id = �Has Member� AND  
-		(concept_id_1 = 55443322132  
-		OR concept_id_1 = 55443322175  
-		OR concept_id_1 = 55443322146)  
-	GROUP BY concept_ID_2  
-	HAVING COUNT(*) = 3  
-```
\ No newline at end of file
+* However, not all the permutations of the CDO dimensions will necessarily yield an existing LOINC code.2 HL7/LOINC workforce is committed to establish new LOINC codes for each new encountered combination of CDO dimensions.
+* The full document ontology as it exists in the Vocabulary is too extensive to list here, but it is possible to explore through the ATHENA tool starting with the ['LOINC Document Ontology - Type of Service and Kind of Document'](http://athena.ohdsi.org/search-terms/terms/36209248) by walking through the 'Is a'/'Subsumes' relationship hierarchies. 
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/NOTE_NLP.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/NOTE_NLP.md
index be71359..9b198f2 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/NOTE_NLP.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/NOTE_NLP.md
@@ -2,49 +2,25 @@ The NOTE_NLP table will encode all output of NLP on clinical notes. Each row rep
 
 Field | Required | Type | Description
 :------------------------------- | :-------- | :------------ | :---------------------------------------------------
-note_nlp_id 				| Yes | integer | A unique identifier for each term extracted from a note.
-note_id 					| Yes | integer | A foreign key to the Note table note the term was extracted from.
-section_concept_id 			| No | integer | A foreign key to the predefined Concept in the Standardized Vocabularies representing the section of the extracted term.
-snippet 					| No | varchar(250) | A small window of text surrounding the term.
-offset 						| No | varchar(50) | Character offset of the extracted term in the input note.
-lexical_variant 			| Yes | varchar(250) | Raw text extracted from the NLP tool.
-note_nlp_concept_id 		| No | integer | A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the normalized concept for the extracted term. Domain of the term is represented as part of the Concept table.
-note_nlp_source_concept_id  | No | integer | A foreign key to a Concept that refers to the code in the source vocabulary used by the NLP system
-nlp_system 					| No | varchar(250) | Name and version of the NLP system that extracted the term.Useful for data provenance.
-nlp_date 					| Yes | date | The date of the note processing.Useful for data provenance.
-nlp_datetime 				| No | datetime | The date and time of the note processing. Useful for data provenance.
-term_exists 				| No | varchar(1) | A summary modifier that signifies presence or absence of the term for a given patient. Useful for quick querying.
-term_temporal 				| No | varchar(50) | An optional time modifier associated with the extracted term. (for now “past” or “present” only). Standardize it later.
-term_modifiers 				| No | varchar(2000) | A compact description of all the modifiers of the specific term extracted by the NLP system. (e.g. “son has rash” ? “negated=no,subject=family, certainty=undef,conditional=false,general=false”).
+|note_nlp_id | Yes | integer | A unique identifier for each term extracted from a note.|
+|note_id | Yes | integer | A foreign key to the Note table note the term was |extracted from.|
+|section_concept_id | Yes | integer | A foreign key to the predefined Concept in the Standardized Vocabularies representing the section of the extracted term.|
+|snippet | No | varchar(250) | A small window of text surrounding the term.|
+|offset | No | varchar(50) | Character offset of the extracted term in the input note.|
+|lexical_variant | Yes | varchar(250) | Raw text extracted from the NLP tool.|
+|note_nlp_concept_id | Yes | integer | A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the normalized concept for the extracted term. Domain of the term is represented as part of the Concept table.|
+|note_nlp_source_concept_id | Yes | integer | A foreign key to a Concept that refers to the code in the source vocabulary used by the NLP system|
+|nlp_system | No | varchar(250) | Name and version of the NLP system that extracted the term.Useful for data provenance.|
+|nlp_date | Yes | date | The date of the note processing.Useful for data provenance.|
+|nlp_datetime | No | datetime | The date and time of the note processing. Useful for data provenance.|
+|term_exists | No | varchar(1) | A summary modifier that signifies presence or absence of the term for a given patient. Useful for quick querying.|
+|term_temporal | No | varchar(50) | An optional time modifier associated with the extracted term. (for now “past� or “present� only). Standardize it later.|
+|term_modifiers | No | varchar(2000) | A compact description of all the modifiers of the specific term extracted by the NLP system. (e.g. “son has rash� ? “negated=no,subject=family, certainty=undef,conditional=false,general=false�).|
 
 ### Conventions
 
-**Term_exists**
-Term_exists is defined as a flag that indicates if the patient actually has or had the condition. Any of the following modifiers would make Term_exists false:
-
-* Negation = true
-* Subject = [anything other than the patient]
-* Conditional = true
-* Rule_out = true
-* Uncertain = very low certainty or any lower certainties
- 
-A complete lack of modifiers would make Term_exists true. 
-
-For the modifiers that are there, they would have to have these values:
-
-* Negation = false
-* Subject = patient
-* Conditional = false
-* Rule_out = false
-* Uncertain = true or high or moderate or even low (could argue about low)
-
-**Term_temporal**
-Term_temporal is to indicate if a condition is “present” or just in the “past”.
-
-The following would be past:
- 
-* History = true
-* Concept_date = anything before the time of the report
-
-**Term_modifiers**
-Term_modifiers will concatenate all modifiers for different types of entities (conditions, drugs, labs etc) into one string. Lab values will be saved as one of the modifiers. A list of allowable modifiers (e.g., signature for medications) and their possible values will be standardized later.  
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | Term_exists is defined as a flag that indicates if the patient actually has or had the condition. Any of the following modifiers would make Term_exists false:<br><ul><li>Negation = true</li><li>Subject = [anything other than the patient]</li><li>Conditional = true/li><li>Rule_out = true</li><li>Uncertain = very low certainty or any lower certainties</li><li>A complete lack of modifiers would make Term_exists true.</li></ul><br>For the modifiers that are there, they would have to have these values:<br><ul><li>Negation = false</li><li>Subject = patient</li><li>Conditional = false</li><li>Rule_out = false</li><li>Uncertain = true or high or moderate or even low (could argue about low)</li></ul>|
+| 2  | Term_temporal is to indicate if a condition is “present� or just in the “past�. The following would be past:<br><ul><li>History = true</li><li>Concept_date = anything before the time of the report</li></ul>|
+| 3  | Term_modifiers will concatenate all modifiers for different types of entities (conditions, drugs, labs etc) into one string. Lab values will be saved as one of the modifiers. A list of allowable modifiers (e.g., signature for medications) and their possible values will be standardized later. | 
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/OBSERVATION.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/OBSERVATION.md
index 45c4d15..7eddbee 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/OBSERVATION.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/OBSERVATION.md
@@ -5,8 +5,8 @@ Field|Required|Type|Description
 |observation_id						|Yes|integer|A unique identifier for each observation.|
 |person_id							|Yes|integer|A foreign key identifier to the Person about whom the observation was recorded. The demographic details of that Person are stored in the PERSON table.|
 |observation_concept_id				|Yes|integer|A foreign key to the standard observation concept identifier in the Standardized Vocabularies.|
-|observation_date|Yes|date|The date of the observation.|
-|observation_datetime|No|datetime|The date and time of the observation.|
+|observation_date|No|date|The date of the observation.|
+|observation_datetime|Yes|datetime|The date and time of the observation.|
 |observation_type_concept_id|Yes|integer|A foreign key to the predefined concept identifier in the Standardized Vocabularies reflecting the type of the observation.|
 |value_as_number|No|float|The observation result stored as a number. This is applicable to observations where the result is expressed as a numeric value.|
 |value_as_string|No|varchar(60)|The observation result stored as a string. This is applicable to observations where the result is expressed as verbatim text.|
@@ -17,20 +17,31 @@ Field|Required|Type|Description
 |visit_occurrence_id|No|integer|A foreign key to the visit in the VISIT_OCCURRENCE table during which the observation was recorded.|
 |visit_detail_id|No|integer|A foreign key to the visit in the VISIT_DETAIL table during which the observation was recorded.|
 |observation_source_value|No|varchar(50)|The observation code as it appears in the source data. This code is mapped to a Standard Concept in the Standardized Vocabularies and the original code is, stored here for reference.|
-|observation_source_concept_id|No|integer|A foreign key to a Concept that refers to the code used in the source.|
+|observation_source_concept_id|Yes|integer|A foreign key to a Concept that refers to the code used in the source.|
 |unit_source_value|No|varchar(50)|The source code for the unit as it appears in the source data. This code is mapped to a standard unit concept in the Standardized Vocabularies and the original code is, stored here for reference.|
 |qualifier_source_value|No|varchar(50)|The source value associated with a qualifier to characterize the observation|
+|observation_event_id| No | integer| A foreign key to an event table (e.g., PROCEDURE_OCCURRENCE_ID). |
+|obs_event_field_concept_id| Yes | integer| A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies referring to the field represented in the OBSERVATION_EVENT_ID. |
+|value_as_datetime| No | integer| The observation result stored as a datetime value. This is applicable to observations where the result is expressed as a point in time.|
 
 ### Conventions 
 
-  * Observations differ from Measurements in that they do not require a standardized test or some other activity to generate clinical fact. Typical observations are medical history, family history, the stated need for certain treatment, social circumstances, lifestyle choices, healthcare utilization patterns, etc. If the generation clinical facts requires a standardized testing such as lab testing or imaging and leads to a standardized result, the data item is recorded in the MEASUREMENT table. If the clinical fact observed determines a sign, symptom, diagnosis of a disease or other medical condition, it is recorded in the CONDITION_OCCURRENCE table.
-  * Valid Observation Concepts are not enforced to be from any domain. They still should be Standard Concepts, and they typically belong to the "Observation" or sometimes "Measurement" domain.
-  * Observation can be stored as attribute value pairs, with the attribute as the Observation Concept and the value representing the clinical fact. This fact can be a Concept (stored in value_as_concept), a numerical value (value_as_number) or a verbatim string (value_as_string). Even though Observations do not have an explicit result, the clinical fact can be stated separately from the type of Observation in the value_as_ fields.
-  * It is recommended for observations that are suggestive statements of positive assertion should have a value of "Yes" (concept_id=4188539), recorded, even though the null value is the equivalent. 
-  * Valid Concepts of the value_as_concept field are not enforced, but typically belong to the "Meas Value" domain.
-  * For numerical facts a Unit can be provided in the unit_concept_id.
-  * For facts represented as Concepts no domain membership is enforced.
-  * Note that the value of value_as_concept_id may be provided through mapping from a source Concept which contains the content of the Observation. In those situations, the CONCEPT_RELATIONSHIP table in addition to the "Maps to" record contains a second record with the relationship_id set to "Maps to value". For example, ICD9CM V17.5 concept_id 44828510 "Family history of asthma" has a "Maps to" relationship to 4167217 "Family history of clinical finding" as well as a "Maps to value" record to 317009 "Asthma".
-  * The qualifier_concept_id field contains all attributes specifying the clinical fact further, such as as degrees, severities, drug-drug interaction alerts etc.
-  * The Visit during which the observation was made is recorded through a reference to the VISIT_OCCURRENCE table. This information is not always available.
-  * The Provider making the observation is recorded through a reference to the PROVIDER table. This information is not always available.
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | Observations differ from Measurements in that they do not require a standardized test or some other activity to generate clinical fact. Typical observations are medical history, family history, the stated need for certain treatment, social circumstances, lifestyle choices, healthcare utilization patterns, etc. If the generation clinical facts requires a standardized testing such as lab testing or imaging and leads to a standardized result, the data item is recorded in the MEASUREMENT table. If the clinical fact observed determines a sign, symptom, diagnosis of a disease or other medical condition, it is recorded in the CONDITION_OCCURRENCE table. |
+| 2  | Valid Observation Concepts are not enforced to be from any domain. They still should be Standard Concepts, and they typically belong to the 'Observation' or sometimes 'Measurement' domain. |
+| 3  | Observations can be stored as attribute value pairs, with the attribute as the Observation Concept and the value representing the clinical fact. This fact can be a Concept (stored in VALUE_AS_CONCEPT), a numerical value (VALUE_AS_NUMBER), a verbatim string (VALUE_AS_STRING), or a datetime (VALUE_AS_DATETIME). Even though Observations do not have an explicit result, the clinical fact can be stated separately from the type of Observation in the VALUE_AS_* fields.
+| 4  | It is recommended for Observations that are suggestive statements of positive assertion should have a value of 'Yes' (concept_id=4188539), recorded, even though the null value is the equivalent. |
+| 5  | Valid Concepts of the VALUE_AS_CONCEPT field are not enforced, but typically belong to the 'Meas Value' domain.|
+| 6  | For numerical facts a Unit can be provided in the UNIT_CONCEPT_ID.|
+| 7  | For facts represented as Concepts no domain membership is enforced.|
+| 8  | Note that the value of VALUE_AS_CONCEPT_ID may be provided through mapping from a source Concept which contains the content of the Observation. In those situations, the CONCEPT_RELATIONSHIP table in addition to the 'Maps to' record contains a second record with the relationship_id set to 'Maps to value'. For example, ICD9CM V17.5 concept_id 44828510 'Family history of asthma' has a 'Maps to' relationship to 4167217 'Family history of clinical finding' as well as a 'Maps to value' record to 317009 'Asthma'. |
+| 9  | The QUALIFIER_CONCEPT_ID field contains all attributes specifying the clinical fact further, such as as degrees, severities, drug-drug interaction alerts etc. |
+| 10 | The Visit during which the Observation was made is recorded through a reference to the VISIT_OCCURRENCE table. This information is not always available.|
+| 11 | The Visit Detail during which the Observation was made is recorded through a reference to the VISIT_DETAIL table. This information is not always available.|
+| 12 | The Provider making the observation is recorded through a reference to the PROVIDER table. This information is not always available. |
+| 13 | When storing patient responses to survey questions, each record in the OBSERVATION table represents a single question/response pair and is linked to a specific survey/questionnaire using OBSERVATION.OBSERVATION_EVENT_ID and SURVEY_CONDUCT.SURVEY_CONDUCT_ID. |
+| 14 | Each survey response record is the response to a specific question identified by the OBSERVATION_CONCEPT_ID. This concept ID is a unique question contained in the CONCEPT table. |
+| 15 | An individual survey question can have multiple responses to a question (e.g. which of these items relate to you, a,b,c,...?). Each response is stored as a separate record in the OBSERVATION table.|
+| 16 | The question / answer OBSERVATION record is linked to the patient questionnaire used for collecting the data using two new fields in the OBSERVATION table; OBS_EVENT_FIELD_CONCEPT_ID and OBSERVATION_EVENT_ID.<br><ul><li>OBS_EVENT_FIELD_CONCEPT_ID for any survey related observations contains the concept that refers to the field SURVEY_CONDUCT_ID and OBSERVATION_EVENT_ID contains the actual SURVEY_CONDUCT_ID of the specific survey</li><li>This construct can be used for other observation groupings</li></ul> |
+| 17 | The OBSERVATION table can also store survey scoring results. Many validated PRO questionnaires have scoring algorithms (many of which proprietary) that return an overall patient score based on the answers provided.<br><ul><li>Survey scores are identified by their OBSERVATION_CONCEPT_ID and are linked back to the scored survey using the same EVENT_FIELD construct described above. In the name/value pair model, the name (question) is stored as OBSERVATION_CONCEPT_ID and the value (answer) is stored as OBSERVATION_AS_CONCEPT_ID where the answer is categorical and is defined as a concept in the concept table, OBSERVATION_AS_NUMBER where the answer is numeric, OBSERVATION_AS_STRING where the answer is a free text string or OBSERVATION_AS_DATETIME.</li></ul>|
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/OBSERVATION_PERIOD.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/OBSERVATION_PERIOD.md
index 72a6520..d0442f8 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/OBSERVATION_PERIOD.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/OBSERVATION_PERIOD.md
@@ -6,14 +6,17 @@ Field|Required|Type|Description
 |person_id|Yes|integer|A foreign key identifier to the person for whom the observation period is defined. The demographic details of that person are stored in the person table.|
 |observation_period_start_date|Yes|date|The start date of the observation period for which data are available from the data source.|
 |observation_period_end_date|Yes|date|The end date of the observation period for which data are available from the data source.|
-|period_type_concept_id|Yes|Integer|A foreign key identifier to the predefined concept in the Standardized Vocabularies reflecting the source of the observation period information|
+|period_type_concept_id|Yes|Integer|A foreign key identifier to the predefined concept in the Standardized Vocabularies reflecting the source of the observation period information, belonging to the 'Obs Period Type' vocabulary|
 
 ### Conventions 
 
-  * One Person may have one or more disjoint observation periods, during which times analyses may assume that clinical events would be captured if observed, and outside of which no clinical events may be recorded.
-  * Each Person can have more than one valid OBSERVATION_PERIOD record, but no two observation periods can overlap in time for a given person.
-  * As a general assumption, during an Observation Period any clinical event that happens to the patient is expected to be recorded. Conversely, the absence of data indicates that no clinical events occurred to the patient.
-  * Both the _start_date and the _end_date of the clinical event has to be between observation_period_start_date and observation_period_end_date.
-  * No clinical data are valid outside an active Observation Period. Clinical data that refer to a time outside (diagnoses of previous conditions such as "Old MI" or medical history) of an active Observation Period are recorded as Observations. The date of the Observation is the first day of the first Observation Period of a patient.
-  * For claims data, observation periods are inferred from the enrollment periods to a health benefit plan.
-  * For EHR data, the observation period cannot be determined explicitly, because patients usually do not announce their departure from a certain healthcare provider. The ETL will have to apply some heuristic to make a reasonable guess on what the observation_period should be. Refer to the ETL documentation for details.
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | Each Person has to have at least one observation period.|
+| 2  | One Person may have one or more disjoint observation periods, during which times analyses may assume that clinical events would be captured if observed|
+| 3  | Each Person can have more than one valid OBSERVATION_PERIOD record, but no two observation periods can overlap in time for a given person.|
+| 4  | As a general assumption, during an Observation Period any clinical event that happens to the patient is expected to be recorded. Conversely, the absence of data indicates that no clinical events occurred to the patient.
+| 5  | Both the _START_DATE and the _END_DATE of the clinical event has to be between observation_period_start_date and observation_period_end_date. |
+| 6  | Events CAN fall outside of an observation period though they should fall in a valid payer plan period, such as Medicare Part D, which can overlap an observation period. However, time outside of an observation period cannot be used to identify people. To ensure quality, events outside of an observation period should not be used for analysis. [THEMIS issue #23](https://github.com/OHDSI/Themis/issues/23) |
+| 7  | For claims data, observation periods are inferred from the enrollment periods to a health benefit plan.|
+| 8  | For EHR data, the observation period cannot be determined explicitly, because patients usually do not announce their departure from a certain healthcare provider. The ETL will have to apply some heuristic to make a reasonable guess on what the observation_period should be. Refer to the ETL documentation for details. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/PERSON.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/PERSON.md
index 1fb76f8..537c179 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/PERSON.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/PERSON.md
@@ -8,25 +8,36 @@ Field|Required|Type|Description
 |month_of_birth|No|integer|The month of birth of the person. For data sources that provide the precise date of birth, the month is extracted and stored in this field.|
 |day_of_birth|No|integer|The day of the month of birth of the person. For data sources that provide the precise date of birth, the day is extracted and stored in this field.|
 |birth_datetime|No|datetime|The date and time of birth of the person.|
-|race_concept_id|Yes|integer|A foreign key that refers to an identifier in the CONCEPT table for the unique race of the person.|
-|ethnicity_concept_id|Yes|integer|A foreign key that refers to the standard concept identifier in the Standardized Vocabularies for the ethnicity of the person.|
+|death_datetime|No|datetime|The date and time of death of the person.|
+|race_concept_id|Yes|integer|A foreign key that refers to an identifier in the CONCEPT table for the unique race of the person, belonging to the 'Race' vocabulary.|
+|ethnicity_concept_id|Yes|integer|A foreign key that refers to the standard concept identifier in the Standardized Vocabularies for the ethnicity of the person, belonging to the 'Ethnicity' vocabulary.|
 |location_id|No|integer|A foreign key to the place of residency for the person in the location table, where the detailed address information is stored.|
 |provider_id|No|integer|A foreign key to the primary care provider the person is seeing in the provider table.|
 |care_site_id|No|integer|A foreign key to the site of primary care in the care_site table, where the details of the care site are stored.|
 |person_source_value|No|varchar(50)|An (encrypted) key derived from the person identifier in the source data. This is necessary when a use case requires a link back to the person data at the source dataset.|
 |gender_source_value|No|varchar(50)|The source code for the gender of the person as it appears in the source data. The person’s gender is mapped to a standard gender concept in the Standardized Vocabularies; the original value is stored here for reference.|
-|gender_source_concept_id|No|Integer|A foreign key to the gender concept that refers to the code used in the source.|
+|gender_source_concept_id|Yes|Integer|A foreign key to the gender concept that refers to the code used in the source.|
 |race_source_value|No|varchar(50)|The source code for the race of the person as it appears in the source data. The person race is mapped to a standard race concept in the Standardized Vocabularies and the original value is stored here for reference.|
-|race_source_concept_id|No|Integer|A foreign key to the race concept that refers to the code used in the source.|
+|race_source_concept_id|Yes|Integer|A foreign key to the race concept that refers to the code used in the source.|
 |ethnicity_source_value|No|varchar(50)|The source code for the ethnicity of the person as it appears in the source data. The person ethnicity is mapped to a standard ethnicity concept in the Standardized Vocabularies and the original code is, stored here for reference.|
-|ethnicity_source_concept_id|No|Integer|A foreign key to the ethnicity concept that refers to the code used in the source.|
+|ethnicity_source_concept_id|Yes|Integer|A foreign key to the ethnicity concept that refers to the code used in the source.|
 
 ### Conventions 
 
-  * All tables representing patient-related Domains have a foreign-key reference to the person_id field in the PERSON table.
-  * Each person record has associated demographic attributes which are assumed to be constant for the patient throughout the course of their periods of observation. For example, the location or gender is expected to have a unique value per person, even though in life these data may change over time. 
-  * Valid Gender, Race and Ethnicity Concepts each belong to their own Domain.
-  * Ethnicity in the OMOP CDM follows the OMB Standards for Data on Race and Ethnicity: Only distinctions between Hispanics and Non-Hispanics are made. 
-  * Additional information is stored through references to other tables, such as the home address (location_id) or the primary care provider.
-  * The Provider refers to the primary care provider (General Practitioner).
-  * The Care Site refers to where the Provider typically provides the primary care.
\ No newline at end of file
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | All tables representing patient-related Domains have a foreign-key reference to the person_id field in the PERSON table.|
+| 2  | Each person record has associated demographic attributes which are assumed to be constant for the patient throughout the course of their periods of observation. For example, the location or gender is expected to have a unique value per person, even though in life these data may change over time. 
+| 3  | The GENDER_CONCEPT_ID should store what is believed to be the biological or sex assigned at birth. If the data set does have gender identification information, this should be stored in the OBSERVATION table (using the gender concepts 8532-Female or 8507-Male in OBSERVATION_CONCEPT_ID)[THEMIS issue #32](https://github.com/OHDSI/Themis/issues/32).|
+| 4  | If we do not know the month or day of birth, we do not guess. A person can exist without a month or day of birth. If a person lacks a birth year that person should be dropped([THEMIS issue #30](https://github.com/OHDSI/Themis/issues/30)).|
+| 5  | Living patients should not have a value in PERSON.DEATH_DATETIME, nor should they have any records relating to death either in the CONDITION_OCCURRENCE or OBSERVATION tables
+| 6  | Only one death date per individual can be used. If a patient has clinical activity (e.g. prescriptions filled, labs performed, etc) more than 60+ days after death you may want to drop the death record as it may have been falsely reported. If multiple records of death exist on multiple days you may select the death that you deem most reliable (e.g. death at discharge) or select the latest death date.
+| 7  | If multiple death records occur, the date and the person have to be the same, but the cause can be different. Can be reported by different sources as well.
+| 8  | If PERSON.DEATH_DATETIME cannot be precisely determined from the data, the best approximation should be used.
+| 9  | The DEATH_DATETIME in the PERSON table should not be used as the way to find all deaths<br><ul><li>`select * from PERSON where death_datetime is not null` should not be the practice</li><li>Rather, deaths should be found through the OBSERVATION table and the PERSON table is only used to determine which death date should be used in analysis </li></ul>
+| 10 | Valid Gender, Race and Ethnicity Concepts each belong to their own Domain.
+| 11 | Ethnicity in the OMOP CDM follows the OMB Standards for Data on Race and Ethnicity: Only distinctions between Hispanics and Non-Hispanics are made. 
+| 12 | Additional information is stored through references to other tables, such as the home address (location_id) or the primary care provider.
+| 13 | The Provider refers to the primary care provider (General Practitioner). When the primary provider is unknown for a person then leave the PROVIDER_ID blank ([THEMIS issue #36](https://github.com/OHDSI/Themis/issues/36)).
+| 14 | The Care Site refers to where the Provider typically provides the primary care. When care site for the primary provider is unknown then leave the CARE_SITE_ID blank.
+| 15 | It is not required that all subjects from the raw data be carried over to the CDM, in fact removing people that are not of high enough quality may help researchers using the CDM. Example scenarios to remove subjects include: a person’s year of birth or age are unreasonable (e.g. born in year 0, 1800, 2999 or just lacking a year of birth), person lacks health benefits in claims database (i.e. thus you do not have a complete picture of their record), or raw data states that the person may not be of high research quality (e.g. CPRD will actually suggest which people not to use within research). Removal of a patient is not required and should be made in consideration of the raw data source. Reasons for removal of persons should be documented in the ETL documentation and METADATA table (insert row in METADATA where metadata.name='count of removed persons' and metada.value_as_string='xyz' where xyz is a number (e.g., 12). <br> An ETL should not delete persons who contribute time however have no health care utilization (e.g. an individual enrolled in insurance but does not visit a doctor or pharmacy). This individual will contribute to analysis however as a healthy / non-care seeking individual ([THEMIS issue #9](https://github.com/OHDSI/Themis/issues/9)).|
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/PROCEDURE_OCCURRENCE.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/PROCEDURE_OCCURRENCE.md
index a306882..b99fdd4 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/PROCEDURE_OCCURRENCE.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/PROCEDURE_OCCURRENCE.md
@@ -8,25 +8,29 @@ Field|Required|Type|Description
 |procedure_occurrence_id|Yes|integer|A system-generated unique identifier for each Procedure Occurrence.|
 |person_id|Yes|integer|A foreign key identifier to the Person who is subjected to the Procedure. The demographic details of that Person are stored in the PERSON table.|
 |procedure_concept_id|Yes|integer|A foreign key that refers to a standard procedure Concept identifier in the Standardized Vocabularies.|
-|procedure_date|Yes|date|The date on which the Procedure was performed.|
-|procedure_datetime|No|datetime|The date and time on which the Procedure was performed.|
-|procedure_type_concept_id|Yes|integer|A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the procedure record is derived.|
-|modifier_concept_id|No|integer|A foreign key to a Standard Concept identifier for a modifier to the Procedure (e.g. bilateral)|
+|procedure_date|No|date|The date on which the Procedure was performed.|
+|procedure_datetime|Yes|datetime|The date and time on which the Procedure was performed.|
+|procedure_type_concept_id|Yes|integer|A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the procedure record is derived, belonging to the 'Procedure Type' vocabulary.|
+|modifier_concept_id|Yes|integer|A foreign key to a Standard Concept identifier for a modifier to the Procedure (e.g. bilateral). These concepts are typically distinguished by 'Modifier' concept classes (e.g., 'CPT4 Modifier' as part of the 'CPT4' vocabulary).|
 |quantity|No|integer|The quantity of procedures ordered or administered.|
 |provider_id|No|integer|A foreign key to the provider in the PROVIDER table who was responsible for carrying out the procedure.|
 |visit_occurrence_id|No|integer|A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Procedure was carried out.|
 |visit_detail_id|No|integer|A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Procedure was carried out.|
 |procedure_source_value|No|varchar(50)|The source code for the Procedure as it appears in the source data. This code is mapped to a standard procedure Concept in the Standardized Vocabularies and the original code is, stored here for reference. Procedure source codes are typically ICD-9-Proc, CPT-4, HCPCS or OPCS-4 codes.|
-|procedure_source_concept_id|No|integer|A foreign key to a Procedure Concept that refers to the code used in the source.|
+|procedure_source_concept_id|Yes|integer|A foreign key to a Procedure Concept that refers to the code used in the source.|
 |modifier_source_value|No|varchar(50)|The source code for the qualifier as it appears in the source data.|
 
 ### Conventions 
 
-  * Valid Procedure Concepts belong to the "Procedure" domain. Procedure Concepts are based on a variety of vocabularies: SNOMED-CT, ICD-9-Proc, CPT-4, HCPCS and OPCS-4, but also atypical Vocabularies such as ICD-9-CM or MedDRA.
-  * Procedures are expected to be carried out within one day and therefore have no end date.
-  * Procedures could involve the application of a drug, in which case the procedural component is recorded in the procedure table and simultaneously the administered drug in the drug exposure table when both the procedural component and drug are identifiable. 
-  * If the quantity value is omitted, a single procedure is assumed.
-  * The Procedure Type defines from where the Procedure Occurrence is drawn or inferred. For administrative claims records the type indicates whether a Procedure was primary or secondary and their relative positioning within a claim. 
-  * The Visit during which the procedure was performed is recorded through a reference to the VISIT_OCCURRENCE table. This information is not always available.
-  * The Visit Detail during with the procedure was performed is recorded through a reference to the VISIT_DETAIL table. This information is not always available.
-  * The Provider carrying out the procedure is recorded through a reference to the PROVIDER table. This information is not always available.
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | Valid Procedure Concepts belong to the 'Procedure' domain. Procedure Concepts are based on a variety of vocabularies: SNOMED-CT, ICD-9-Proc, CPT-4, HCPCS and OPCS-4, but also atypical Vocabularies such as ICD-9-CM or MedDRA.
+| 2  | Procedures are expected to be carried out within one day and therefore have no end date.
+| 3  | Procedures could involve the application of a drug, in which case the procedural component is recorded in the procedure table and simultaneously the administered drug in the drug exposure table when both the procedural component and drug are identifiable. 
+| 4  | If the quantity value is omitted, a single procedure is assumed.
+| 5  | The Procedure Type defines from where the Procedure Occurrence is drawn or inferred. For administrative claims records the type indicates whether a Procedure was primary or secondary and their relative positioning within a claim. 
+| 6  | The Visit during which the procedure was performed is recorded through a reference to the VISIT_OCCURRENCE table. This information is not always available.
+| 7  | The Visit Detail during with the procedure was performed is recorded through a reference to the VISIT_DETAIL table. This information is not always available.
+| 8  | The Provider carrying out the procedure is recorded through a reference to the PROVIDER table. This information is not always available.
+| 9  | When dealing with duplicate records, the ETL must determine whether to sum them up into one record or keep them separate. Things to consider are:<br><ul><li>Same Procedure</li><li>Same PROCEDURE_DATETIME</li><li> Same Visit Occurrence or Visit Detail</li><li>Same Provider</li><li>Same Modifier for Procedures</li><li>Same COST_ID</li></ul> [THEMIS issue #27](https://github.com/OHDSI/Themis/issues/27) |
+| 10 | If a Procedure has a quantity of '0' in the source, this should default to '1' in the ETL. If there is a record in the source it can be assumed the exposure occurred at least once ([THEMIS issue #26](https://github.com/OHDSI/Themis/issues/26)).|
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/SPECIMEN.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/SPECIMEN.md
index 95ef507..b65e3d7 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/SPECIMEN.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/SPECIMEN.md
@@ -6,12 +6,12 @@ Field|Required|Type|Description
 |person_id|Yes|integer|A foreign key identifier to the Person for whom the Specimen is recorded.|
 |specimen_concept_id|Yes|integer|A foreign key referring to a Standard Concept identifier in the Standardized Vocabularies for the Specimen.|
 |specimen_type_concept_id|Yes|integer|A foreign key referring to the Concept identifier in the Standardized Vocabularies reflecting the system of record from which the Specimen was represented in the source data.|
-|specimen_date|Yes|date|The date the specimen was obtained from the Person.|
-|specimen_datetime|No|datetime|The date and time on the date when the Specimen was obtained from the person.|
+|specimen_date|No|date|The date the specimen was obtained from the Person.|
+|specimen_datetime|Yes|datetime|The date and time on the date when the Specimen was obtained from the person.|
 |quantity|No|float|The amount of specimen collection from the person during the sampling procedure.|
 |unit_concept_id|No|integer|A foreign key to a Standard Concept identifier for the Unit associated with the numeric quantity of the Specimen collection.|
-|anatomic_site_concept_id|No|integer|A foreign key to a Standard Concept identifier for the anatomic location of specimen collection.|
-|disease_status_concept_id|No|integer|A foreign key to a Standard Concept identifier for the Disease Status of specimen collection.|
+|anatomic_site_concept_id|Yes|integer|A foreign key to a Standard Concept identifier for the anatomic location of specimen collection.|
+|disease_status_concept_id|Yes|integer|A foreign key to a Standard Concept identifier for the Disease Status of specimen collection.|
 |specimen_source_id|No|varchar(50)|The Specimen identifier as it appears in the source data.|
 |specimen_source_value|No|varchar(50)|The Specimen value as it appears in the source data. This value is mapped to a Standard Concept in the Standardized Vocabularies and the original code is, stored here for reference.|
 |unit_source_value|No|varchar(50)|The information about the Unit as detailed in the source.|
@@ -19,4 +19,7 @@ Field|Required|Type|Description
 |disease_status_source_value|No|varchar(50)|The information about the disease status as detailed in the source.|
 
 ### Conventions 
-  * Anatomic site is coded at the most specific level of granularity possible, such that higher level classifications can be derived using the Standardized Vocabularies.
\ No newline at end of file
+
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | Anatomic site is coded at the most specific level of granularity possible, such that higher level classifications can be derived using the Standardized Vocabularies.
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/SURVEY_CONDUCT.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/SURVEY_CONDUCT.md
new file mode 100644
index 0000000..722b265
--- /dev/null
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/SURVEY_CONDUCT.md
@@ -0,0 +1,40 @@
+# SURVEY_CONDUCT
+
+The SURVEY_CONDUCT table is used to store an instance of a completed survey or questionnaire. It captures details of the individual questionnaire such as who completed it, when it was completed and to which patient treatment or visit it relates to (if any). Each SURVEY has a SURVEY_CONCEPT_ID, a concept in the CONCEPT table identifying the questionnaire e.g. EQ5D, VR12, SF12. Each questionnaire should exist in the CONCEPT table. Each SURVEY can be optionally related to a specific patient visit in order to link it both to the visit during which it was completed and any subsequent visit where treatment was assigned based on the patient's responses. 
+
+Field                        | Required  | Type        | Description     
+:----------------|:-----------------|:------------|:-----------------------------------|
+SURVEY_CONDUCT_ID | Yes | integer | Unique identifier for each completed survey.
+PERSON_ID | Yes | integer | A foreign key identifier to the Person in the PERSON table about whom the survey was completed.
+SURVEY_CONCEPT_ID | Yes | integer | A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the name and identity of the survey.
+SURVEY_START_DATE | No | date | Date on which the survey was started.
+SURVEY_START_DATETIME | No | datetime | Date and time the survey was started.
+SURVEY_END_DATE | Yes | date | Date on which the survey was completed.
+SURVEY_END_DATETIME | No | datetime | Date and time the survey was completed.
+PROVIDER_ID | No  | integer  | A foreign key to the provider in the provider table who was associated with the survey completion.
+ASSISTED_CONCEPT_ID | Yes | integer | A foreign key to the predefined Concept identifier in the Standardized Vocabularies indicating whether the survey was completed with assistance.
+RESPONDENT_TYPE_CONCEPT_ID | Yes | integer | A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the respondent type. Example: Research Associate, Patient.
+TIMING_CONCEPT_ID | Yes | integer | A foreign key to the predefined Concept identifier in the Standardized Vocabularies that refers to a certain timing. Example: 3 month follow-up, 6 month follow-up.
+COLLECTION_METHOD_CONCEPT_ID | Yes | integer | A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the data collection method (e.g. Paper, Telephone, Electronic Questionnaire).
+ASSISTED_SOURCE_VALUE | No | varchar(50) | Source value representing whether patient required assistance to complete the survey. Example: “Completed without assistance�, �Completed with assistance�.
+RESPONDENT_TYPE_SOURCE_VALUE | No| varchar(100) | Source code representing role of person who completed the survey.
+TIMING_SOURCE_VALUE | No | varchar(100) | Text string representing the timing of the survey. Example: Baseline, 6-month follow-up.
+COLLECTION_METHOD_SOURCE_VALUE | No | varchar(100) | The collection method as it appears in the source data.
+SURVEY_SOURCE_VALUE | No | varchar(100) | The survey name/title as it appears in the source data.
+SURVEY_SOURCE_CONCEPT_ID |Yes| integer | A foreign key to a predefined Concept that refers to the code for the survey name/title used in the source.
+SURVEY_SOURCE_IDENTIFIER | No | varchar(100) | Unique identifier for each completed survey in source system.
+VALIDATED_SURVEY_CONCEPT_ID | Yes | integer | A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the validation status of the survey.
+VALIDATED_SURVEY_SOURCE_VALUE | No | integer | Source value representing the validation status of the survey.
+SURVEY_VERSION_NUMBER | No | varchar(20) | Version number of the questionnaire or survey used.
+VISIT_OCCURRENCE_ID | No | integer | A foreign key to the VISIT_OCCURRENCE table during which the survey was completed
+RESPONSE_VISIT_OCCURRENCE_ID | No | integer  | A foreign key to the visit in the VISIT_OCCURRENCE table during which treatment was carried out that relates to this survey.
+                                         
+### Conventions 
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Patient responses to survey questions are stored in the OBSERVATION table. Each record in the OBSERVATION table represents a single question/response pair and is linked to a specific SURVEY/questionnaire using OBSERVATION.DOMAIN_OCCURRENCE_ID and SURVEY.SURVEY_OCCURRENCE_ID. 
+| 2  | Each response record is the response to a specific question identified by the OBSERVATION_CONCEPT_ID. This concept ID is a unique question contained in the CONCEPT table.
+| 3  | An individual survey question can have multiple responses to a question (e.g. which of these items relate to you, a, b, c ,…?). Each response is stored as a separate record in the OBSERVATION table.<br><ul><li>The name (question) is stored as OBSERVATION_CONCEPT_ID and the value (answer) is stored as OBSERVATION_AS_CONCEPT_ID where the answer is categorical and is defined as a concept in the concept table, OBSERVATION_AS_NUMBER where the answer is numeric, OBSERVATION_AS_STRING where the answer is a free text string or OBSERVATION_AS_DATETIME.
+| 4  | The question / answer observation record is linked to the patient questionnaire used for collecting the data using two new fields in the OBSERVATION table; DOMAIN_ID and DOMAIN_OCCURRENCE_ID.<br><ul><li>DOMAIN_ID for any survey related observations contains the text ‘Survey’ and DOMAIN_OCCURRENCE_ID contains the SURVEY_OCCURRENCE_ID of the specific survey.</li><li>This domain construct can be used for other observation groupings.</li></ul>|
+| 5  | The OBSERVATION table can also store survey scoring results. Many validated PRO questionnaires have scoring algorithms (many of which proprietary) that return an overall patient score based on the answers provided.<br><ul><li>Survey scores are identified by their OBSERVATION_CONCEPT_ID and are linked back to the scored survey using the same DOMAIN construct described.</li></ul>|
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/Standardized-Clinical-Data-Tables.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/Standardized-Clinical-Data-Tables.md
index 01469c2..6f333c5 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/Standardized-Clinical-Data-Tables.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/Standardized-Clinical-Data-Tables.md
@@ -1,21 +1,22 @@
 [PERSON](https://github.com/OHDSI/CommonDataModel/wiki/PERSON)  
 [OBSERVATION_PERIOD](https://github.com/OHDSI/CommonDataModel/wiki/OBSERVATION_PERIOD)  
-[SPECIMEN](https://github.com/OHDSI/CommonDataModel/wiki/SPECIMEN)  
 [DEATH](https://github.com/OHDSI/CommonDataModel/wiki/DEATH)  
 [VISIT_OCCURRENCE](https://github.com/OHDSI/CommonDataModel/wiki/VISIT_OCCURRENCE)  
 [VISIT_DETAIL](https://github.com/OHDSI/CommonDataModel/wiki/VISIT_DETAIL)  
-[PROCEDURE_OCCURRENCE](https://github.com/OHDSI/CommonDataModel/wiki/PROCEDURE_OCCURRENCE)  
-[DRUG_EXPOSURE](https://github.com/OHDSI/CommonDataModel/wiki/DRUG_EXPOSURE)  
-[DEVICE_EXPOSURE](https://github.com/OHDSI/CommonDataModel/wiki/DEVICE_EXPOSURE)  
 [CONDITION_OCCURRENCE](https://github.com/OHDSI/CommonDataModel/wiki/CONDITION_OCCURRENCE)  
+[DRUG_EXPOSURE](https://github.com/OHDSI/CommonDataModel/wiki/DRUG_EXPOSURE)    
+[PROCEDURE_OCCURRENCE](https://github.com/OHDSI/CommonDataModel/wiki/PROCEDURE_OCCURRENCE)  
+[DEVICE_EXPOSURE](https://github.com/OHDSI/CommonDataModel/wiki/DEVICE_EXPOSURE)  
 [MEASUREMENT](https://github.com/OHDSI/CommonDataModel/wiki/MEASUREMENT)  
 [NOTE](https://github.com/OHDSI/CommonDataModel/wiki/NOTE)  
 [NOTE_NLP](https://github.com/OHDSI/CommonDataModel/wiki/NOTE_NLP)  
-[OBSERVATION](https://github.com/OHDSI/CommonDataModel/wiki/OBSERVATION)  
+[SURVEY_CONDUCT](https://github.com/OHDSI/CommonDataModel/wiki/SURVEY_CONDUCT)  
+[OBSERVATION](https://github.com/OHDSI/CommonDataModel/wiki/OBSERVATION) 
+[SPECIMEN](https://github.com/OHDSI/CommonDataModel/wiki/SPECIMEN)   
 [FACT_RELATIONSHIP](https://github.com/OHDSI/CommonDataModel/wiki/FACT_RELATIONSHIP)  
   
 These tables contain the core information about the clinical events that occurred longitudinally during valid Observation Periods for each Person, as well as demographic information for the Person.
 Below provides an entity-relationship diagram highlighting the tables within the Standardized Clinical Data portion of the OMOP Common Data Model:
   
-![Clinical data entity-relationship diagram](http://www.ohdsi.org/web/wiki/lib/exe/fetch.php?media=documentation:cdm:standard_clinical_data_tables.png)\
-  
\ No newline at end of file
+![](http://www.ohdsi.org/web/wiki/lib/exe/fetch.php?media=entity_diagram.png)
+  
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/VISIT_DETAIL.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/VISIT_DETAIL.md
index c8df9bf..b31708b 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/VISIT_DETAIL.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/VISIT_DETAIL.md
@@ -5,44 +5,47 @@ Field|Required|Type|Description
 :------------------------|:--------|:-----|:-------------------------------------------------
 |visit_detail_id			|Yes|integer|A unique identifier for each Person's visit or encounter at a healthcare provider.|
 |person_id					|Yes|integer|A foreign key identifier to the Person for whom the visit is recorded. The demographic details of that Person are stored in the PERSON table.|
-|visit_detail_concept_id			|Yes|integer|A foreign key that refers to a visit Concept identifier in the Standardized Vocabularies.|
-|visit_detail_start_date			|Yes|date|The start date of the visit.|
-|visit_detail_start_datetime		|No|datetime|The date and time of the visit started.|
-|visit_detail_end_date				|Yes|date|The end date of the visit. If this is a one-day visit the end date should match the start date.|
-|visit_detail_end_datetime			|No|datetime|The date and time of the visit end.|
-|visit_detail_type_concept_id		|Yes|Integer|A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the visit record is derived.|
+|visit_detail_concept_id			|Yes|integer|A foreign key that refers to a visit Concept identifier in the Standardized Vocabularies belonging to the 'Visit' Vocabulary. |
+|visit_detail_start_date			|No|date|The start date of the visit.|
+|visit_detail_start_datetime		|Yes|datetime|The date and time of the visit started.|
+|visit_detail_end_date				|No|date|The end date of the visit. If this is a one-day visit the end date should match the start date.|
+|visit_detail_end_datetime			|Yes|datetime|The date and time of the visit end.|
+|visit_detail_type_concept_id		|Yes|Integer|A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the visit record is derived belonging to the 'Visit Type' vocabulary. |
 |provider_id				|No|integer|A foreign key to the provider in the provider table who was associated with the visit.|
 |care_site_id				|No|integer|A foreign key to the care site in the care site table that was visited.|
 |visit_detail_source_value			|No|string(50)|The source code for the visit as it appears in the source data.|
-|visit_detail_source_concept_id	|No|Integer|A foreign key to a Concept that refers to the code used in the source.|
-|admitting_source_value		|	No|Varchar(50)|	The source code for the admitting source as it appears in the source data.|
-|admitting_source_concept_id	|No	|Integer	|A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the admitting source for a visit.|
+|visit_detail_source_concept_id	|Yes|Integer|A foreign key to a Concept that refers to the code used in the source.|
+|admitted_from_source_value		|	No|Varchar(50)|	The source code for the admitting source as it appears in the source data.|
+|admitted_from_concept_id	|Yes	|Integer	|A foreign key to the predefined concept in the 'Place of Service' Vocabulary reflecting the admitting source for a visit.|
 |discharge_to_source_value	|	No|	Varchar(50)|	The source code for the discharge disposition as it appears in the source data.|
-|discharge_to_concept_id	|No	|	Integer	|A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the discharge disposition for a visit.|
+|discharge_to_concept_id	|Yes	|	Integer	|A foreign key to the predefined concept in the 'Place of Service' Vocabulary reflecting the discharge disposition for a visit.|
 |preceding_visit_detail_id	|No	|Integer|	A foreign key to the VISIT_DETAIL table of the visit immediately preceding this visit|
 |visit_detail_parent_id		|	No	|Integer|A foreign key to the VISIT_DETAIL table record to represent the immediate parent visit-detail record.|
 |visit_occurrence_id		|	Yes	|Integer|A foreign key that refers to the record in the VISIT_OCCURRENCE table. This is a required field, because for every visit_detail is a child of visit_occurrence and cannot exist without a corresponding parent record in visit_occurrence.|
 
 ### Conventions 
 
-  * All conventions used in VISIT_OCCURRENCE apply to VISIT_DETAIL, some notable exceptions:
-  * A Visit Detail is an optional detail record for each Visit Occurrence to a healthcare facility. For every record in VISIT_DETAIL there has to be a parent VISIT_OCCURRENCE record.
-  * One record in VISIT_DETAIL can only have one VISIT_OCCURRENCE parent.
-  * A single VISIT_OCCURRENCE record may have many child VISIT_DETAIL records.
-  * Valid Visit Concepts belong to the "Visit" domain. Standard Visit Concepts are yet to be defined, but will represent a detail of the Standard Visit Concept in VISIT_OCCURRENCE.
-  * Handling of death: In the case when a patient died during admission (VISIT_OCCURRENCE.DISCHARGE_DISPOSITION_CONCEPT_ID = 4216643 'Patient died'), a record in the Death table should be created with DEATH_TYPE_CONCEPT_ID = 44818516 (EHR discharge status "Expired").
-  * Source Concepts from place of service vocabularies are mapped into these Standard Visit Concepts in the Standardized Vocabularies. 
-  * At any one day, there could be more than one visit. VISIT_OCCURRENCE allows for more than one visit within a single day. VISIT_DETAIL is to be used to only capture details within the visit.
-  * One visit may involve multiple providers, in which case, in VISIT_OCCURRENCE, the ETL must specify how a single provider id is selected or leave the provider_id field null. VISIT_DETAIL allows for ETL to speicify multiple child records per visit occurrence - and each of these child records may represent different provider_ids.
-  * One visit may involve multiple Care Sites, in which case, in VISIT_OCCURRENCE, the ETL must specify how a single care_site id is selected or leave the care_site_id field null. VISIT_DETAIL allows for ETL to speicify multiple child records per visit occurrence - and each of these child records may represent different care_sites.
-  * Just like in VISIT_OCCURRENCE, records in VISIT_DETAIL may be sequentially related to each. These sequential relations are represented using preceding_visit_detail_id
-  * Unlike VISIT_OCCURRENCE, VISIT_DETAIL may have nested visits with hierarchial relationships to each other. 
-  * Representation of US claim data: US claims data generally has two-levels. Header/summary data that summarizes the entire claim; Line/detail that details a claim. Detail is thus a child of the summary, and for every record in summary there is one or more records in detail. i.e. there will be atleast one FK link from VISIT_DETAIL to VISIT_OCCURRENCE.
+All conventions used in VISIT_OCCURRENCE apply to VISIT_DETAIL, with some notable exceptions as detailed below
+
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | A Visit Detail is an optional detail record for each Visit Occurrence to a healthcare facility. For every record in VISIT_DETAIL there has to be a parent VISIT_OCCURRENCE record. |
+| 2  | One record in VISIT_DETAIL can only have one VISIT_OCCURRENCE parent. |
+| 3  | A single VISIT_OCCURRENCE record may have many child VISIT_DETAIL records. |
+| 4  | Valid Visit Concepts belong to the 'Visit' domain. Standard Visit Concepts are yet to be defined, but will represent a detail of the Standard Visit Concept in VISIT_OCCURRENCE. |
+| 5  | Handling of death: In the case when a patient died during admission (VISIT_DETAIL.DISCHARGE_TO_CONCEPT_ID = 4216643 'Patient died'), a record in the Observation table should be created with OBSERVATION_TYPE_CONCEPT_ID = 44818516 (EHR discharge status 'Expired').|
+| 6  | Source Concepts from place of service vocabularies are mapped into these Standard Visit Concepts in the Standardized Vocabularies. |
+| 7  | On any one day, there could be more than one visit. VISIT_OCCURRENCE allows for more than one visit within a single day. VISIT_DETAIL is to be used to only capture details within the visit.
+| 8  | One visit may involve multiple Providers, in which case, in VISIT_OCCURRENCE, the ETL must specify how a single PROVIDER_ID is selected or leave the PROVIDER_ID field null. VISIT_DETAIL allows for the ETL to specify multiple child records per VISIT_OCCURRENCE - and each of these child records may represent different PROVIDER_IDs.|
+| 9  | One visit may involve multiple Care Sites, in which case, in VISIT_OCCURRENCE, the ETL must specify how a single CARE_SITE_ID is selected or leave the CARE_SITE_ID field null. VISIT_DETAIL allows for the ETL to specify multiple child records per visit occurrence - and each of these child records may represent different CARE_SITEs.|
+| 10 | Just like in VISIT_OCCURRENCE, records in VISIT_DETAIL may be sequentially related to each. These sequential relations are represented using PRECEDING_VISIT_DETAIL_ID.|
+| 11 | Unlike VISIT_OCCURRENCE, VISIT_DETAIL may have nested visits with hierarchical relationships to each other. These relationships are represented using VISIT_DETAIL_PARENT_ID. |
+| 12 | In US claims data Header/summary data that summarizes the entire claim and Line/detail that details a claim, detail is thus a child of the summary, and for every record in summary there is one or more records in detail. i.e. there will be at least one foreign key link from VISIT_DETAIL to VISIT_OCCURRENCE.
  
- Example: an entire inpatient stay maybe one record in the VISIT_OCCURRENCE table. This may have one or more detail records such as ER, ICU, medical floor, rehabilitation floor etc. Each of these visit details may have different start/end date-times, different concept_ids and fact_ids. These would become separate records in VISIT_DETAIL with a FK link to VISIT_OCCURRENCE. 
+ For example: an entire inpatient stay maybe one record in the VISIT_OCCURRENCE table. This may have one or more detail records such as ER, ICU, medical floor, rehabilitation floor etc. Each of these visit details may have different start/end date-times, different concept_ids and fact_ids. These would become separate records in VISIT_DETAIL with a FK link to VISIT_OCCURRENCE. 
  
  Each record within VISIT_DETAIL may be related to each other, sequentially –> ER leading to ICU leading to medical floor, leading to rehabilitation, or in hierarchical parent-child visit –> a visit for dialysis while in ICU.
 
-Note the CONCEPT_ID for visit domain is 8, and it is shared between VISIT_OCCURRENCE and VISIT_DETAIL in OMOP CDM. The key deviation from VISIT_OCCURRENCE is
+Note the domain is Visit, and it is shared between VISIT_OCCURRENCE and VISIT_DETAIL in OMOP CDM. The key deviation from VISIT_OCCURRENCE is
 - self-referencing key: a new foreign key visit_detail_parent_id allows self referencing for nested visits.
 - VISIT_DETAIL points to its parent record in the VISIT_OCCURRENCE table (visit_occurrence_id)
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/VISIT_OCCURRENCE.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/VISIT_OCCURRENCE.md
index 9bf88c9..338bd17 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/VISIT_OCCURRENCE.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedClinicalDataTables/VISIT_OCCURRENCE.md
@@ -4,39 +4,35 @@ Field|Required|Type|Description
 :------------------------|:--------|:-----|:-------------------------------------------------
 |visit_occurrence_id|Yes|integer|A unique identifier for each Person's visit or encounter at a healthcare provider.|
 |person_id|Yes|integer|A foreign key identifier to the Person for whom the visit is recorded. The demographic details of that Person are stored in the PERSON table.|
-|visit_concept_id|Yes|integer|A foreign key that refers to a visit Concept identifier in the Standardized Vocabularies.|
-|visit_start_date|Yes|date|The start date of the visit.|
-|visit_start_datetime|No|datetime|The date and time of the visit started.|
-|visit_end_date|Yes|date|The end date of the visit. If this is a one-day visit the end date should match the start date.|
-|visit_end_datetime|No|datetime|The date and time of the visit end.|
-|visit_type_concept_id|Yes|Integer|A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the visit record is derived.|
+|visit_concept_id|Yes|integer|A foreign key that refers to a visit Concept identifier in the Standardized Vocabularies belonging to the 'Visit' Vocabulary.|
+|visit_start_date|No|date|The start date of the visit.|
+|visit_start_datetime|Yes|datetime|The date and time of the visit started.|
+|visit_end_date|No|date|The end date of the visit. If this is a one-day visit the end date should match the start date.|
+|visit_end_datetime|Yes|datetime|The date and time of the visit end.|
+|visit_type_concept_id|Yes|Integer|A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the visit record is derived belonging to the 'Visit Type' vocabulary.|
 |provider_id|No|integer|A foreign key to the provider in the provider table who was associated with the visit.|
 |care_site_id|No|integer|A foreign key to the care site in the care site table that was visited.|
 |visit_source_value|No|varchar(50)|The source code for the visit as it appears in the source data.|
-|visit_source_concept_id|No|integer|A foreign key to a Concept that refers to the code used in the source.|
-|admitting_source_concept_id	|No	|integer	|A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the admitting source for a visit.|
+|visit_source_concept_id|Yes|integer|A foreign key to a Concept that refers to the code used in the source.|
+|admitting_source_concept_id	|Yes	|integer	|A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the admitting source for a visit.|
 |admitting_source_value			|	No|varchar(50)|	The source code for the admitting source as it appears in the source data.|
-|discharge_to_concept_id		|No	|	integer	|A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the discharge disposition for a visit.|
+|discharge_to_concept_id		|Yes	|	integer	|A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the discharge disposition for a visit.|
 |discharge_to_source_value		|	No|	varchar(50)|	The source code for the discharge disposition as it appears in the source data.|
 |preceding_visit_occurrence_id	|	No	|integer|A foreign key to the VISIT_OCCURRENCE table of the visit immediately preceding this visit|
 
 ### Conventions 
 
-  * A Visit Occurrence is recorded for each visit to a healthcare facility. 
-  * Valid Visit Concepts belong to the "Visit" domain. 
-  * Standard Visit Concepts are defined as Inpatient Visit, Outpatient Visit, Emergency Room Visit, Long Term Care Visit and combined ER and Inpatient Visit. The latter is necessary because it is close to impossible to separate the two in many EHR system, treating them interchangeably. To annotate this correctly, the visit concept "Emergency Room and Inpatient Visit" (concept_id=262) should be used.
-  * Handling of death: In the case when a patient died during admission (Visit_Occurrence. discharge_disposition_concept_id = 4216643 'Patient died'), a record in the Death table should be created with death_type_concept_id = 44818516 (EHR discharge status "Expired").
-  * Source Concepts from place of service vocabularies are mapped into these standard visit Concepts in the Standardized Vocabularies. 
-  * At any one day, there could be more than one visit.
-  * One visit may involve multiple providers, in which case the ETL must specify how a single provider id is selected or leave the provider_id field null.
-  * One visit may involve multiple Care Sites, in which case the ETL must specify how a single care_site id is selected or leave the care_site_id field null.
-  * Visits are recorded in various data sources in different forms with varying levels of standardization. For example:
-    * Medical Claims include Inpatient Admissions, Outpatient Services, and Emergency Room visits. 
-    * Electronic Health Records may capture Person visits as part of the activities recorded depending whether the EHR system is used at the different Care Sites.
-  * In addition to the "Place of Service" vocabulary the following SNOMED concepts for discharge disposition can be used:
-    * Patient died: 4216643
-	* Absent without leave: 44814693
-	* Patient self-discharge against medical advice: 4021968
-  * In the case where a patient died during admission (Visit_Occurrence.discharge_disposition_concept_id = 4216643 "Patient died"), a record in the Death table should be created with death_type_concept_id = 44818516 (EHR discharge status "Expired").
-  * PRECEDING_VISIT_ID can be used to link a visit immediately preceding the current visit
-  * Some EMR systems combine emergency room followed by inpatient admission into one visit, and it is close to impossible to separate the two. To annotate this visit type, a new visit concept "Emergency Room and Inpatient Visit" was added (CONCEPT_ID 262).
\ No newline at end of file
+No.|Convention Description
+:--------|:------------------------------------   
+| 1  | A Visit Occurrence is recorded for each visit to a healthcare facility. |
+| 2  | Valid Visit Concepts belong to the 'Visit' domain. |
+| 3  | Standard Visit Concepts are defined, among others, as Inpatient Visit, Outpatient Visit, Emergency Room Visit, Long Term Care Visit and combined ER and Inpatient Visit. The latter is necessary because it is close to impossible to separate the two in many EHR system, treating them interchangeably. To annotate this correctly, the visit concept 'Emergency Room and Inpatient Visit' (concept_id=262) should be used.
+| 4  | Handling of death: In the case when a patient died during admission (VISIT_OCCURRENCE.DISCHARGE_TO_CONCEPT_ID = 4216643 'Patient died'), a record in the Observation table should be created with OBSERVATION_TYPE_CONCEPT_ID = 44818516 (EHR discharge status 'Expired').|
+| 5  | Source Concepts from place of service vocabularies are mapped into these standard visit Concepts in the Standardized Vocabularies. |
+| 6  | At any one day, there could be more than one visit. |
+| 7  | One visit may involve multiple providers, in which case the ETL must specify how a single PROVIDER_ID is selected or leave the PROVIDER_ID field null. |
+| 8  | One visit may involve multiple Care Sites, in which case the ETL must specify how a single CARE_SITE_ID is selected or leave the CARE_SITE_ID field null.
+| 9  | Visits are recorded in various data sources in different forms with varying levels of standardization. For example:<br><ul><li>Medical Claims include Inpatient Admissions, Outpatient Services, and Emergency Room visits.</li><li>Electronic Health Records may capture Person visits as part of the activities recorded depending whether the EHR system is used at the different Care Sites./li></ul> |
+| 10 | In addition to the 'Place of Service' vocabulary the following SNOMED concepts for discharge disposition (DISCHARGE_TO_CONCEPT_ID) can be used:<br><ul><li>Patient died: 4216643</li><li>Absent without leave: 44814693</li><li>Patient self-discharge against medical advice: 4021968</li></ul> |
+| 11 | PRECEDING_VISIT_ID can be used to link a visit immediately preceding the current visit. |
+| 12 | Visit end dates are mandatory. If end dates are not provided in the source there are three ways in which to derive them:<br><ul><li>Outpatient Visit: VISIT_END_DATE = VISIT_START_DATE</li><li>Emergency Room Visit: VISIT_END_DATE = VISIT_START_DATE</li><li>Inpatient Visit: Usually there is information about discharge. If not, you should be able to derive the end date from the sudden decline of activity or from the absence of inpatient procedures/drugs.</li><li>Long Term Care Visits: Particularly for claims data, if end dates are not provided assume the visit is for the duration of month that it occurs.</li><li>For inpatient visits ongoing at the date of ETL, put date of processing the data as mandatory VISIT_END_DATE and VISIT_TYPE_CONCEPT_ID with 32220-"Still patient" to identify the visit as incomplete.</li></ul>([THEMIS issue #13](https://github.com/OHDSI/Themis/issues/13)).|
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/COHORT_ATTRIBUTE.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/COHORT_ATTRIBUTE.md
deleted file mode 100644
index e5c2d76..0000000
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/COHORT_ATTRIBUTE.md
+++ /dev/null
@@ -1,17 +0,0 @@
-The COHORT_ATTRIBUTE table contains attributes associated with each subject within a cohort, as defined by a given set of criteria for a duration of time. The definition of the Cohort Attribute is contained in the ATTRIBUTE_DEFINITION table.
-
-Field|Required|Type|Description
-:---------------------|:--------|:------------|:------------------------------
-|cohort_definition_id|Yes|integer|A foreign key to a record in the [COHORT_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/COHORT_DEFINITION) table containing relevant Cohort Definition information.|
-|subject_id|Yes|integer|A foreign key to the subject in the Cohort. These could be referring to records in the PERSON, PROVIDER, VISIT_OCCURRENCE table.|
-|cohort_start_date|Yes|date|The date when the Cohort Definition criteria for the Person, Provider or Visit first match.|
-|cohort_end_date|Yes|date|The date when the Cohort Definition criteria for the Person, Provider or Visit no longer match or the Cohort membership was terminated.|
-|attribute_definition_id|Yes|integer|A foreign key to a record in the [ATTRIBUTE_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/ATTRIBUTE_DEFINITION) table containing relevant Attribute Definition information.|
-|value_as_number|No|float|The attribute result stored as a number. This is applicable to attributes where the result is expressed as a numeric value.|
-|value_as_concept_id|No|integer|The attribute result stored as a Concept ID. This is applicable to attributes where the result is expressed as a categorical value.|
-
-### Conventions 
-  * Each record in the COHORT_ATTRIBUTE table is linked to a specific record in the COHORT table, identified by matching cohort_definition_id, subject_id, cohort_start_date and cohort_end_date fields.
-  * It adds to the Cohort records calculated co-variates (for example age, BMI) or composite scales (for example Charleson index).
-  * The unifying definition or feature of the Cohort Attribute is captured in the attribute_definition_id referring to a record in the ATTRIBUTE_DEFINITION table.
-  * The actual result or value of the Cohort Attribute (co-variate, index value) is captured in the value_as_number	(if the value is numeric) or the value_as_concept_id (if the value is a concept) fields.
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/CONDITION_ERA.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/CONDITION_ERA.md
index bde5595..0ebcc51 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/CONDITION_ERA.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/CONDITION_ERA.md
@@ -11,14 +11,14 @@ Field|Required|Type|Description
 |condition_era_id|Yes|integer|A unique identifier for each Condition Era.|
 |person_id|Yes|integer|A foreign key identifier to the Person who is experiencing the Condition during the Condition Era. The demographic details of that Person are stored in the PERSON table.|
 |condition_concept_id|Yes|integer|A foreign key that refers to a standard Condition Concept identifier in the Standardized Vocabularies.|
-|condition_era_start_date|Yes|date|The start date for the Condition Era constructed from the individual instances of Condition Occurrences. It is the start date of the very first chronologically recorded instance of the condition.|
-|condition_era_end_date|Yes|date|The end date for the Condition Era constructed from the individual instances of Condition Occurrences. It is the end date of the final continuously recorded instance of the Condition.|
+|condition_era_start_datetime|Yes|date|The start date for the Condition Era constructed from the individual instances of Condition Occurrences. It is the start date of the very first chronologically recorded instance of the condition.|
+|condition_era_end_datetime|Yes|date|The end date for the Condition Era constructed from the individual instances of Condition Occurrences. It is the end date of the final continuously recorded instance of the Condition.|
 |condition_occurrence_count|No|integer|The number of individual Condition Occurrences used to construct the condition era.|
 
 ### Conventions 
-  * Condition Era records will be derived from the records in the CONDITION_OCCURRENCE table using a standardized algorithm.
-  * Each Condition Era corresponds to one or many Condition Occurrence records that form a continuous interval.
-    * The condition_concept_id field contains Concepts that are identical to those of the CONDITION_OCCURRENCE table records that make up the Condition Era. In contrast to Drug Eras, Condition Eras are not aggregated to contain Conditions of different hierarchical layers.
-    * The Condition Era Start Date is the start date of the first Condition Occurrence.
-    * The Condition Era End Date is the end date of the last Condition Occurrence.
-  * Condition Eras are built with a Persistence Window of 30 days, meaning, if no occurence of the same condition_concept_id happens within 30 days of any one occurrence, it will be considered the condition_era_end_date.
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Condition Era records will be derived from the records in the CONDITION_OCCURRENCE table using a standardized algorithm. |
+| 2  | Each Condition Era corresponds to one or many Condition Occurrence records that form a continuous interval.<br><ul><li>The condition_concept_id field contains Concepts that are identical to those of the CONDITION_OCCURRENCE table records that make up the Condition Era. In contrast to Drug Eras, Condition Eras are not aggregated to contain Conditions of different hierarchical layers.</li><li>The Condition Era Start Date is the start date of the first Condition Occurrence.</li><li>The Condition Era End Date is the end date of the last Condition Occurrence.</li></ul>
+| 3  | Condition Eras are built with a Persistence Window of 30 days, meaning, if no occurrence of the same condition_concept_id happens within 30 days of any one occurrence, it will be considered the condition_era_end_date.
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/DOSE_ERA.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/DOSE_ERA.md
index d42af2e..2629055 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/DOSE_ERA.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/DOSE_ERA.md
@@ -7,18 +7,22 @@ Field|Required|Type|Description
 |drug_concept_id|Yes|integer|A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the active Ingredient Concept.|
 |unit_concept_id|Yes|integer|A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the unit concept.|
 |dose_value|Yes|float|The numeric value of the dose.|
-|dose_era_start_date|Yes|date|The start date for the drug era constructed from the individual instances of drug exposures. It is the start date of the very first chronologically recorded instance of utilization of a drug.|
-|dose_era_end_date|Yes|date|The end date for the drug era constructed from the individual instance of drug exposures. It is the end date of the final continuously recorded instance of utilization of a drug.|
+|dose_era_start_datetime|Yes|date|The start date for the drug era constructed from the individual instances of drug exposures. It is the start date of the very first chronologically recorded instance of utilization of a drug.|
+|dose_era_end_datetime|Yes|date|The end date for the drug era constructed from the individual instance of drug exposures. It is the end date of the final continuously recorded instance of utilization of a drug.|
 
 ### Conventions 
-  * Dose Eras will be derived from records in the DRUG_EXPOSURE table and the Dose information from the DRUG_STRENGTH table using a standardized algorithm.
-  * Each Dose Era corresponds to one or many Drug Exposures that form a continuous interval and contain the same Drug Ingredient (active compound) at the same effective daily dose.
-  * Dose Form information is not taken into account. So, if the patient changes between different formuations, or different manufacturers with the same formulation, the Dose Era is still spanning the entire time of exposure to the Ingredient.
-  * The daily dose is calculated for each DRUG_EXPOSURE record by calculating the total dose of the record and dividing by the duration.
-  * The total dose of a DRUG_EXPOSURE record is calculated with the help of the DRUG_STRENGTH table containing the dosage information for each drug as following:
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Dose Eras will be derived from records in the DRUG_EXPOSURE table and the Dose information from the DRUG_STRENGTH table using a standardized algorithm. |
+| 2  | Each Dose Era corresponds to one or many Drug Exposures that form a continuous interval and contain the same Drug Ingredient (active compound) at the same effective daily dose. |
+| 3  | Dose Form information is not taken into account. So, if the patient changes between different formulations, or different manufacturers with the same formulation, the Dose Era is still spanning the entire time of exposure to the Ingredient.
+| 4  | The daily dose is calculated for each DRUG_EXPOSURE record by calculating the total dose of the record and dividing by the duration. |
+
+
+The total dose of a DRUG_EXPOSURE record is calculated with the help of the DRUG_STRENGTH table containing the dosage information for each drug as following:  
   
-  
-|  1     | Tablets and other fixed amount formulations | 
+|  5     | Tablets and other fixed amount formulations | 
 |:-----------------|:-----------------------------------------|
 ||*Example: Acetaminophen (Paracetamol) 500 mg, 20 tablets.*|
 | DRUG_STRENGTH  | The denominator_unit is empty |
@@ -27,14 +31,14 @@ Field|Required|Type|Description
 |`Ingredient dose=`|`quantity x amount_value [amount_unit_concept_id]`|
 ||*`Acetaminophen dose = 20 x 500mg = 10,000mg`*|
 
-|  2     | Puffs of an inhaler | 
+|  6     | Puffs of an inhaler | 
 |:-----------------|:-----------------------------------------|
 ||Note: There is no difference to use case 1 besides that the DRUG_STRENGTH table may put {actuat} in the denominator unit. In this case the strength is provided in the numerator.|
 | DRUG_STRENGTH  | The denominator_unit is {actuat}|
 | DRUG_EXPOSURE  | The quantity refers to the number of pieces, e.g. puffs |
 | `Ingredient dose=`|`quantity x numerator_value [numerator_unit_concept_id]`|
 
-|  3     | Quantified Drugs which are formulated as a concentration | 
+|  7     | Quantified Drugs which are formulated as a concentration | 
 |:-----------------|:-----------------------------------------|
 ||*Example: The Clinical Drug is Acetaminophen 250 mg/mL in a 5mL oral suspension. The Quantified Clinical Drug would have 1250 mg / 5 ml in the DRUG_STRENGTH table. Two suspensions are dispensed.*|
 | DRUG_STRENGTH  | The denominator_unit is either mg or mL. The denominator_value might be different from 1. |
@@ -43,7 +47,7 @@ Field|Required|Type|Description
 | `Ingredient dose=`|`quantity x numerator_value [numerator_unit_concept_id]`|
 ||*`Acetaminophen dose = 2 x 1250mg = 2500mg`*|
 
-|  4     | Drugs with the total amount provided in quantity, e.g. chemotherapeutics | 
+|  8     | Drugs with the total amount provided in quantity, e.g. chemotherapeutics | 
 |:-----------------|:-----------------------------------------|
 ||*Example: 42799258 "Benzyl Alcohol 0.1 ML/ML / Pramoxine hydrochloride 0.01 MG/MG Topical Gel" dispensed in a 1.25oz pack.*|
 | DRUG_STRENGTH  | The denominator_unit is either mg or mL.|
@@ -55,7 +59,7 @@ Field|Required|Type|Description
 ||*`Pramoxine hydrochloride dose = 37 x 0.01mg x 1000 = 370mg`*|
 ||*Note: The analytical side should check the denominator in the DRUG_STRENGTH table. As mg is used for the second ingredient the factor 1000 will be applied to convert between g and mg.*|
 
-|  5     | Compounded drugs |
+|  9     | Compounded drugs |
 |:-----------------|:-----------------------------------------|
 ||*Example: Ibuprofen 20%/Piroxicam 1% Cream, 30ml in 5ml tubes.*|
 | DRUG_STRENGTH  | We need entries for the ingredients of Ibuprofen and  Piroxicam, probably with an amount_value of 1 and a unit of mg.|
@@ -66,7 +70,7 @@ Field|Required|Type|Description
 ||*`Piroxicam dose = 0.3 x 1mg x 1000 = 300mg`*|
 ||*Note: The analytical side determines that the denominator for both ingredients in the DRUG_STRENGTH table is mg and applies the factor 1000 to convert between mL/g and mg.*|
 
-|  6     | Drugs with the active ingredient released over time, e.g. patches |
+|  10     | Drugs with the active ingredient released over time, e.g. patches |
 |:-----------------|:-----------------------------------------|
 ||*Example: Ethinyl Estradiol 0.000833 MG/HR / norelgestromin 0.00625 MG/HR Weekly Transdermal Patch*|
 | DRUG_STRENGTH  | The denominator units refer to hour.|
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/DRUG_ERA.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/DRUG_ERA.md
index 3ab7f6a..f8bd3fe 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/DRUG_ERA.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/DRUG_ERA.md
@@ -5,23 +5,23 @@ Field|Required|Type|Description
 |drug_era_id|Yes|integer|A unique identifier for each Drug Era.|
 |person_id|Yes|integer|A foreign key identifier to the Person who is subjected to the Drug during the fDrug Era. The demographic details of that Person are stored in the PERSON table.|
 |drug_concept_id|Yes|integer|A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the Ingredient Concept.|
-|drug_era_start_date|Yes|date|The start date for the Drug Era constructed from the individual instances of Drug Exposures. It is the start date of the very first chronologically recorded instance of conutilization of a Drug.|
-|drug_era_end_date|Yes|date|The end date for the drug era constructed from the individual instance of drug exposures. It is the end date of the final continuously recorded instance of utilization of a drug.|
+|drug_era_start_datetime|Yes|date|The start date for the Drug Era constructed from the individual instances of Drug Exposures. It is the start date of the very first chronologically recorded instance of conutilization of a Drug.|
+|drug_era_end_datetime|Yes|date|The end date for the drug era constructed from the individual instance of drug exposures. It is the end date of the final continuously recorded instance of utilization of a drug.|
 |drug_exposure_count|No|integer|The number of individual Drug Exposure occurrences used to construct the Drug Era.|
 |gap_days|No|integer|The number of days that are not covered by DRUG_EXPOSURE records that were used to make up the era record.|
 
 ### Conventions 
-  * Drug Eras are derived from records in the DRUG_EXPOSURE table using a standardized algorithm.
-  * Each Drug Era corresponds to one or many Drug Exposures that form a continuous interval and contain the same Drug Ingredient (active compound).
-  * The drug_concept_id field only contains Concepts that have the concept_class 'Ingredient'. The Ingredient is derived from the Drug Concepts in the DRUG_EXPOSURE table that are aggregated into the Drug Era record.
-  * The Drug Era Start Date is the start date of the first Drug Exposure.
-  * The Drug Era End Date is the end date of the last Drug Exposure. The End Date of each Drug Exposure is either taken from the field drug_exposure_end_date or, as it is typically not available, inferred using the following rules:
-    * For pharmacy prescription data, the date when the drug was dispensed plus the number of days of supply are used to extrapolate the End Date for the Drug Exposure. Depending on the country-specific healthcare system, this supply information is either explicitly provided in the day_supply field or inferred from package size or similar information.
-    * For Procedure Drugs, usually the drug is administered on a single date (i.e., the administration date). 
-    * A standard Persistence Window of 30 days (gap, slack) is permitted between two subsequent such extrapolated DRUG_EXPOSURE records to be considered to be merged into a single Drug Era.
-  * The Gap Days determine how many total drug-free days are observed between all Drug Exposure events that contribute to a DRUG_ERA record. It is assumed that the drugs are "not stockpiled" by the patient, i.e. that if a new drug prescription or refill is observed (a new DRUG_EXPOSURE record is written), the remaining supply from the previous events is abandoned.
-  * The difference between Persistence Window and Gap Days is that the former is the maximum drug-free time allowed between two subsequent DRUG_EXPOSURE records, while the latter is the sum of actual drug-free days for the given Drug Era under the above assumption of non-stockpiling.
-  * The choice of a standard Persistence Window of 30 and the non-stockpiling assumption is arbitrary, but has been shown to deliver good results in drug-outcome estimation. Other problems, such as estimation of drug compliance, my require a different or drug-dependent Persistence Window/stockpiling assumption. Researchers are encouraged to consider creating their own Drug Eras with different parameters as Cohorts and store them in the COHORT table.
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Drug Eras are derived from records in the DRUG_EXPOSURE table using a standardized algorithm. 
+| 2  | Each Drug Era corresponds to one or many Drug Exposures that form a continuous interval and contain the same Drug Ingredient (active compound). |
+| 3  | The drug_concept_id field only contains Concepts that have the concept_class 'Ingredient'. The Ingredient is derived from the Drug Concepts in the DRUG_EXPOSURE table that are aggregated into the Drug Era record. |
+| 4  | The Drug Era Start Date is the start date of the first Drug Exposure. |
+| 5  | The Drug Era End Date is the end date of the last Drug Exposure. The End Date of each Drug Exposure is either taken from the field drug_exposure_end_date or, as it is typically not available, inferred using the following rules:<br><ul><li>For pharmacy prescription data, the date when the drug was dispensed plus the number of days of supply are used to extrapolate the End Date for the Drug Exposure. Depending on the country-specific healthcare system, this supply information is either explicitly provided in the day_supply field or inferred from package size or similar information.</li><li>For Procedure Drugs, usually the drug is administered on a single date (i.e., the administration date).</li><li> A standard Persistence Window of 30 days (gap, slack) is permitted between two subsequent such extrapolated DRUG_EXPOSURE records to be considered to be merged into a single Drug Era.</li></ul> |
+| 6  | The Gap Days determine how many total drug-free days are observed between all Drug Exposure events that contribute to a DRUG_ERA record. It is assumed that the drugs are "not stockpiled" by the patient, i.e. that if a new drug prescription or refill is observed (a new DRUG_EXPOSURE record is written), the remaining supply from the previous events is abandoned. |
+| 7  | The difference between Persistence Window and Gap Days is that the former is the maximum drug-free time allowed between two subsequent DRUG_EXPOSURE records, while the latter is the sum of actual drug-free days for the given Drug Era under the above assumption of non-stockpiling. |
+| 8  | The choice of a standard Persistence Window of 30 and the non-stockpiling assumption is arbitrary, but has been shown to deliver good results in drug-outcome estimation. Other problems, such as estimation of drug compliance, my require a different or drug-dependent Persistence Window/stockpiling assumption. Researchers are encouraged to consider creating their own Drug Eras with different parameters as Cohorts and store them in the COHORT table. |
 
 ![](http://www.ohdsi.org/web/wiki/lib/exe/fetch.php?w=800&tok=5ebf4b&media=documentation:cdm:drugera.jpg)\
   
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/Standardized-Derived-Elements.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/Standardized-Derived-Elements.md
index cb81a0e..00f1581 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/Standardized-Derived-Elements.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedDerivedElements/Standardized-Derived-Elements.md
@@ -1,5 +1,3 @@
-[COHORT](https://github.com/OHDSI/CommonDataModel/wiki/COHORT)  
-[COHORT_ATTRIBUTE](https://github.com/OHDSI/CommonDataModel/wiki/COHORT_ATTRIBUTE)  
 [DRUG_ERA](https://github.com/OHDSI/CommonDataModel/wiki/DRUG_ERA)  
 [DOSE_ERA](https://github.com/OHDSI/CommonDataModel/wiki/DOSE_ERA)  
 [CONDITION_ERA](https://github.com/OHDSI/CommonDataModel/wiki/CONDITION_ERA)  
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthEconomicsDataTables/COST.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthEconomicsDataTables/COST.md
index a426a42..8206f97 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthEconomicsDataTables/COST.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthEconomicsDataTables/COST.md
@@ -1,59 +1,72 @@
-The COST table captures records containing the cost of any medical entity recorded in one of the DRUG_EXPOSURE, PROCEDURE_OCCURRENCE, VISIT_OCCURRENCE or DEVICE_OCCURRENCE tables. It replaces the corresponding DRUG_COST, PROCEDURE_COST, VISIT_COST or DEVICE_COST tables that were initially defined for the OMOP CDM V5. However, it also allows to capture cost information for records of the OBSERVATION and MEASUREMENT tables.
+The COST table captures records containing the cost of any medical event recorded in one of the OMOP clinical event tables such as DRUG_EXPOSURE, PROCEDURE_OCCURRENCE, VISIT_OCCURRENCE, VISIT_DETAIL, DEVICE_OCCURRENCE, OBSERVATION or MEASUREMENT.
 
-The information about the cost is defined by the amount of money paid by the Person and Payer, or as the charged cost by the healthcare provider. So, the COST table can be used to represent both cost and revenue perspectives. The cost_type_concept_id field will use concepts in the Standardized Vocabularies to designate the source of the cost data. A reference to the health plan information in the PAYER_PLAN_PERIOD table is stored in the record that is responsible for the determination of the cost as well as some of the payments. 
+Each record in the cost table account for the amount of money transacted for the clinical event. So, the COST table may be used to represent both receivables (charges) and payments (paid), each transaction type represented by its COST_CONCEPT_ID. The COST_TYPE_CONCEPT_ID field will use concepts in the Standardized Vocabularies to designate the source (provenance) of the cost data. A reference to the health plan information in the PAYER_PLAN_PERIOD table is stored in the record for information used for the adjudication system to determine the persons benefit for the clinical event. 
 
 Field|Required|Type|Description
 :-----------------------------|:--------|:------------|:----------------------------------------------------
 |cost_id						|Yes|integer|A unique identifier for each COST record.|
+|person_id						|Yes|integer|A unique identifier for each PERSON.|
 |cost_event_id					|Yes|integer|A foreign key identifier to the event (e.g. Measurement, Procedure, Visit, Drug Exposure, etc) record for which cost data are recorded.|
-|cost_domain_id					|Yes|varchar(20)|The concept representing the domain of the cost event, from which the corresponding table can be inferred that contains the entity for which cost information is recorded.|
-|cost_type_concept_id			|Yes|integer|A foreign key identifier to a concept in the CONCEPT table for the provenance or the source of the COST data: Calculated from insurance claim information, provider revenue, calculated from cost-to-charge ratio, reported from accounting database, etc.|
-|currency_concept_id			|No|integer|A foreign key identifier to the concept representing the 3-letter code used to delineate international currencies, such as USD for US Dollar.|
-|total_charge					|No|float|The total amount charged by some provider of goods or services (e.g. hospital, physician pharmacy, dme provider) to payers (insurance companies, the patient).|
-|total_cost						|No|float|The cost incurred by the provider of goods or services.|
-|total_paid						|No|float|The total amount actually paid from all payers for goods or services of the provider.|
-|paid_by_payer					|No|float|The amount paid by the Payer for the goods or services.|
-|paid_by_patient				|No|float|The total amount paid by the Person as a share of the expenses.|
-|paid_patient_copay				|No|float|The amount paid by the Person as a fixed contribution to the expenses.|
-|paid_patient_coinsurance		|No|float|The amount paid by the Person as a joint assumption of risk. Typically, this is a percentage of the expenses defined by the Payer Plan after the Person's deductible is exceeded.|
-|paid_patient_deductible		|No|float|The amount paid by the Person that is counted toward the deductible defined by the Payer Plan. paid_patient_deductible does contribute to the paid_by_patient variable.|
-|paid_by_primary				|No|float|The amount paid by a primary Payer through the coordination of benefits.|
-|paid_ingredient_cost			|No|float|The amount paid by the Payer to a pharmacy for the drug, excluding the amount paid for dispensing the drug.  paid_ingredient_cost contributes to the paid_by_payer field if this field is populated with a nonzero value.|
-|paid_dispensing_fee			|No|float|The amount paid by the Payer to a pharmacy for dispensing a drug, excluding the amount paid for the drug ingredient. paid_dispensing_fee contributes to the paid_by_payer field if this field is populated with a nonzero value.|
-|payer_plan_period_id			|No|integer|A foreign key to the PAYER_PLAN_PERIOD table, where the details of the Payer, Plan and Family are stored.  Record the payer_plan_id that relates to the payer who contributed to the paid_by_payer field.|
-|amount_allowed					|No|float|The contracted amount agreed between the payer and provider.|
-|revenue_code_concept_id		|No|integer|A foreign key referring to a Standard Concept ID in the Standardized Vocabularies for Revenue codes.|
-|revenue_code_source_value		|No|varchar(50)|The source code for the Revenue code as it appears in the source data, stored here for reference.|
-|drg_concept_id					|No|integer|A foreign key to the predefined concept in the DRG Vocabulary reflecting the DRG for a visit.|
-|drg_source_value				|No|varchar(3)|	The 3-digit DRG source code as it appears in the source data.|
+|cost_event_field_concept_id    |Yes| integer| A foreign key identifier to a concept in the CONCEPT table representing the identity of the field represented by COST_EVENT_ID |
+|cost_concept_id         		| Yes| integer| A foreign key that refers to a Standard Cost Concept identifier in the Standardized Vocabularies belonging to the 'Cost' vocabulary.  |
+| cost_type_concept_id         | Yes       | integer     | A foreign key identifier to a concept in the CONCEPT table for the provenance or the source of the COST data and belonging to the 'Cost Type' vocabulary  |
+| cost_source_concept_id         | Yes       | integer     | A foreign key to a Cost Concept that refers to the code used in the source. |
+| cost_source_value | No | varchar(50) | The source value for the cost as it appears in the source data|
+| currency_concept_id          | Yes       | integer     | A foreign key identifier to the concept representing the 3-letter code used to delineate international currencies, such as USD for US Dollar. These belong to the 'Currency' vocabulary  |
+| cost                  | Yes       | float       | The actual financial cost amount |
+| incurred_date                 | Yes       | date        | The first date of service of the clinical event corresponding to the cost as in table capturing the information (e.g. date of visit, date of procedure, date of condition, date of drug etc).   |
+| billed_date              | No        | date    | The date a bill was generated for a service or encounter              |
+| paid_date               | No        | date    | The date payment was received for a service or encounter                                                                                                                                                                                          |
+| revenue_code_concept_id      | Yes        | integer     | A foreign key referring to a Standard Concept ID in the Standardized Vocabularies for Revenue codes belonging to the 'Revenue Code' vocabulary.                                               |
+| drg_concept_id               | Yes        | integer     | A foreign key referring to a Standard Concept ID in the Standardized Vocabularies for DRG codes belonging to the 'DRG' vocabulary.                                                                                                   |
+| revenue_code_source_value    | No        | varchar(50)  | The source value for the Revenue code as it appears in the source data, stored here for reference.                                                                                                                                                           |
+| drg_source_value             | No        | varchar(50)  | The source value for the 3-digit DRG source code as it appears in the source data, stored here for reference.    
+| payer_plan_period_id    | No        | integer  | A foreign key to the PAYER_PLAN_PERIOD table, where the details of the Payer, Plan and Family are stored. Record the payer_plan_id that relates to the payer who contributed to the paid_by_payer field.    | 
+
 
 ### Conventions 
-The COST table will store information reporting money or currency amounts. There are three types of cost data, defined in the cost_type_concept_id: 1) paid or reimbursed amounts, 2) charges or list prices (such as Average Wholesale Prices), and 3) costs or expenses incurred by the provider. The defined fields are variables found in almost all U.S.-based claims data sources, which is the most common data source for researchers. Non-U.S.-based data holders are encouraged to engage with OHDSI to adjust these tables to their needs.
 
-One cost record is generated for each response by a payer. In a claims databases, the payment and payment terms reported by the payer for the goods or services billed will generate one cost record. If the source data has payment information for more than one payer (i.e. primary insurance and secondary insurance payment for one entity), then a cost record is created for each reporting payer. Therefore, it is possible for one procedure to have multiple cost records for each payer, but typically it contains one or no record per entity. Payer reimbursement cost records will be identified by using the payer_plan_id field. Goods or services services not covered by a payer are indicated by 0 values in the amount_allowed and patient responsibility fields (copay, coinsurance, deductible) as well as a missing payer_plan_period_id. This means the patient is responsible for the total_charged value. 
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | The cost information is linked through the COST_EVENT_ID field to its entity, which denotes a record in a table referenced by the COST_EVENT_FIELD_CONCEPT_ID field. 
+| 2  | One cost record is generated for each response by a payer. In a claims databases, the payment and payment terms reported by the payer for the goods or services billed will generate one cost record. If the source data has payment information for more than one payer (i.e. primary insurance and secondary insurance payment for one entity), then a cost record is created for each reporting payer. Therefore, it is possible for one procedure to have multiple cost records for each payer, but typically it contains one or no record per entity. Payer reimbursement cost records will be identified by using the PAYER_PLAN_ID field. |
+| 3  | One cost record is generated for each money or currency amount associated with a record in one of the event tables. |
+| 4  | The COST field represents the dollar amount, either incoming or outgoing |
+| 5  | When dealing with summary costs, the cost of the goods or services the provider provides is often not known directly, but derived from the hospital charges multiplied by an average cost-to-charge ratio. This data is currently available for [NIS](https://www.hcup-us.ahrq.gov/db/nation/nis/nisdbdocumentation.jsp) datasets, or any other [HCUP](https://www.hcup-us.ahrq.gov/databases.jsp) datasets. See also cost calculation explanation from AHRQ | 6  | In claims data, total paid is considered the calculated field the payer expects the provider to get reimbursed for goods and services, based on the payer's contractual obligations. |
+| 7  | Drug costs are composed of ingredient cost (the amount charged by the wholesale distributor or manufacturer), the dispensing fee (the amount charged by the pharmacy and the sales tax). |
+| 8  | In claims data, generally there is one field representing the total payment from the payer for the service/device/drug. However, this field could be a calculated field if the source data provides separate payment information for the ingredient cost and the dispensing fee in case of prescription benefits. If there is more than one Payer in the source data, several cost records indicate that fact. The Payer reporting this reimbursement should be indicated under the PAYER_PLAN_ID field. |
+| 10 | REVENUE_CODE_CONCEPT_ID: Revenue codes are a method to charge for a class of procedures and conditions in the U.S. hospital system.
+| 11 | DRG_CONCEPT_ID: Diagnosis Related Groups are US codes used to classify hospital cases into one of approximately 500 groups. Only the MS-DRG system should be used (mapped to vocabulary_id 'DRG) and all other DRG values should be mapped to 0 ([THEMIS issue #19](https://github.com/OHDSI/Themis/issues/19)). |
 
-The cost information is linked through the cost_event_id field to its entity, which denotes a record in a table referenced by the cost_domain_id field:
 
-cost_domain_id|corresponding CDM table
-:-------------|:-------------------------
-|Drug|DRUG_EXPOSURE|
-|Visit|VISIT_OCCURRENCE|
-|Procedure|PROCEDURE_OCCURRENCE|
-|Device|DEVICE_EXPOSURE|
-|Measurement|MEASUREMENT|
-|Observation|OBSERVATION|
-|Specimen|SPECIMEN|
+The COST table will store information reporting money or currency amounts. There are three types of cost data, defined in the COST_TYPE_CONCEPT_ID: 
+1) Payer is primary (coordination of benefit) 
+2) Payer is secondary (coordination of benefit) 
+3) Premium
 
-  * cost_type_concept_id: The concept referenced in this field defines the source of the cost information, and therefore the perspective. It could be from the perspective of the payer, or the perspective of the provider. Therefore, "cost" really means either cost or revenue, and the direction of funds (incoming and outgoing) as well as the modus of its calculation is defined by this field.
-  * total_charged and total_cost: The cost of the goods or services the provider provides is often not known directly, but derived from the hospital charges multiplied by an average cost-to-charge ratio. This data is currently available for [NIS](https://www.hcup-us.ahrq.gov/db/nation/nis/nisdbdocumentation.jsp) datasets, or any other [HCUP](https://www.hcup-us.ahrq.gov/databases.jsp) datasets. See also cost calculation explanation from AHRQ [here](https://www.hcup-us.ahrq.gov/db/state/costtocharge.jsp).
-  * total_paid: This field is calculated using the following formula: paid_by_payer + paid_by_patient + paid_by_primary. In claims data, this field is considered the calculated field the payer expects the provider to get reimbursed for goods and services, based on the payer's contractual obligations.
-  * Drug costs are composed of ingredient cost(the amount charged by the wholesale distributor or manufacturer), the dispensing fee(the amount charged by the pharmacy and the sales tax). The latter is usually very small and typically not provided by most source data, and therefore not included in the CDM.
-  * paid_by_payer: In claims data, generally there is one field representing the total payment from the payer for the service/device/drug. However, this field could be a calculated field if the source data provides separate payment information for the ingredient cost and the dispensing fee in case of prescription benefits. If there is more than one Payer in the source data, several cost records indicate that fact. The Payer reporting this reimbursement should be indicated under the payer_plan_id field.
-  * paid_by_patient:  This field is most often used in claims data to report the contracted amount the patient is responsible for reimbursing the provider for the goods and services she received. This is a calculated field using the following formula: paid_patient_copay + paid_patient_coinsurance + paid_patient_deductible.  If the source data has actual patient payments then the patient payment should have its own cost record with a payer_plan_id set to 0 to indicate the the payer is actually the patient, and the actual patient payment should be noted under the total_paid field. The paid_by_patient field is only used for reporting a patient's responsibility reported on an insurance claim.
-  * paid_patient_copay does contribute to the paid_by_patient variable. The paid_patient_copay field is only used for reporting a patient's copay amount reported on an insurance claim.
-  * paid_patient_coinsurance does contribute to the paid_by_patient variable.  The paid_patient_coinsurance field is only used for reporting a patient's coinsurance amount reported on an insurance claim.
-  * paid_patient_deductible does contribute to the paid_by_patient variable.  The paid_patient_deductible field is only used for reporting a patient's deductible amount reported on an insurance claim.
-  * amount_allowed: This information is generally available in claims data.  This is similar to the total_paid amount in that it shows what the payer expects the provider to be reimbursed after the payer and patient pay.  This differs from the total_paid amount in that it is not a calculated field, but a field available directly in claims data. The field is payer-specific and the payer should be indicated by the payer_plan_id field.
-  * paid_by_primary does contribute to the total_paid variable. The paid_by_primary field is only used for reporting a patient's primary insurance payment amount reported on the secondary payer insurance claim. If the source data has actual primary insurance payments (e.g. the primary insurance payment is not a derivative of the payer claim and there is verification another insurance company paid an amount to the provider), then the primary insurance payment should have its own cost record with a payer_plan_id set to the applicable payer, and the actual primary insurance payment should be noted under the paid_by_payer field.
-  * revenue_code_concept_id: Revenue codes are a method to charge for a class of procedures and conditions in the U.S. hospital system.
-  * drg_concept_id: Diagnosis Related Groups are US codes used to classify hospital cases into one of approximately 500 groups. Only the MS-DRG system should be used (mapped to vocabulary_id 'DRG) and all other DRG values should be mapped to 0.
\ No newline at end of file
+One cost record is generated for each money or currency amount associated with a record in one of the event tables. For example, a raw record that looks like this:
+
+|patient_id	|cob	|coins|	copay|	deduct|	net|	total_pay|	pddate	|proc_cd|	procmod|	revcode|	svcdate|
+:-------|:----------|:-------|:-----------|:----------|:-------|:-----------|:----------|:-------|:-----------|:----------|:----------|
+|175127601|	0|	0	|22	|3|	88|	113|	2/28/2000	|82378	|	|	|1/1/2000|
+
+Will create four lines in the COST table:
+
+cost_id	|person_id|	cost_event_id|	cost_event_field_concept_id|	cost_concept_id|	cost_type_concept_id|	cost_source_concept_id	|currency_concept_id|	cost|	incurred_date|	billed_date|	paid_date	|revenue_code_concept_id|	drg_concept_id	|revenue_code_source_value|	drg_source_value	|payer_plan_period_id
+:------|:------|:------|:--------|:-------|:------|:--------|:-------|:-----|:-------|:----|:-----|:-------|:----|:-----|:-------|:----|
+|1|	175127601|	1002|		*TBD*|	1234|	5032|	0|	44818668|	22	|1/1/2000|		|2/28/2000|	0	|0	|	||	3045|
+|2	|175127601|	1002|		*TBD*|	2345|	5032|	0|	44818668|	3	|1/1/2000|		|2/28/2000|	0	|0|		||	3045|
+|3	|175127601|	1002|		*TBD*|	3456|	5032|	0|	44818668|	88	|1/1/2000|	|	2/28/2000|	0	|0|		||	3045|
+|4	|175127601|	1002|		*TBD*|	4567|	5032|	0|	44818668|	113	|1/1/2000|	|	2/28/2000|	0	|0|		||	3045|
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | The cost information is linked through the COST_EVENT_ID field to its entity, which denotes a record in a table referenced by the COST_EVENT_FIELD_CONCEPT_ID field. 
+| 2  | One cost record is generated for each response by a payer. In a claims databases, the payment and payment terms reported by the payer for the goods or services billed will generate one cost record. If the source data has payment information for more than one payer (i.e. primary insurance and secondary insurance payment for one entity), then a cost record is created for each reporting payer. Therefore, it is possible for one procedure to have multiple cost records for each payer, but typically it contains one or no record per entity. Payer reimbursement cost records will be identified by using the PAYER_PLAN_ID field. |
+| 3  | One cost record is generated for each money or currency amount associated with a record in one of the event tables. |
+| 4  | The COST field represents the dollar amount, either incoming or outgoing |
+| 5  | When dealing with summary costs, the cost of the goods or services the provider provides is often not known directly, but derived from the hospital charges multiplied by an average cost-to-charge ratio. This data is currently available for [NIS](https://www.hcup-us.ahrq.gov/db/nation/nis/nisdbdocumentation.jsp) datasets, or any other [HCUP](https://www.hcup-us.ahrq.gov/databases.jsp) datasets. See also cost calculation explanation from AHRQ | 6  | In claims data, total paid is considered the calculated field the payer expects the provider to get reimbursed for goods and services, based on the payer's contractual obligations. |
+| 7  | Drug costs are composed of ingredient cost (the amount charged by the wholesale distributor or manufacturer), the dispensing fee (the amount charged by the pharmacy and the sales tax). |
+| 8  | In claims data, generally there is one field representing the total payment from the payer for the service/device/drug. However, this field could be a calculated field if the source data provides separate payment information for the ingredient cost and the dispensing fee in case of prescription benefits. If there is more than one Payer in the source data, several cost records indicate that fact. The Payer reporting this reimbursement should be indicated under the PAYER_PLAN_ID field. |
+| 10 | REVENUE_CODE_CONCEPT_ID: Revenue codes are a method to charge for a class of procedures and conditions in the U.S. hospital system.
+| 11 | DRG_CONCEPT_ID: Diagnosis Related Groups are US codes used to classify hospital cases into one of approximately 500 groups. Only the MS-DRG system should be used (mapped to vocabulary_id 'DRG) and all other DRG values should be mapped to 0. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthEconomicsDataTables/PAYER_PLAN_PERIOD.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthEconomicsDataTables/PAYER_PLAN_PERIOD.md
index b16c6b9..f5ca4bf 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthEconomicsDataTables/PAYER_PLAN_PERIOD.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthEconomicsDataTables/PAYER_PLAN_PERIOD.md
@@ -4,22 +4,32 @@ Field|Required|Type|Description
 :------------------------------|:--------|:------------|:----------------------------------------------
 |payer_plan_period_id			|Yes|integer|A identifier for each unique combination of payer, plan, family code and time span.|
 |person_id						|Yes|integer|A foreign key identifier to the Person covered by the payer. The demographic details of that Person are stored in the PERSON table.|
+|contract_person_id				|No|integer|A foreign key identifier to the person_id in person table, for the person who is the primary subscriber/contract owner for the record in the payer_plan_period table. Maybe the same person or different person, depending on who is the primary subscriber/contract owner.|
 |payer_plan_period_start_date	|Yes|date|The start date of the payer plan period.|
 |payer_plan_period_end_date		|Yes|date|The end date of the payer plan period.|
-|payer_concept_id				|No|integer|A foreign key that refers to a standard Payer concept identifier in the Standarized Vocabularies|
+|payer_concept_id				|Yes|integer|A foreign key that refers to a standard Payer concept identifier in the Standarized Vocabularies|
 |payer_source_value				|No|varchar(50)|The source code for the payer as it appears in the source data.|
-|payer_source_concept_id		|No|integer|A foreign key to a payer concept that refers to the code used in the source.|
-|plan_concept_id				|No|integer|A foreign key that refers to a standard plan concept identifier that represents the health benefit plan in the Standardized Vocabularies|
+|payer_source_concept_id		|Yes|integer|A foreign key to a payer concept that refers to the code used in the source.|
+|plan_concept_id				|Yes|integer|A foreign key that refers to a standard plan concept identifier that represents the health benefit plan in the Standardized Vocabularies.|
 |plan_source_value				|No|varchar(50)|The source code for the Person's health benefit plan as it appears in the source data.|
-|plan_source_concept_id			|No|integer|A foreign key to a plan concept that refers to the plan code used in the source data.|
-|sponsor_concept_id				|No|integer|A foreign key that refers to a concept identifier that represents the sponsor in the Standardized Vocabularies.|
+|plan_source_concept_id			|Yes|integer|A foreign key to a plan concept that refers to the plan code used in the source data.|
+|contract_concept_id			|Yes|integer|A foreign key to a standard concept representing the reason justifying the contract between person_id and contract_person_id.|
+|contract_source_value			|No|integer|The source code representing the reason justifying the contract. Usually it is family relationship like a spouse, domestic partner, child etc.|
+|contract_source_concept_id		|Yes|integer|A foreign key to a concept that refers to the code used in the source as the reason justifying the contract.|
+|sponsor_concept_id				|Yes|integer|A foreign key that refers to a concept identifier that represents the sponsor in the Standardized Vocabularies.|
 |sponsor_source_value			|No|varchar(50)|The source code for the Person's sponsor of the health plan as it appears in the source data.|
-|sponsor_source_concept_id		|No|integer|A foreign key to a sponsor concept that refers to the sponsor code used in the source data.|
+|sponsor_source_concept_id		|Yes|integer|A foreign key to a sponsor concept that refers to the sponsor code used in the source data.|
 |family_source_value			|No|varchar(50)|The source code for the Person's family as it appears in the source data.|
-|stop_reason_concept_id			|No|integer|A foreign key that refers to a standard termination reason that represents the reason for the termination in the Standardized Vocabularies.|
+|stop_reason_concept_id			|Yes|integer|A foreign key that refers to a standard termination reason that represents the reason for the termination in the Standardized Vocabularies.|
 |stop_reason_source_value		|No|varchar(50)|The reason for stop-coverage as it appears in the source data.|
-|stop_reason_source_concept_id	|No|integer|A foreign key to a stop-coverage concept that refers to the code used in the source.|
+|stop_reason_source_concept_id	|Yes|integer|A foreign key to a stop-coverage concept that refers to the code used in the source.|
 
 ### Conventions 
-  * Different Payers have different designs for their health benefit Plans. The PAYER_PLAN_PERIOD table does not capture all details of the plan design or the relationship between Plans or the cost of healthcare triggering a change from one Plan to another. However, it allows identifying the unique combination of Payer (insurer), Plan (determining healthcare benefits and limits) and Person. Typically, depending on healthcare utilization, a Person may have one or many subsequent Plans during coverage by a single Payer.
-  * Typically, family members are covered under the same Plan as the Person. In those cases, the payer_source_value, plan_source_value and family_source_value are identical.
\ No newline at end of file
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Different Payers have different designs for their health benefit Plans. The PAYER_PLAN_PERIOD table does not capture all details of the plan design or the relationship between Plans or the cost of healthcare triggering a change from one Plan to another. However, it allows identifying the unique combination of Payer (insurer), Plan (determining healthcare benefits and limits) and Person. Typically, depending on healthcare utilization, a Person may have one or many subsequent Plans during coverage by a single Payer. |
+| 2  | Typically, family members are covered under the same Plan as the Person. In those cases, the payer_source_value, plan_source_value and family_source_value are identical. |
+| 3  | The contract_person_id is meant to refer to the owner of the plan, for instance, a parent who owns the plan under which the child is covered. Contract_person_id many times will be equal to person_id. |
+| 4  | The fields contract_source_value and contract_concept_id justify the contract relationship.<br><ul><li>It is represented as the relationship from the person_id to contract_person_id. We will use SNOMED vocabulary of the Relationship Domain and Social Context concept class id (see [here](http://athena.ohdsi.org/search-terms/terms?vocabulary=SNOMED&domain=Relationship&conceptClass=Social+Context&page=1&pageSize=15&query=). For example:<br><ul><li>Person_id is the spouse ([4132413](http://athena.ohdsi.org/search-terms/terms/4132413)) of contract_person_id</li><li>person_id is the child ([4285883](http://athena.ohdsi.org/search-terms/terms/4285883)) of the contract_person_id</li></ul>
+| 5  | A patient can have multiple overlapping payer plan periods ([THEMIS issue #18](https://github.com/OHDSI/Themis/issues/18)).
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/CARE_SITE.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/CARE_SITE.md
index 81239c9..431527a 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/CARE_SITE.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/CARE_SITE.md
@@ -4,18 +4,21 @@ Field|Required|Type|Description
 :--------------------------------|:--------|:------------|:------------------------
 |care_site_id|Yes|integer|A unique identifier for each Care Site.|
 |care_site_name|No|varchar(255)|The verbatim description or name of the Care Site as in data source|
-|place_of_service_concept_id|No|integer|A foreign key that refers to a Place of Service Concept ID in the Standardized Vocabularies.|
+|place_of_service_concept_id|Yes|integer|A foreign key that refers to a Place of Service Concept ID in the Standardized Vocabularies.|
 |location_id|No|integer|A foreign key to the geographic Location in the LOCATION table, where the detailed address information is stored.|
 |care_site_source_value|No|varchar(50)|The identifier for the Care Site in the source data, stored here for reference.|
 |place_of_service_source_value|No|varchar(50)|The source code for the Place of Service as it appears in the source data, stored here for reference.|
 
 ### Conventions
-  * Care site is a unique combination of location_id and place_of_service_source_value.
-  * Every record in the visit_occurrence table may have only one care site
-  * Care site does not take into account the provider (human) information such a specialty.
-  * Many source data do not make a distinction between individual and institutional providers. The CARE_SITE table contains the institutional providers.
-  * If the source, instead of uniquely identifying individual Care Sites, only provides limited information such as Place of Service, generic or "pooled" Care Site records are listed in the CARE_SITE table.
-  * There are hierarchical and business relationships between Care Sites. For example,wards can belong to clinics or departments, which can in turn belong to hospitals, which in turn can belong to hospital systems, which in turn can belong to HMOs.
-  * The relationships between Care Sites are defined in the FACT_RELATIONSHIP table.
-  * The Care Site Source Value typically contains the name of the Care Site.
-  * The Place of Service Concepts belongs to the Domain 'Place of Service'.
\ No newline at end of file
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  |  Care site is a unique combination of location_id and place_of_service_source_value. |
+| 2  | Every record in the visit_occurrence table may have only one care site. |
+| 3  | Care site does not take into account the provider (human) information such a specialty. |
+| 4  | Many source data do not make a distinction between individual and institutional providers. The CARE_SITE table contains the institutional providers. |
+| 5  | If the source, instead of uniquely identifying individual Care Sites, only provides limited information such as Place of Service, generic or "pooled" Care Site records are listed in the CARE_SITE table. |
+| 6  | There are hierarchical and business relationships between Care Sites. For example, wards can belong to clinics or departments, which can in turn belong to hospitals, which in turn can belong to hospital systems, which in turn can belong to HMOs. |
+| 7  | The relationships between Care Sites are defined in the FACT_RELATIONSHIP table. |
+| 8  | The Care Site Source Value typically contains the name of the Care Site. |
+| 9  | The Place of Service Concepts belongs to the Domain 'Place of Service'. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/LOCATION.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/LOCATION.md
index 4540788..789e974 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/LOCATION.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/LOCATION.md
@@ -9,12 +9,18 @@ Field|Required|Type|Description
 |state|No|varchar(2)|The state field as it appears in the source data.|
 |zip|No|varchar(9)|The zip or postal code.|
 |county|No|varchar(20)|The county.|
+|country|No|varchar(100)|The country|
 |location_source_value|No|varchar(50)|The verbatim information that is used to uniquely identify the location as it appears in the source data.|
+|latitude|No|float|The geocoded latitude|
+|longitude|No|float|The geocoded longitude|
 
 ### Conventions 
-  * Each address or Location is unique and is present only once in the table.
-  * Locations do not contain names, such as the name of a hospital. In order to construct a full address that can be used in the postal service, the address information from the Location needs to be combined with information from the Care Site. The PERSON table does not contain name information at all.
-  * All fields in the Location tables contain the verbatim data in the source, no mapping or normalization takes place. None of the fields are mandatory. If the source data have no Location information at all, all Locations are represented by a single record. Typically, source data contain full or partial zip or postal codes or county or census district information.
-  * Zip codes are handled as strings of up to 9 characters length. For US addresses, these represent either a 3-digit abbreviated Zip code as provided by many sources for patient protection reasons, the full 5-digit Zip or the 9-digit (ZIP + 4) codes. Unless for specific reasons analytical methods should expect and utilize only the first 3 digits. For international addresses, different rules apply.
-  * The county information can be provided and is not redundant with information from the zip codes as not all of these have an unambiguous county designation.
-  * No country information is expected as source data are always collected within a single country.
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Each address or Location is unique and is present only once in the table. |
+| 2  | Locations do not contain names, such as the name of a hospital. In order to construct a full address that can be used in the postal service, the address information from the Location needs to be combined with information from the Care Site. The PERSON table does not contain name information at all. |
+| 3  | All fields in the Location tables contain the verbatim data in the source, no mapping or normalization takes place. None of the fields are mandatory. If the source data have no Location information at all, all Locations are represented by a single record. Typically, source data contain full or partial zip or postal codes or county or census district information. |
+| 4  | Zip codes are handled as strings of up to 9 characters length. For US addresses, these represent either a 3-digit abbreviated Zip code as provided by many sources for patient protection reasons, the full 5-digit Zip or the 9-digit (ZIP + 4) codes. Unless for specific reasons analytical methods should expect and utilize only the first 3 digits. For international addresses, different rules apply. |
+| 5  | The county information can be provided and is not redundant with information from the zip codes as not all of these have an unambiguous county designation. |
+| 6  | For standardized geospatial visualization and analysis, addresses need to be, at the minimum be geocoded into latitude and longitude. This allows it to put as a point on a map. This proposal is to add two fields, latitude and longitude to the location table. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/LOCATION_HISTORY.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/LOCATION_HISTORY.md
new file mode 100644
index 0000000..df3bba1
--- /dev/null
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/LOCATION_HISTORY.md
@@ -0,0 +1,23 @@
+## LOCATION_HISTORY
+
+The LOCATION HISTORY table stores relationships between Persons or Care Sites and geographic locations over time.
+
+Field|Required|Type|Description
+:------------------------------|:--------|:------------|:----------------------------------------------
+|location_id					|Yes|integer|A foreign key to the location table.|
+|relationship_type_concept_id	|Yes|varchar(50)|The type of relationship between location and entity.|
+|domain_id						|Yes|varchar(50)|The domain of the entity that is related to the location. Either PERSON, PROVIDER, or CARE_SITE.|
+|entity_id						|Yes|integer|The unique identifier for the entity. References either person_id, provider_id, or care_site_id, depending on domain_id.|
+|start_date						|Yes|date|The date the relationship started.|
+|end_date						|No|date|The date the relationship ended.|
+
+### Conventions
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | The entities (and permissible domains) with related locations are: Persons (PERSON), Providers (PROVIDER), and Care Sites (CARE_SITE). |
+| 2  | DOMAIN_ID specifies which table the ENTITY_ID refers to |
+| 3  | Locations and entities are static. Relationships between locations and entities are dynamic. |
+| 4  | When the domain is PERSON, the permissible values of relationship_type are: 'residence', 'work site', 'school'. |
+| 5  | When the domain is CARE_SITE, the value of relationship_type is NULL. |
+| 6  | When the domain is PROVIDER, the value of relationship_type is 'office'. |
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/PROVIDER.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/PROVIDER.md
index 2fe2e62..dcc63c7 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/PROVIDER.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/PROVIDER.md
@@ -6,19 +6,22 @@ Field|Required|Type|Description
 |provider_name|No|varchar(255)|A description of the Provider.|
 |npi|No|varchar(20)|The National Provider Identifier (NPI) of the provider.|
 |dea|No|varchar(20)|The Drug Enforcement Administration (DEA) number of the provider.|
-|specialty_concept_id|No|integer|A foreign key to a Standard Specialty Concept ID in the Standardized Vocabularies.|
+|specialty_concept_id|Yes|integer|A foreign key to a Standard Specialty Concept ID in the Standardized Vocabularies.|
 |care_site_id|No|integer|A foreign key to the main Care Site where the provider is practicing.|
 |year_of_birth|No|integer|The year of birth of the Provider.|
-|gender_concept_id|No|integer|The gender of the Provider.|
+|gender_concept_id|Yes|integer|The gender of the Provider.|
 |provider_source_value|No|varchar(50)|The identifier used for the Provider in the source data, stored here for reference.|
 |specialty_source_value|No|varchar(50)|The source code for the Provider specialty as it appears in the source data, stored here for reference.|
-|specialty_source_concept_id|No|integer|A foreign key to a Concept that refers to the code used in the source.|
+|specialty_source_concept_id|Yes|integer|A foreign key to a Concept that refers to the code used in the source.|
 |gender_source_value|No|varchar(50)|The gender code for the Provider as it appears in the source data, stored here for reference.|
-|gender_source_concept_id|No|integer|A foreign key to a Concept that refers to the code used in the source.|
+|gender_source_concept_id|Yes|integer|A foreign key to a Concept that refers to the code used in the source.|
 
 ### Conventions 
-  * Many sources do not make a distinction between individual and institutional providers. The PROVIDER table contains the individual providers.
-  * If the source, instead of uniquely identifying individual providers, only provides limited information such as specialty, generic or "pooled" Provider records are listed in the PROVIDER table.
-  * A single Provider cannot be listed twice (be duplicated) in the table. If a Provider has more than one Specialty, the main or most often exerted specialty should be recorded.
-  * Valid Specialty Concepts belong to the 'Specialty' domain.
-  * The care_site_id represent a fixed relationship between a Provider and her main Care Site. Providers are also linked to Care Sites through Condition, Procedure and Visit records.
\ No newline at end of file
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Many sources do not make a distinction between individual and institutional providers. The PROVIDER table contains the individual providers. |
+| 2  | If the source, instead of uniquely identifying individual providers, only provides limited information such as specialty, generic or 'pooled' Provider records are listed in the PROVIDER table. |
+| 3  | A single Provider cannot be listed twice (be duplicated) in the table. If a Provider has more than one Specialty, the main or most often exerted specialty should be recorded. |
+| 4  | Valid Specialty Concepts belong to the 'Specialty' domain. |
+| 5  | The CARE_SITE_ID represent a fixed relationship between a Provider and her main Care Site. Providers are also linked to Care Sites through Condition, Procedure and Visit records. |
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/Standardized-Health-System-Data-Tables.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/Standardized-Health-System-Data-Tables.md
index 97db3c9..b6264c7 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/Standardized-Health-System-Data-Tables.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedHealthSystemDataTables/Standardized-Health-System-Data-Tables.md
@@ -1,4 +1,5 @@
-[LOCATION](https://github.com/OHDSI/CommonDataModel/wiki/LOCATION)  
+[LOCATION](https://github.com/OHDSI/CommonDataModel/wiki/LOCATION) 
+[LOCATION_HISTORY](https://github.com/OHDSI/CommonDataModel/wiki/LOCATION_HISTORY)  
 [CARE_SITE](https://github.com/OHDSI/CommonDataModel/wiki/CARE_SITE)  
 [PROVIDER](https://github.com/OHDSI/CommonDataModel/wiki/PROVIDER)      
 
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/CDM_SOURCE.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/CDM_SOURCE.md
index ec049e6..081be47 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/CDM_SOURCE.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/CDM_SOURCE.md
@@ -15,6 +15,8 @@ Field|Required|Type|Description
 
 ### Conventions 
 
-  * If a source database is derived from multiple data feeds, the integration of those disparate sources is expected to be documented in the ETL specifications. The source information on each of the databases can be represented as separate records in the CDM_SOURCE table. 
-  * Currently, there is no mechanism to link individual records in the CDM tables to their source record in the CDM_SOURCE table.
-  * The version of the vocabulary can be obtained from the vocabulary_name field in the VOCABULARY table for the record where vocabulary_id='None'.
\ No newline at end of file
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | If a source database is derived from multiple data feeds, the integration of those disparate sources is expected to be documented in the ETL specifications. The source information on each of the databases can be represented as separate records in the CDM_SOURCE table. |
+| 2  | Currently, there is no mechanism to link individual records in the CDM tables to their source record in the CDM_SOURCE table. |
+| 3  | The version of the vocabulary can be obtained from the vocabulary_name field in the VOCABULARY table for the record where vocabulary_id='None'. |
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/METADATA.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/METADATA.md
index bbcc45d..9b749b8 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/METADATA.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/METADATA.md
@@ -12,4 +12,6 @@ Field					|Required	|Type	|Description
 
 ### Conventions 
 
-  * 
\ No newline at end of file
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | One record in the Metadata table is pre-populated in the DDL indicating the CDM version of the database. |
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/Standardized-Metadata.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/Standardized-Metadata.md
index 83f6722..58d194e 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/Standardized-Metadata.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedMetadata/Standardized-Metadata.md
@@ -1,8 +1,5 @@
 [CDM_SOURCE](https://github.com/OHDSI/CommonDataModel/wiki/CDM_SOURCE)
+[METADATA](https://github.com/OHDSI/CommonDataModel/wiki/METADATA)
 
-All metadata about the data should be derived from the data themselves. However, the following contains a few key pieces of information that are convenient especially for software applications utilizing the CDM data.  
-  
-Below provides an entity-relationship diagram highlighting the tables within the Standardized Metadata portion of the OMOP Common Data Model:
-
-![Metadata entity-relationship diagram](http://www.ohdsi.org/web/wiki/lib/exe/fetch.php?media=documentation:cdm:standard_meta_data.png)\
+All metadata about the data should be derived from the data themselves. 
   
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/ATTRIBUTE_DEFINITION.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/ATTRIBUTE_DEFINITION.md
deleted file mode 100644
index 681cbb7..0000000
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/ATTRIBUTE_DEFINITION.md
+++ /dev/null
@@ -1,14 +0,0 @@
-The ATTRIBUTE_DEFINITION table contains records defining Attributes, or covariates, to members of a Cohort through an associated description and syntax and upon instantiation (execution of the algorithm) placed into the COHORT_ATTRIBUTE table. Attributes are derived elements that can be selected or calculated for a subject in a Cohort. The ATTRIBUTE_DEFINITION table provides a standardized structure for maintaining the rules governing the calculation of covariates for a subject in a Cohort, and can store operational programming code to instantiate the Attributes for a given Cohort within the OMOP Common Data Model.
-
-Field|Required|Type|Description
-:-------------------------|:------|:--------------|:--------------------------------------
-|attribute_definition_id|Yes|integer|A unique identifier for each Attribute.|
-|attribute_name|Yes|varchar(255)|A short description of the Attribute.|
-|attribute_description|No|varchar(MAX)|A complete description of the Attribute definition|
-|attribute_type_concept_id|Yes|integer|Type defining what kind of Attribute Definition the record represents and how the syntax may be executed|
-|attribute_syntax|No|varchar(MAX)|Syntax or code to operationalize the Attribute definition|
-
-
-### Conventions
-  * Like the definition syntax field for the COHORT_DEFINITION table, the attribute_definition_syntax does not prescribe any specific syntax or programming language. Typically, it would be any flavor SQL, or a cohort definition language, or a free-text description of the algorithm. 
-  * The Attribute Definition is generic and not necessarily related to a specific Cohort Definition, however the instantiated Attribute is linked to the Cohort records (see below the [COHORT](https://github.com/OHDSI/CommonDataModel/wiki/COHORT) table. For example, the Attribute "Age" can be defined as the amount of time between the cohort_start_date of the COHORT table and the year_of_birth, month_of_birth and day_of_birth of the PERSON table. Thus, such a Attribute Definition can be applied and instantiated with any Cohort, as long as it is applied to a Cohort of the same Domain (Person in this case), as it is defined in the subject_concept_id in the COHORT_DEFINITION table.
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT.md
index 8cbd58b..8c62f19 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT.md
@@ -20,19 +20,21 @@ Field|Required|Type|Description
 ### Conventions 
 Concepts in the Common Data Model are derived from a number of public or proprietary terminologies such as SNOMED-CT and RxNorm, or custom generated to standardize aspects of observational data. Both types of Concepts are integrated based on the following rules:
 
-  * All Concepts are maintained centrally by the CDM and Vocabularies Working Group. Additional concepts can be added, as needed, upon request.
-  * For all Concepts, whether they are custom generated or adopted from published terminologies, a unique numeric identifier concept_id is assigned and used as the key to link all observational data to the corresponding Concept reference data. 
-  * The concept_id of a Concept is persistent, i.e. stays the same for the same Concept between releases of the Standardized Vocabularies.
-  * A descriptive name for each Concept is stored as the Concept Name as part of the CONCEPT table. Additional names and descriptions for the Concept are stored as Synonyms in the [CONCEPT_SYNONYM](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_SYNONYM) table.
-  * Each Concept is assigned to a Domain. For Standard Concepts, these is always a single Domain. Source Concepts can be composite or coordinated entities, and therefore can belong to more than one Domain. The domain_id field of the record contains the abbreviation of the Domain, or Domain combination. Please refer to the Standardized Vocabularies [specification](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary) for details of the Domain Assignment.
-  * For details of the Vocabularies adopted for use in the OMOP CDM refer to the Standardized Vocabularies specification.
-  * Concept Class designation are attributes of Concepts. Each Vocabulary has its own set of permissible Concept Classes, although the same Concept Class can be used by more than one Vocabulary. Depending on the Vocabulary, the Concept Class may categorize Concepts vertically (parallel) or horizontally (hierarchically). See the specification of each vocabulary for details.
-  * Concept Class attributes should not be confused with Classification Concepts. These are separate Concepts that have a hierarchical relationship to Standard Concepts or each other, while Concept Classes are unique Vocabulary-specific attributes for each Concept.
-  * For Concepts inherited from published terminologies, the source code is retained in the concept_code field and can be used to reference the source vocabulary.
-  * Standard Concepts (designated as 'S' in the standard_concept field) may appear in CDM tables in all *_concept_id fields, whereas Classification Concepts ('C') should not appear in the CDM data, but participate in the construction of the [CONCEPT_ANCESTOR](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_ANCESTOR) table and can be used to identify Descendants that may appear in the data. See [CONCEPT_ANCESTOR](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_ANCESTOR) table. Non-standard Concepts can only appear in *_source_concept_id fields and are not used in CONCEPT_ANCESTOR table. Please refer to the Standardized Vocabularies [specifications](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:standard_classification_and_source_concepts) for details of the Standard Concept designation.
-  * All logical data elements associated with the various CDM tables (usually in the <domain>_type_concept_id field) are called Type Concepts, including defining characteristics, qualifying attributes etc. They are also stored as Concepts in the CONCEPT table. Since they are generated by OMOP, their is no meaningful concept_code.
-  * The lifespan of a Concept is recorded through its valid_start_date, valid_end_date and the invalid_reason fields. This allows Concepts to correctly reflect at which point in time were defined. Usually, Concepts get deprecated if their meaning was deemed ambiguous, a duplication of another Concept, or needed revision for scientific reason. For example, drug ingredients get updated when different salt or isomer variants enter the market. Usually, drugs taken off the market do not cause a deprecation by the terminology vendor. Since observational data are valid with respect to the time they are recorded, it is key for the Standardized Vocabularies to provide even obsolete codes and maintain their relationships to other current Concepts .
-  * Concepts without a known instantiated date are assigned valid_start_date of '1-Jan-1970'.
-  * Concepts that are not invalid are assigned valid_end_date of '31-Dec-2099'.
-  * Deprecated Concepts (with a valid_end_date before the release date of the Standardized Vocabularies) will have a value of 'D' (deprecated without successor) or 'U' (updated). The updated Concepts have a record in the [CONCEPT_RELATIONSHIP](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_RELATIONSHIP) table indicating their active replacement Concept.
-  * Values for concept_ids generated as part of Standardized Vocabularies will be reserved from 0 to 2,000,000,000. Above this range, concept_ids are available for local use and are guaranteed not to clash with future releases of the Standardized Vocabularies.
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | All Concepts are maintained centrally by the CDM and Vocabularies Working Group. Additional concepts can be added, as needed, upon request. |
+| 2  | For all Concepts, whether they are custom generated or adopted from published terminologies, a unique numeric identifier concept_id is assigned and used as the key to link all observational data to the corresponding Concept reference data. |
+| 3  | The concept_id of a Concept is persistent, i.e. stays the same for the same Concept between releases of the Standardized Vocabularies. |
+| 4  | A descriptive name for each Concept is stored as the Concept Name as part of the CONCEPT table. Additional names and descriptions for the Concept are stored as Synonyms in the [CONCEPT_SYNONYM](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_SYNONYM) table. |
+| 5  | Each Concept is assigned to a Domain. For Standard Concepts, these is always a single Domain. Source Concepts can be composite or coordinated entities, and therefore can belong to more than one Domain. The domain_id field of the record contains the abbreviation of the Domain, or Domain combination. Please refer to the Standardized Vocabularies [specification](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary) for details of the Domain Assignment. |
+| 6  | For details of the Vocabularies adopted for use in the OMOP CDM refer to the Standardized Vocabularies specification.
+| 7  | Concept Class designation are attributes of Concepts. Each Vocabulary has its own set of permissible Concept Classes, although the same Concept Class can be used by more than one Vocabulary. Depending on the Vocabulary, the Concept Class may categorize Concepts vertically (parallel) or horizontally (hierarchically). See the specification of each vocabulary for details. |
+| 8  | Concept Class attributes should not be confused with Classification Concepts. These are separate Concepts that have a hierarchical relationship to Standard Concepts or each other, while Concept Classes are unique Vocabulary-specific attributes for each Concept. |
+| 9  | For Concepts inherited from published terminologies, the source code is retained in the concept_code field and can be used to reference the source vocabulary. |
+| 10 | Standard Concepts (designated as 'S' in the standard_concept field) may appear in CDM tables in all *_concept_id fields, whereas Classification Concepts ('C') should not appear in the CDM data, but participate in the construction of the [CONCEPT_ANCESTOR](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_ANCESTOR) table and can be used to identify Descendants that may appear in the data. See [CONCEPT_ANCESTOR](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_ANCESTOR) table. Non-standard Concepts can only appear in *_source_concept_id fields and are not used in CONCEPT_ANCESTOR table. Please refer to the Standardized Vocabularies [specifications](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:standard_classification_and_source_concepts) for details of the Standard Concept designation. |
+| 11 | All logical data elements associated with the various CDM tables (usually in the <domain>_type_concept_id field) are called Type Concepts, including defining characteristics, qualifying attributes etc. They are also stored as Concepts in the CONCEPT table. Since they are generated by OMOP, their is no meaningful concept_code. |
+| 12 | The lifespan of a Concept is recorded through its valid_start_date, valid_end_date and the invalid_reason fields. This allows Concepts to correctly reflect at which point in time were defined. Usually, Concepts get deprecated if their meaning was deemed ambiguous, a duplication of another Concept, or needed revision for scientific reason. For example, drug ingredients get updated when different salt or isomer variants enter the market. Usually, drugs taken off the market do not cause a deprecation by the terminology vendor. Since observational data are valid with respect to the time they are recorded, it is key for the Standardized Vocabularies to provide even obsolete codes and maintain their relationships to other current Concepts. |
+| 13 | Concepts without a known instantiated date are assigned valid_start_date of '1-Jan-1970'. |
+| 14 | Concepts that are not invalid are assigned valid_end_date of '31-Dec-2099'. |
+| 15 | Deprecated Concepts (with a valid_end_date before the release date of the Standardized Vocabularies) will have a value of 'D' (deprecated without successor) or 'U' (updated). The updated Concepts have a record in the [CONCEPT_RELATIONSHIP](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_RELATIONSHIP) table indicating their active replacement Concept. |
+| 16 | Values for CONCEPT_IDs generated as part of Standardized Vocabularies will be reserved from 0 to 2,000,000,000. Above this range, CONCEPT_IDs are available for local use and are guaranteed not to clash with future releases of the Standardized Vocabularies. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_ANCESTOR.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_ANCESTOR.md
index 56a6ae0..3d2e720 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_ANCESTOR.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_ANCESTOR.md
@@ -11,6 +11,8 @@ Field|Required|Type|Description
 
 ### Conventions 
 
-  * Each concept is also recorded as an ancestor of itself.
-  * Only valid and Standard Concepts participate in the CONCEPT_ANCESTOR table. It is not possible to find ancestors or descendants of deprecated or Source Concepts.
-  * Usually, only Concepts of the same Domain are connected through records of the CONCEPT_ANCESTOR table, but there might be exceptions.
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Each concept is also recorded as an ancestor of itself. |
+| 2  | Only valid and Standard Concepts participate in the CONCEPT_ANCESTOR table. It is not possible to find ancestors or descendants of deprecated or Source Concepts. |
+| 3  | Usually, only Concepts of the same Domain are connected through records of the CONCEPT_ANCESTOR table, but there might be exceptions. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_CLASS.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_CLASS.md
index 6b97c66..c3c790b 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_CLASS.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_CLASS.md
@@ -8,118 +8,10 @@ Field|Required|Type|Description
 
 ### Conventions 
 
-  * There is one record for each Concept Class. Concept Classes are used to create additional structure to the Concepts within each Vocabulary. Some Concept Classes are unique to a Vocabulary (for example "Clinical Finding" in SNOMED), but others can be used across different Vocabularies. The separation of Concepts through Concept Classes can be semantically horizontal (each Class subsumes Concepts of the same hierarchical level, akin to sub-Vocabularies within a Vocabulary) or vertical (each Class subsumes Concepts of a certain kind, going across hierarchical levels). For example, Concept Classes in SNOMED are vertical: The classes "Procedure" and "Clinical Finding" define very granular to very generic Concepts. On the other hand, "Clinical Drug" and "Ingredient" Concept Classes define horizontal layers or strata in the RxNorm vocabulary, which all belong to the same concept of a Drug.
-  * The concept_class_id field contains an alphanumerical identifier, that can also be used as the abbreviation of the Concept Class.
-  * The concept_class_name field contains the unabbreviated names of the Concept Class.
-  * Each Concept Class also has an entry in the Concept table, which is recorded in the concept_class_concept_id field. This is for purposes of creating a closed Information Model, where all entities in the OMOP CDM are covered by unique Concepts.
-  * Past versions of the OMOP CDM did not have a separate reference table for all Concept Classes. Also, the content of the old concept_class and the new concept_class_id fields are not always identical. A conversion table can be found here:
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | There is one record for each Concept Class. Concept Classes are used to create additional structure to the Concepts within each Vocabulary. Some Concept Classes are unique to a Vocabulary (for example 'Clinical Finding' in SNOMED), but others can be used across different Vocabularies. The separation of Concepts through Concept Classes can be semantically horizontal (each Class subsumes Concepts of the same hierarchical level, akin to sub-Vocabularies within a Vocabulary) or vertical (each Class subsumes Concepts of a certain kind, going across hierarchical levels). For example, Concept Classes in SNOMED are vertical: The classes "Procedure" and "Clinical Finding" define very granular to very generic Concepts. On the other hand, 'Clinical Drug' and 'Ingredient' Concept Classes define horizontal layers or strata in the RxNorm vocabulary, which all belong to the same concept of a Drug. |
+| 2  | The CONCEPT_CLASS_ID field contains an alphanumerical identifier, that can also be used as the abbreviation of the Concept Class. |
+| 3  | The CONCEPT_CLASS_NAME field contains the unabbreviated names of the Concept Class. | 
+| 4  | Each Concept Class also has an entry in the Concept table, which is recorded in the concept_class_concept_id field. This is for purposes of creating a closed Information Model, where all entities in the OMOP CDM are covered by unique Concepts. |
 
-Previous CONCEPT_CLASS|Version 5 CONCEPT_CLASS_ID
-:------------------------------|:----------------------------------------------
-|Administrative concept|Admin Concept|
-|Admitting Source|Admitting Source|
-|Anatomical Therapeutic Chemical Classification|ATC|
-|Anatomical Therapeutic Chemical Classification|ATC|
-|APC|Procedure|
-|Attribute|Attribute|
-|Biobank Flag|Biobank Flag|
-|Biological function|Biological Function|
-|Body structure|Body Structure|
-|Brand Name|Brand Name|
-|Branded Drug|Branded Drug|
-|Branded Drug Component|Branded Drug Comp|
-|Branded Drug Form|Branded Drug Form|
-|Branded Pack|Branded Pack|
-|CCS_DIAGNOSIS|Condition|
-|CCS_PROCEDURES|Procedure|
-|Chart Availability|Chart Availability|
-|Chemical Structure|Chemical Structure|
-|Clinical Drug|Clinical Drug|
-|Clinical Drug Component|Clinical Drug Comp|
-|Clinical Drug Form|Clinical Drug Form|
-|Clinical finding|Clinical Finding|
-|Clinical Pack|Clinical Pack|
-|Concept Relationship|Concept Relationship|
-|Condition Occurrence Type|Condition Occur Type|
-|Context-dependent category|Context-dependent|
-|CPT-4|Procedure|
-|Currency|Currency|
-|Death Type|Death Type|
-|Device Type|Device Type|
-|Discharge Disposition|Discharge Dispo|
-|Discharge Status|Discharge Status|
-|Domain|Domain|
-|Dose Form|Dose Form|
-|DRG|Diagnostic Category|
-|Drug Exposure Type|Drug Exposure Type|
-|Drug Interaction|Drug Interaction|
-|Encounter Type|Encounter Type|
-|Enhanced Therapeutic Classification|ETC|
-|Enrollment Basis|Enrollment Basis|
-|Environment or geographical location|Location|
-|Ethnicity|Ethnicity|
-|Event|Event|
-|Gender|Gender|
-|HCPCS|Procedure|
-|Health Care Provider Specialty|Provider Specialty|
-|HES specialty|Provider Specialty|
-|High Level Group Term|HLGT|
-|High Level Term|HLT|
-|Hispanic|Hispanic|
-|ICD-9-Procedure|Procedure|
-|Indication or Contra-indication|Ind / CI|
-|Ingredient|Ingredient|
-|LOINC Code|Measurement|
-|LOINC Multidimensional Classification|Meas Class|
-|Lowest Level Term|LLT|
-|MDC|Diagnostic Category|
-|Measurement Type|Meas Type|
-|Mechanism of Action|Mechanism of Action|
-|Model component|Model Comp|
-|Morphologic abnormality|Morph Abnormality|
-|MS-DRG|Diagnostic Category|
-|Namespace concept|Namespace Concept|
-|Note Type|Note Type|
-|Observable entity|Observable Entity|
-|Observation Period Type|Obs Period Type|
-|Observation Type|Observation Type|
-|OMOP DOI cohort|Drug Cohort|
-|OMOP HOI cohort|Condition Cohort|
-|OPCS-4|Procedure|
-|Organism|Organism|
-|Patient Status|Patient Status|
-|Pharmaceutical / biologic product|Pharma/Biol Product|
-|Pharmaceutical Preparations|Pharma Preparation|
-|Pharmacokinetics|PK|
-|Pharmacologic Class|Pharmacologic Class|
-|Physical force|Physical Force|
-|Physical object|Physical Object|
-|Physiologic Effect|Physiologic Effect|
-|Place of Service|Place of Service|
-|Preferred Term|PT|
-|Procedure|Procedure|
-|Procedure Occurrence Type|Procedure Occur Type|
-|Qualifier value|Qualifier Value|
-|Race|Race|
-|Record artifact|Record Artifact|
-|Revenue Code|Revenue Code|
-|Sex|Gender|
-|Social context|Social Context|
-|Special concept|Special Concept|
-|Specimen|Specimen|
-|Staging and scales|Staging / Scales|
-|Standardized MedDRA Query|SMQ|
-|Substance|Substance|
-|System Organ Class|SOC|
-|Therapeutic Class|Therapeutic Class|
-|UCUM|Unit|
-|UCUM Canonical|Canonical Unit|
-|UCUM Custom|Unit|
-|UCUM Standard|Unit|
-|Undefined|Undefined|
-|UNKNOWN|Undefined|
-|VA Class|Drug Class|
-|VA Drug Interaction|Drug Interaction|
-|VA Product|Drug Product|
-|Visit|Visit|
-|Visit Type|Visit Type|
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_RELATIONSHIP.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_RELATIONSHIP.md
index a2630c5..7b690d0 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_RELATIONSHIP.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_RELATIONSHIP.md
@@ -10,9 +10,12 @@ Field|Required|Type|Description
 |invalid_reason|No|varchar(1)|Reason the relationship was invalidated. Possible values are 'D' (deleted), 'U' (replaced with an update) or NULL when valid_end_date has the default value.|
 
 ### Conventions 
-  * Relationships can generally be classified as hierarchical (parent-child) or non-hierarchical (lateral). 
-  * All Relationships are directional, and each Concept Relationship is represented twice symmetrically within the CONCEPT_RELATIONSHIP table. For example, the two SNOMED concepts of 'Acute myocardial infarction of the anterior wall' and 'Acute myocardial infarction' have two Concept Relationships: 1- 'Acute myocardial infarction of the anterior wall' 'Is a' 'Acute myocardial infarction', and 2- 'Acute myocardial infarction' 'Subsumes' 'Acute myocardial infarction of the anterior wall'.
-  * There is one record for each Concept Relationship connecting the same Concepts with the same relationship_id.
-  * Since all Concept Relationships exist with their mirror image (concept_id_1 and concept_id_2 swapped, and the relationship_id replaced by the reverse_relationship_id from the [RELATIONSHIP](https://github.com/OHDSI/CommonDataModel/wiki/RELATIONSHIP) table), it is not necessary to query for the existence of a relationship both in the concept_id_1 and concept_id_2 fields.
-  * Concept Relationships define direct relationships between Concepts. Indirect relationships through 3rd Concepts are not captured in this table. However, the [CONCEPT_ANCESTOR](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_ANCESTOR) table does this for hierachical relationships over several "generations" of direct relationships.
-  * In previous versions of the CDM, the relationship_id used to be a numerical identifier. See the [RELATIONSHIP](https://github.com/OHDSI/CommonDataModel/wiki/RELATIONSHIP) table.
+
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | Relationships can generally be classified as hierarchical (parent-child) or non-hierarchical (lateral). |
+| 2  | All Relationships are directional, and each Concept Relationship is represented twice symmetrically within the CONCEPT_RELATIONSHIP table. For example, the two SNOMED concepts of 'Acute myocardial infarction of the anterior wall' and 'Acute myocardial infarction' have two Concept Relationships: 1- 'Acute myocardial infarction of the anterior wall' 'Is a' 'Acute myocardial infarction', and 2- 'Acute myocardial infarction' 'Subsumes' 'Acute myocardial infarction of the anterior wall'. |
+| 3  | There is one record for each Concept Relationship connecting the same Concepts with the same RELATIONSHIP_ID. |
+| 4  | Since all Concept Relationships exist with their mirror image (concept_id_1 and concept_id_2 swapped, and the RELATIONSHIP_ID replaced by the REVERSE_RELATIONSHIP_ID from the [RELATIONSHIP](https://github.com/OHDSI/CommonDataModel/wiki/RELATIONSHIP) table), it is not necessary to query for the existence of a relationship both in the concept_id_1 and concept_id_2 fields. |
+| 5  | Concept Relationships define direct relationships between Concepts. Indirect relationships through 3rd Concepts are not captured in this table. However, the [CONCEPT_ANCESTOR](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_ANCESTOR) table does this for hierachical relationships over several "generations" of direct relationships. |
+
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_SYNONYM.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_SYNONYM.md
index 37cb1f3..da4286d 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_SYNONYM.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/CONCEPT_SYNONYM.md
@@ -8,6 +8,8 @@ Field|Required|Type|Description
 
 ### Conventions
 
-  * The concept_synonym_name field contains a valid Synonym of a concept, including the description in the concept_name itself. I.e. each Concept has at least one Synonym in the CONCEPT_SYNONYM table. As an example, for a SNOMED-CT Concept, if the fully specified name is stored as the concept_name of the CONCEPT table, then the Preferred Term and Synonyms associated with the Concept are stored in the CONCEPT_SYNONYM table. 
-  * Only Synonyms that are active and current are stored in the CONCEPT_SYNONYM table. Tracking synonym/description history and mapping of obsolete synonyms to current Concepts/Synonyms is out of scope for the Standard Vocabularies.
-  * Currently, only English Synonyms are included.
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | The concept_synonym_name field contains a valid Synonym of a concept, including the description in the concept_name itself. i.e., each Concept has at least one Synonym in the CONCEPT_SYNONYM table. As an example, for a SNOMED-CT Concept, if the fully specified name is stored as the concept_name of the CONCEPT table, then the Preferred Term and Synonyms associated with the Concept are stored in the CONCEPT_SYNONYM table. |
+| 2  | Only Synonyms that are active and current are stored in the CONCEPT_SYNONYM table. Tracking synonym/description history and mapping of obsolete synonyms to current Concepts/Synonyms is out of scope for the Standard Vocabularies. |
+| 3  | Currently, only English Synonyms are included. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/DOMAIN.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/DOMAIN.md
index 05f8a3e..ba02f4a 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/DOMAIN.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/DOMAIN.md
@@ -8,8 +8,10 @@ Field|Required|Type|Description
 
 ### Conventions
 
-  * There is one record for each Domain. The domains are defined by the tables and fields in the OMOP CDM that can contain Concepts describing all the various aspects of the healthcare experience of a patient. 
-  * The domain_id field contains an alphanumerical identifier, that can also be used as the abbreviation of the Domain.
-  * The domain_name field contains the unabbreviated names of the Domain.
-  * Each Domain also has an entry in the Concept table, which is recorded in the domain_concept_id field. This is for purposes of creating a closed Information Model, where all entities in the OMOP CDM are covered by unique Concept.
-  * Versions prior to v5.0.0 of the OMOP CDM did not support the notion of a Domain.
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | There is one record for each Domain. The domains are defined by the tables and fields in the OMOP CDM that can contain Concepts describing all the various aspects of the healthcare experience of a patient. |
+| 2  | The DOMAIN_ID field contains an alphanumerical identifier, that can also be used as the abbreviation of the Domain. |
+| 3  | The DOMAIN_NAME field contains the unabbreviated names of the Domain. |
+| 4  | Each Domain also has an entry in the Concept table, which is recorded in the DOMAIN_CONCEPT_ID field. This is for purposes of creating a closed Information Model, where all entities in the OMOP CDM are covered by unique Concepts.
+| 5  | Versions prior to v5.0.0 of the OMOP CDM did not support the notion of a Domain. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/DRUG_STRENGTH.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/DRUG_STRENGTH.md
index 92fbd51..bc74a43 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/DRUG_STRENGTH.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/DRUG_STRENGTH.md
@@ -17,14 +17,16 @@ Field|Required|Type|Description
 
 ### Conventions
 
-  * The DRUG_STRENGTH table contains information for each active (non-deprecated) standard drug concept.
-  * A drug which contains multiple active Ingredients will result in multiple DRUG_STRENGTH records, one for each active ingredient.
-  * Ingredient strength information is provided either as absolute amount (usually for solid formulations) or as concentration (usually for liquid formulations).
-  * If the absolute amount is provided (for example, 'Acetaminophen 5 MG Tablet') the amount_value and amount_unit_concept_id are used to define this content (in this case 5 and 'MG').
-  * If the concentration is provided (for example 'Acetaminophen 48 MG/ML Oral Solution') the numerator_value in combination with the numerator_unit_concept_id and denominator_unit_concept_id are used to define this content (in this case 48, 'MG' and 'ML'). 
-  * In case of Quantified Clinical or Branded Drugs the denominator_value contains the total amount of the solution (not the amount of the ingredient). In all other drug concept classes the denominator amount is NULL because the concentration is always normalized to the unit of the denominator. So, a product containing 960 mg in 20 mL is provided as 48 mg/mL in the Clinical Drug and Clinical Drug Component, while as a Quantified Clinical Drug it is written as 960 mg/20 mL.
-  * If the strength is provided in % (volume or mass-percent are not distinguished) it is stored in the numerator_value/numerator_unit_concept_id field combination, with both the denominator_value and denominator_unit_concept_id set to NULL. If it is a Quantified Drug the total amount of drug is provided in the denominator_value/denominator_unit_concept_id pair. E.g., the 30 G Isoconazole 2% Topical Cream is provided as 2% / in Clinical Drug and Clinical Drug Component, and as 2% /30 G.
-  * Sometimes, one Ingredient is listed with different units within the same drug. This is very rare, and usually this happens if there are more than one Precise Ingredient. For example, 'Penicillin G, Benzathine 150000 UNT/ML / Penicillin G, Procaine 150000 MEQ/ML Injectable Suspension' contains Penicillin G in two different forms.
-  * Sometimes, different ingredients in liquid drugs are listed with different units in the denominator_unit_concept_id. This is usually the case if the ingredients are liquids themselves (concentration provided as mL/mL) or solid substances (mg/mg). In these cases, the general assumptions is made that the density of the drug is that of water, and one can assume 1 g = 1 mL.
-  * All Drug vocabularies containing Standard Concepts have entries in the DRUG_STRENGTH table. 
-  * There is now a Concept Class for supplier information whose relationships can be found in CONCEPT_RELATIONSHIP with a relationship_id of 'Has supplier' and 'Supplier of'
\ No newline at end of file
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | The DRUG_STRENGTH table contains information for each active (non-deprecated) standard drug concept. |
+| 2  | A drug which contains multiple active Ingredients will result in multiple DRUG_STRENGTH records, one for each active ingredient. |
+| 3  | Ingredient strength information is provided either as absolute amount (usually for solid formulations) or as concentration (usually for liquid formulations). |
+| 4  | If the absolute amount is provided (for example, 'Acetaminophen 5 MG Tablet') the AMOUNT_VALUE and AMOUNT_UNIT_CONCEPT_ID are used to define this content (in this case 5 and 'MG'). |
+| 5  | If the concentration is provided (for example 'Acetaminophen 48 MG/ML Oral Solution') the NUMERATOR_VALUE in combination with the NUMERATOR_UNIT_CONCEPT_ID and DENOMINATOR_UNIT_CONCEPT_ID are used to define this content (in this case 48, 'MG' and 'ML').|
+| 6  | In case of Quantified Clinical or Branded Drugs the DENOMINATOR_VALUE contains the total amount of the solution (not the amount of the ingredient). In all other drug concept classes the denominator amount is NULL because the concentration is always normalized to the unit of the denominator. So, a product containing 960 mg in 20 mL is provided as 48 mg/mL in the Clinical Drug and Clinical Drug Component, while as a Quantified Clinical Drug it is written as 960 mg/20 mL. |
+| 7  | If the strength is provided in % (volume or mass-percent are not distinguished) it is stored in the NUMERATOR_VALUE/NUMERATOR_UNIT_CONCEPT_ID field combination, with both the DENOMINATOR_VALUE and DENOMINATOR_UNIT_CONCEPT_ID set to NULL. If it is a Quantified Drug the total amount of drug is provided in the DENOMINATOR_VALUE/DENOMINATOR_UNIT_CONCEPT_ID pair. E.g., the 30 G Isoconazole 2% Topical Cream is provided as 2% / in Clinical Drug and Clinical Drug Component, and as 2% /30 G. |
+| 8  | Sometimes, one Ingredient is listed with different units within the same drug. This is very rare, and usually this happens if there are more than one Precise Ingredient. For example, 'Penicillin G, Benzathine 150000 UNT/ML / Penicillin G, Procaine 150000 MEQ/ML Injectable Suspension' contains Penicillin G in two different forms. |
+| 9  | Sometimes, different ingredients in liquid drugs are listed with different units in the DENOMINATOR_UNIT_CONCEPT_ID. This is usually the case if the ingredients are liquids themselves (concentration provided as mL/mL) or solid substances (mg/mg). In these cases, the general assumptions is made that the density of the drug is that of water, and one can assume 1 g = 1 mL. |
+| 10 | All Drug vocabularies containing Standard Concepts have entries in the DRUG_STRENGTH table. |
+| 11 | There is now a Concept Class for supplier information whose relationships can be found in CONCEPT_RELATIONSHIP with a RELATIONSHIP_ID of 'Has supplier' and 'Supplier of' |
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/RELATIONSHIP.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/RELATIONSHIP.md
index 2f69aac..0be21c6 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/RELATIONSHIP.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/RELATIONSHIP.md
@@ -11,282 +11,15 @@ Field|Required|Type|Description
 
 ### Conventions
 
-  * There is one record for each Relationship.
-  * Relationships are classified as hierarchical (parent-child) or non-hierarchical (lateral)
-  * They are used to determine which concept relationship records should be included in the computation of the CONCEPT_ANCESTOR table.
-  * The relationship_id field contains an alphanumerical identifier, that can also be used as the abbreviation of the Relationship.
-  * The relationship_name field contains the unabbreviated names of the Relationship.
-  * Relationships all exist symmetrically, i.e. in both direction. The relationship_id of the opposite Relationship is provided in the reverse_relationship_id field.
-  * Each Relationship also has an equivalent entry in the Concept table, which is recorded in the relationship_concept_id field. This is for purposes of creating a closed Information Model, where all entities in the OMOP CDM are covered by unique Concepts.
-  * Hierarchical Relationships are used to build a hierarchical tree out of the Concepts, which is recorded in the CONCEPT_ANCESTOR table. For example, "has_ingredient" is a Relationship between Concept of the Concept Class 'Clinical Drug' and those of 'Ingredient', and all Ingredients can be classified as the "parental" hierarchical Concepts for the drug products they are part of. All 'Is a' Relationships are hierarchical.
-  * Relationships, also hierarchical, can be between Concepts within the same Vocabulary or those adopted from different Vocabulary sources.
-  * In past versions of the RELATIONSHIP table, the relationship_id used to be a numerical value. A conversion table between these old and new IDs is given below:
-
-Previous Relationship_id|Version 5 Relationship_id
-:-----------------------|:-----------------------------------
-|1|LOINC replaced by|
-|2|Has precise ing|
-|3|Has tradename|
-|4|RxNorm has dose form|
-|5|Has form|
-|6|RxNorm has ing|
-|7|Constitutes|
-|8|Contains|
-|9|Reformulation of|
-|10|Subsumes|
-|11|NDFRT has dose form|
-|12|Induces|
-|13|May diagnose|
-|14|Has physio effect|
-|15|Has CI physio effect|
-|16|NDFRT has ing|
-|17|Has CI chem class|
-|18|Has MoA|
-|19|Has CI MoA|
-|20|Has PK|
-|21|May treat|
-|22|CI to|
-|23|May prevent|
-|24|Has metabolites|
-|25|Has metabolism|
-|26|May be inhibited by|
-|27|Has chem structure|
-|28|NDFRT - RxNorm eq|
-|29|Has recipient cat|
-|30|Has proc site|
-|31|Has priority|
-|32|Has pathology|
-|33|Has part of|
-|34|Has severity|
-|35|Has revision status|
-|36|Has access|
-|37|Has occurrence|
-|38|Has method|
-|39|Has laterality|
-|40|Has interprets|
-|41|Has indir morph|
-|42|Has indir device|
-|43|Has specimen|
-|44|Has interpretation|
-|45|Has intent|
-|46|Has focus|
-|47|Has manifestation|
-|48|Has active ing|
-|49|Has finding site|
-|50|Has episodicity|
-|51|Has dir subst|
-|52|Has dir morph|
-|53|Has dir device|
-|54|Has component|
-|55|Has causative agent|
-|56|Has asso morph|
-|57|Has asso finding|
-|58|Has measurement|
-|59|Has property|
-|60|Has scale type|
-|61|Has time aspect|
-|62|Has specimen proc|
-|63|Has specimen source|
-|64|Has specimen morph|
-|65|Has specimen topo|
-|66|Has specimen subst|
-|67|Has due to|
-|68|Has relat context|
-|69|Has dose form|
-|70|Occurs after|
-|71|Has asso proc|
-|72|Has dir proc site|
-|73|Has indir proc site|
-|74|Has proc device|
-|75|Has proc morph|
-|76|Has finding context|
-|77|Has proc context|
-|78|Has temporal context|
-|79|Findinga sso with|
-|80|Has surgical appr|
-|81|Using device|
-|82|Using energy|
-|83|Using subst|
-|84|Using acc device|
-|85|Has clinical course|
-|86|Has route of admin|
-|87|Using finding method|
-|88|Using finding inform|
-|92|ICD9P - SNOMED eq|
-|93|CPT4 - SNOMED cat|
-|94|CPT4 - SNOMED eq|
-|125|MedDRA - SNOMED eq|
-|126|Has FDA-appr ind|
-|127|Has off-label ind|
-|129|Has CI|
-|130|ETC - RxNorm|
-|131|ATC - RxNorm|
-|132|SMQ - MedDRA|
-|135|LOINC replaces|
-|136|Precise ing of|
-|137|Tradename of|
-|138|RxNorm dose form of|
-|139|Form of|
-|140|RxNorm ing of|
-|141|Consists of|
-|142|Contained in|
-|143|Reformulated in|
-|144|Is a|
-|145|NDFRT dose form of|
-|146|Induced by|
-|147|Diagnosed through|
-|148|Physiol effect by|
-|149|CI physiol effect by|
-|150|NDFRT ing of|
-|151|CI chem class of|
-|152|MoA of|
-|153|CI MoA of|
-|154|PK of|
-|155|May be treated by|
-|156|CI by|
-|157|May be prevented by|
-|158|Metabolite of|
-|159|Metabolism of|
-|160|Inhibits effect|
-|161|Chem structure of|
-|162|RxNorm - NDFRT eq|
-|163|Recipient cat of|
-|164|Proc site of|
-|165|Priority of|
-|166|Pathology of|
-|167|Part of|
-|168|Severity of|
-|169|Revision status of|
-|170|Access of|
-|171|Occurrence of|
-|172|Method of|
-|173|Laterality of|
-|174|Interprets of|
-|175|Indir morph of|
-|176|Indir device of|
-|177|Specimen of|
-|178|Interpretation of|
-|179|Intent of|
-|180|Focus of|
-|181|Manifestation of|
-|182|Active ing of|
-|183|Finding site of|
-|184|Episodicity of|
-|185|Dir subst of|
-|186|Dir morph of|
-|187|Dir device of|
-|188|Component of|
-|189|Causative agent of|
-|190|Asso morph of|
-|191|Asso finding of|
-|192|Measurement of|
-|193|Property of|
-|194|Scale type of|
-|195|Time aspect of|
-|196|Specimen proc of|
-|197|Specimen identity of|
-|198|Specimen morph of|
-|199|Specimen topo of|
-|200|Specimen subst of|
-|201|Due to of|
-|202|Relat context of|
-|203|Dose form of|
-|204|Occurs before|
-|205|Asso proc of|
-|206|Dir proc site of|
-|207|Indir proc site of|
-|208|Proc device of|
-|209|Proc morph of|
-|210|Finding context of|
-|211|Proc context of|
-|212|Temporal context of|
-|213|Asso with finding|
-|214|Surgical appr of|
-|215|Device used by|
-|216|Energy used by|
-|217|subst used by|
-|218|Acc device used by|
-|219|Clinical course of|
-|220|Route of admin of|
-|221|Finding method of|
-|222|Finding inform of|
-|226|SNOMED - ICD9P eq|
-|227|SNOMED cat - CPT4|
-|228|SNOMED - CPT4 eq|
-|239|SNOMED - MedDRA eq|
-|240|Is FDA-appr ind of|
-|241|Is off-label ind of|
-|243|Is CI of|
-|244|RxNorm - ETC|
-|245|RxNorm - ATC|
-|246|MedDRA - SMQ|
-|247|Ind/CI - SNOMED|
-|248|SNOMED - ind/CI|
-|275|Has therap class|
-|276|Therap class of|
-|277|Drug-drug inter for|
-|278|Has drug-drug inter|
-|279|Has pharma prep|
-|280|Pharma prep in|
-|281|Inferred class of|
-|282|Has inferred class|
-|283|SNOMED proc - HCPCS|
-|284|HCPCS - SNOMED proc|
-|285|RxNorm - NDFRT name|
-|286|NDFRT - RxNorm name|
-|287|ETC - RxNorm name|
-|288|RxNorm - ETC name|
-|289|ATC - RxNorm name|
-|290|RxNorm - ATC name|
-|291|HOI - SNOMED|
-|292|SNOMED - HOI|
-|293|DOI - RxNorm|
-|294|RxNorm - DOI|
-|295|HOI - MedDRA|
-|296|MedDRA - HOI|
-|297|NUCC - CMS Specialty|
-|298|CMS Specialty - NUCC|
-|299|DRG - MS-DRG eq|
-|300|MS-DRG - DRG eq|
-|301|DRG - MDC cat|
-|302|MDC cat - DRG|
-|303|Visit cat - PoS|
-|304|PoS - Visit cat|
-|305|VAProd - NDFRT|
-|306|NDFRT - VAProd|
-|307|VAProd - RxNorm eq|
-|308|RxNorm - VAProd eq|
-|309|RxNorm replaced by|
-|310|RxNorm replaces|
-|311|SNOMED replaced by|
-|312|SNOMED replaces|
-|313|ICD9P replaced by|
-|314|ICD9P replaces|
-|315|Multilex has ing|
-|316|Multilex ing of|
-|317|RxNorm - Multilex eq|
-|318|Multilex - RxNorm eq|
-|319|Multilex ing - class|
-|320|Class - Multilex ing|
-|321|Maps to|
-|322|Mapped from|
-|325|Map includes child|
-|326|Included in map from|
-|327|Map excludes child|
-|328|Excluded in map from|
-|345|UCUM replaced by|
-|346|UCUM replaces|
-|347|Concept replaced by|
-|348|Concept replaces|
-|349|Concept same_as to|
-|350|Concept same_as from|
-|351|Concept alt_to to|
-|352|Concept alt_to from|
-|353|Concept poss_eq to|
-|354|Concept poss_eq from|
-|355|Concept was_a to|
-|356|Concept was_a from|
-|357|SNOMED meas - HCPCS|
-|358|HCPCS - SNOMED meas|
-|359|Domain subsumes|
-|360|Is domain|
\ No newline at end of file
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | There is one record for each Relationship. |
+| 2  | Relationships are classified as hierarchical (parent-child) or non-hierarchical (lateral)|
+| 3  | They are used to determine which concept relationship records should be included in the computation of the CONCEPT_ANCESTOR table. |
+| 4  | The RELATIONSHIP_ID field contains an alphanumerical identifier, that can also be used as the abbreviation of the Relationship. |
+| 5  | The RELATIONSHIP_NAME field contains the unabbreviated names of the Relationship. | 
+| 6  | Relationships all exist symmetrically, i.e. in both direction. The RELATIONSHIP_ID of the opposite Relationship is provided in the REVERSE_RELATIONSHIP_ID field. |
+| 7  | Each Relationship also has an equivalent entry in the Concept table, which is recorded in the RELATIONSHIP_CONCEPT_ID field. This is for purposes of creating a closed Information Model, where all entities in the OMOP CDM are covered by unique Concepts. |
+| 8  | Hierarchical Relationships are used to build a hierarchical tree out of the Concepts, which is recorded in the CONCEPT_ANCESTOR table. For example, 'has_ingredient' is a Relationship between Concept of the Concept Class 'Clinical Drug' and those of 'Ingredient', and all Ingredients can be classified as the 'parental' hierarchical Concepts for the drug products they are part of. All 'Is a' Relationships are hierarchical. |
+| 9  | Relationships, also hierarchical, can be between Concepts within the same Vocabulary or those adopted from different Vocabulary sources. |
+ 
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/SOURCE_TO_CONCEPT_MAP.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/SOURCE_TO_CONCEPT_MAP.md
index b24f57f..e25e2a6 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/SOURCE_TO_CONCEPT_MAP.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/SOURCE_TO_CONCEPT_MAP.md
@@ -14,12 +14,14 @@ Field|Required|Type|Description
 
 ### Conventions 
 
-  * This table is no longer used to distribute mapping information between source codes and Standard Concepts for the Standard Vocabularies. Instead, the CONCEPT_RELATIONSHIP table is used for this purpose, using the relationship_id='Maps to'.
-  * However, this table can still be used for the translation of local source codes into Standard Concepts.
-  * **Note:** This table should not be used to translate source codes to Source Concepts. The source code of a Source Concept is captured in its concept_code field. If the source codes used in a given database do not follow correct formatting the ETL will have to perform this translation. For example, if ICD-9-CM codes are recorded without a dot the ETL will have to perform a lookup function that allows identifying the correct ICD-9-CM Source Concept (with the dot in the concept_code field).
-  * The source_concept_id, or the combination of the fields source_code and the source_vocabulary_id uniquely identifies the source information. It is the equivalent to the concept_id_1 field in the CONCEPT_RELATIONSHIP table.
-  * If there is no source_concept_id available because the source codes are local and not supported by the Standard Vocabulary, the content of the field is 0 (zero, not null) encoding an undefined concept. However, local Source Concepts are established (concept_id values above 2,000,000,000).
-  * The source_code_description contains an optional description of the source code.
-  * The target_concept_id contains the Concept the source code is mapped to. It is equivalent to the concept_id_2 in the CONCEPT_RELATIONSHIP table 
-  * The target_vocabulary_id field contains the vocabulary_id of the target concept. It is a duplication of the same information in the CONCEPT record of the Target Concept.
-  * The fields valid_start_date, valid_end_date and invalid_reason are used to define the life cycle of the mapping information. Invalid mapping records should not be used for mapping information.
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | This table is no longer used to distribute mapping information between source codes and Standard Concepts for the Standard Vocabularies. Instead, the CONCEPT_RELATIONSHIP table is used for this purpose, using the relationship_id='Maps to'. |
+| 2  | However, this table can still be used for the translation of local source codes into Standard Concepts.
+| 4  | **Note:** This table should not be used to translate source codes to Source Concepts. The source code of a Source Concept is captured in its concept_code field. If the source codes used in a given database do not follow correct formatting the ETL will have to perform this translation. For example, if ICD-9-CM codes are recorded without a dot the ETL will have to perform a lookup function that allows identifying the correct ICD-9-CM Source Concept (with the dot in the concept_code field). |
+| 5  | The SOURCE_CONCEPT_ID, or the combination of the fields source_code and the SOURCE_VOCABULARY_ID uniquely identifies the source information. It is the equivalent to the CONCEPT_ID_1 field in the CONCEPT_RELATIONSHIP table. |
+| 6  | If there is no SOURCE_CONCEPT_ID available because the source codes are local and not supported by the Standard Vocabulary, the content of the field is 0 (zero, not null) encoding an undefined concept. However, local Source Concepts are established (concept_id values above 2,000,000,000). |
+| 7  | The SOURCE_CODE_DESCRIPTION contains an optional description of the source code. |
+| 8  | The TARGET_CONCEPT_ID contains the Concept the source code is mapped to. It is equivalent to the concept_id_2 in the CONCEPT_RELATIONSHIP table |
+| 9  | The TARGET_VOCABULARY_ID field contains the VOCABULARY_ID of the target concept. It is a duplication of the same information in the CONCEPT record of the Target Concept. |
+| 10 | The fields VALID_START_DATE, VALID_END_DATE and INVALID_REASON are used to define the life cycle of the mapping information. Invalid mapping records should not be used for mapping information. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/Standardized-Vocabularies.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/Standardized-Vocabularies.md
index ca9d3d3..c002888 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/Standardized-Vocabularies.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/Standardized-Vocabularies.md
@@ -8,8 +8,6 @@
 [CONCEPT_ANCESTOR](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_ANCESTOR)  
 [SOURCE_TO_CONCEPT_MAP](https://github.com/OHDSI/CommonDataModel/wiki/SOURCE_TO_CONCEPT_MAP)  
 [DRUG_STRENGTH](https://github.com/OHDSI/CommonDataModel/wiki/DRUG_STRENGTH)  
-[COHORT_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/COHORT_DEFINITION)  
-[ATTRIBUTE_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/ATTRIBUTE_DEFINITION)  
 
 These tables contain detailed information about the Concepts used in all of the CDM fact tables. The content of the Standardized Vocabularies tables is not generated anew by each CDM implementation. Instead, it is maintained centrally as a service to the community.
 
@@ -21,7 +19,7 @@ A number of assumptions were made for the design of the Standardized Vocabularie
   * Some Concepts are declared Standard Concepts, i.e. they are used to represent a certain clinical entity in the data. All Concepts may be Source Concepts; they represent how the entity was coded in the source. Standard Concepts are identified through the standard_concept field in the CONCEPT table.
   * Records in the CONCEPT_RELATIONSHIP table define semantic relationships between Concepts. Such relationships can be hierarchical or lateral. 
   * Records in the CONCEPT_RELATIONSHIP table are used to map Source codes to Standard Concepts, replacing the mechanism of the SOURCE_TO_CONCEPT_MAP table used in prior Standardized Vocabularies versions. The SOURCE_TO_CONCEPT_MAP table is retained as an optional aid to bookkeeping codes not found in the Standardized Vocabularies.
-  * Chains of hierarchical relationships are recorded in the CONCEPT_ANCESTOR table. Ancestry relationships are only recorded between Standard Concepts that are valid (not deprecated) and are connected through valid and hierarchical relationships in the RELATIONSHIP table (flag defines_ancestry).
+  * Chains of hierarchical relationships are recorded in the CONCEPT_ANCESTOR table. Ancestry relationships are only recorded between Standard Concepts that are valid (not deprecated) and are connected through valid and hierarchical relationships in the RELATIONSHIP table (flag DEFINES_ANCESTRY).
   
 The advantage of this approach lies in the preservation of codes and relationships between them without adherence to the multiple different source data structures, a simple design for standardized access, and the optimization of performance for analysis. Navigation among Standard Concepts does not require knowledge of the source vocabulary. Finally, the approach is scalable and future vocabularies can be integrated easily. On the other hand, extensive transformation of source data to the Vocabulary is required and not every source data structure and original source hierarchy can be retained.
 
diff --git a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/VOCABULARY.md b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/VOCABULARY.md
index 3ae2c26..7f520ec 100644
--- a/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/VOCABULARY.md
+++ b/Documentation/CommonDataModel_Wiki_Files/StandardizedVocabularies/VOCABULARY.md
@@ -5,81 +5,15 @@ Field|Required|Type|Description
 |vocabulary_id|Yes|varchar(20)|A unique identifier for each Vocabulary, such as ICD9CM, SNOMED, Visit.|
 |vocabulary_name|Yes|varchar(255)|The name describing the vocabulary, for example "International Classification of Diseases, Ninth Revision, Clinical Modification, Volume 1 and 2 (NCHS)" etc.|
 |vocabulary_reference|Yes|varchar(255)|External reference to documentation or available download of the about the vocabulary.|
-|vocabulary_version|Yes|varchar(255)|Version of the Vocabulary as indicated in the source.|
+|vocabulary_version|No|varchar(255)|Version of the Vocabulary as indicated in the source.|
 |vocabulary_concept_id|Yes|integer|A foreign key that refers to a standard concept identifier in the CONCEPT table for the Vocabulary the VOCABULARY record belongs to.|
 
 ### Conventions
 
-  * There is one record for each Vocabulary. One Vocabulary source or vendor can issue several Vocabularies, each of them creating their own record in the VOCABULARY table. However, the choice of whether a Vocabulary contains Concepts of different Concept Classes, or when these different classes constitute separate Vocabularies cannot precisely be decided based on the definition of what constitutes a Vocabulary. For example, the ICD-9 Volume 1 and 2 codes (ICD9CM, containing predominantly conditions and some procedures and observations) and the ICD-9 Volume 3 codes (ICD9Proc, containing predominantly procedures) are realized as two different Vocabularies. On the other hand, SNOMED-CT codes of the class Condition and those of the class Procedure are part of one and the same Vocabulary. Please refer to the Standardized Vocabularies [specifications](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary) for details of each Vocabulary.
-
-  * The vocabulary_id field contains an alphanumerical identifier, that can also be used as the abbreviation of the Vocabulary name.
-  * The record with vocabulary_id = 'None' is reserved to contain information regarding the current version of the Entire Standardized Vocabularies.
-  * The vocabulary_name field contains the full official name of the Vocabulary, as well as the source or vendor in parenthesis.
-  * Each Vocabulary has an entry in the CONCEPT table, which is recorded in the vocabulary_concept_id field. This is for purposes of creating a closed Information Model, where all entities in the OMOP CDM are covered by a unique Concept.
-  * In past versions of the VOCABULARY table, the vocabulary_id used to be a numerical value. A conversion table between these old and new IDs is given below:
-
-Previous VOCABULARY_ID|Version 5 VOCABULARY_ID 
-----------------------|------------------
-|0|None|
-|1|[SNOMED](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:snomed)|
-|2|[ICD9CM](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:icd9cm)|
-|3|ICD9Proc|
-|4|[CPT4](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:cpt4)|
-|5|HCPCS|
-|6|[LOINC](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:loinc)|
-|7|NDFRT|
-|8|[RxNorm](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:rxnorm)|
-|9|[NDC](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:ndc)|
-|10|GPI|
-|11|[UCUM](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:ucum)|
-|12|[Gender](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:gender)|
-|13|Race|
-|14|Place of Service|
-|15|MedDRA|
-|16|Multum|
-|17|Read|
-|18|OXMIS|
-|19|Indication|
-|20|ETC|
-|21|[ATC](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:atc)|
-|22|Multilex|
-|24|Visit|
-|28|VA Product|
-|31|SMQ|
-|32|VA Class|
-|33|Cohort|
-|34|[ICD10](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:icd10)|
-|35|[ICD10PCS](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:icd10pcs)|
-|36|Drug Type|
-|37|Condition Type|
-|38|Procedure Type|
-|39|Observation Type|
-|40|DRG|
-|41|MDC|
-|42|APC|
-|43|Revenue Code|
-|44|[Ethnicity](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:ethnicity)|
-|45|Death Type|
-|46|[Mesh](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:mesh)|
-|47|NUCC|
-|48|Specialty|
-|49|[LOINC](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:loinc)|
-|50|SPL|
-|53|Genseqno|
-|54|CCS|
-|55|OPCS4|
-|56|Gemscript|
-|57|HES Specialty|
-|58|Note Type|
-|59|Domain|
-|60|PCORNet|
-|61|Obs Period Type|
-|62|Visit Type|
-|63|Device Type|
-|64|Meas Type|
-|65|[Currency](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:currency)|
-|66|Relationship|
-|67|Vocabulary|
-|68|Concept Class|
-|69|Cohort Type|
-|70|[ICD10CM](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary:icd10cm)|
\ No newline at end of file
+No.|Convention Description
+:--------|:------------------------------------
+| 1  | There is one record for each Vocabulary. One Vocabulary source or vendor can issue several Vocabularies, each of them creating their own record in the VOCABULARY table. However, the choice of whether a Vocabulary contains Concepts of different Concept Classes, or when these different classes constitute separate Vocabularies cannot precisely be decided based on the definition of what constitutes a Vocabulary. For example, the ICD-9 Volume 1 and 2 codes (ICD9CM, containing predominantly conditions and some procedures and observations) and the ICD-9 Volume 3 codes (ICD9Proc, containing predominantly procedures) are realized as two different Vocabularies. On the other hand, SNOMED-CT codes of the class Condition and those of the class Procedure are part of one and the same Vocabulary. Please refer to the Standardized Vocabularies [specifications](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary) for details of each Vocabulary. |
+| 2  | The VOCABULARY_ID field contains an alphanumerical identifier, that can also be used as the abbreviation of the Vocabulary name. |
+| 3  | The record with VOCABULARY_ID = 'None' is reserved to contain information regarding the current version of the Entire Standardized Vocabularies. | 
+| 4  | The VOCABULARY_NAME field contains the full official name of the Vocabulary, as well as the source or vendor in parenthesis. |
+| 5  | Each Vocabulary has an entry in the CONCEPT table, which is recorded in the VOCABULARY_CONCEPT_ID field. This is for purposes of creating a closed Information Model, where all entities in the OMOP CDM are covered by a unique Concept. |
diff --git a/Documentation/CommonDataModel_Wiki_Files/Usagi.png b/Documentation/CommonDataModel_Wiki_Files/Usagi.png
deleted file mode 100644
index d962ea8..0000000
Binary files a/Documentation/CommonDataModel_Wiki_Files/Usagi.png and /dev/null differ
diff --git a/Documentation/CommonDataModel_Wiki_Files/_Footer.md b/Documentation/CommonDataModel_Wiki_Files/_Footer.md
index 914df1d..5324772 100644
--- a/Documentation/CommonDataModel_Wiki_Files/_Footer.md
+++ b/Documentation/CommonDataModel_Wiki_Files/_Footer.md
@@ -1 +1 @@
-***OMOP Common Data Model v5.3.1 Specifications 14June2018***
\ No newline at end of file
+***OMOP Common Data Model v6.0 Specifications 11October2018***
\ No newline at end of file
diff --git a/Documentation/CommonDataModel_Wiki_Files/_Sidebar.md b/Documentation/CommonDataModel_Wiki_Files/_Sidebar.md
index 3a84654..4e2ea41 100644
--- a/Documentation/CommonDataModel_Wiki_Files/_Sidebar.md
+++ b/Documentation/CommonDataModel_Wiki_Files/_Sidebar.md
@@ -21,8 +21,6 @@
 * [CONCEPT_ANCESTOR](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT_ANCESTOR)
 * [SOURCE_TO_CONCEPT_MAP](https://github.com/OHDSI/CommonDataModel/wiki/SOURCE_TO_CONCEPT_MAP)
 * [DRUG_STRENGTH](https://github.com/OHDSI/CommonDataModel/wiki/DRUG_STRENGTH)
-* [COHORT_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/COHORT_DEFINITION)
-* [ATTRIBUTE_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/ATTRIBUTE_DEFINITION)  
 
 **[Standardized Metadata](https://github.com/OHDSI/CommonDataModel/wiki/Standardized-Metadata)**
 * [CDM_SOURCE](https://github.com/OHDSI/CommonDataModel/wiki/CDM_SOURCE)  
@@ -31,22 +29,24 @@
 **[Standardized Clinical Data Tables](https://github.com/OHDSI/CommonDataModel/wiki/Standardized-Clinical-Data-Tables)**
 * [PERSON](https://github.com/OHDSI/CommonDataModel/wiki/PERSON)
 * [OBSERVATION_PERIOD](https://github.com/OHDSI/CommonDataModel/wiki/OBSERVATION_PERIOD)
-* [SPECIMEN](https://github.com/OHDSI/CommonDataModel/wiki/SPECIMEN)
-* [DEATH](https://github.com/OHDSI/CommonDataModel/wiki/DEATH)
 * [VISIT_OCCURRENCE](https://github.com/OHDSI/CommonDataModel/wiki/VISIT_OCCURRENCE)
 * [VISIT_DETAIL](https://github.com/OHDSI/CommonDataModel/wiki/VISIT_DETAIL)
-* [PROCEDURE_OCCURRENCE](https://github.com/OHDSI/CommonDataModel/wiki/PROCEDURE_OCCURRENCE)
-* [DRUG_EXPOSURE](https://github.com/OHDSI/CommonDataModel/wiki/DRUG_EXPOSURE)
-* [DEVICE_EXPOSURE](https://github.com/OHDSI/CommonDataModel/wiki/DEVICE_EXPOSURE)
 * [CONDITION_OCCURRENCE](https://github.com/OHDSI/CommonDataModel/wiki/CONDITION_OCCURRENCE)
+* [DEATH](https://github.com/OHDSI/CommonDataModel/wiki/DEATH)
+* [DRUG_EXPOSURE](https://github.com/OHDSI/CommonDataModel/wiki/DRUG_EXPOSURE)
+* [PROCEDURE_OCCURRENCE](https://github.com/OHDSI/CommonDataModel/wiki/PROCEDURE_OCCURRENCE)
+* [DEVICE_EXPOSURE](https://github.com/OHDSI/CommonDataModel/wiki/DEVICE_EXPOSURE)
 * [MEASUREMENT](https://github.com/OHDSI/CommonDataModel/wiki/MEASUREMENT)
 * [NOTE](https://github.com/OHDSI/CommonDataModel/wiki/NOTE)
 * [NOTE_NLP](https://github.com/OHDSI/CommonDataModel/wiki/NOTE_NLP)
+* [SURVEY_CONDUCT](https://github.com/OHDSI/CommonDataModel/wiki/SURVEY_CONDUCT)
 * [OBSERVATION](https://github.com/OHDSI/CommonDataModel/wiki/OBSERVATION)
+* [SPECIMEN](https://github.com/OHDSI/CommonDataModel/wiki/SPECIMEN)
 * [FACT_RELATIONSHIP](https://github.com/OHDSI/CommonDataModel/wiki/FACT_RELATIONSHIP)  
 
 **[Standardized Health System Data Tables](https://github.com/OHDSI/CommonDataModel/wiki/Standardized-Health-System-Data-Tables)**
 * [LOCATION](https://github.com/OHDSI/CommonDataModel/wiki/LOCATION)
+* [LOCATION_HISTORY](https://github.com/OHDSI/CommonDataModel/wiki/LOCATION_HISTORY)
 * [CARE_SITE](https://github.com/OHDSI/CommonDataModel/wiki/CARE_SITE)
 * [PROVIDER](https://github.com/OHDSI/CommonDataModel/wiki/PROVIDER)  
 
@@ -55,8 +55,10 @@
 * [COST](https://github.com/OHDSI/CommonDataModel/wiki/COST)  
 
 **[Standardized Derived Elements](https://github.com/OHDSI/CommonDataModel/wiki/Standardized-Derived-Elements)**
-* [COHORT](https://github.com/OHDSI/CommonDataModel/wiki/COHORT)
-* [COHORT_ATTRIBUTE](https://github.com/OHDSI/CommonDataModel/wiki/COHORT_ATTRIBUTE)
 * [DRUG_ERA](https://github.com/OHDSI/CommonDataModel/wiki/DRUG_ERA)
 * [DOSE_ERA](https://github.com/OHDSI/CommonDataModel/wiki/DOSE_ERA)
-* [CONDITION_ERA](https://github.com/OHDSI/CommonDataModel/wiki/CONDITION_ERA)
\ No newline at end of file
+* [CONDITION_ERA](https://github.com/OHDSI/CommonDataModel/wiki/CONDITION_ERA)
+
+**[Results Schema](https://github.com/OHDSI/CommonDataModel/wiki/Results-Schema)**
+* [COHORT](https://github.com/OHDSI/CommonDataModel/wiki/COHORT)
+* [COHORT_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/COHORT_DEFINITION)
\ No newline at end of file
diff --git a/Impala/DataImport/OMOP_CDM_synpuf_load_Impala.sql b/Impala/DataImport/OMOP_CDM_synpuf_load_Impala.sql
index 59c6fa4..ac4a86b 100644
--- a/Impala/DataImport/OMOP_CDM_synpuf_load_Impala.sql
+++ b/Impala/DataImport/OMOP_CDM_synpuf_load_Impala.sql
@@ -1,6 +1,6 @@
 LOAD DATA INPATH '${VAR:OMOP_SYNPUF_PATH}/CDM_CARE_SITE.csv' OVERWRITE INTO TABLE care_site;
 LOAD DATA INPATH '${VAR:OMOP_SYNPUF_PATH}/CDM_CONDITION_OCCURRENCE.csv' OVERWRITE INTO TABLE condition_occurrence;
-LOAD DATA INPATH '${VAR:OMOP_SYNPUF_PATH}/CDM_DEATH.csv' OVERWRITE INTO TABLE death;
+--LOAD DATA INPATH '${VAR:OMOP_SYNPUF_PATH}/CDM_DEATH.csv' OVERWRITE INTO TABLE death;
 LOAD DATA INPATH '${VAR:OMOP_SYNPUF_PATH}/CDM_DRUG_EXPOSURE.csv' OVERWRITE INTO TABLE drug_exposure;
 LOAD DATA INPATH '${VAR:OMOP_SYNPUF_PATH}/CDM_DEVICE_EXPOSURE.csv' OVERWRITE INTO TABLE device_exposure;
 LOAD DATA INPATH '${VAR:OMOP_SYNPUF_PATH}/CDM_LOCATION.csv' OVERWRITE INTO TABLE `location`;
diff --git a/Impala/OMOP CDM Results impala ddl.txt b/Impala/OMOP CDM Results impala ddl.txt
new file mode 100644
index 0000000..65a78f2
--- /dev/null
+++ b/Impala/OMOP CDM Results impala ddl.txt	
@@ -0,0 +1,57 @@
+/*********************************************************************************
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
+#
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+********************************************************************************/
+
+/************************
+
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
+
+impala script to create OMOP common data model results schema version 6.0
+
+last revised: 27-Aug-2018
+
+Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
+
+
+*************************/
+
+CREATE TABLE cohort_definition (
+  cohort_definition_id				INTEGER	,
+  cohort_definition_name			VARCHAR(255),
+  cohort_definition_description		STRING,
+  definition_type_concept_id		INTEGER	,
+  cohort_definition_syntax			STRING,
+  subject_concept_id				INTEGER	,
+  cohort_initiation_date			TIMESTAMP
+)
+;
+
+
+--HINT DISTRIBUTE_ON_KEY(subject_id)
+CREATE TABLE cohort
+(
+  cohort_definition_id	BIGINT ,
+  subject_id			BIGINT ,
+  cohort_start_date		TIMESTAMP ,
+  cohort_end_date		TIMESTAMP
+)
+;
\ No newline at end of file
diff --git a/Impala/OMOP CDM impala ddl.txt b/Impala/OMOP CDM impala ddl.txt
index 4918e93..b67bd43 100644
--- a/Impala/OMOP CDM impala ddl.txt	
+++ b/Impala/OMOP CDM impala ddl.txt	
@@ -1,1317 +1,720 @@
 /*********************************************************************************
-
-# Copyright 2017-11 Observational Health Data Sciences and Informatics
-
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
 #
-
 #
-
-# Licensed under the Apache License, Version 2.0 (the "License")
-
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
-
 # You may obtain a copy of the License at
-
 #
-
 #     http://www.apache.org/licenses/LICENSE-2.0
-
 #
-
 # Unless required by applicable law or agreed to in writing, software
-
 # distributed under the License is distributed on an "AS IS" BASIS,
-
 # WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
-
 # See the License for the specific language governing permissions and
-
 # limitations under the License.
-
 ********************************************************************************/
 
-
 /************************
 
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
 
+impala script to create OMOP common data model version 6.0
 
-####### #     # ####### ######      #####  ######  #     #           #######      #####
-
-#     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #
-
-#     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #
-
-#     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####
-
-#     # #     # #     # #          #       #     # #     #    #    #       # ###       #
-
-#     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #
-
-####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####
-
-
-
-impala script to create OMOP common data model version 5.3.1
-
-
-
-last revised: 14-JUNE-2018
-
-
+last revised: 27-Aug-2018
 
 Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
 
 
-
-
 *************************/
 
 
-
-
 /************************
 
-
-
 Standardized vocabulary
 
-
-
 ************************/
 
 
-
 CREATE TABLE concept (
-
-	concept_id INTEGER,
-
-	concept_name VARCHAR(255),
-
-	domain_id VARCHAR(20),
-
-	vocabulary_id VARCHAR(20),
-
-  concept_class_id VARCHAR(20),
-
-	standard_concept VARCHAR(1),
-
-  concept_code VARCHAR(50),
-
-  valid_start_date TIMESTAMP,
-
-  valid_end_date TIMESTAMP,
-
-  invalid_reason VARCHAR(1)
-
+  concept_id			  INTEGER ,
+  concept_name			  VARCHAR(255) ,
+  domain_id				  VARCHAR(20) ,
+  vocabulary_id			  VARCHAR(20) ,
+  concept_class_id		  VARCHAR(20) ,
+  standard_concept		  VARCHAR(1) ,
+  concept_code			  VARCHAR(50) ,
+  valid_start_date		  TIMESTAMP ,
+  valid_end_date		  TIMESTAMP ,
+  invalid_reason		  VARCHAR(1)
 )
-
 ;
 
 
-
 CREATE TABLE vocabulary (
-
-    vocabulary_id VARCHAR(20),
-
-    vocabulary_name VARCHAR(255),
-
-    vocabulary_reference VARCHAR(255),
-    vocabulary_version VARCHAR(255),
-
-    vocabulary_concept_id INTEGER
-
+  vocabulary_id			VARCHAR(20),
+  vocabulary_name		VARCHAR(255),
+  vocabulary_reference	VARCHAR(255),
+  vocabulary_version	VARCHAR(255),
+  vocabulary_concept_id	INTEGER
 )
-
 ;
 
 
-
-
 CREATE TABLE domain (
-
-    domain_id VARCHAR(20),
-
-    domain_name VARCHAR(255),
-
-    domain_concept_id INTEGER
-
+  domain_id			    VARCHAR(20),
+  domain_name		    VARCHAR(255),
+  domain_concept_id		INTEGER
 )
-
 ;
 
 
-
-
 CREATE TABLE concept_class (
-
-    concept_class_id VARCHAR(20),
-
-    concept_class_name VARCHAR(255),
-
-    concept_class_concept_id INTEGER
-
+  concept_class_id			    VARCHAR(20),
+  concept_class_name		    VARCHAR(255),
+  concept_class_concept_id		INTEGER
 )
-
 ;
 
 
-
-
 CREATE TABLE concept_relationship (
-
-    concept_id_1 INTEGER,
-
-    concept_id_2 INTEGER,
-
-    relationship_id VARCHAR(20),
-
-    valid_start_date TIMESTAMP,
-
-    valid_end_date TIMESTAMP,
-
-    invalid_reason VARCHAR(1)
-
-)
-
+  concept_id_1			INTEGER	,
+  concept_id_2			INTEGER	,
+  relationship_id		VARCHAR(20),
+  valid_start_date		TIMESTAMP,
+  valid_end_date		TIMESTAMP,
+  invalid_reason		VARCHAR(1)
+  )
 ;
 
 
-
-
 CREATE TABLE relationship (
-
-    relationship_id VARCHAR(20),
-
-    relationship_name VARCHAR(255),
-
-    is_hierarchical VARCHAR(1),
-
-    defines_ancestry VARCHAR(1),
-
-    reverse_relationship_id VARCHAR(20),
-
-    relationship_concept_id INTEGER
-
+  relationship_id			VARCHAR(20),
+  relationship_name			VARCHAR(255),
+  is_hierarchical			VARCHAR(1),
+  defines_ancestry			VARCHAR(1),
+  reverse_relationship_id	VARCHAR(20),
+  relationship_concept_id	INTEGER
 )
-
 ;
 
 
-
-
 CREATE TABLE concept_synonym (
-
-    concept_id INTEGER,
-
-    concept_synonym_name STRING,
-
-    language_concept_id INTEGER
-
+  concept_id			  INTEGER	,
+  concept_synonym_name	  STRING,
+  language_concept_id	  INTEGER
 )
-
 ;
 
 
-
-
 CREATE TABLE concept_ancestor (
-
-     ancestor_concept_id INTEGER,
-
-     descendant_concept_id INTEGER,
-
-     min_levels_of_separation INTEGER,
-
-     max_levels_of_separation INTEGER
-
+  ancestor_concept_id		INTEGER	,
+  descendant_concept_id		INTEGER	,
+  min_levels_of_separation	INTEGER	,
+  max_levels_of_separation	INTEGER
 )
-
 ;
 
 
-
-
 CREATE TABLE source_to_concept_map (
-
-    source_code VARCHAR(50),
-
-    source_concept_id INTEGER,
-
-    source_vocabulary_id VARCHAR(20),
-
-    source_code_description VARCHAR(255),
-
-    target_concept_id INTEGER,
-
-    target_vocabulary_id VARCHAR(20),
-
-    valid_start_date TIMESTAMP,
-
-    valid_end_date TIMESTAMP,
-
-    invalid_reason VARCHAR(1)
-
+  source_code				VARCHAR(50),
+  source_concept_id			INTEGER	,
+  source_vocabulary_id		VARCHAR(20),
+  source_code_description	VARCHAR(255),
+  target_concept_id			INTEGER	,
+  target_vocabulary_id		VARCHAR(20),
+  valid_start_date			TIMESTAMP,
+  valid_end_date			TIMESTAMP,
+  invalid_reason			VARCHAR(1)
 )
-
 ;
 
 
-
-
 CREATE TABLE drug_strength (
-
-    drug_concept_id INTEGER,
-
-    ingredient_concept_id INTEGER,
-
-    amount_value FLOAT,
-
-    amount_unit_concept_id INTEGER,
-
-    numerator_value FLOAT,
-
-    numerator_unit_concept_id INTEGER,
-
-    denominator_value FLOAT,
-
-    denominator_unit_concept_id INTEGER,
-
-    box_size INTEGER,
-
-    valid_start_date TIMESTAMP,
-
-    valid_end_date TIMESTAMP,
-
-    invalid_reason VARCHAR(1)
-
+  drug_concept_id				  INTEGER	,
+  ingredient_concept_id			  INTEGER	,
+  amount_value					  FLOAT,
+  amount_unit_concept_id		  INTEGER	,
+  numerator_value				  FLOAT,
+  numerator_unit_concept_id		  INTEGER	,
+  denominator_value				  FLOAT,
+  denominator_unit_concept_id	  INTEGER	,
+  box_size						  INTEGER	,
+  valid_start_date				  TIMESTAMP,
+  valid_end_date				  TIMESTAMP,
+  invalid_reason				  VARCHAR(1)
 )
-
 ;
 
 
-
-
-CREATE TABLE cohort_definition (
-
-    cohort_definition_id INTEGER,
-
-    cohort_definition_name VARCHAR(255),
-
-    cohort_definition_description STRING,
-
-    definition_type_concept_id INTEGER,
-
-    cohort_definition_syntax STRING,
-
-    subject_concept_id INTEGER,
-
-    cohort_initiation_date TIMESTAMP
-
-)
-
-;
-
-
-
-
-CREATE TABLE attribute_definition (
-
-    attribute_definition_id INTEGER,
-
-    attribute_name VARCHAR(255),
-
-    attribute_description STRING,
-
-    attribute_type_concept_id INTEGER,
-
-    attribute_syntax STRING
-
-)
-
-;
-
-
-
 /**************************
 
-
-
 Standardized meta-data
 
-
-
 ***************************/
 
 
-
 CREATE TABLE cdm_source
 (
-
-    cdm_source_name VARCHAR(255),
-
-    cdm_source_abbreviation VARCHAR(25),
-
-    cdm_holder VARCHAR(255),
-
-    source_description STRING,
-
-    source_documentation_reference VARCHAR(255),
-
-    cdm_etl_reference VARCHAR(255),
-
-    source_release_date TIMESTAMP,
-
-    cdm_release_date TIMESTAMP,
-
-    cdm_version VARCHAR(10),
-
-    vocabulary_version VARCHAR(20)
-
+  cdm_source_name					    VARCHAR(255) ,
+  cdm_source_abbreviation			    VARCHAR(25) ,
+  cdm_holder							VARCHAR(255) ,
+  source_description					STRING ,
+  source_documentation_reference		VARCHAR(255) ,
+  cdm_etl_reference					    VARCHAR(255) ,
+  source_release_date				    TIMESTAMP ,
+  cdm_release_date					    TIMESTAMP ,
+  cdm_version						    VARCHAR(10) ,
+  vocabulary_version					VARCHAR(20)
 )
-
 ;
 
 
-
-
 CREATE TABLE `metadata`
 (
-
-    metadata_concept_id INTEGER,
-
-    metadata_type_concept_id INTEGER,
-
-    name VARCHAR(250),
-
-    value_as_string VARCHAR(50),
-
-    value_as_concept_id INTEGER,
-
-    metadata_date TIMESTAMP,
-
-    metadata_datetime TIMESTAMP
-
+  metadata_concept_id       INTEGER ,
+  metadata_type_concept_id  INTEGER ,
+  name                      VARCHAR(250) ,
+  value_as_string           STRING ,
+  value_as_concept_id       INTEGER ,
+  metadata_date             TIMESTAMP ,
+  metadata_datetime         TIMESTAMP
 )
-
 ;
 
+INSERT INTO `metadata` (metadata_concept_id, metadata_type_concept_id, name, value_as_string, value_as_concept_id, metadata_date, metadata_datetime) --Added cdm version record
+VALUES (0,0,'CDM Version', '6.0',0,NULL,NULL)
+;
 
 
 /************************
 
-
-
 Standardized clinical data
 
-
-
 ************************/
 
 
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE person
 (
-
-    person_id INTEGER,
-
-    gender_concept_id INTEGER,
-
-    year_of_birth INTEGER,
-
-    month_of_birth INTEGER,
-
-    day_of_birth INTEGER,
-
-    birth_datetime TIMESTAMP,
-
-    race_concept_id INTEGER,
-
-    ethnicity_concept_id INTEGER,
-
-    location_id INTEGER,
-
-    provider_id INTEGER,
-
-    care_site_id INTEGER,
-
-    person_source_value VARCHAR(50),
-
-    gender_source_value VARCHAR(50),
-
-    gender_source_concept_id INTEGER,
-
-    race_source_value VARCHAR(50),
-
-    race_source_concept_id INTEGER,
-
-    ethnicity_source_value VARCHAR(50),
-
-    ethnicity_source_concept_id INTEGER
-
+  person_id						    BIGINT , 
+  gender_concept_id				    INTEGER ,
+  year_of_birth					    INTEGER	,
+  month_of_birth				    INTEGER	,
+  day_of_birth					    INTEGER	,
+  birth_datetime				    TIMESTAMP	,
+  death_datetime					TIMESTAMP	,
+  race_concept_id				    INTEGER	,
+  ethnicity_concept_id			  	INTEGER	,
+  location_id					    BIGINT	,
+  provider_id					    BIGINT	,
+  care_site_id					    BIGINT	,
+  person_source_value			    VARCHAR(50),
+  gender_source_value			    VARCHAR(50),
+  gender_source_concept_id	  		INTEGER	,
+  race_source_value				    VARCHAR(50),
+  race_source_concept_id		  	INTEGER	,
+  ethnicity_source_value		  	VARCHAR(50),
+  ethnicity_source_concept_id		INTEGER
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation_period
 (
-
-    observation_period_id INTEGER,
-
-    person_id INTEGER,
-
-    observation_period_start_date TIMESTAMP,
-
-    observation_period_end_date TIMESTAMP,
-
-    period_type_concept_id INTEGER
-
+  observation_period_id				  BIGINT ,
+  person_id							  BIGINT ,
+  observation_period_start_date		  TIMESTAMP ,
+  observation_period_end_date		  TIMESTAMP ,
+  period_type_concept_id			  INTEGER
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE specimen
 (
-
-    specimen_id INTEGER,
-    person_id INTEGER,
-
-    specimen_concept_id INTEGER,
-
-    specimen_type_concept_id INTEGER,
-
-    specimen_date TIMESTAMP,
-
-    specimen_datetime TIMESTAMP,
-
-    quantity FLOAT,
-
-    unit_concept_id INTEGER,
-
-    anatomic_site_concept_id INTEGER,
-
-    disease_status_concept_id INTEGER,
-
-    specimen_source_id VARCHAR(50),
-
-    specimen_source_value VARCHAR(50),
-
-    unit_source_value VARCHAR(50),
-
-    anatomic_site_source_value VARCHAR(50),
-
-    disease_status_source_value VARCHAR(50)
-
+  specimen_id					BIGINT ,
+  person_id						BIGINT ,
+  specimen_concept_id			INTEGER	,
+  specimen_type_concept_id		INTEGER	,
+  specimen_date					TIMESTAMP ,
+  specimen_datetime				TIMESTAMP	,
+  quantity						FLOAT ,
+  unit_concept_id				INTEGER	,
+  anatomic_site_concept_id		INTEGER	,
+  disease_status_concept_id		INTEGER	,
+  specimen_source_id			VARCHAR(50) ,
+  specimen_source_value			VARCHAR(50) ,
+  unit_source_value				VARCHAR(50) ,
+  anatomic_site_source_value	VARCHAR(50) ,
+  disease_status_source_value 	VARCHAR(50)
 )
-
 ;
 
 
-
-CREATE TABLE death
-(
-
-    person_id INTEGER,
-
-    death_date TIMESTAMP,
-
-    death_datetime TIMESTAMP,
-
-    death_type_concept_id INTEGER,
-
-    cause_concept_id INTEGER,
-
-    cause_source_value VARCHAR(50),
-
-    cause_source_concept_id INTEGER
-
-)
-
-;
-
-
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_occurrence
 (
-
-    visit_occurrence_id INTEGER,
-
-    person_id INTEGER,
-
-    visit_concept_id INTEGER,
-
-    visit_start_date TIMESTAMP,
-
-    visit_start_datetime TIMESTAMP,
-
-    visit_end_date TIMESTAMP,
-
-    visit_end_datetime TIMESTAMP,
-
-    visit_type_concept_id INTEGER,
-
-    provider_id INTEGER,
-
-    care_site_id INTEGER,
-
-    visit_source_value VARCHAR(50),
-
-    visit_source_concept_id INTEGER
-,
-    admitting_source_concept_id INTEGER,
-
-    admitting_source_value VARCHAR(50),
-
-    discharge_to_concept_id INTEGER,
-
-    discharge_to_source_value VARCHAR(50),
-
-    preceding_visit_occurrence_id INTEGER
-
+  visit_occurrence_id			BIGINT ,
+  person_id						BIGINT ,
+  visit_concept_id				INTEGER	,
+  visit_start_date				TIMESTAMP ,
+  visit_start_datetime			TIMESTAMP	,
+  visit_end_date				TIMESTAMP ,
+  visit_end_datetime			TIMESTAMP	,
+  visit_type_concept_id			INTEGER	,
+  provider_id					BIGINT	,
+  care_site_id					BIGINT	,
+  visit_source_value			VARCHAR(50),
+  visit_source_concept_id		INTEGER	,
+  admitted_from_concept_id      INTEGER ,   
+  admitted_from_source_value    VARCHAR(50),
+  discharge_to_source_value		VARCHAR(50) ,
+  discharge_to_concept_id		INTEGER ,
+  preceding_visit_occurrence_id	INTEGER
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_detail
 (
-
-    visit_detail_id INTEGER,
-
-    person_id INTEGER,
-
-    visit_detail_concept_id INTEGER,
-
-    visit_detail_start_date TIMESTAMP,
-
-    visit_detail_start_datetime TIMESTAMP,
-
-    visit_detail_end_date TIMESTAMP,
-
-    visit_detail_end_datetime TIMESTAMP,
-
-    visit_detail_type_concept_id INTEGER,
-
-    provider_id INTEGER,
-
-    care_site_id INTEGER,
-
-    admitting_source_concept_id INTEGER,
-
-    discharge_to_concept_id INTEGER,
-
-    preceding_visit_detail_id INTEGER,
-
-    visit_detail_source_value VARCHAR(50),
-
-    visit_detail_source_concept_id INTEGER,
-
-    admitting_source_value VARCHAR(50),
-
-    discharge_to_source_value VARCHAR(50),
-
-    visit_detail_parent_id INTEGER,
-
-    visit_occurrence_id INTEGER
-
+  visit_detail_id                    BIGINT ,
+  person_id                          BIGINT ,
+  visit_detail_concept_id            INTEGER ,
+  visit_detail_start_date            TIMESTAMP ,
+  visit_detail_start_datetime        TIMESTAMP ,
+  visit_detail_end_date              TIMESTAMP ,
+  visit_detail_end_datetime          TIMESTAMP ,
+  visit_detail_type_concept_id       INTEGER   ,
+  provider_id                        BIGINT   ,
+  care_site_id                       BIGINT   ,
+  discharge_to_concept_id            INTEGER   ,
+  admitted_from_concept_id           INTEGER   , 
+  admitted_from_source_value         VARCHAR(50) ,
+  visit_detail_source_value          VARCHAR(50) ,
+  visit_detail_source_concept_id     INTEGER ,
+  discharge_to_source_value          VARCHAR(50) ,
+  preceding_visit_detail_id          BIGINT ,
+  visit_detail_parent_id             BIGINT ,
+  visit_occurrence_id                BIGINT
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE procedure_occurrence
 (
-
-    procedure_occurrence_id INTEGER,
-
-    person_id INTEGER,
-
-    procedure_concept_id INTEGER,
-
-    procedure_date TIMESTAMP,
-
-    procedure_datetime TIMESTAMP,
-
-    procedure_type_concept_id INTEGER,
-
-    modifier_concept_id INTEGER,
-
-    quantity INTEGER,
-
-    provider_id INTEGER,
-
-    visit_occurrence_id INTEGER,
-
-    visit_detail_id INTEGER,
-
-    procedure_source_value VARCHAR(50),
-
-    procedure_source_concept_id INTEGER,
-
-    modifier_source_value VARCHAR(50)
-
+  procedure_occurrence_id		BIGINT ,
+  person_id						BIGINT ,
+  procedure_concept_id			INTEGER	,
+  procedure_date				TIMESTAMP ,
+  procedure_datetime			TIMESTAMP	,
+  procedure_type_concept_id		INTEGER	,
+  modifier_concept_id			INTEGER	,
+  quantity						INTEGER	,
+  provider_id					BIGINT	,
+  visit_occurrence_id			BIGINT	,
+  visit_detail_id             	BIGINT ,
+  procedure_source_value		VARCHAR(50) ,
+  procedure_source_concept_id	INTEGER	,
+  modifier_source_value		    VARCHAR(50)
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_exposure
 (
-
-    drug_exposure_id INTEGER,
-
-    person_id INTEGER,
-
-    drug_concept_id INTEGER,
-
-    drug_exposure_start_date TIMESTAMP,
-
-    drug_exposure_start_datetime TIMESTAMP,
-
-    drug_exposure_end_date TIMESTAMP,
-
-    drug_exposure_end_datetime TIMESTAMP,
-
-    verbatim_end_date TIMESTAMP,
-
-    drug_type_concept_id INTEGER,
-
-    stop_reason VARCHAR(20),
-
-    refills INTEGER,
-
-    quantity FLOAT,
-
-    days_supply INTEGER,
-
-    sig STRING,
-
-    route_concept_id INTEGER,
-
-    lot_number VARCHAR(50),
-
-    provider_id INTEGER,
-
-    visit_occurrence_id INTEGER,
-
-    visit_detail_id INTEGER,
-
-    drug_source_value VARCHAR(50),
-
-    drug_source_concept_id INTEGER,
-
-    route_source_value VARCHAR(50),
-
-    dose_unit_source_value VARCHAR(50)
-
+  drug_exposure_id				BIGINT ,
+  person_id						BIGINT ,
+  drug_concept_id				INTEGER	,
+  drug_exposure_start_date		TIMESTAMP ,
+  drug_exposure_start_datetime  TIMESTAMP	,
+  drug_exposure_end_date		TIMESTAMP ,
+  drug_exposure_end_datetime	TIMESTAMP	,
+  verbatim_end_date				TIMESTAMP ,
+  drug_type_concept_id			INTEGER		,
+  stop_reason					VARCHAR(20) ,
+  refills						INTEGER	,
+  quantity						FLOAT ,
+  days_supply					INTEGER	,
+  sig							STRING ,
+  route_concept_id				INTEGER	,
+  lot_number					VARCHAR(50) ,
+  provider_id					BIGINT	,
+  visit_occurrence_id			BIGINT	,
+  visit_detail_id               BIGINT ,
+  drug_source_value				VARCHAR(50) ,
+  drug_source_concept_id		INTEGER	,
+  route_source_value			VARCHAR(50) ,
+  dose_unit_source_value		VARCHAR(50)
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE device_exposure
 (
-
-    device_exposure_id INTEGER,
-
-    person_id INTEGER,
-
-    device_concept_id INTEGER,
-
-    device_exposure_start_date TIMESTAMP,
-
-    device_exposure_start_datetime TIMESTAMP,
-
-    device_exposure_end_date TIMESTAMP,
-
-    device_exposure_end_datetime TIMESTAMP,
-
-    device_type_concept_id INTEGER,
-
-    unique_device_id VARCHAR(50),
-
-    quantity INTEGER,
-
-    provider_id INTEGER,
-
-    visit_occurrence_id INTEGER,
-
-    visit_detail_id INTEGER,
-
-    device_source_value VARCHAR(100),
-
-    device_source_concept_id INTEGER
-
+  device_exposure_id			  BIGINT ,
+  person_id						  BIGINT ,
+  device_concept_id			      INTEGER	,
+  device_exposure_start_date	  TIMESTAMP ,
+  device_exposure_start_datetime  TIMESTAMP	,
+  device_exposure_end_date		  TIMESTAMP ,
+  device_exposure_end_datetime    TIMESTAMP	,
+  device_type_concept_id		  INTEGER		,
+  unique_device_id			      VARCHAR(50) ,
+  quantity						  INTEGER		,
+  provider_id					  BIGINT		,
+  visit_occurrence_id			  BIGINT		,
+  visit_detail_id                 BIGINT   ,
+  device_source_value			  VARCHAR(100) ,
+  device_source_concept_id		  INTEGER
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_occurrence
 (
-
-    condition_occurrence_id INTEGER,
-
-    person_id INTEGER,
-
-    condition_concept_id INTEGER,
-
-    condition_start_date TIMESTAMP,
-
-    condition_start_datetime TIMESTAMP,
-
-    condition_end_date TIMESTAMP,
-
-    condition_end_datetime TIMESTAMP,
-
-    condition_type_concept_id INTEGER,
-
-    stop_reason VARCHAR(20),
-
-    provider_id INTEGER,
-
-    visit_occurrence_id INTEGER,
-
-    visit_detail_id INTEGER,
-
-    condition_source_value VARCHAR(50),
-
-    condition_source_concept_id INTEGER,
-
-    condition_status_source_value VARCHAR(50),
-
-    condition_status_concept_id INTEGER
-
+  condition_occurrence_id		    BIGINT ,
+  person_id						    BIGINT ,
+  condition_concept_id			    INTEGER	,
+  condition_start_date			    TIMESTAMP ,
+  condition_start_datetime		  	TIMESTAMP	,
+  condition_end_date			    TIMESTAMP ,
+  condition_end_datetime		    TIMESTAMP	,
+  condition_type_concept_id		  	INTEGER	,
+  condition_status_concept_id	  	INTEGER	,
+  stop_reason					    VARCHAR(20) ,
+  provider_id					    BIGINT	,
+  visit_occurrence_id			    BIGINT	,
+  visit_detail_id               	BIGINT ,
+  condition_source_value		    VARCHAR(50) ,
+  condition_source_concept_id	  	INTEGER	,
+  condition_status_source_value		VARCHAR(50)
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE measurement
 (
-
-    measurement_id INTEGER,
-
-    person_id INTEGER,
-
-    measurement_concept_id INTEGER,
-
-    measurement_date TIMESTAMP,
-
-    measurement_datetime TIMESTAMP,
-
-    measurement_time VARCHAR(10),
-
-    measurement_type_concept_id INTEGER,
-
-    operator_concept_id INTEGER,
-
-    value_as_number FLOAT,
-
-    value_as_concept_id INTEGER,
-
-    unit_concept_id INTEGER,
-
-    range_low FLOAT,
-
-    range_high FLOAT,
-
-    provider_id INTEGER,
-    visit_occurrence_id INTEGER,
-
-    visit_detail_id INTEGER,
-
-    measurement_source_value VARCHAR(50),
-
-    measurement_source_concept_id INTEGER,
-
-    unit_source_value VARCHAR(50),
-
-    value_source_value VARCHAR(50)
-
+  measurement_id				    BIGINT ,
+  person_id						    BIGINT ,
+  measurement_concept_id		    INTEGER	,
+  measurement_date				    TIMESTAMP ,
+  measurement_datetime			    TIMESTAMP	,
+  measurement_time              	VARCHAR(10),
+  measurement_type_concept_id	  	INTEGER		,
+  operator_concept_id			    INTEGER		,
+  value_as_number				    FLOAT ,
+  value_as_concept_id			    INTEGER		,
+  unit_concept_id				    INTEGER		,
+  range_low					        FLOAT ,
+  range_high					    FLOAT ,
+  provider_id					    BIGINT		,
+  visit_occurrence_id			    BIGINT		,
+  visit_detail_id               	BIGINT   ,
+  measurement_source_value		  	VARCHAR(50) ,
+  measurement_source_concept_id		INTEGER		,
+  unit_source_value				    VARCHAR(50) ,
+  value_source_value			    VARCHAR(50)
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE note
 (
-
-    note_id INTEGER,
-
-    person_id INTEGER,
-
-    note_date TIMESTAMP,
-
-    note_datetime TIMESTAMP,
-
-    note_type_concept_id INTEGER,
-
-    note_class_concept_id INTEGER,
-
-    note_title VARCHAR(250),
-
-    note_text STRING,
-
-    encoding_concept_id INTEGER,
-
-    language_concept_id INTEGER,
-
-    provider_id INTEGER,
-
-    visit_occurrence_id INTEGER,
-
-    visit_detail_id INTEGER,
-
-    note_source_value VARCHAR(50)
-
+  note_id						BIGINT ,
+  person_id						BIGINT ,
+  note_event_id         		BIGINT , 
+  note_event_field_concept_id	INTEGER , 
+  note_date			 	  		TIMESTAMP ,
+  note_datetime					TIMESTAMP	,
+  note_type_concept_id			INTEGER	,
+  note_class_concept_id 		INTEGER	,
+  note_title					VARCHAR(250) ,
+  note_text						STRING ,
+  encoding_concept_id			INTEGER	,
+  language_concept_id			INTEGER	,
+  provider_id					BIGINT	,
+  visit_occurrence_id			BIGINT	,
+  visit_detail_id       		BIGINT ,
+  note_source_value				VARCHAR(50)
 )
-
 ;
 
 
-
-
 CREATE TABLE note_nlp
 (
-
-    note_nlp_id INTEGER,
-
-    note_id INTEGER,
-
-    section_concept_id INTEGER,
-
-    snippet VARCHAR(250),
-
-    `offset` VARCHAR(250),
-
-    lexical_variant VARCHAR(250),
-
-    note_nlp_concept_id INTEGER,
-
-    note_nlp_source_concept_id INTEGER,
-
-    nlp_system VARCHAR(250),
-
-    nlp_date TIMESTAMP,
-
-    nlp_datetime TIMESTAMP,
-
-    term_exists VARCHAR(1),
-
-    term_temporal VARCHAR(50),
-
-    term_modifiers VARCHAR(2000)
-
+  note_nlp_id					BIGINT ,
+  note_id						BIGINT ,
+  section_concept_id			INTEGER	,
+  snippet						VARCHAR(250) ,
+  `offset`					    VARCHAR(250) ,
+  lexical_variant				VARCHAR(250) ,
+  note_nlp_concept_id			INTEGER	,
+  nlp_system					VARCHAR(250) ,
+  nlp_date						TIMESTAMP ,
+  nlp_datetime					TIMESTAMP	,
+  term_exists					VARCHAR(1) ,
+  term_temporal					VARCHAR(50) ,
+  term_modifiers				VARCHAR(2000) ,
+  note_nlp_source_concept_id	INTEGER
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation
 (
-
-    observation_id INTEGER,
-
-    person_id INTEGER,
-
-    observation_concept_id INTEGER,
-
-    observation_date TIMESTAMP,
-
-    observation_datetime TIMESTAMP,
-
-    observation_type_concept_id INTEGER,
-
-    value_as_number FLOAT,
-
-    value_as_string VARCHAR(60),
-
-    value_as_concept_id INTEGER,
-
-    qualifier_concept_id INTEGER,
-
-    unit_concept_id INTEGER,
-
-    provider_id INTEGER,
-
-    visit_occurrence_id INTEGER,
-
-    visit_detail_id INTEGER,
-
-    observation_source_value VARCHAR(50),
-
-    observation_source_concept_id INTEGER,
-
-    unit_source_value VARCHAR(50),
-
-    qualifier_source_value VARCHAR(50)
-
+  observation_id					BIGINT ,
+  person_id						    BIGINT ,
+  observation_concept_id			INTEGER	,
+  observation_date				    TIMESTAMP ,
+  observation_datetime				TIMESTAMP	,
+  observation_type_concept_id	    INTEGER	,
+  value_as_number				    FLOAT ,
+  value_as_string				    VARCHAR(60) ,
+  value_as_concept_id			    INTEGER	,
+  qualifier_concept_id			    INTEGER	,
+  unit_concept_id				    INTEGER	,
+  provider_id					    BIGINT	,
+  visit_occurrence_id			    BIGINT ,
+  visit_detail_id               	BIGINT ,
+  observation_source_value		  	VARCHAR(50) ,
+  observation_source_concept_id		INTEGER	,
+  unit_source_value				    VARCHAR(50) ,
+  qualifier_source_value		    VARCHAR(50) ,
+  observation_event_id			    BIGINT , 
+  obs_event_field_concept_id		INTEGER	, 
+  value_as_datetime					TIMESTAMP
 )
-
 ;
 
 
+CREATE TABLE survey_conduct
+(
+  survey_conduct_id					BIGINT ,
+  person_id						    BIGINT ,
+  survey_concept_id			  		INTEGER	,
+  survey_start_date				    TIMESTAMP ,
+  survey_start_datetime				TIMESTAMP	,
+  survey_end_date					TIMESTAMP ,
+  survey_end_datetime				TIMESTAMP	,
+  provider_id						BIGINT ,
+  assisted_concept_id	  			INTEGER	,
+  respondent_type_concept_id		INTEGER	,
+  timing_concept_id					INTEGER	,
+  collection_method_concept_id		INTEGER	,
+  assisted_source_value		  		VARCHAR(50) ,
+  respondent_type_source_value		VARCHAR(100) ,
+  timing_source_value				VARCHAR(100) ,
+  collection_method_source_value	VARCHAR(100) ,
+  survey_source_value				VARCHAR(100) ,
+  survey_source_concept_id			INTEGER	,
+  survey_source_identifier			VARCHAR(100) ,
+  validated_survey_concept_id		INTEGER	,
+  validated_survey_source_value		VARCHAR(100) ,
+  survey_version_number			    VARCHAR(20) ,
+  visit_occurrence_id				BIGINT ,
+  visit_detail_id					BIGINT ,
+  response_visit_occurrence_id	BIGINT
+)
+;
 
 
 CREATE TABLE fact_relationship
 (
-
-    domain_concept_id_1 INTEGER,
-
-    fact_id_1 INTEGER,
-
-    domain_concept_id_2 INTEGER,
-
-    fact_id_2 INTEGER,
-
-    relationship_concept_id INTEGER
-
+  domain_concept_id_1			INTEGER	,
+  fact_id_1						BIGINT ,
+  domain_concept_id_2			INTEGER	,
+  fact_id_2						BIGINT ,
+  relationship_concept_id		INTEGER
 )
-
 ;
 
 
-
-
 /************************
 
-
-
 Standardized health system data
 
-
-
 ************************/
 
 
-
 CREATE TABLE `location`
 (
-
-    location_id INTEGER,
-
-    address_1 VARCHAR(50),
-
-    address_2 VARCHAR(50),
-
-    city VARCHAR(50),
-
-    state VARCHAR(2),
-
-    zip VARCHAR(9),
-
-    county VARCHAR(20),
-
-    location_source_value VARCHAR(50)
-
+  location_id					  BIGINT ,
+  address_1						  VARCHAR(50) ,
+  address_2						  VARCHAR(50) ,
+  city							  VARCHAR(50) ,
+  state							  VARCHAR(2) ,
+  zip							  VARCHAR(9) ,
+  county						  VARCHAR(20) ,
+  country						  VARCHAR(100) ,
+  location_source_value 		  VARCHAR(50) ,
+  latitude						  FLOAT ,
+  longitude						  FLOAT
 )
-
 ;
 
-
+CREATE TABLE location_history
+(
+  location_history_id           BIGINT ,
+  location_id			        BIGINT ,
+  relationship_type_concept_id	INTEGER	,  
+  domain_id				        VARCHAR(50) ,
+  entity_id				        BIGINT ,
+  start_date			        TIMESTAMP ,
+  end_date				        TIMESTAMP
+)
+;
 
 
 CREATE TABLE care_site
 (
-
-    care_site_id INTEGER,
-
-    care_site_name VARCHAR(255),
-
-    place_of_service_concept_id INTEGER,
-
-    location_id INTEGER,
-
-    care_site_source_value VARCHAR(50),
-
-    place_of_service_source_value VARCHAR(50)
-
+  care_site_id					BIGINT ,
+  care_site_name				VARCHAR(255) ,
+  place_of_service_concept_id	INTEGER	,
+  location_id					BIGINT ,
+  care_site_source_value		VARCHAR(50) ,
+  place_of_service_source_value	VARCHAR(50)
 )
-
 ;
 
 
-
-
 CREATE TABLE provider
 (
-
-    provider_id INTEGER,
-
-    provider_name VARCHAR(255),
-
-    NPI VARCHAR(20),
-
-    DEA VARCHAR(20),
-
-    specialty_concept_id INTEGER,
-    care_site_id INTEGER,
-
-    year_of_birth INTEGER,
-
-    gender_concept_id INTEGER,
-
-    provider_source_value VARCHAR(50),
-
-    specialty_source_value VARCHAR(50),
-
-    specialty_source_concept_id INTEGER,
-
-    gender_source_value VARCHAR(50),
-
-    gender_source_concept_id INTEGER
-
+  provider_id					BIGINT ,
+  provider_name					VARCHAR(255) ,
+  NPI							VARCHAR(20) ,
+  DEA							VARCHAR(20) ,
+  specialty_concept_id			INTEGER	,
+  care_site_id					BIGINT ,
+  year_of_birth					INTEGER	,
+  gender_concept_id				INTEGER	,
+  provider_source_value			VARCHAR(50) ,
+  specialty_source_value		VARCHAR(50) ,
+  specialty_source_concept_id	INTEGER	,
+  gender_source_value			VARCHAR(50) ,
+  gender_source_concept_id		INTEGER
 )
-
 ;
 
 
-
 /************************
 
-
-
 Standardized health economics
 
-
-
 ************************/
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE payer_plan_period
 (
-
-    payer_plan_period_id INTEGER,
-
-    person_id INTEGER,
-
-    payer_plan_period_start_date TIMESTAMP,
-
-    payer_plan_period_end_date TIMESTAMP,
-
-    payer_concept_id INTEGER,
-
-    payer_source_value VARCHAR(50),
-
-    payer_source_concept_id INTEGER,
-
-    plan_concept_id INTEGER,
-
-    plan_source_value VARCHAR(50),
-
-    plan_source_concept_id INTEGER,
-
-    sponsor_concept_id INTEGER,
-
-    sponsor_source_value VARCHAR(50),
-
-    sponsor_source_concept_id INTEGER,
-
-    family_source_value VARCHAR(50),
-
-    stop_reason_concept_id INTEGER,
-
-    stop_reason_source_value VARCHAR(50),
-
-    stop_reason_source_concept_id INTEGER
+  payer_plan_period_id			BIGINT ,
+  person_id						BIGINT ,
+  contract_person_id            BIGINT ,
+  payer_plan_period_start_date  TIMESTAMP ,
+  payer_plan_period_end_date	TIMESTAMP ,
+  payer_concept_id              INTEGER ,
+  plan_concept_id               INTEGER ,
+  contract_concept_id           INTEGER ,
+  sponsor_concept_id            INTEGER ,
+  stop_reason_concept_id        INTEGER ,
+  payer_source_value			VARCHAR(50) ,
+  payer_source_concept_id       INTEGER ,
+  plan_source_value				VARCHAR(50) ,
+  plan_source_concept_id        INTEGER ,
+  contract_source_value         VARCHAR(50) ,
+  contract_source_concept_id    INTEGER ,
+  sponsor_source_value          VARCHAR(50) ,
+  sponsor_source_concept_id     INTEGER ,
+  family_source_value			VARCHAR(50) ,
+  stop_reason_source_value      VARCHAR(50) ,
+  stop_reason_source_concept_id INTEGER
 )
-
 ;
 
 
-
-
 CREATE TABLE cost
 (
-
-    cost_id INTEGER,
-
-    cost_event_id INTEGER,
-
-    cost_domain_id VARCHAR(20),
-
-    cost_type_concept_id INTEGER,
-
-    currency_concept_id INTEGER,
-
-    total_charge FLOAT,
-
-    total_cost FLOAT,
-
-    total_paid FLOAT,
-
-    paid_by_payer FLOAT,
-
-    paid_by_patient FLOAT,
-
-    paid_patient_copay FLOAT,
-
-    paid_patient_coinsurance FLOAT,
-
-    paid_patient_deductible FLOAT,
-
-    paid_by_primary FLOAT,
-
-    paid_ingredient_cost FLOAT,
-
-    paid_dispensing_fee FLOAT,
-
-    payer_plan_period_id INTEGER,
-
-    amount_allowed FLOAT,
-
-    revenue_code_concept_id INTEGER,
-
-    revenue_code_source_value VARCHAR(50),
-
-    drg_concept_id INTEGER,
-
-    drg_source_value VARCHAR(3)
-
+  cost_id						BIGINT ,
+  person_id						BIGINT,
+  cost_event_id					BIGINT ,
+  cost_event_field_concept_id	INTEGER	, 
+  cost_concept_id				INTEGER	,
+  cost_type_concept_id		  	INTEGER ,
+  currency_concept_id			INTEGER	,
+  cost							FLOAT ,
+  incurred_date					TIMESTAMP ,
+  billed_date					TIMESTAMP ,
+  paid_date						TIMESTAMP ,
+  revenue_code_concept_id		INTEGER	,
+  drg_concept_id				INTEGER	,
+  cost_source_value				VARCHAR(50) ,
+  cost_source_concept_id		INTEGER	,
+  revenue_code_source_value		VARCHAR(50) ,
+  drg_source_value			    VARCHAR(3) ,
+  payer_plan_period_id			BIGINT
 )
-
 ;
 
 
-
 /************************
 
-
-
 Standardized derived elements
 
-
-
 ************************/
 
 
-
-CREATE TABLE cohort
-(
-
-    cohort_definition_id INTEGER,
-
-    subject_id INTEGER,
-
-    cohort_start_date TIMESTAMP,
-
-    cohort_end_date TIMESTAMP
-
-)
-
-;
-
-
-
-
-CREATE TABLE cohort_attribute
-(
-
-    cohort_definition_id INTEGER,
-
-    cohort_start_date TIMESTAMP,
-
-    cohort_end_date TIMESTAMP,
-
-    subject_id INTEGER,
-
-    attribute_definition_id INTEGER,
-
-    value_as_number FLOAT,
-
-    value_as_concept_id INTEGER
-
-)
-
-;
-
-
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_era
 (
-
-    drug_era_id INTEGER,
-
-    person_id INTEGER,
-
-    drug_concept_id INTEGER,
-
-    drug_era_start_date TIMESTAMP,
-
-    drug_era_end_date TIMESTAMP,
-
-    drug_exposure_count INTEGER,
-
-    gap_days INTEGER
-
+  drug_era_id				BIGINT ,
+  person_id					BIGINT ,
+  drug_concept_id			INTEGER	,
+  drug_era_start_datetime	TIMESTAMP ,
+  drug_era_end_datetime		TIMESTAMP ,
+  drug_exposure_count		INTEGER	,
+  gap_days					INTEGER
 )
-
 ;
 
 
-
-
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE dose_era
 (
-
-    dose_era_id INTEGER,
-
-    person_id INTEGER,
-
-    drug_concept_id INTEGER,
-
-    unit_concept_id INTEGER,
-
-    dose_value FLOAT,
-
-    dose_era_start_date TIMESTAMP,
-
-    dose_era_end_date TIMESTAMP
-
+  dose_era_id				BIGINT ,
+  person_id					BIGINT ,
+  drug_concept_id			INTEGER	,
+  unit_concept_id			INTEGER	,
+  dose_value				FLOAT ,
+  dose_era_start_datetime	TIMESTAMP ,
+  dose_era_end_datetime		TIMESTAMP
 )
-
 ;
 
 
+--HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_era
 (
-
-    condition_era_id INTEGER,
-
-    person_id INTEGER,
-
-    condition_concept_id INTEGER,
-
-    condition_era_start_date TIMESTAMP,
-
-    condition_era_end_date TIMESTAMP,
-
-    condition_occurrence_count INTEGER
+  condition_era_id					BIGINT ,
+  person_id							BIGINT ,
+  condition_concept_id				INTEGER	,
+  condition_era_start_datetime		TIMESTAMP ,
+  condition_era_end_datetime		TIMESTAMP ,
+  condition_occurrence_count		INTEGER
 )
 ;
diff --git a/Impala/README.md b/Impala/README.md
index 3b64926..92547d1 100644
--- a/Impala/README.md
+++ b/Impala/README.md
@@ -11,10 +11,11 @@ In order to create your instantiation of the Common Data Model, we recommend fol
 impala-shell -q 'CREATE DATABASE omop_cdm'
 ```
 
-2. Execute the script `OMOP CDM impala ddl.txt` (you will need to convert it to a sql file first) to create the tables and fields.
+2. Execute the scripts `OMOP CDM impala ddl.txt` and `OMOP CDM Results impala ddl.txt` (you will need to convert them to sql files first) to create the tables and fields.
 
 ```bash
 impala-shell -d omop_cdm -f OMOP_CDM_impala_ddl.sql
+impala-shell -d omop_cdm -f OMOP_CDM_Results_impala_ddl.sql
 ```
 
 3. Load your data into the schema.
@@ -42,6 +43,7 @@ hadoop fs -put synpuf synpuf
 hadoop fs -chmod +w synpuf
 impala-shell -d omop_cdm -f DataImport/OMOP_CDM_synpuf_load_Impala.sql --var=OMOP_SYNPUF_PATH=/user/$USER/synpuf
 ```
+* Note that these tables are in CDM v5.2.2 format
 
 4. Convert to Parquet format.
 
diff --git a/Netezza/OMOP CDM Results netezza ddl.txt b/Netezza/OMOP CDM Results netezza ddl.txt
new file mode 100644
index 0000000..31abb07
--- /dev/null
+++ b/Netezza/OMOP CDM Results netezza ddl.txt	
@@ -0,0 +1,65 @@
+/*********************************************************************************
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
+#
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+********************************************************************************/
+
+/************************
+
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
+
+Netezza script to create OMOP common data model results schema version 6.0
+
+last revised: 27-Aug-2018
+
+Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
+
+
+*************************/
+
+
+--HINT DISTRIBUTE_ON_KEY(subject_id)
+CREATE TABLE cohort
+(
+  cohort_definition_id  BIGINT      NOT NULL ,
+  subject_id            BIGINT      NOT NULL ,
+  cohort_start_date     DATE        NOT NULL ,
+  cohort_end_date       DATE        NOT NULL
+)
+DISTRIBUTE ON (subject_id)
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE cohort_definition (
+  cohort_definition_id              INTEGER         NOT NULL,
+  cohort_definition_name            VARCHAR(255)    NOT NULL,
+  cohort_definition_description     VARCHAR(1000)   NULL,
+  definition_type_concept_id        INTEGER         NOT NULL,
+  cohort_definition_syntax          VARCHAR(1000)   NULL,
+  subject_concept_id                INTEGER         NOT NULL,
+  cohort_initiation_date            DATE            NULL
+)
+DISTRIBUTE ON RANDOM
+;
+
+ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
+
+ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY (cohort_definition_id);
diff --git a/Netezza/OMOP CDM netezza ddl.txt b/Netezza/OMOP CDM netezza ddl.txt
index f4a0954..59cfa3a 100644
--- a/Netezza/OMOP CDM netezza ddl.txt	
+++ b/Netezza/OMOP CDM netezza ddl.txt	
@@ -1,8 +1,8 @@
 /*********************************************************************************
-# Copyright 2017-11 Observational Health Data Sciences and Informatics
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,17 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
 
+netezza script to create OMOP common data model version 6.0
 
-netezza script to create OMOP common data model version 5.3.1
-
-last revised: 14-JUNE-2018
+last revised: 27-Aug-2018
 
 Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
 
@@ -42,18 +41,19 @@ Standardized vocabulary
 
 ************************/
 
+
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept (
-  concept_id			    INTEGER			  NOT NULL ,
-  concept_name			  VARCHAR(255)	NOT NULL ,
-  domain_id				    VARCHAR(20)		NOT NULL ,
-  vocabulary_id			  VARCHAR(20)		NOT NULL ,
-  concept_class_id		VARCHAR(20)		NOT NULL ,
-  standard_concept		VARCHAR(1)		NULL ,
-  concept_code			  VARCHAR(50)		NOT NULL ,
-  valid_start_date		DATE			    NOT NULL ,
-  valid_end_date		  DATE			    NOT NULL ,
-  invalid_reason		  VARCHAR(1)		NULL
+  concept_id              INTEGER       NOT NULL ,
+  concept_name            VARCHAR(255)  NOT NULL ,
+  domain_id               VARCHAR(20)   NOT NULL ,
+  vocabulary_id           VARCHAR(20)   NOT NULL ,
+  concept_class_id        VARCHAR(20)   NOT NULL ,
+  standard_concept        VARCHAR(1)    NULL ,
+  concept_code            VARCHAR(50)   NOT NULL ,
+  valid_start_date        DATE          NOT NULL ,
+  valid_end_date          DATE          NOT NULL ,
+  invalid_reason          VARCHAR(1)    NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -61,11 +61,11 @@ DISTRIBUTE ON RANDOM
 
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE vocabulary (
-  vocabulary_id			    VARCHAR(20)		NOT NULL,
-  vocabulary_name		    VARCHAR(255)	NOT NULL,
-  vocabulary_reference	VARCHAR(255)	NOT NULL,
-  vocabulary_version	  VARCHAR(255)	NULL,
-  vocabulary_concept_id	INTEGER			  NOT NULL
+  vocabulary_id          VARCHAR(20)    NOT NULL,
+  vocabulary_name        VARCHAR(255)   NOT NULL,
+  vocabulary_reference   VARCHAR(255)   NOT NULL,
+  vocabulary_version     VARCHAR(255)   NULL,
+  vocabulary_concept_id  INTEGER        NOT NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -73,9 +73,9 @@ DISTRIBUTE ON RANDOM
 
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE domain (
-  domain_id			    VARCHAR(20)		NOT NULL,
-  domain_name		    VARCHAR(255)	NOT NULL,
-  domain_concept_id	INTEGER			  NOT NULL
+  domain_id             VARCHAR(20)     NOT NULL,
+  domain_name           VARCHAR(255)    NOT NULL,
+  domain_concept_id     INTEGER         NOT NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -83,9 +83,9 @@ DISTRIBUTE ON RANDOM
 
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_class (
-  concept_class_id			    VARCHAR(20)		NOT NULL,
-  concept_class_name		    VARCHAR(255)	NOT NULL,
-  concept_class_concept_id	INTEGER			  NOT NULL
+  concept_class_id              VARCHAR(20)     NOT NULL,
+  concept_class_name            VARCHAR(255)    NOT NULL,
+  concept_class_concept_id      INTEGER         NOT NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -93,34 +93,35 @@ DISTRIBUTE ON RANDOM
 
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_relationship (
-  concept_id_1			INTEGER			NOT NULL,
-  concept_id_2			INTEGER			NOT NULL,
-  relationship_id		VARCHAR(20)	NOT NULL,
-  valid_start_date	DATE			  NOT NULL,
-  valid_end_date		DATE			  NOT NULL,
-  invalid_reason		VARCHAR(1)	NULL
-  )
+  concept_id_1          INTEGER         NOT NULL,
+  concept_id_2          INTEGER         NOT NULL,
+  relationship_id       VARCHAR(20)     NOT NULL,
+  valid_start_date      DATE            NOT NULL,
+  valid_end_date        DATE            NOT NULL,
+  invalid_reason        VARCHAR(1)      NULL
+)
 DISTRIBUTE ON RANDOM
 ;
 
 
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE relationship (
-  relationship_id			    VARCHAR(20)		NOT NULL,
-  relationship_name			  VARCHAR(255)	NOT NULL,
-  is_hierarchical			    VARCHAR(1)		NOT NULL,
-  defines_ancestry			  VARCHAR(1)		NOT NULL,
-  reverse_relationship_id	VARCHAR(20)		NOT NULL,
-  relationship_concept_id	INTEGER			  NOT NULL
+  relationship_id           VARCHAR(20)     NOT NULL,
+  relationship_name         VARCHAR(255)    NOT NULL,
+  is_hierarchical           VARCHAR(1)      NOT NULL,
+  defines_ancestry          VARCHAR(1)      NOT NULL,
+  reverse_relationship_id   VARCHAR(20)     NOT NULL,
+  relationship_concept_id   INTEGER         NOT NULL
 )
+DISTRIBUTE ON RANDOM
 ;
 
 
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_synonym (
-  concept_id			      INTEGER			  NOT NULL,
-  concept_synonym_name	VARCHAR(1000)	NOT NULL,
-  language_concept_id	  INTEGER			  NOT NULL
+  concept_id              INTEGER         NOT NULL,
+  concept_synonym_name    VARCHAR(1000)   NOT NULL,
+  language_concept_id     INTEGER         NOT NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -128,10 +129,10 @@ DISTRIBUTE ON RANDOM
 
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_ancestor (
-  ancestor_concept_id		    INTEGER		NOT NULL,
-  descendant_concept_id		  INTEGER		NOT NULL,
-  min_levels_of_separation	INTEGER		NOT NULL,
-  max_levels_of_separation	INTEGER		NOT NULL
+  ancestor_concept_id       INTEGER     NOT NULL,
+  descendant_concept_id     INTEGER     NOT NULL,
+  min_levels_of_separation  INTEGER     NOT NULL,
+  max_levels_of_separation  INTEGER     NOT NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -139,15 +140,15 @@ DISTRIBUTE ON RANDOM
 
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE source_to_concept_map (
-  source_code				      VARCHAR(50)		NOT NULL,
-  source_concept_id			  INTEGER			  NOT NULL,
-  source_vocabulary_id		VARCHAR(20)		NOT NULL,
-  source_code_description	VARCHAR(255)	NULL,
-  target_concept_id			  INTEGER			  NOT NULL,
-  target_vocabulary_id		VARCHAR(20)		NOT NULL,
-  valid_start_date			  DATE			    NOT NULL,
-  valid_end_date			    DATE			    NOT NULL,
-  invalid_reason			    VARCHAR(1)		NULL
+  source_code               VARCHAR(50)     NOT NULL,
+  source_concept_id         INTEGER         NOT NULL,
+  source_vocabulary_id      VARCHAR(20)     NOT NULL,
+  source_code_description   VARCHAR(255)    NULL,
+  target_concept_id         INTEGER         NOT NULL,
+  target_vocabulary_id      VARCHAR(20)     NOT NULL,
+  valid_start_date          DATE            NOT NULL,
+  valid_end_date            DATE            NOT NULL,
+  invalid_reason            VARCHAR(1)      NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -155,44 +156,18 @@ DISTRIBUTE ON RANDOM
 
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE drug_strength (
-  drug_concept_id				      INTEGER		  NOT NULL,
-  ingredient_concept_id			  INTEGER		  NOT NULL,
-  amount_value					      REAL		    NULL,
-  amount_unit_concept_id		  INTEGER		  NULL,
-  numerator_value				      REAL		    NULL,
-  numerator_unit_concept_id		INTEGER		  NULL,
-  denominator_value				    REAL		    NULL,
-  denominator_unit_concept_id	INTEGER		  NULL,
-  box_size						        INTEGER		  NULL,
-  valid_start_date				    DATE		    NOT NULL,
-  valid_end_date				      DATE		    NOT NULL,
-  invalid_reason				      VARCHAR(1)  NULL
-)
-DISTRIBUTE ON RANDOM
-;
-
-
--HINT DISTRIBUTE ON RANDOM
-CREATE TABLE cohort_definition (
-  cohort_definition_id				    INTEGER			  NOT NULL,
-  cohort_definition_name			    VARCHAR(255)	NOT NULL,
-  cohort_definition_description		VARCHAR(1000)	NULL,
-  definition_type_concept_id		  INTEGER			  NOT NULL,
-  cohort_definition_syntax			  VARCHAR(1000)	NULL,
-  subject_concept_id				      INTEGER			  NOT NULL,
-  cohort_initiation_date			    DATE			    NULL
-)
-DISTRIBUTE ON RANDOM
-;
-
-
---HINT DISTRIBUTE ON RANDOM
-CREATE TABLE attribute_definition (
-  attribute_definition_id		  INTEGER			  NOT NULL,
-  attribute_name				      VARCHAR(255)	NOT NULL,
-  attribute_description			  VARCHAR(1000)	NULL,
-  attribute_type_concept_id		INTEGER			  NOT NULL,
-  attribute_syntax				    VARCHAR(1000)	NULL
+  drug_concept_id               INTEGER       NOT NULL,
+  ingredient_concept_id         INTEGER       NOT NULL,
+  amount_value                  REAL          NULL,
+  amount_unit_concept_id        INTEGER       NULL,
+  numerator_value               REAL          NULL,
+  numerator_unit_concept_id     INTEGER       NULL,
+  denominator_value             REAL          NULL,
+  denominator_unit_concept_id   INTEGER       NULL,
+  box_size                      INTEGER       NULL,
+  valid_start_date              DATE          NOT NULL,
+  valid_end_date                DATE          NOT NULL,
+  invalid_reason                VARCHAR(1)    NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -204,19 +179,20 @@ Standardized meta-data
 
 ***************************/
 
+
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE cdm_source
 (
-  cdm_source_name					        VARCHAR(255)	NOT NULL ,
-  cdm_source_abbreviation			    VARCHAR(25)		NULL ,
-  cdm_holder							        VARCHAR(255)	NULL ,
-  source_description					    VARCHAR(1000)	NULL ,
-  source_documentation_reference	VARCHAR(255)	NULL ,
-  cdm_etl_reference					      VARCHAR(255)	NULL ,
-  source_release_date				      DATE			    NULL ,
-  cdm_release_date					      DATE			    NULL ,
-  cdm_version						          VARCHAR(10)		NULL ,
-  vocabulary_version					    VARCHAR(20)		NULL
+  cdm_source_name                   VARCHAR(255)    NOT NULL ,
+  cdm_source_abbreviation           VARCHAR(25)     NULL ,
+  cdm_holder                        VARCHAR(255)    NULL ,
+  source_description                VARCHAR(1000)   NULL ,
+  source_documentation_reference    VARCHAR(255)    NULL ,
+  cdm_etl_reference                 VARCHAR(255)    NULL ,
+  source_release_date               DATE            NULL ,
+  cdm_release_date                  DATE            NULL ,
+  cdm_version                       VARCHAR(10)     NULL ,
+  vocabulary_version                VARCHAR(20)     NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -236,6 +212,10 @@ CREATE TABLE metadata
 DISTRIBUTE ON RANDOM
 ;
 
+INSERT INTO metadata (metadata_concept_id, metadata_type_concept_id, name, value_as_string, value_as_concept_id, metadata_date, metadata_datetime) --Added cdm version record
+VALUES (0,0,'CDM Version', '6.0',0,NULL,NULL)
+;
+
 
 /************************
 
@@ -243,258 +223,245 @@ Standardized clinical data
 
 ************************/
 
+
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE person
 (
-  person_id						        INTEGER	  	NOT NULL ,
-  gender_concept_id				    INTEGER	  	NOT NULL ,
-  year_of_birth					      INTEGER	  	NOT NULL ,
-  month_of_birth				      INTEGER	  	NULL,
-  day_of_birth					      INTEGER	  	NULL,
-  birth_datetime				      DATETIME	  NULL,
-  race_concept_id				      INTEGER		  NOT NULL,
-  ethnicity_concept_id			  INTEGER	  	NOT NULL,
-  location_id					        INTEGER		  NULL,
-  provider_id					        INTEGER		  NULL,
-  care_site_id					      INTEGER		  NULL,
-  person_source_value			    VARCHAR(50) NULL,
-  gender_source_value			    VARCHAR(50) NULL,
-  gender_source_concept_id	  INTEGER		  NULL,
-  race_source_value				    VARCHAR(50) NULL,
-  race_source_concept_id		  INTEGER		  NULL,
-  ethnicity_source_value		  VARCHAR(50) NULL,
-  ethnicity_source_concept_id	INTEGER		  NULL
+  person_id                     BIGINT      NOT NULL , 
+  gender_concept_id             INTEGER     NOT NULL ,
+  year_of_birth                 INTEGER     NOT NULL ,
+  month_of_birth                INTEGER     NULL,
+  day_of_birth                  INTEGER     NULL,
+  birth_datetime                DATETIME    NULL,
+  death_datetime				DATETIME	NULL,
+  race_concept_id               INTEGER     NOT NULL,
+  ethnicity_concept_id          INTEGER     NOT NULL,
+  location_id                   BIGINT      NULL,
+  provider_id                   BIGINT      NULL,
+  care_site_id                  BIGINT      NULL,
+  person_source_value           VARCHAR(50) NULL,
+  gender_source_value           VARCHAR(50) NULL,
+  gender_source_concept_id      INTEGER     NOT NULL,
+  race_source_value             VARCHAR(50) NULL,
+  race_source_concept_id        INTEGER     NOT NULL,
+  ethnicity_source_value        VARCHAR(50) NULL,
+  ethnicity_source_concept_id   INTEGER     NOT NULL
 )
-DISTRIBUTE ON (person_id)
-;
+
+DISTRIBUTE ON (person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation_period
 (
-  observation_period_id				      INTEGER		NOT NULL ,
-  person_id							            INTEGER		NOT NULL ,
-  observation_period_start_date		  DATE		  NOT NULL ,
-  observation_period_end_date		    DATE		  NOT NULL ,
-  period_type_concept_id			      INTEGER		NOT NULL
+  observation_period_id          BIGINT      NOT NULL ,
+  person_id                      BIGINT      NOT NULL ,
+  observation_period_start_date  DATE        NOT NULL ,
+  observation_period_end_date    DATE        NOT NULL ,
+  period_type_concept_id         INTEGER     NOT NULL
 )
-DISTRIBUTE ON (person_id)
-;
+
+DISTRIBUTE ON (person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE specimen
 (
-  specimen_id						      INTEGER			NOT NULL ,
-  person_id							      INTEGER			NOT NULL ,
-  specimen_concept_id				  INTEGER			NOT NULL ,
-  specimen_type_concept_id		INTEGER			NOT NULL ,
-  specimen_date						    DATE			  NOT NULL ,
-  specimen_datetime					  DATETIME		NULL ,
-  quantity							      REAL			  NULL ,
-  unit_concept_id					    INTEGER			NULL ,
-  anatomic_site_concept_id		INTEGER			NULL ,
-  disease_status_concept_id		INTEGER			NULL ,
-  specimen_source_id				  VARCHAR(50)	NULL ,
-  specimen_source_value				VARCHAR(50)	NULL ,
-  unit_source_value					  VARCHAR(50)	NULL ,
-  anatomic_site_source_value	VARCHAR(50)	NULL ,
-  disease_status_source_value VARCHAR(50)	NULL
+  specimen_id                   BIGINT        NOT NULL ,
+  person_id                     BIGINT        NOT NULL ,
+  specimen_concept_id           INTEGER       NOT NULL ,
+  specimen_type_concept_id      INTEGER       NOT NULL ,
+  specimen_date                 DATE          NULL ,
+  specimen_datetime             DATETIME      NOT NULL ,
+  quantity                      REAL          NULL ,
+  unit_concept_id               INTEGER       NULL ,
+  anatomic_site_concept_id      INTEGER       NOT NULL ,
+  disease_status_concept_id     INTEGER       NOT NULL ,
+  specimen_source_id            VARCHAR(50)   NULL ,
+  specimen_source_value         VARCHAR(50)   NULL ,
+  unit_source_value             VARCHAR(50)   NULL ,
+  anatomic_site_source_value    VARCHAR(50)   NULL ,
+  disease_status_source_value   VARCHAR(50)   NULL
 )
-DISTRIBUTE ON (person_id)
-;
 
-
---HINT DISTRIBUTE_ON_KEY(person_id)
-CREATE TABLE death
-(
-  person_id							  INTEGER			NOT NULL ,
-  death_date							DATE			  NOT NULL ,
-  death_datetime					DATETIME		NULL ,
-  death_type_concept_id   INTEGER			NOT NULL ,
-  cause_concept_id			  INTEGER			NULL ,
-  cause_source_value			VARCHAR(50)	NULL,
-  cause_source_concept_id INTEGER			NULL
-)
-DISTRIBUTE ON (person_id)
-;
+DISTRIBUTE ON (person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_occurrence
 (
-  visit_occurrence_id			      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  visit_concept_id				      INTEGER			NOT NULL ,
-  visit_start_date				      DATE			  NOT NULL ,
-  visit_start_datetime				  DATETIME		NULL ,
-  visit_end_date					      DATE			  NOT NULL ,
-  visit_end_datetime					  DATETIME		NULL ,
-  visit_type_concept_id			    INTEGER			NOT NULL ,
-  provider_id					          INTEGER			NULL,
-  care_site_id					        INTEGER			NULL,
-  visit_source_value				    VARCHAR(50)	NULL,
-  visit_source_concept_id		    INTEGER			NULL,
-  admitting_source_concept_id	  INTEGER			NULL ,
-  admitting_source_value		    VARCHAR(50)	NULL ,
-  discharge_to_concept_id		    INTEGER   	NULL ,
-  discharge_to_source_value		  VARCHAR(50)	NULL ,
-  preceding_visit_occurrence_id	INTEGER			NULL
+  visit_occurrence_id           BIGINT        NOT NULL ,
+  person_id                     BIGINT        NOT NULL ,
+  visit_concept_id              INTEGER       NOT NULL ,
+  visit_start_date              DATE          NULL ,
+  visit_start_datetime          DATETIME      NOT NULL ,
+  visit_end_date                DATE          NULL ,
+  visit_end_datetime            DATETIME      NOT NULL ,
+  visit_type_concept_id         INTEGER       NOT NULL ,
+  provider_id                   BIGINT        NULL,
+  care_site_id                  BIGINT        NULL,
+  visit_source_value            VARCHAR(50)   NULL,
+  visit_source_concept_id       INTEGER       NOT NULL ,
+  admitted_from_concept_id      INTEGER       NOT NULL ,
+  admitted_from_source_value    VARCHAR(50)   NULL ,
+  discharge_to_source_value     VARCHAR(50)   NULL ,
+  discharge_to_concept_id       INTEGER       NOT NULL ,
+  preceding_visit_occurrence_id INTEGER       NULL
 )
-DISTRIBUTE ON (person_id)
-;
+
+DISTRIBUTE ON (person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_detail
 (
-  visit_detail_id                    INTEGER     NOT NULL ,
-  person_id                          INTEGER     NOT NULL ,
+  visit_detail_id                    BIGINT      NOT NULL ,
+  person_id                          BIGINT      NOT NULL ,
   visit_detail_concept_id            INTEGER     NOT NULL ,
-  visit_detail_start_date            DATE        NOT NULL ,
-  visit_detail_start_datetime        DATETIME    NULL ,
-  visit_detail_end_date              DATE        NOT NULL ,
-  visit_detail_end_datetime          DATETIME    NULL ,
+  visit_detail_start_date            DATE        NULL ,
+  visit_detail_start_datetime        DATETIME    NOT NULL ,
+  visit_detail_end_date              DATE        NULL ,
+  visit_detail_end_datetime          DATETIME    NOT NULL ,
   visit_detail_type_concept_id       INTEGER     NOT NULL ,
-  provider_id                        INTEGER     NULL ,
-  care_site_id                       INTEGER     NULL ,
-  admitting_source_concept_id        INTEGER     NULL ,
-  discharge_to_concept_id            INTEGER     NULL ,
-  preceding_visit_detail_id          INTEGER     NULL ,
+  provider_id                        BIGINT      NULL ,
+  care_site_id                       BIGINT      NULL ,
+  discharge_to_concept_id            INTEGER     NOT NULL ,
+  admitted_from_concept_id           INTEGER     NOT NULL ,
+  admitted_from_source_value         VARCHAR(50) NULL ,
   visit_detail_source_value          VARCHAR(50) NULL ,
-  visit_detail_source_concept_id     INTEGER     NULL ,
-  admitting_source_value             VARCHAR(50) NULL ,
+  visit_detail_source_concept_id     INTEGER     NOT NULL ,
   discharge_to_source_value          VARCHAR(50) NULL ,
-  visit_detail_parent_id             INTEGER     NULL ,
-  visit_occurrence_id                INTEGER     NOT NULL
+  preceding_visit_detail_id          BIGINT      NULL ,
+  visit_detail_parent_id             BIGINT      NULL ,
+  visit_occurrence_id                BIGINT      NOT NULL
 )
-DISTRIBUTE ON (person_id)
-;
+
+DISTRIBUTE ON (person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE procedure_occurrence
 (
-  procedure_occurrence_id		  INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  procedure_concept_id			  INTEGER			NOT NULL ,
-  procedure_date				      DATE			  NOT NULL ,
-  procedure_datetime			    DATETIME		NULL ,
-  procedure_type_concept_id		INTEGER			NOT NULL ,
-  modifier_concept_id			    INTEGER			NULL ,
-  quantity						        INTEGER			NULL ,
-  provider_id					        INTEGER			NULL ,
-  visit_occurrence_id			    INTEGER			NULL ,
-  visit_detail_id             INTEGER     NULL ,
-  procedure_source_value		  VARCHAR(50)	NULL ,
-  procedure_source_concept_id	INTEGER			NULL ,
-  modifier_source_value		   VARCHAR(50)	NULL
+  procedure_occurrence_id       BIGINT        NOT NULL ,
+  person_id                     BIGINT        NOT NULL ,
+  procedure_concept_id          INTEGER       NOT NULL ,
+  procedure_date                DATE          NULL ,
+  procedure_datetime            DATETIME      NOT NULL ,
+  procedure_type_concept_id     INTEGER       NOT NULL ,
+  modifier_concept_id           INTEGER       NOT NULL ,
+  quantity                      INTEGER       NULL ,
+  provider_id                   BIGINT        NULL ,
+  visit_occurrence_id           BIGINT        NULL ,
+  visit_detail_id               BIGINT        NULL ,
+  procedure_source_value        VARCHAR(50)   NULL ,
+  procedure_source_concept_id   INTEGER       NOT NULL ,
+  modifier_source_value         VARCHAR(50)   NULL 
 )
-DISTRIBUTE ON (person_id)
-;
+
+DISTRIBUTE ON (person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_exposure
 (
-  drug_exposure_id				      INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  drug_concept_id				        INTEGER			  NOT NULL ,
-  drug_exposure_start_date		  DATE			    NOT NULL ,
-  drug_exposure_start_datetime  DATETIME		  NULL ,
-  drug_exposure_end_date		    DATE			    NOT NULL ,
-  drug_exposure_end_datetime	  DATETIME		  NULL ,
-  verbatim_end_date				      DATE			    NULL ,
-  drug_type_concept_id			    INTEGER			  NOT NULL ,
-  stop_reason					          VARCHAR(20)		NULL ,
-  refills						            INTEGER		  	NULL ,
-  quantity						          REAL			    NULL ,
-  days_supply					          INTEGER		  	NULL ,
-  sig							              VARCHAR(1000)	NULL ,
-  route_concept_id				      INTEGER			  NULL ,
-  lot_number					          VARCHAR(50)	  NULL ,
-  provider_id					          INTEGER			  NULL ,
-  visit_occurrence_id			      INTEGER			  NULL ,
-  visit_detail_id               INTEGER       NULL ,
-  drug_source_value				      VARCHAR(50)	  NULL ,
-  drug_source_concept_id		    INTEGER			  NULL ,
-  route_source_value			      VARCHAR(50)	  NULL ,
-  dose_unit_source_value		    VARCHAR(50)	  NULL
+  drug_exposure_id              BIGINT        NOT NULL ,
+  person_id                     BIGINT        NOT NULL ,
+  drug_concept_id               INTEGER       NOT NULL ,
+  drug_exposure_start_date      DATE          NULL ,
+  drug_exposure_start_datetime  DATETIME      NOT NULL ,
+  drug_exposure_end_date        DATE          NULL ,
+  drug_exposure_end_datetime    DATETIME      NOT NULL ,
+  verbatim_end_date             DATE          NULL ,
+  drug_type_concept_id          INTEGER       NOT NULL ,
+  stop_reason                   VARCHAR(20)   NULL ,
+  refills                       INTEGER       NULL ,
+  quantity                      REAL          NULL ,
+  days_supply                   INTEGER       NULL ,
+  sig                           VARCHAR(1000) NULL ,
+  route_concept_id              INTEGER       NOT NULL ,
+  lot_number                    VARCHAR(50)   NULL ,
+  provider_id                   BIGINT        NULL ,
+  visit_occurrence_id           BIGINT        NULL ,
+  visit_detail_id               BIGINT        NULL ,
+  drug_source_value             VARCHAR(50)   NULL ,
+  drug_source_concept_id        INTEGER       NOT NULL ,
+  route_source_value            VARCHAR(50)   NULL ,
+  dose_unit_source_value        VARCHAR(50)   NULL
 )
-DISTRIBUTE ON (person_id)
-;
+
+DISTRIBUTE ON (person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE device_exposure
 (
-  device_exposure_id			        INTEGER		  	NOT NULL ,
-  person_id						            INTEGER			  NOT NULL ,
-  device_concept_id			        	INTEGER			  NOT NULL ,
-  device_exposure_start_date	    DATE			    NOT NULL ,
-  device_exposure_start_datetime  DATETIME		  NULL ,
-  device_exposure_end_date		    DATE			    NULL ,
-  device_exposure_end_datetime    DATETIME		  NULL ,
-  device_type_concept_id		      INTEGER			  NOT NULL ,
-  unique_device_id			        	VARCHAR(50)		NULL ,
-  quantity						            INTEGER			  NULL ,
-  provider_id					            INTEGER			  NULL ,
-  visit_occurrence_id			        INTEGER			  NULL ,
-  visit_detail_id                 INTEGER       NULL ,
-  device_source_value			        VARCHAR(100)	NULL ,
-  device_source_concept_id		    INTEGER			  NULL
+  device_exposure_id              BIGINT          NOT NULL ,
+  person_id                       BIGINT          NOT NULL ,
+  device_concept_id               INTEGER         NOT NULL ,
+  device_exposure_start_date      DATE            NULL ,
+  device_exposure_start_datetime  DATETIME        NOT NULL ,
+  device_exposure_end_date        DATE            NULL ,
+  device_exposure_end_datetime    DATETIME        NULL ,
+  device_type_concept_id          INTEGER         NOT NULL ,
+  unique_device_id                VARCHAR(50)     NULL ,
+  quantity                        INTEGER         NULL ,
+  provider_id                     BIGINT          NULL ,
+  visit_occurrence_id             BIGINT          NULL ,
+  visit_detail_id                 BIGINT          NULL ,
+  device_source_value             VARCHAR(100)    NULL ,
+  device_source_concept_id        INTEGER         NOT NULL
 )
-DISTRIBUTE ON (person_id)
-;
+
+DISTRIBUTE ON (person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_occurrence
 (
-  condition_occurrence_id		    INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  condition_concept_id			    INTEGER			NOT NULL ,
-  condition_start_date			    DATE			  NOT NULL ,
-  condition_start_datetime		  DATETIME		NULL ,
-  condition_end_date			      DATE			  NULL ,
-  condition_end_datetime		    DATETIME		NULL ,
-  condition_type_concept_id		  INTEGER			NOT NULL ,
-  stop_reason					          VARCHAR(20)	NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  condition_source_value		    VARCHAR(50)	NULL ,
-  condition_source_concept_id	  INTEGER			NULL ,
-  condition_status_source_value	VARCHAR(50)	NULL ,
-  condition_status_concept_id	  INTEGER			NULL
+  condition_occurrence_id         BIGINT      NOT NULL ,
+  person_id                       BIGINT      NOT NULL ,
+  condition_concept_id            INTEGER     NOT NULL ,
+  condition_start_date            DATE        NULL ,
+  condition_start_datetime        DATETIME    NOT NULL ,
+  condition_end_date              DATE        NULL ,
+  condition_end_datetime          DATETIME    NULL ,
+  condition_type_concept_id       INTEGER     NOT NULL ,
+  condition_status_concept_id     INTEGER     NOT NULL ,
+  stop_reason                     VARCHAR(20) NULL ,
+  provider_id                     BIGINT      NULL ,
+  visit_occurrence_id             BIGINT      NULL ,
+  visit_detail_id                 BIGINT      NULL ,
+  condition_source_value          VARCHAR(50) NULL ,
+  condition_source_concept_id     INTEGER     NOT NULL ,
+  condition_status_source_value   VARCHAR(50) NULL
 )
-DISTRIBUTE ON (person_id)
-;
+
+DISTRIBUTE ON (person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE measurement
 (
-  measurement_id				        INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  measurement_concept_id		    INTEGER			NOT NULL ,
-  measurement_date				      DATE			  NOT NULL ,
-  measurement_datetime			    DATETIME	  NULL ,
-  measurement_time              VARCHAR(10) NULL ,
-  measurement_type_concept_id	  INTEGER			NOT NULL ,
-  operator_concept_id			      INTEGER			NULL ,
-  value_as_number				        REAL			  NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  range_low					          	REAL			  NULL ,
-  range_high					          REAL			  NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  measurement_source_value		  VARCHAR(50)	NULL ,
-  measurement_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  value_source_value			      VARCHAR(50)	NULL
+  measurement_id                BIGINT        NOT NULL ,
+  person_id                     BIGINT        NOT NULL ,
+  measurement_concept_id        INTEGER       NOT NULL ,
+  measurement_date              DATE          NULL ,
+  measurement_datetime          DATETIME      NOT NULL ,
+  measurement_time              VARCHAR(10)   NULL,
+  measurement_type_concept_id   INTEGER       NOT NULL ,
+  operator_concept_id           INTEGER       NULL ,
+  value_as_number               REAL          NULL ,
+  value_as_concept_id           INTEGER       NULL ,
+  unit_concept_id               INTEGER       NULL ,
+  range_low                     REAL          NULL ,
+  range_high                    REAL          NULL ,
+  provider_id                   BIGINT        NULL ,
+  visit_occurrence_id           BIGINT        NULL ,
+  visit_detail_id               BIGINT        NULL ,
+  measurement_source_value      VARCHAR(50)   NULL ,
+  measurement_source_concept_id INTEGER       NOT NULL ,
+  unit_source_value             VARCHAR(50)   NULL ,
+  value_source_value            VARCHAR(50)   NULL
 )
 DISTRIBUTE ON (person_id)
 ;
@@ -503,20 +470,22 @@ DISTRIBUTE ON (person_id)
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE note
 (
-  note_id						    INTEGER			  NOT NULL ,
-  person_id						  INTEGER			  NOT NULL ,
-  note_date						  DATE			    NOT NULL ,
-  note_datetime					DATETIME		  NULL ,
-  note_type_concept_id	INTEGER			  NOT NULL ,
-  note_class_concept_id INTEGER			  NOT NULL ,
-  note_title					  VARCHAR(250)	NULL ,
-  note_text						  VARCHAR(1000)  NULL ,
-  encoding_concept_id		INTEGER			  NOT NULL ,
-  language_concept_id		INTEGER			  NOT NULL ,
-  provider_id					  INTEGER			  NULL ,
-  visit_occurrence_id		INTEGER			  NULL ,
-  visit_detail_id       INTEGER       NULL ,
-  note_source_value			VARCHAR(50)		NULL
+  note_id                     BIGINT         NOT NULL ,
+  person_id                   BIGINT         NOT NULL ,
+  note_event_id               BIGINT         NULL , 
+  note_event_field_concept_id INTEGER        NOT NULL , 
+  note_date                   DATE           NULL ,
+  note_datetime               DATETIME       NOT NULL ,
+  note_type_concept_id        INTEGER        NOT NULL ,
+  note_class_concept_id       INTEGER        NOT NULL ,
+  note_title                  VARCHAR(250)   NULL ,
+  note_text                   VARCHAR(1000)  NULL ,
+  encoding_concept_id         INTEGER        NOT NULL ,
+  language_concept_id         INTEGER        NOT NULL ,
+  provider_id                 BIGINT         NULL ,
+  visit_occurrence_id         BIGINT         NULL ,
+  visit_detail_id             BIGINT         NULL ,
+  note_source_value           VARCHAR(50)    NULL
 )
 DISTRIBUTE ON (person_id)
 ;
@@ -525,20 +494,20 @@ DISTRIBUTE ON (person_id)
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE note_nlp
 (
-  note_nlp_id					        INTEGER			  NOT NULL ,
-  note_id						          INTEGER			  NOT NULL ,
-  section_concept_id			    INTEGER			  NULL ,
-  snippet						          VARCHAR(250)	NULL ,
-  "offset"						        VARCHAR(250)	NULL ,
-  lexical_variant				      VARCHAR(250)	NOT NULL ,
-  note_nlp_concept_id			    INTEGER			  NULL ,
-  note_nlp_source_concept_id  INTEGER			  NULL ,
-  nlp_system					        VARCHAR(250)	NULL ,
-  nlp_date						        DATE			    NOT NULL ,
-  nlp_datetime					      DATETIME		  NULL ,
-  term_exists					        VARCHAR(1)		NULL ,
-  term_temporal					      VARCHAR(50)		NULL ,
-  term_modifiers				      VARCHAR(2000)	NULL
+  note_nlp_id                 BIGINT        NOT NULL ,
+  note_id                     BIGINT        NOT NULL ,
+  section_concept_id          INTEGER       NOT NULL ,
+  snippet                     VARCHAR(250)  NULL ,
+  "offset"                    VARCHAR(250)  NULL ,
+  lexical_variant             VARCHAR(250)  NOT NULL ,
+  note_nlp_concept_id         INTEGER       NOT NULL ,
+  nlp_system                  VARCHAR(250)  NULL ,
+  nlp_date                    DATE          NOT NULL ,
+  nlp_datetime                DATETIME      NULL ,
+  term_exists                 VARCHAR(1)    NULL ,
+  term_temporal               VARCHAR(50)   NULL ,
+  term_modifiers              VARCHAR(2000) NULL ,
+  note_nlp_source_concept_id  INTEGER       NOT NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -547,24 +516,60 @@ DISTRIBUTE ON RANDOM
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation
 (
-  observation_id					      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  observation_concept_id			  INTEGER			NOT NULL ,
-  observation_date				      DATE			  NOT NULL ,
-  observation_datetime				  DATETIME		NULL ,
-  observation_type_concept_id	  INTEGER			NOT NULL ,
-  value_as_number				        REAL			  NULL ,
-  value_as_string				        VARCHAR(60)	NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
-  qualifier_concept_id			    INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  observation_source_value		  VARCHAR(50)	NULL ,
-  observation_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  qualifier_source_value			  VARCHAR(50)	NULL
+  observation_id                    BIGINT        NOT NULL ,
+  person_id                         BIGINT        NOT NULL ,
+  observation_concept_id            INTEGER       NOT NULL ,
+  observation_date                  DATE          NULL ,
+  observation_datetime              DATETIME      NOT NULL ,
+  observation_type_concept_id       INTEGER       NOT NULL ,
+  value_as_number                   REAL          NULL ,
+  value_as_string                   VARCHAR(60)   NULL ,
+  value_as_concept_id               INTEGER       NULL ,
+  qualifier_concept_id              INTEGER       NULL ,
+  unit_concept_id                   INTEGER       NULL ,
+  provider_id                       BIGINT        NULL ,
+  visit_occurrence_id               BIGINT        NULL ,
+  visit_detail_id                   BIGINT        NULL ,
+  observation_source_value          VARCHAR(50)   NULL ,
+  observation_source_concept_id     INTEGER       NOT NULL ,
+  unit_source_value                 VARCHAR(50)   NULL ,
+  qualifier_source_value            VARCHAR(50)   NULL ,
+  observation_event_id              BIGINT        NULL , 
+  obs_event_field_concept_id        INTEGER       NOT NULL , 
+  value_as_datetime                 DATETIME      NULL
+)
+DISTRIBUTE ON (person_id)
+;
+
+
+--HINT DISTRIBUTE ON KEY(person_id)
+CREATE TABLE survey_conduct 
+(
+  survey_conduct_id                 BIGINT          NOT NULL ,
+  person_id                         BIGINT          NOT NULL ,
+  survey_concept_id                 INTEGER         NOT NULL ,
+  survey_start_date                 DATE            NULL ,
+  survey_start_datetime             DATETIME        NULL ,
+  survey_end_date                   DATE            NULL ,
+  survey_end_datetime               DATETIME        NOT NULL ,
+  provider_id                       BIGINT          NULL ,
+  assisted_concept_id               INTEGER         NOT NULL ,
+  respondent_type_concept_id        INTEGER         NOT NULL ,
+  timing_concept_id                 INTEGER         NOT NULL ,
+  collection_method_concept_id      INTEGER         NOT NULL ,
+  assisted_source_value             VARCHAR(50)     NULL ,
+  respondent_type_source_value      VARCHAR(100)    NULL ,
+  timing_source_value               VARCHAR(100)    NULL ,
+  collection_method_source_value    VARCHAR(100)    NULL ,
+  survey_source_value               VARCHAR(100)    NULL ,
+  survey_source_concept_id          INTEGER         NOT NULL ,
+  survey_source_identifier          VARCHAR(100)    NULL ,
+  validated_survey_concept_id       INTEGER         NOT NULL ,
+  validated_survey_source_value     VARCHAR(100)    NULL ,
+  survey_version_number             VARCHAR(20)     NULL ,
+  visit_occurrence_id               BIGINT          NULL ,
+  visit_detail_id                   BIGINT          NULL ,
+  response_visit_occurrence_id   BIGINT          NULL
 )
 DISTRIBUTE ON (person_id)
 ;
@@ -573,34 +578,52 @@ DISTRIBUTE ON (person_id)
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE fact_relationship
 (
-  domain_concept_id_1			INTEGER			NOT NULL ,
-  fact_id_1						    INTEGER			NOT NULL ,
-  domain_concept_id_2			INTEGER			NOT NULL ,
-  fact_id_2						    INTEGER			NOT NULL ,
-  relationship_concept_id	INTEGER			NOT NULL
+  domain_concept_id_1       INTEGER         NOT NULL ,
+  fact_id_1                 BIGINT          NOT NULL ,
+  domain_concept_id_2       INTEGER         NOT NULL ,
+  fact_id_2                 BIGINT          NOT NULL ,
+  relationship_concept_id   INTEGER         NOT NULL
 )
 DISTRIBUTE ON RANDOM
 ;
 
 
-
 /************************
 
 Standardized health system data
 
 ************************/
 
+
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE location
 (
-  location_id					  INTEGER			  NOT NULL ,
-  address_1						  VARCHAR(50)		NULL ,
-  address_2						  VARCHAR(50)		NULL ,
-  city							    VARCHAR(50)		NULL ,
-  state							    VARCHAR(2)		NULL ,
-  zip							      VARCHAR(9)		NULL ,
-  county							  VARCHAR(20)		NULL ,
-  location_source_value VARCHAR(50)		NULL
+  location_id           BIGINT          NOT NULL ,
+  address_1             VARCHAR(50)     NULL ,
+  address_2             VARCHAR(50)     NULL ,
+  city                  VARCHAR(50)     NULL ,
+  state                 VARCHAR(2)      NULL ,
+  zip                   VARCHAR(9)      NULL ,
+  county                VARCHAR(20)     NULL ,
+  country               VARCHAR(100)    NULL ,
+  location_source_value VARCHAR(50)     NULL ,
+  latitude              REAL            NULL ,
+  longitude             REAL            NULL
+)
+DISTRIBUTE ON RANDOM
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE location_history
+(
+  location_history_id           BIGINT      NOT NULL , 
+  location_id                   BIGINT      NOT NULL ,
+  relationship_type_concept_id  INTEGER     NOT NULL ,  
+  domain_id                     VARCHAR(50) NOT NULL ,
+  entity_id                     BIGINT      NOT NULL ,
+  start_date                    DATE        NOT NULL ,
+  end_date                      DATE        NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -609,12 +632,12 @@ DISTRIBUTE ON RANDOM
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE care_site
 (
-  care_site_id						      INTEGER			  NOT NULL ,
-  care_site_name						    VARCHAR(255)  NULL ,
-  place_of_service_concept_id	  INTEGER			  NULL ,
-  location_id						        INTEGER			  NULL ,
-  care_site_source_value			  VARCHAR(50)		NULL ,
-  place_of_service_source_value VARCHAR(50)		NULL
+  care_site_id                  BIGINT        NOT NULL ,
+  care_site_name                VARCHAR(255)  NULL ,
+  place_of_service_concept_id   INTEGER       NOT NULL ,
+  location_id                   BIGINT        NULL ,
+  care_site_source_value        VARCHAR(50)   NULL ,
+  place_of_service_source_value VARCHAR(50)   NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -623,19 +646,19 @@ DISTRIBUTE ON RANDOM
 --HINT DISTRIBUTE ON RANDOM
 CREATE TABLE provider
 (
-  provider_id					        INTEGER			  NOT NULL ,
-  provider_name					      VARCHAR(255)	NULL ,
-  NPI							            VARCHAR(20)		NULL ,
-  DEA							            VARCHAR(20)		NULL ,
-  specialty_concept_id			  INTEGER			  NULL ,
-  care_site_id					      INTEGER			  NULL ,
-  year_of_birth					      INTEGER			  NULL ,
-  gender_concept_id				    INTEGER			  NULL ,
-  provider_source_value			  VARCHAR(50)		NULL ,
-  specialty_source_value			VARCHAR(50)		NULL ,
-  specialty_source_concept_id	INTEGER			  NULL ,
-  gender_source_value			    VARCHAR(50)		NULL ,
-  gender_source_concept_id		INTEGER			  NULL
+  provider_id                   BIGINT        NOT NULL ,
+  provider_name                 VARCHAR(255)  NULL ,
+  NPI                           VARCHAR(20)   NULL ,
+  DEA                           VARCHAR(20)   NULL ,
+  specialty_concept_id          INTEGER       NOT NULL ,
+  care_site_id                  BIGINT        NULL ,
+  year_of_birth                 INTEGER       NULL ,
+  gender_concept_id             INTEGER       NOT NULL ,
+  provider_source_value         VARCHAR(50)   NULL ,
+  specialty_source_value        VARCHAR(50)   NULL ,
+  specialty_source_concept_id   INTEGER       NOT NULL ,
+  gender_source_value           VARCHAR(50)   NULL ,
+  gender_source_concept_id      INTEGER       NOT NULL
 )
 DISTRIBUTE ON RANDOM
 ;
@@ -651,55 +674,55 @@ Standardized health economics
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE payer_plan_period
 (
-  payer_plan_period_id			    INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  payer_plan_period_start_date  DATE			    NOT NULL ,
-  payer_plan_period_end_date		DATE			    NOT NULL ,
-  payer_concept_id              INTEGER       NULL ,
-  payer_source_value				    VARCHAR(50)	  NULL ,
-  payer_source_concept_id       INTEGER       NULL ,
-  plan_concept_id               INTEGER       NULL ,
-  plan_source_value				      VARCHAR(50)	  NULL ,
-  plan_source_concept_id        INTEGER       NULL ,
-  sponsor_concept_id            INTEGER       NULL ,
+  payer_plan_period_id          BIGINT        NOT NULL ,
+  person_id                     BIGINT        NOT NULL ,
+  contract_person_id            BIGINT        NULL ,
+  payer_plan_period_start_date  DATE          NOT NULL ,
+  payer_plan_period_end_date    DATE          NOT NULL ,
+  payer_concept_id              INTEGER       NOT NULL ,
+  plan_concept_id               INTEGER       NOT NULL ,
+  contract_concept_id           INTEGER       NOT NULL ,
+  sponsor_concept_id            INTEGER       NOT NULL ,
+  stop_reason_concept_id        INTEGER       NOT NULL ,
+  payer_source_value            VARCHAR(50)   NULL ,
+  payer_source_concept_id       INTEGER       NOT NULL ,
+  plan_source_value             VARCHAR(50)   NULL ,
+  plan_source_concept_id        INTEGER       NOT NULL ,
+  contract_source_value         VARCHAR(50)   NULL ,
+  contract_source_concept_id    INTEGER       NOT NULL ,
   sponsor_source_value          VARCHAR(50)   NULL ,
-  sponsor_source_concept_id     INTEGER       NULL ,
-  family_source_value			      VARCHAR(50)	  NULL ,
-  stop_reason_concept_id        INTEGER       NULL ,
+  sponsor_source_concept_id     INTEGER       NOT NULL ,
+  family_source_value           VARCHAR(50)   NULL ,
   stop_reason_source_value      VARCHAR(50)   NULL ,
-  stop_reason_source_concept_id INTEGER       NULL
+  stop_reason_source_concept_id INTEGER       NOT NULL
 )
 DISTRIBUTE ON (person_id)
 ;
 
 
---HINT DISTRIBUTE ON RANDOM
+--HINT DISTRIBUTE ON KEY(person_id)
 CREATE TABLE cost
 (
-  cost_id					          INTEGER	    NOT NULL ,
-  cost_event_id             INTEGER     NOT NULL ,
-  cost_domain_id            VARCHAR(20) NOT NULL ,
-  cost_type_concept_id      INTEGER     NOT NULL ,
-  currency_concept_id			  INTEGER			NULL ,
-  total_charge						  REAL			  NULL ,
-  total_cost						    REAL			  NULL ,
-  total_paid						    REAL			  NULL ,
-  paid_by_payer					    REAL			  NULL ,
-  paid_by_patient						REAL			  NULL ,
-  paid_patient_copay				REAL			  NULL ,
-  paid_patient_coinsurance  REAL			  NULL ,
-  paid_patient_deductible		REAL			  NULL ,
-  paid_by_primary						REAL			  NULL ,
-  paid_ingredient_cost			REAL			  NULL ,
-  paid_dispensing_fee				REAL			  NULL ,
-  payer_plan_period_id			INTEGER			NULL ,
-  amount_allowed		        REAL			  NULL ,
-  revenue_code_concept_id		INTEGER			NULL ,
-  revenue_code_source_value  VARCHAR(50) NULL,
-  drg_concept_id			      INTEGER		  NULL,
-  drg_source_value			    VARCHAR(3)	NULL
+  cost_id                       BIGINT        NOT NULL ,
+  person_id                     BIGINT        NOT NULL,
+  cost_event_id                 BIGINT        NOT NULL ,
+  cost_event_field_concept_id   INTEGER       NOT NULL , 
+  cost_concept_id               INTEGER       NOT NULL ,
+  cost_type_concept_id          INTEGER       NOT NULL ,
+  currency_concept_id           INTEGER       NOT NULL ,
+  cost                          REAL          NULL ,
+  incurred_date                 DATE          NOT NULL ,
+  billed_date                   DATE          NULL ,
+  paid_date                     DATE          NULL ,
+  revenue_code_concept_id       INTEGER       NOT NULL ,
+  drg_concept_id                INTEGER       NOT NULL ,
+  cost_source_value             VARCHAR(50)   NULL ,
+  cost_source_concept_id        INTEGER       NOT NULL ,
+  revenue_code_source_value     VARCHAR(50)   NULL ,
+  drg_source_value              VARCHAR(3)    NULL ,
+  payer_plan_period_id          BIGINT        NULL
 )
-DISTRIBUTE ON RANDOM
+DISTRIBUTE ON (person_id)
 ;
 
 
@@ -710,43 +733,16 @@ Standardized derived elements
 ************************/
 
 
---HINT DISTRIBUTE_ON_KEY(subject_id)
-CREATE TABLE cohort
-(
-  cohort_definition_id	INTEGER		NOT NULL ,
-  subject_id						INTEGER		NOT NULL ,
-  cohort_start_date			DATE			NOT NULL ,
-  cohort_end_date				DATE			NOT NULL
-)
-DISTRIBUTE ON (subject_id)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(subject_id)
-CREATE TABLE cohort_attribute
-(
-  cohort_definition_id		INTEGER		NOT NULL ,
-  subject_id						  INTEGER		NOT NULL ,
-  cohort_start_date				DATE			NOT NULL ,
-  cohort_end_date				  DATE			NOT NULL ,
-  attribute_definition_id INTEGER		NOT NULL ,
-  value_as_number				  REAL			NULL ,
-  value_as_concept_id			INTEGER		NULL
-)
-DISTRIBUTE ON (subject_id)
-;
-
-
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_era
 (
-  drug_era_id					INTEGER			NOT NULL ,
-  person_id						INTEGER			NOT NULL ,
+  drug_era_id				BIGINT          NOT NULL ,
+  person_id					BIGINT          NOT NULL ,
   drug_concept_id			INTEGER			NOT NULL ,
-  drug_era_start_date	DATE			  NOT NULL ,
-  drug_era_end_date		DATE			  NOT NULL ,
-  drug_exposure_count	INTEGER			NULL ,
-  gap_days						INTEGER			NULL
+  drug_era_start_datetime   DATETIME		NOT NULL ,
+  drug_era_end_datetime     DATETIME		NOT NULL ,
+  drug_exposure_count		INTEGER			NULL ,
+  gap_days					INTEGER			NULL
 )
 DISTRIBUTE ON (person_id)
 ;
@@ -755,13 +751,13 @@ DISTRIBUTE ON (person_id)
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE dose_era
 (
-  dose_era_id					  INTEGER			NOT NULL ,
-  person_id						  INTEGER			NOT NULL ,
-  drug_concept_id				INTEGER			NOT NULL ,
-  unit_concept_id				INTEGER			NOT NULL ,
-  dose_value						REAL			  NOT NULL ,
-  dose_era_start_date		DATE			  NOT NULL ,
-  dose_era_end_date	    DATE			  NOT NULL
+  dose_era_id           	BIGINT          NOT NULL ,
+  person_id             	BIGINT          NOT NULL ,
+  drug_concept_id       	INTEGER         NOT NULL ,
+  unit_concept_id       	INTEGER         NOT NULL ,
+  dose_value            	REAL            NOT NULL ,
+  dose_era_start_datetime   DATETIME		NOT NULL ,
+  dose_era_end_datetime     DATETIME		NOT NULL
 )
 DISTRIBUTE ON (person_id)
 ;
@@ -770,12 +766,12 @@ DISTRIBUTE ON (person_id)
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_era
 (
-  condition_era_id				    INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  condition_concept_id			  INTEGER			NOT NULL ,
-  condition_era_start_date		DATE			  NOT NULL ,
-  condition_era_end_date			DATE			  NOT NULL ,
-  condition_occurrence_count	INTEGER			NULL
+  condition_era_id					BIGINT          NOT NULL ,
+  person_id							BIGINT          NOT NULL ,
+  condition_concept_id				INTEGER         NOT NULL ,
+  condition_era_start_datetime		DATETIME		NOT NULL ,
+  condition_era_end_datetime		DATETIME		NOT NULL ,
+  condition_occurrence_count		INTEGER			NULL
 )
 DISTRIBUTE ON (person_id)
 ;
diff --git a/Netezza/OMOP CDM netezza primary keys.txt b/Netezza/OMOP CDM netezza primary keys.txt
index 3a14d7e..112593b 100644
--- a/Netezza/OMOP CDM netezza primary keys.txt	
+++ b/Netezza/OMOP CDM netezza primary keys.txt	
@@ -17,22 +17,22 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #    #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #    #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####     #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #    #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #    #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####      #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###      ######  #    #     #####
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #     #     # #   #     #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #    #     # #  #      #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #    ######  ###       #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #    #       #  #      #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #     #       #   #     #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###      #       #    #     #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
 
 
-netezza script to create the required indexes within OMOP common data model, version 5.3
+netezza script to create the required primary keys within the OMOP common data model, version 6.0
 
-last revised: 14-November-2017
+last revised: 30-Aug-2018
 
 author:  Patrick Ryan, Clair Blacketer
 
-description:  These primary keys and indices are considered a minimal requirement to ensure adequate performance of analyses.
+description:  These primary keys are considered a minimal requirement to ensure adequate performance of analyses.
 
 *************************/
 
@@ -77,11 +77,6 @@ ALTER TABLE source_to_concept_map ADD CONSTRAINT xpk_source_to_concept_map PRIMA
 
 ALTER TABLE drug_strength ADD CONSTRAINT xpk_drug_strength PRIMARY KEY (drug_concept_id, ingredient_concept_id);
 
-ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY (cohort_definition_id);
-
-ALTER TABLE attribute_definition ADD CONSTRAINT xpk_attribute_definition PRIMARY KEY (attribute_definition_id);
-
-
 /**************************
 
 Standardized meta-data
@@ -127,7 +122,7 @@ ALTER TABLE note_nlp ADD CONSTRAINT xpk_note_nlp PRIMARY KEY ( note_nlp_id ) ;
 
 ALTER TABLE observation  ADD CONSTRAINT xpk_observation PRIMARY KEY ( observation_id ) ;
 
-
+ALTER TABLE survey_conduct ADD CONSTRAINT xpk_survey_conduct PRIMARY KEY ( survey_conduct_id ) ;
 
 
 /************************
@@ -139,6 +134,8 @@ Standardized health system data
 
 ALTER TABLE location ADD CONSTRAINT xpk_location PRIMARY KEY ( location_id ) ;
 
+ALTER TABLE location_history ADD CONSTRAINT xpk_location_history PRIMARY KEY ( location_history_id ) ; 
+
 ALTER TABLE care_site ADD CONSTRAINT xpk_care_site PRIMARY KEY ( care_site_id ) ;
 
 ALTER TABLE provider ADD CONSTRAINT xpk_provider PRIMARY KEY ( provider_id ) ;
@@ -163,10 +160,6 @@ Standardized derived elements
 
 ************************/
 
-ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT xpk_cohort_attribute PRIMARY KEY ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date, attribute_definition_id ) ;
-
 ALTER TABLE drug_era ADD CONSTRAINT xpk_drug_era PRIMARY KEY ( drug_era_id ) ;
 
 ALTER TABLE dose_era  ADD CONSTRAINT xpk_dose_era PRIMARY KEY ( dose_era_id ) ;
diff --git a/OMOP_CDM_v5_3_1.csv b/OMOP_CDM_v5_3_1.csv
deleted file mode 100644
index 6d2d8f8..0000000
--- a/OMOP_CDM_v5_3_1.csv
+++ /dev/null
@@ -1,408 +0,0 @@
-"","field","required","type","description","table","schema"
-"1","condition_occurrence_id","Yes","INTEGER","A unique identifier for each Condition Occurrence event.","condition_occurrence","cdm"
-"2","person_id","Yes","INTEGER","A foreign key identifier to the Person who is experiencing the condition. The demographic details of that Person are stored in the PERSON table.","condition_occurrence","cdm"
-"3","condition_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Condition Concept identifier in the Standardized Vocabularies.","condition_occurrence","cdm"
-"4","condition_start_date","Yes","DATE","The date when the instance of the Condition is recorded.","condition_occurrence","cdm"
-"5","condition_start_datetime","No","DATETIME","The date and time when the instance of the Condition is recorded.","condition_occurrence","cdm"
-"6","condition_end_date","No","DATE","The date when the instance of the Condition is considered to have ended.","condition_occurrence","cdm"
-"7","condition_end_datetime","No","DATE","The date when the instance of the Condition is considered to have ended.","condition_occurrence","cdm"
-"8","condition_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the source data from which the condition was recorded, the level of standardization, and the type of occurrence.","condition_occurrence","cdm"
-"9","stop_reason","No","VARCHAR(20)","The reason that the condition was no longer present, as indicated in the source data.","condition_occurrence","cdm"
-"10","provider_id","No","INTEGER","A foreign key to the Provider in the PROVIDER table who was responsible for capturing (diagnosing) the Condition.","condition_occurrence","cdm"
-"11","visit_occurrence_id","No","INTEGER","A foreign key to the visit in the VISIT_OCCURRENCE table during which the Condition was determined (diagnosed).","condition_occurrence","cdm"
-"12","visit_detail_id","No","INTEGER","A foreign key to the visit in the VISIT_DETAIL table during which the Condition was determined (diagnosed).","condition_occurrence","cdm"
-"13","condition_source_value","No","VARCHAR(50)","The source code for the condition as it appears in the source data. This code is mapped to a standard condition concept in the Standardized Vocabularies and the original code is stored here for reference.","condition_occurrence","cdm"
-"14","condition_source_concept_id","No","INTEGER","A foreign key to a Condition Concept that refers to the code used in the source.","condition_occurrence","cdm"
-"15","condition_status_source_value","No","VARCHAR(50)","The source code for the condition status as it appears in the source data.","condition_occurrence","cdm"
-"16","condition_status_concept_id","No","INTEGER","A foreign key to the predefined Concept in the Standard Vocabulary reflecting the condition status","condition_occurrence","cdm"
-"17","person_id","Yes","INTEGER","A foreign key identifier to the deceased person. The demographic details of that person are stored in the person table.","death","cdm"
-"18","death_date","Yes","DATE","The date the person was deceased. If the precise date including day or month is not known or not allowed, December is used as the default month, and the last day of the month the default day.","death","cdm"
-"19","death_datetime","No","DATETIME","The date and time the person was deceased. If the precise date including day or month is not known or not allowed, December is used as the default month, and the last day of the month the default day.","death","cdm"
-"20","death_type_concept_id","Yes","INTEGER","A foreign key referring to the predefined concept identifier in the Standardized Vocabularies reflecting how the death was represented in the source data.","death","cdm"
-"21","cause_concept_id","No","INTEGER","A foreign key referring to a standard concept identifier in the Standardized Vocabularies for conditions.","death","cdm"
-"22","cause_source_value","No","VARCHAR(50)","The source code for the cause of death as it appears in the source data. This code is mapped to a standard concept in the Standardized Vocabularies and the original code is, stored here for reference.","death","cdm"
-"23","cause_source_concept_id","No","INTEGER","A foreign key to the concept that refers to the code used in the source. Note, this variable name is abbreviated to ensure it will be allowable across database platforms.","death","cdm"
-"24","device_exposure_id","Yes","INTEGER","A system-generated unique identifier for each Device Exposure.","device_exposure","cdm"
-"25","person_id","Yes","INTEGER","A foreign key identifier to the Person who is subjected to the Device. The demographic details of that person are stored in the Person table.","device_exposure","cdm"
-"26","device_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the Device concept.","device_exposure","cdm"
-"27","device_exposure_start_date","Yes","DATE","The date the Device or supply was applied or used.","device_exposure","cdm"
-"28","device_exposure_start_datetime","No","DATETIME","The date and time the Device or supply was applied or used.","device_exposure","cdm"
-"29","device_exposure_end_date","No","DATE","The date the Device or supply was removed from use.","device_exposure","cdm"
-"30","device_exposure_end_datetime","No","DATETIME","The date and time the Device or supply was removed from use.","device_exposure","cdm"
-"31","device_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of Device Exposure recorded. It indicates how the Device Exposure was represented in the source data.","device_exposure","cdm"
-"32","unique_device_id","No","VARCHAR(50)","A UDI or equivalent identifying the instance of the Device used in the Person.","device_exposure","cdm"
-"33","quantity","No","INTEGER","The number of individual Devices used for the exposure.","device_exposure","cdm"
-"34","provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who initiated of administered the Device.","device_exposure","cdm"
-"35","visit_occurrence_id","No","INTEGER","A foreign key to the visit in the VISIT_OCCURRENCE table during which the device was used.","device_exposure","cdm"
-"36","visit_detail_id","No","INTEGER","A foreign key to the visit detail in the VISIT_DETAIL table during which the Drug Exposure was initiated.","device_exposure","cdm"
-"37","device_source_value","No","VARCHAR(50)","The source code for the Device as it appears in the source data. This code is mapped to a standard Device Concept in the Standardized Vocabularies and the original code is stored here for reference.","device_exposure","cdm"
-"38","device_source_concept_id","No","INTEGER","A foreign key to a Device Concept that refers to the code used in the source.","device_exposure","cdm"
-"39","drug_exposure_id","Yes","INTEGER","A system-generated unique identifier for each Drug utilization event.","drug_exposure","cdm"
-"40","person_id","Yes","INTEGER","A foreign key identifier to the person who is subjected to the Drug. The demographic details of that person are stored in the person table.","drug_exposure","cdm"
-"41","drug_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the Drug concept.","drug_exposure","cdm"
-"42","drug_exposure_start_date","Yes","DATE","The start date for the current instance of Drug utilization. Valid entries include a start date of a prescription, the date a prescription was filled, or the date on which a Drug administration procedure was recorded.","drug_exposure","cdm"
-"43","drug_exposure_start_datetime","No","DATETIME","The start date and time for the current instance of Drug utilization. Valid entries include a start date of a prescription, the date a prescription was filled, or the date on which a Drug administration procedure was recorded.","drug_exposure","cdm"
-"44","drug_exposure_end_date","Yes","DATE","The end date for the current instance of Drug utilization. It is not available from all sources.","drug_exposure","cdm"
-"45","drug_exposure_end_datetime","No","DATETIME","The end date and time for the current instance of Drug utilization. It is not available from all sources.","drug_exposure","cdm"
-"46","verbatim_end_date","No","DATE","The known end date of a drug_exposure as provided by the source","drug_exposure","cdm"
-"47","drug_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of Drug Exposure recorded. It indicates how the Drug Exposure was represented in the source data.","drug_exposure","cdm"
-"48","stop_reason","No","VARCHAR(20)","The reason the Drug was stopped. Reasons include regimen completed, changed, removed, etc.","drug_exposure","cdm"
-"49","refills","No","INTEGER","The number of refills after the initial prescription. The initial prescription is not counted, values start with 0.","drug_exposure","cdm"
-"50","quantity","No","FLOAT","The quantity of drug as recorded in the original prescription or dispensing record.","drug_exposure","cdm"
-"51","days_supply","No","INTEGER","The number of days of supply of the medication as recorded in the original prescription or dispensing record.","drug_exposure","cdm"
-"52","sig","No","VARCHAR(MAX)","The directions (""signetur"") on the Drug prescription as recorded in the original prescription (and printed on the container) or dispensing record.","drug_exposure","cdm"
-"53","route_concept_id","No","INTEGER","A foreign key to a predefined concept in the Standardized Vocabularies reflecting the route of administration.","drug_exposure","cdm"
-"54","lot_number","No","VARCHAR(50)","An identifier assigned to a particular quantity or lot of Drug product from the manufacturer.","drug_exposure","cdm"
-"55","provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who initiated (prescribed or administered) the Drug Exposure.","drug_exposure","cdm"
-"56","visit_occurrence_id","No","INTEGER","A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Drug Exposure was initiated.","drug_exposure","cdm"
-"57","visit_detail_id","No","INTEGER","A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Drug Exposure was initiated.","drug_exposure","cdm"
-"58","drug_source_value","No","VARCHAR(50)","The source code for the Drug as it appears in the source data. This code is mapped to a Standard Drug concept in the Standardized Vocabularies and the original code is, stored here for reference.","drug_exposure","cdm"
-"59","drug_source_concept_id","No","INTEGER","A foreign key to a Drug Concept that refers to the code used in the source.","drug_exposure","cdm"
-"60","route_source_value","No","VARCHAR(50)","The information about the route of administration as detailed in the source.","drug_exposure","cdm"
-"61","dose_unit_source_value","No","VARCHAR(50)","The information about the dose unit as detailed in the source.","drug_exposure","cdm"
-"62","domain_concept_id_1","Yes","INTEGER","The concept representing the domain of fact one, from which the corresponding table can be inferred.","fact_relationship","cdm"
-"63","fact_id_1","Yes","INTEGER","The unique identifier in the table corresponding to the domain of fact one.","fact_relationship","cdm"
-"64","domain_concept_id_2","Yes","INTEGER","The concept representing the domain of fact two, from which the corresponding table can be inferred.","fact_relationship","cdm"
-"65","fact_id_2","Yes","INTEGER","The unique identifier in the table corresponding to the domain of fact two.","fact_relationship","cdm"
-"66","relationship_concept_id","Yes","INTEGER","A foreign key to a Standard Concept ID of relationship in the Standardized Vocabularies.","fact_relationship","cdm"
-"67","measurement_id","Yes","INTEGER","A unique identifier for each Measurement.","measurement","cdm"
-"68","person_id","Yes","INTEGER","A foreign key identifier to the Person about whom the measurement was recorded. The demographic details of that Person are stored in the PERSON table.","measurement","cdm"
-"69","measurement_concept_id","Yes","INTEGER","A foreign key to the standard measurement concept identifier in the Standardized Vocabularies.","measurement","cdm"
-"70","measurement_date","Yes","DATE","The date of the Measurement.","measurement","cdm"
-"71","measurement_datetime","No","DATETIME","The date and time of the Measurement. Some database systems don't have a datatype of time. To accomodate all temporal analyses, datatype datetime can be used (combining measurement_date and measurement_time [forum discussion](http://forums.ohdsi.org/t/date-time-and-datetime-problem-and-the-world-of-hours-and-1day/314))","measurement","cdm"
-"72","measurement_time","No","VARCHAR(10)","The time of the Measurement. This is present for backwards compatibility and will deprecated in an upcoming version","measurement","cdm"
-"73","measurement_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the provenance from where the Measurement record was recorded.","measurement","cdm"
-"74","operator_concept_id","No","INTEGER","A foreign key identifier to the predefined Concept in the Standardized Vocabularies reflecting the mathematical operator that is applied to the value_as_number. Operators are <, <=, =, >=, >.","measurement","cdm"
-"75","value_as_number","No","FLOAT","A Measurement result where the result is expressed as a numeric value.","measurement","cdm"
-"76","value_as_concept_id","No","INTEGER","A foreign key to a Measurement result represented as a Concept from the Standardized Vocabularies (e.g., positive/negative, present/absent, low/high, etc.).","measurement","cdm"
-"77","unit_concept_id","No","INTEGER","A foreign key to a Standard Concept ID of Measurement Units in the Standardized Vocabularies.","measurement","cdm"
-"78","range_low","No","FLOAT","The lower limit of the normal range of the Measurement result. The lower range is assumed to be of the same unit of measure as the Measurement value.","measurement","cdm"
-"79","range_high","No","FLOAT","The upper limit of the normal range of the Measurement. The upper range is assumed to be of the same unit of measure as the Measurement value.","measurement","cdm"
-"80","provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who was responsible for initiating or obtaining the measurement.","measurement","cdm"
-"81","visit_occurrence_id","No","INTEGER","A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Measurement was recorded.","measurement","cdm"
-"82","visit_detail_id","No","INTEGER","A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Measurement was recorded.","measurement","cdm"
-"83","measurement_source_value","No","VARCHAR(50)","The Measurement name as it appears in the source data. This code is mapped to a Standard Concept in the Standardized Vocabularies and the original code is stored here for reference.","measurement","cdm"
-"84","measurement_source_concept_id","No","INTEGER","A foreign key to a Concept in the Standard Vocabularies that refers to the code used in the source.","measurement","cdm"
-"85","unit_source_value","No","VARCHAR(50)","The source code for the unit as it appears in the source data. This code is mapped to a standard unit concept in the Standardized Vocabularies and the original code is stored here for reference.","measurement","cdm"
-"86","value_source_value","No","VARCHAR(50)","The source value associated with the content of the value_as_number or value_as_concept_id as stored in the source data.","measurement","cdm"
-"87","note_id","Yes","INTEGER","A unique identifier for each note.","note","cdm"
-"88","person_id","Yes","INTEGER","A foreign key identifier to the Person about whom the Note was recorded. The demographic details of that Person are stored in the PERSON table.","note","cdm"
-"89","note_date","Yes","DATE","The date the note was recorded.","note","cdm"
-"90","note_datetime","No","DATETIME","The date and time the note was recorded.","note","cdm"
-"91","note_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the type, origin or provenance of the Note.","note","cdm"
-"92","note_class_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the HL7 LOINC Document Type Vocabulary classification of the note.","note","cdm"
-"93","note_title","No","VARCHAR(250)","The title of the Note as it appears in the source.","note","cdm"
-"94","note_text","Yes","VARCHAR(MAX)","The content of the Note.","note","cdm"
-"95","encoding_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the note character encoding type","note","cdm"
-"96","language_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the language of the note","note","cdm"
-"97","provider_id","No","INTEGER","A foreign key to the Provider in the PROVIDER table who took the Note.","note","cdm"
-"98","visit_occurrence_id","No","INTEGER","A foreign key to the Visit in the VISIT_OCCURRENCE table when the Note was taken.","note","cdm"
-"99","visit_detail_id","No","INTEGER","A foreign key to the Visit in the VISIT_DETAIL table when the Note was taken.","note","cdm"
-"100","note_source_value","No","VARCHAR(50)","The source value associated with the origin of the Note","note","cdm"
-"101","note_nlp_id","Yes","INTEGER","A unique identifier for each term extracted from a Note.","note_nlp","cdm"
-"102","note_id","Yes","INTEGER","A foreign key to the note table note the term was extracted from.","note_nlp","cdm"
-"103","section_concept_id","No","INTEGER","A foreign key to the predefined concept in the standardized vocabularies representing the section of the extracted term.","note_nlp","cdm"
-"104","snippet","No","VARCHAR(250)","A small window of text surrounding the term.","note_nlp","cdm"
-"105","offset","No","VARCHAR(50)","Character offset of the extracted term in the input note.","note_nlp","cdm"
-"106","lexical_variant","Yes","VARCHAR(250)","Raw text extracted from the NLP tool.","note_nlp","cdm"
-"107","note_nlp_concept_id","No","INTEGER","A foreign key to the predefined concept in the standardized vocabularies reflecting the normalized concept for the extracted term. Domain of the term is represented as part of the concept table.","note_nlp","cdm"
-"108","note_nlp_source_concept_id","No","INTEGER","A foreign key to a concept that refers to the code in the source vocabulary used by the NLP system","note_nlp","cdm"
-"109","nlp_system","No","VARCHAR(250)","Name and version of the NLP system that extracted the term.useful for data provenance.","note_nlp","cdm"
-"110","nlp_date","Yes","DATE","The date of the note processing.useful for data provenance.","note_nlp","cdm"
-"111","nlp_datetime","No","DATETIME","The date and time of the note processing. Useful for data provenance.","note_nlp","cdm"
-"112","term_exists","No","VARCHAR(1)","A summary modifier that signifies presence or absence of the term for a given patient. Useful for quick querying.","note_nlp","cdm"
-"113","term_temporal","No","VARCHAR(50)","An optional time modifier associated with the extracted term. (For now “past� or “present� only). Standardize it later.","note_nlp","cdm"
-"114","term_modifiers","No","VARCHAR(2000)","A compact description of all the modifiers of the specific term extracted by the NLP system. (e.g. “son has rash� ? “negated=no,subject=family, certainty=undef,conditional=false,general=false�).","note_nlp","cdm"
-"115","observation_id","Yes","INTEGER","A unique identifier for each observation.","observation","cdm"
-"116","person_id","Yes","INTEGER","A foreign key identifier to the Person about whom the observation was recorded. The demographic details of that Person are stored in the PERSON table.","observation","cdm"
-"117","observation_concept_id","Yes","INTEGER","A foreign key to the standard observation concept identifier in the Standardized Vocabularies.","observation","cdm"
-"118","observation_date","Yes","DATE","The date of the observation.","observation","cdm"
-"119","observation_datetime","No","DATETIME","The date and time of the observation.","observation","cdm"
-"120","observation_type_concept_id","Yes","INTEGER","A foreign key to the predefined concept identifier in the Standardized Vocabularies reflecting the type of the observation.","observation","cdm"
-"121","value_as_number","No","FLOAT","The observation result stored as a number. This is applicable to observations where the result is expressed as a numeric value.","observation","cdm"
-"122","value_as_string","No","VARCHAR(60)","The observation result stored as a string. This is applicable to observations where the result is expressed as verbatim text.","observation","cdm"
-"123","value_as_concept_id","No","INTEGER","A foreign key to an observation result stored as a Concept ID. This is applicable to observations where the result can be expressed as a Standard Concept from the Standardized Vocabularies (e.g., positive/negative, present/absent, low/high, etc.).","observation","cdm"
-"124","qualifier_concept_id","No","INTEGER","A foreign key to a Standard Concept ID for a qualifier (e.g., severity of drug-drug interaction alert)","observation","cdm"
-"125","unit_concept_id","No","INTEGER","A foreign key to a Standard Concept ID of measurement units in the Standardized Vocabularies.","observation","cdm"
-"126","provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who was responsible for making the observation.","observation","cdm"
-"127","visit_occurrence_id","No","INTEGER","A foreign key to the visit in the VISIT_OCCURRENCE table during which the observation was recorded.","observation","cdm"
-"128","visit_detail_id","No","INTEGER","A foreign key to the visit in the VISIT_DETAIL table during which the observation was recorded.","observation","cdm"
-"129","observation_source_value","No","VARCHAR(50)","The observation code as it appears in the source data. This code is mapped to a Standard Concept in the Standardized Vocabularies and the original code is, stored here for reference.","observation","cdm"
-"130","observation_source_concept_id","No","INTEGER","A foreign key to a Concept that refers to the code used in the source.","observation","cdm"
-"131","unit_source_value","No","VARCHAR(50)","The source code for the unit as it appears in the source data. This code is mapped to a standard unit concept in the Standardized Vocabularies and the original code is, stored here for reference.","observation","cdm"
-"132","qualifier_source_value","No","VARCHAR(50)","The source value associated with a qualifier to characterize the observation","observation","cdm"
-"133","observation_period_id","Yes","INTEGER","A unique identifier for each observation period.","observation_period","cdm"
-"134","person_id","Yes","INTEGER","A foreign key identifier to the person for whom the observation period is defined. The demographic details of that person are stored in the person table.","observation_period","cdm"
-"135","observation_period_start_date","Yes","DATE","The start date of the observation period for which data are available from the data source.","observation_period","cdm"
-"136","observation_period_end_date","Yes","DATE","The end date of the observation period for which data are available from the data source.","observation_period","cdm"
-"137","period_type_concept_id","Yes","INTEGER","A foreign key identifier to the predefined concept in the Standardized Vocabularies reflecting the source of the observation period information","observation_period","cdm"
-"138","person_id","Yes","INTEGER","A unique identifier for each person.","person","cdm"
-"139","gender_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the CONCEPT table for the unique gender of the person.","person","cdm"
-"140","year_of_birth","Yes","INTEGER","The year of birth of the person. For data sources with date of birth, the year is extracted. For data sources where the year of birth is not available, the approximate year of birth is derived based on any age group categorization available.","person","cdm"
-"141","month_of_birth","No","INTEGER","The month of birth of the person. For data sources that provide the precise date of birth, the month is extracted and stored in this field.","person","cdm"
-"142","day_of_birth","No","INTEGER","The day of the month of birth of the person. For data sources that provide the precise date of birth, the day is extracted and stored in this field.","person","cdm"
-"143","birth_datetime","No","DATETIME","The date and time of birth of the person.","person","cdm"
-"144","race_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the CONCEPT table for the unique race of the person.","person","cdm"
-"145","ethnicity_concept_id","Yes","INTEGER","A foreign key that refers to the standard concept identifier in the Standardized Vocabularies for the ethnicity of the person.","person","cdm"
-"146","location_id","No","INTEGER","A foreign key to the place of residency for the person in the location table, where the detailed address information is stored.","person","cdm"
-"147","provider_id","No","INTEGER","A foreign key to the primary care provider the person is seeing in the provider table.","person","cdm"
-"148","care_site_id","No","INTEGER","A foreign key to the site of primary care in the care_site table, where the details of the care site are stored.","person","cdm"
-"149","person_source_value","No","VARCHAR(50)","An (encrypted) key derived from the person identifier in the source data. This is necessary when a use case requires a link back to the person data at the source dataset.","person","cdm"
-"150","gender_source_value","No","VARCHAR(50)","The source code for the gender of the person as it appears in the source data. The person’s gender is mapped to a standard gender concept in the Standardized Vocabularies; the original value is stored here for reference.","person","cdm"
-"151","gender_source_concept_id","No","INTEGER","A foreign key to the gender concept that refers to the code used in the source.","person","cdm"
-"152","race_source_value","No","VARCHAR(50)","The source code for the race of the person as it appears in the source data. The person race is mapped to a standard race concept in the Standardized Vocabularies and the original value is stored here for reference.","person","cdm"
-"153","race_source_concept_id","No","INTEGER","A foreign key to the race concept that refers to the code used in the source.","person","cdm"
-"154","ethnicity_source_value","No","VARCHAR(50)","The source code for the ethnicity of the person as it appears in the source data. The person ethnicity is mapped to a standard ethnicity concept in the Standardized Vocabularies and the original code is, stored here for reference.","person","cdm"
-"155","ethnicity_source_concept_id","No","INTEGER","A foreign key to the ethnicity concept that refers to the code used in the source.","person","cdm"
-"156","procedure_occurrence_id","Yes","INTEGER","A system-generated unique identifier for each Procedure Occurrence.","procedure_occurrence","cdm"
-"157","person_id","Yes","INTEGER","A foreign key identifier to the Person who is subjected to the Procedure. The demographic details of that Person are stored in the PERSON table.","procedure_occurrence","cdm"
-"158","procedure_concept_id","Yes","INTEGER","A foreign key that refers to a standard procedure Concept identifier in the Standardized Vocabularies.","procedure_occurrence","cdm"
-"159","procedure_date","Yes","DATE","The date on which the Procedure was performed.","procedure_occurrence","cdm"
-"160","procedure_datetime","No","DATETIME","The date and time on which the Procedure was performed.","procedure_occurrence","cdm"
-"161","procedure_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the procedure record is derived.","procedure_occurrence","cdm"
-"162","modifier_concept_id","No","INTEGER","A foreign key to a Standard Concept identifier for a modifier to the Procedure (e.g. bilateral)","procedure_occurrence","cdm"
-"163","quantity","No","INTEGER","The quantity of procedures ordered or administered.","procedure_occurrence","cdm"
-"164","provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who was responsible for carrying out the procedure.","procedure_occurrence","cdm"
-"165","visit_occurrence_id","No","INTEGER","A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Procedure was carried out.","procedure_occurrence","cdm"
-"166","visit_detail_id","No","INTEGER","A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Procedure was carried out.","procedure_occurrence","cdm"
-"167","procedure_source_value","No","VARCHAR(50)","The source code for the Procedure as it appears in the source data. This code is mapped to a standard procedure Concept in the Standardized Vocabularies and the original code is, stored here for reference. Procedure source codes are typically ICD-9-Proc, CPT-4, HCPCS or OPCS-4 codes.","procedure_occurrence","cdm"
-"168","procedure_source_concept_id","No","INTEGER","A foreign key to a Procedure Concept that refers to the code used in the source.","procedure_occurrence","cdm"
-"169","modifier_source_value","No","VARCHAR(50)","The source code for the qualifier as it appears in the source data.","procedure_occurrence","cdm"
-"170","specimen_id","Yes","INTEGER","A unique identifier for each specimen.","specimen","cdm"
-"171","person_id","Yes","INTEGER","A foreign key identifier to the Person for whom the Specimen is recorded.","specimen","cdm"
-"172","specimen_concept_id","Yes","INTEGER","A foreign key referring to a Standard Concept identifier in the Standardized Vocabularies for the Specimen.","specimen","cdm"
-"173","specimen_type_concept_id","Yes","INTEGER","A foreign key referring to the Concept identifier in the Standardized Vocabularies reflecting the system of record from which the Specimen was represented in the source data.","specimen","cdm"
-"174","specimen_date","Yes","DATE","The date the specimen was obtained from the Person.","specimen","cdm"
-"175","specimen_datetime","No","DATETIME","The date and time on the date when the Specimen was obtained from the person.","specimen","cdm"
-"176","quantity","No","FLOAT","The amount of specimen collection from the person during the sampling procedure.","specimen","cdm"
-"177","unit_concept_id","No","INTEGER","A foreign key to a Standard Concept identifier for the Unit associated with the numeric quantity of the Specimen collection.","specimen","cdm"
-"178","anatomic_site_concept_id","No","INTEGER","A foreign key to a Standard Concept identifier for the anatomic location of specimen collection.","specimen","cdm"
-"179","disease_status_concept_id","No","INTEGER","A foreign key to a Standard Concept identifier for the Disease Status of specimen collection.","specimen","cdm"
-"180","specimen_source_id","No","VARCHAR(50)","The Specimen identifier as it appears in the source data.","specimen","cdm"
-"181","specimen_source_value","No","VARCHAR(50)","The Specimen value as it appears in the source data. This value is mapped to a Standard Concept in the Standardized Vocabularies and the original code is, stored here for reference.","specimen","cdm"
-"182","unit_source_value","No","VARCHAR(50)","The information about the Unit as detailed in the source.","specimen","cdm"
-"183","anatomic_site_source_value","No","VARCHAR(50)","The information about the anatomic site as detailed in the source.","specimen","cdm"
-"184","disease_status_source_value","No","VARCHAR(50)","The information about the disease status as detailed in the source.","specimen","cdm"
-"185","visit_detail_id","Yes","INTEGER","A unique identifier for each Person's visit or encounter at a healthcare provider.","visit_detail","cdm"
-"186","person_id","Yes","INTEGER","A foreign key identifier to the Person for whom the visit is recorded. The demographic details of that Person are stored in the PERSON table.","visit_detail","cdm"
-"187","visit_concept_id","Yes","INTEGER","A foreign key that refers to a visit Concept identifier in the Standardized Vocabularies.","visit_detail","cdm"
-"188","visit_start_date","Yes","DATE","The start date of the visit.","visit_detail","cdm"
-"189","visit_start_datetime","No","DATETIME","The date and time of the visit started.","visit_detail","cdm"
-"190","visit_end_date","Yes","DATE","The end date of the visit. If this is a one-day visit the end date should match the start date.","visit_detail","cdm"
-"191","visit_end_datetime","No","DATETIME","The date and time of the visit end.","visit_detail","cdm"
-"192","visit_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the visit record is derived.","visit_detail","cdm"
-"193","provider_id","No","INTEGER","A foreign key to the provider in the provider table who was associated with the visit.","visit_detail","cdm"
-"194","care_site_id","No","INTEGER","A foreign key to the care site in the care site table that was visited.","visit_detail","cdm"
-"195","visit_source_value","No","STRING(50)","The source code for the visit as it appears in the source data.","visit_detail","cdm"
-"196","visit_source_concept_id","No","INTEGER","A foreign key to a Concept that refers to the code used in the source.","visit_detail","cdm"
-"197","admitting_source_value","No","VARCHAR(50)","The source code for the admitting source as it appears in the source data.","visit_detail","cdm"
-"198","admitting_source_concept_id","No","INTEGER","A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the admitting source for a visit.","visit_detail","cdm"
-"199","discharge_to_source_value","No","VARCHAR(50)","The source code for the discharge disposition as it appears in the source data.","visit_detail","cdm"
-"200","discharge_to_concept_id","No","INTEGER","A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the discharge disposition for a visit.","visit_detail","cdm"
-"201","preceding_visit_detail_id","No","INTEGER","A foreign key to the VISIT_DETAIL table of the visit immediately preceding this visit","visit_detail","cdm"
-"202","visit_detail_parent_id","No","INTEGER","A foreign key to the VISIT_DETAIL table record to represent the immediate parent visit-detail record.","visit_detail","cdm"
-"203","visit_occurrence_id","Yes","INTEGER","A foreign key that refers to the record in the VISIT_OCCURRENCE table. This is a required field, because for every visit_detail is a child of visit_occurrence and cannot exist without a corresponding parent record in visit_occurrence.","visit_detail","cdm"
-"204","visit_occurrence_id","Yes","INTEGER","A unique identifier for each Person's visit or encounter at a healthcare provider.","visit_occurrence","cdm"
-"205","person_id","Yes","INTEGER","A foreign key identifier to the Person for whom the visit is recorded. The demographic details of that Person are stored in the PERSON table.","visit_occurrence","cdm"
-"206","visit_concept_id","Yes","INTEGER","A foreign key that refers to a visit Concept identifier in the Standardized Vocabularies.","visit_occurrence","cdm"
-"207","visit_start_date","Yes","DATE","The start date of the visit.","visit_occurrence","cdm"
-"208","visit_start_datetime","No","DATETIME","The date and time of the visit started.","visit_occurrence","cdm"
-"209","visit_end_date","Yes","DATE","The end date of the visit. If this is a one-day visit the end date should match the start date.","visit_occurrence","cdm"
-"210","visit_end_datetime","No","DATETIME","The date and time of the visit end.","visit_occurrence","cdm"
-"211","visit_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the visit record is derived.","visit_occurrence","cdm"
-"212","provider_id","No","INTEGER","A foreign key to the provider in the provider table who was associated with the visit.","visit_occurrence","cdm"
-"213","care_site_id","No","INTEGER","A foreign key to the care site in the care site table that was visited.","visit_occurrence","cdm"
-"214","visit_source_value","No","VARCHAR(50)","The source code for the visit as it appears in the source data.","visit_occurrence","cdm"
-"215","visit_source_concept_id","No","INTEGER","A foreign key to a Concept that refers to the code used in the source.","visit_occurrence","cdm"
-"216","admitting_source_concept_id","No","INTEGER","A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the admitting source for a visit.","visit_occurrence","cdm"
-"217","admitting_source_value","No","VARCHAR(50)","The source code for the admitting source as it appears in the source data.","visit_occurrence","cdm"
-"218","discharge_to_concept_id","No","INTEGER","A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the discharge disposition for a visit.","visit_occurrence","cdm"
-"219","discharge_to_source_value","No","VARCHAR(50)","The source code for the discharge disposition as it appears in the source data.","visit_occurrence","cdm"
-"220","preceding_visit_occurrence_id","No","INTEGER","A foreign key to the VISIT_OCCURRENCE table of the visit immediately preceding this visit","visit_occurrence","cdm"
-"221","cohort_definition_id","Yes","INTEGER","A foreign key to a record in the COHORT_DEFINITION table containing relevant Cohort Definition information.","cohort","results"
-"222","subject_id","Yes","INTEGER","A foreign key to the subject in the cohort. These could be referring to records in the PERSON, PROVIDER, VISIT_OCCURRENCE table.","cohort","results"
-"223","cohort_start_date","Yes","DATE","The date when the Cohort Definition criteria for the Person, Provider or Visit first match.","cohort","results"
-"224","cohort_end_date","Yes","DATE","The date when the Cohort Definition criteria for the Person, Provider or Visit no longer match or the Cohort membership was terminated.","cohort","results"
-"225","cohort_definition_id","Yes","INTEGER","A foreign key to a record in the [COHORT_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/COHORT_DEFINITION) table containing relevant Cohort Definition information.","cohort_attribute","results"
-"226","subject_id","Yes","INTEGER","A foreign key to the subject in the Cohort. These could be referring to records in the PERSON, PROVIDER, VISIT_OCCURRENCE table.","cohort_attribute","results"
-"227","cohort_start_date","Yes","DATE","The date when the Cohort Definition criteria for the Person, Provider or Visit first match.","cohort_attribute","results"
-"228","cohort_end_date","Yes","DATE","The date when the Cohort Definition criteria for the Person, Provider or Visit no longer match or the Cohort membership was terminated.","cohort_attribute","results"
-"229","attribute_definition_id","Yes","INTEGER","A foreign key to a record in the [ATTRIBUTE_DEFINITION](https://github.com/OHDSI/CommonDataModel/wiki/ATTRIBUTE_DEFINITION) table containing relevant Attribute Definition information.","cohort_attribute","results"
-"230","value_as_number","No","FLOAT","The attribute result stored as a number. This is applicable to attributes where the result is expressed as a numeric value.","cohort_attribute","results"
-"231","value_as_concept_id","No","INTEGER","The attribute result stored as a Concept ID. This is applicable to attributes where the result is expressed as a categorical value.","cohort_attribute","results"
-"232","condition_era_id","Yes","INTEGER","A unique identifier for each Condition Era.","condition_era","cdm"
-"233","person_id","Yes","INTEGER","A foreign key identifier to the Person who is experiencing the Condition during the Condition Era. The demographic details of that Person are stored in the PERSON table.","condition_era","cdm"
-"234","condition_concept_id","Yes","INTEGER","A foreign key that refers to a standard Condition Concept identifier in the Standardized Vocabularies.","condition_era","cdm"
-"235","condition_era_start_date","Yes","DATE","The start date for the Condition Era constructed from the individual instances of Condition Occurrences. It is the start date of the very first chronologically recorded instance of the condition.","condition_era","cdm"
-"236","condition_era_end_date","Yes","DATE","The end date for the Condition Era constructed from the individual instances of Condition Occurrences. It is the end date of the final continuously recorded instance of the Condition.","condition_era","cdm"
-"237","condition_occurrence_count","No","INTEGER","The number of individual Condition Occurrences used to construct the condition era.","condition_era","cdm"
-"238","dose_era_id","Yes","INTEGER","A unique identifier for each Dose Era.","dose_era","cdm"
-"239","person_id","Yes","INTEGER","A foreign key identifier to the Person who is subjected to the drug during the drug era. The demographic details of that Person are stored in the PERSON table.","dose_era","cdm"
-"240","drug_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the active Ingredient Concept.","dose_era","cdm"
-"241","unit_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the unit concept.","dose_era","cdm"
-"242","dose_value","Yes","FLOAT","The numeric value of the dose.","dose_era","cdm"
-"243","dose_era_start_date","Yes","DATE","The start date for the drug era constructed from the individual instances of drug exposures. It is the start date of the very first chronologically recorded instance of utilization of a drug.","dose_era","cdm"
-"244","dose_era_end_date","Yes","DATE","The end date for the drug era constructed from the individual instance of drug exposures. It is the end date of the final continuously recorded instance of utilization of a drug.","dose_era","cdm"
-"245","drug_era_id","Yes","INTEGER","A unique identifier for each Drug Era.","drug_era","cdm"
-"246","person_id","Yes","INTEGER","A foreign key identifier to the Person who is subjected to the Drug during the fDrug Era. The demographic details of that Person are stored in the PERSON table.","drug_era","cdm"
-"247","drug_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the Ingredient Concept.","drug_era","cdm"
-"248","drug_era_start_date","Yes","DATE","The start date for the Drug Era constructed from the individual instances of Drug Exposures. It is the start date of the very first chronologically recorded instance of conutilization of a Drug.","drug_era","cdm"
-"249","drug_era_end_date","Yes","DATE","The end date for the drug era constructed from the individual instance of drug exposures. It is the end date of the final continuously recorded instance of utilization of a drug.","drug_era","cdm"
-"250","drug_exposure_count","No","INTEGER","The number of individual Drug Exposure occurrences used to construct the Drug Era.","drug_era","cdm"
-"251","gap_days","No","INTEGER","The number of days that are not covered by DRUG_EXPOSURE records that were used to make up the era record.","drug_era","cdm"
-"252","cost_id","Yes","INTEGER","A unique identifier for each COST record.","cost","cdm"
-"253","cost_event_id","Yes","INTEGER","A foreign key identifier to the event (e.g. Measurement, Procedure, Visit, Drug Exposure, etc) record for which cost data are recorded.","cost","cdm"
-"254","cost_domain_id","Yes","VARCHAR(20)","The concept representing the domain of the cost event, from which the corresponding table can be inferred that contains the entity for which cost information is recorded.","cost","cdm"
-"255","cost_type_concept_id","Yes","INTEGER","A foreign key identifier to a concept in the CONCEPT table for the provenance or the source of the COST data: Calculated from insurance claim information, provider revenue, calculated from cost-to-charge ratio, reported from accounting database, etc.","cost","cdm"
-"256","currency_concept_id","No","INTEGER","A foreign key identifier to the concept representing the 3-letter code used to delineate international currencies, such as USD for US Dollar.","cost","cdm"
-"257","total_charge","No","FLOAT","The total amount charged by some provider of goods or services (e.g. hospital, physician pharmacy, dme provider) to payers (insurance companies, the patient).","cost","cdm"
-"258","total_cost","No","FLOAT","The cost incurred by the provider of goods or services.","cost","cdm"
-"259","total_paid","No","FLOAT","The total amount actually paid from all payers for goods or services of the provider.","cost","cdm"
-"260","paid_by_payer","No","FLOAT","The amount paid by the Payer for the goods or services.","cost","cdm"
-"261","paid_by_patient","No","FLOAT","The total amount paid by the Person as a share of the expenses.","cost","cdm"
-"262","paid_patient_copay","No","FLOAT","The amount paid by the Person as a fixed contribution to the expenses.","cost","cdm"
-"263","paid_patient_coinsurance","No","FLOAT","The amount paid by the Person as a joint assumption of risk. Typically, this is a percentage of the expenses defined by the Payer Plan after the Person's deductible is exceeded.","cost","cdm"
-"264","paid_patient_deductible","No","FLOAT","The amount paid by the Person that is counted toward the deductible defined by the Payer Plan. paid_patient_deductible does contribute to the paid_by_patient variable.","cost","cdm"
-"265","paid_by_primary","No","FLOAT","The amount paid by a primary Payer through the coordination of benefits.","cost","cdm"
-"266","paid_ingredient_cost","No","FLOAT","The amount paid by the Payer to a pharmacy for the drug, excluding the amount paid for dispensing the drug.  paid_ingredient_cost contributes to the paid_by_payer field if this field is populated with a nonzero value.","cost","cdm"
-"267","paid_dispensing_fee","No","FLOAT","The amount paid by the Payer to a pharmacy for dispensing a drug, excluding the amount paid for the drug ingredient. paid_dispensing_fee contributes to the paid_by_payer field if this field is populated with a nonzero value.","cost","cdm"
-"268","payer_plan_period_id","No","INTEGER","A foreign key to the PAYER_PLAN_PERIOD table, where the details of the Payer, Plan and Family are stored.  Record the payer_plan_id that relates to the payer who contributed to the paid_by_payer field.","cost","cdm"
-"269","amount_allowed","No","FLOAT","The contracted amount agreed between the payer and provider.","cost","cdm"
-"270","revenue_code_concept_id","No","INTEGER","A foreign key referring to a Standard Concept ID in the Standardized Vocabularies for Revenue codes.","cost","cdm"
-"271","revenue_code_source_value","No","VARCHAR(50)","The source code for the Revenue code as it appears in the source data, stored here for reference.","cost","cdm"
-"272","drg_concept_id","No","INTEGER","A foreign key to the predefined concept in the DRG Vocabulary reflecting the DRG for a visit.","cost","cdm"
-"273","drg_source_value","No","VARCHAR(3)","The 3-digit DRG source code as it appears in the source data.","cost","cdm"
-"274","payer_plan_period_id","Yes","INTEGER","A identifier for each unique combination of payer, sponsor, plan, family code and time span.","payer_plan_period","cdm"
-"275","person_id","Yes","INTEGER","A foreign key identifier to the Person covered by the payer. The demographic details of that Person are stored in the PERSON table.","payer_plan_period","cdm"
-"276","payer_plan_period_start_date","Yes","DATE","The start date of the payer plan period.","payer_plan_period","cdm"
-"277","payer_plan_period_end_date","Yes","DATE","The end date of the payer plan period.","payer_plan_period","cdm"
-"278","payer_concept_id","No","INTEGER","A foreign key that refers to a Standard Payer concept identifiers in the Standardized Vocabularies","payer_plan_period","cdm"
-"279","payer_source_value","No","VARCHAR(50)","The source code for the payer as it appears in the source data.","payer_plan_period","cdm"
-"280","payer_source_concept_id","No","INTEGER","A foreign key to a payer concept that refers to the code used in the source.","payer_plan_period","cdm"
-"281","plan_concept_id","No","INTEGER","A foreign key that refers to a Standard plan that represents the health benefit plan in the Standardized Vocabularies","payer_plan_period","cdm"
-"282","plan_source_value","No","VARCHAR(50)","The source code for the Person's health benefit plan as it appears in the source data.","payer_plan_period","cdm"
-"283","plan_source_concept_id","No","INTEGER","A foreign key to a plan concept that refers to the code used in the source.","payer_plan_period","cdm"
-"284","sponsor_concept_id","No","INTEGER","A foreign key that refers to a Standard plan that represents the sponsor in the Standardized Vocabularies","payer_plan_period","cdm"
-"285","sponsor_source_value","No","VARCHAR(50)","The source code for the Person's sponsor of the health plan as it appears in the source data.","payer_plan_period","cdm"
-"286","sponsor_source_concept_id*","No","INTEGER","A foreign key to a sponsor concept that refers to the code used in the source.","payer_plan_period","cdm"
-"287","family_source_value","No","VARCHAR(50)","The source code for the Person's family as it appears in the source data.","payer_plan_period","cdm"
-"288","stop_reason_concept_id","No","INTEGER","A foreign key that refers to a Standard termination reason that represents the reason for the termination in the Standardized Vocabularies.","payer_plan_period","cdm"
-"289","stop_reason_source_value","No","VARCHAR(50)","The reason for stop-coverage of the record.","payer_plan_period","cdm"
-"290","stop_reason_source_concept_id","No","INTEGER","A foreign key to a stop-coverage concept that refers to the code used in the source.","payer_plan_period","cdm"
-"291","care_site_id","Yes","INTEGER","A unique identifier for each Care Site.","care_site","cdm"
-"292","care_site_name","No","VARCHAR(255)","The verbatim description or name of the Care Site as in data source","care_site","cdm"
-"293","place_of_service_concept_id","No","INTEGER","A foreign key that refers to a Place of Service Concept ID in the Standardized Vocabularies.","care_site","cdm"
-"294","location_id","No","INTEGER","A foreign key to the geographic Location in the LOCATION table, where the detailed address information is stored.","care_site","cdm"
-"295","care_site_source_value","No","VARCHAR(50)","The identifier for the Care Site in the source data, stored here for reference.","care_site","cdm"
-"296","place_of_service_source_value","No","VARCHAR(50)","The source code for the Place of Service as it appears in the source data, stored here for reference.","care_site","cdm"
-"297","location_id","Yes","INTEGER","A unique identifier for each geographic location.","location","cdm"
-"298","address_1","No","VARCHAR(50)","The address field 1, typically used for the street address, as it appears in the source data.","location","cdm"
-"299","address_2","No","VARCHAR(50)","The address field 2, typically used for additional detail such as buildings, suites, floors, as it appears in the source data.","location","cdm"
-"300","city","No","VARCHAR(50)","The city field as it appears in the source data.","location","cdm"
-"301","state","No","VARCHAR(2)","The state field as it appears in the source data.","location","cdm"
-"302","zip","No","VARCHAR(9)","The zip or postal code.","location","cdm"
-"303","county","No","VARCHAR(20)","The county.","location","cdm"
-"304","location_source_value","No","VARCHAR(50)","The verbatim information that is used to uniquely identify the location as it appears in the source data.","location","cdm"
-"305","provider_id","Yes","INTEGER","A unique identifier for each Provider.","provider","cdm"
-"306","provider_name","No","VARCHAR(255)","A description of the Provider.","provider","cdm"
-"307","npi","No","VARCHAR(20)","The National Provider Identifier (NPI) of the provider.","provider","cdm"
-"308","dea","No","VARCHAR(20)","The Drug Enforcement Administration (DEA) number of the provider.","provider","cdm"
-"309","specialty_concept_id","No","INTEGER","A foreign key to a Standard Specialty Concept ID in the Standardized Vocabularies.","provider","cdm"
-"310","care_site_id","No","INTEGER","A foreign key to the main Care Site where the provider is practicing.","provider","cdm"
-"311","year_of_birth","No","INTEGER","The year of birth of the Provider.","provider","cdm"
-"312","gender_concept_id","No","INTEGER","The gender of the Provider.","provider","cdm"
-"313","provider_source_value","No","VARCHAR(50)","The identifier used for the Provider in the source data, stored here for reference.","provider","cdm"
-"314","specialty_source_value","No","VARCHAR(50)","The source code for the Provider specialty as it appears in the source data, stored here for reference.","provider","cdm"
-"315","specialty_source_concept_id","No","INTEGER","A foreign key to a Concept that refers to the code used in the source.","provider","cdm"
-"316","gender_source_value","No","VARCHAR(50)","The gender code for the Provider as it appears in the source data, stored here for reference.","provider","cdm"
-"317","gender_source_concept_id","No","INTEGER","A foreign key to a Concept that refers to the code used in the source.","provider","cdm"
-"318","cdm_source_name","Yes","VARCHAR(255)","The full name of the source","cdm_source","cdm"
-"319","cdm_source_abbreviation","No","VARCHAR(25)","An abbreviation of the name","cdm_source","cdm"
-"320","cdm_holder","No","VARCHAR(255)","The name of the organization responsible for the development of the CDM instance","cdm_source","cdm"
-"321","source_description","No","CLOB","A description of the source data origin and purpose for collection. The description may contain a summary of the period of time that is expected to be covered by this dataset.","cdm_source","cdm"
-"322","source_documentation_reference","No","VARCHAR(255)","URL or other external reference to location of source documentation","cdm_source","cdm"
-"323","cdm_etl_reference","No","VARCHAR(255)","URL or other external reference to location of ETL specification documentation and ETL source code","cdm_source","cdm"
-"324","source_release_date","No","DATE","The date for which the source data are most current, such as the last day of data capture","cdm_source","cdm"
-"325","cdm_release_date","No","DATE","The date when the CDM was instantiated","cdm_source","cdm"
-"326","cdm_version","No","VARCHAR(10)","The version of CDM used","cdm_source","cdm"
-"327","vocabulary_version","No","VARCHAR(20)","The version of the vocabulary used","cdm_source","cdm"
-"328","metadata_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Metadata Concept identifier in the Standardized Vocabularies.","metadata","cdm"
-"329","metadata_type_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Type Concept identifier in the Standardized Vocabularies.","metadata","cdm"
-"330","name","Yes","VARCHAR(250)","The name of the Concept stored in metadata_concept_id or a description of the data being stored.","metadata","cdm"
-"331","value_as_string","No","NVARCHAR","The metadata value stored as a string.","metadata","cdm"
-"332","value_as_concept_id","No","INTEGER","A foreign key to a metadata value stored as a Concept ID.","metadata","cdm"
-"333","metadata date","No","DATE","The date associated with the metadata","metadata","cdm"
-"334","metadata_datetime","No","DATETIME","The date and time associated with the metadata","metadata","cdm"
-"335","attribute_definition_id","Yes","INTEGER","A unique identifier for each Attribute.","attribute_definition","cdm"
-"336","attribute_name","Yes","VARCHAR(255)","A short description of the Attribute.","attribute_definition","cdm"
-"337","attribute_description","No","VARCHAR(MAX)","A complete description of the Attribute definition","attribute_definition","cdm"
-"338","attribute_type_concept_id","Yes","INTEGER","Type defining what kind of Attribute Definition the record represents and how the syntax may be executed","attribute_definition","cdm"
-"339","attribute_syntax","No","VARCHAR(MAX)","Syntax or code to operationalize the Attribute definition","attribute_definition","cdm"
-"340","cohort_definition_id","Yes","INTEGER","A unique identifier for each Cohort.","cohort_definition","cdm"
-"341","cohort_definition_name","Yes","VARCHAR(255)","A short description of the Cohort.","cohort_definition","cdm"
-"342","cohort_definition_description","No","VARCHAR(MAX)","A complete description of the Cohort definition","cohort_definition","cdm"
-"343","definition_type_concept_id","Yes","INTEGER","Type defining what kind of Cohort Definition the record represents and how the syntax may be executed","cohort_definition","cdm"
-"344","cohort_definition_syntax","No","VARCHAR(MAX)","Syntax or code to operationalize the Cohort definition","cohort_definition","cdm"
-"345","subject_concept_id","Yes","INTEGER","A foreign key to the Concept to which defines the domain of subjects that are members of the cohort (e.g., Person, Provider, Visit).","cohort_definition","cdm"
-"346","cohort_initiation_date","No","DATE","A date to indicate when the Cohort was initiated in the COHORT table","cohort_definition","cdm"
-"347","concept_id","Yes","INTEGER","A unique identifier for each Concept across all domains.","concept","cdm"
-"348","concept_name","Yes","VARCHAR(255)","An unambiguous, meaningful and descriptive name for the Concept.","concept","cdm"
-"349","domain_id","Yes","VARCHAR(20)","A foreign key to the [DOMAIN](https://github.com/OHDSI/CommonDataModel/wiki/DOMAIN) table the Concept belongs to.","concept","cdm"
-"350","vocabulary_id","Yes","VARCHAR(20)","A foreign key to the [VOCABULARY](https://github.com/OHDSI/CommonDataModel/wiki/VOCABULARY) table indicating from which source the Concept has been adapted.","concept","cdm"
-"351","concept_class_id","Yes","VARCHAR(20)","The attribute or concept class of the Concept. Examples are 'Clinical Drug', 'Ingredient', 'Clinical Finding' etc.","concept","cdm"
-"352","standard_concept","No","VARCHAR(1)","This flag determines where a Concept is a Standard Concept, i.e. is used in the data, a Classification Concept, or a non-standard Source Concept. The allowables values are 'S' (Standard Concept) and 'C' (Classification Concept), otherwise the content is NULL.","concept","cdm"
-"353","concept_code","Yes","VARCHAR(50)","The concept code represents the identifier of the Concept in the source vocabulary, such as SNOMED-CT concept IDs, RxNorm RXCUIs etc. Note that concept codes are not unique across vocabularies.","concept","cdm"
-"354","valid_start_date","Yes","DATE","The date when the Concept was first recorded. The default value is 1-Jan-1970, meaning, the Concept has no (known) date of inception.","concept","cdm"
-"355","valid_end_date","Yes","DATE","The date when the Concept became invalid because it was deleted or superseded (updated) by a new concept. The default value is 31-Dec-2099, meaning, the Concept is valid until it becomes deprecated.","concept","cdm"
-"356","invalid_reason","No","VARCHAR(1)","Reason the Concept was invalidated. Possible values are D (deleted), U (replaced with an update) or NULL when valid_end_date has the default value.","concept","cdm"
-"357","ancestor_concept_id","Yes","INTEGER","A foreign key to the concept in the concept table for the higher-level concept that forms the ancestor in the relationship.","concept_ancestor","cdm"
-"358","descendant_concept_id","Yes","INTEGER","A foreign key to the concept in the concept table for the lower-level concept that forms the descendant in the relationship.","concept_ancestor","cdm"
-"359","min_levels_of_separation","Yes","INTEGER","The minimum separation in number of levels of hierarchy between ancestor and descendant concepts. This is an attribute that is used to simplify hierarchic analysis.","concept_ancestor","cdm"
-"360","max_levels_of_separation","Yes","INTEGER","The maximum separation in number of levels of hierarchy between ancestor and descendant concepts. This is an attribute that is used to simplify hierarchic analysis.","concept_ancestor","cdm"
-"361","concept_class_id","Yes","VARCHAR(20)","A unique key for each class.","concept_class","cdm"
-"362","concept_class_name","Yes","VARCHAR(255)","The name describing the Concept Class, e.g. ""Clinical Finding"", ""Ingredient"", etc.","concept_class","cdm"
-"363","concept_class_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the [CONCEPT](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT) table for the unique Concept Class the record belongs to.","concept_class","cdm"
-"364","concept_id_1","Yes","INTEGER","A foreign key to a Concept in the [CONCEPT](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT) table associated with the relationship. Relationships are directional, and this field represents the source concept designation.","concept_relationship","cdm"
-"365","concept_id_2","Yes","INTEGER","A foreign key to a Concept in the [CONCEPT](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT) table associated with the relationship. Relationships are directional, and this field represents the destination concept designation.","concept_relationship","cdm"
-"366","relationship_id","Yes","VARCHAR(20)","A unique identifier to the type or nature of the Relationship as defined in the [RELATIONSHIP](https://github.com/OHDSI/CommonDataModel/wiki/RELATIONSHIP) table.","concept_relationship","cdm"
-"367","valid_start_date","Yes","DATE","The date when the instance of the Concept Relationship is first recorded.","concept_relationship","cdm"
-"368","valid_end_date","Yes","DATE","The date when the Concept Relationship became invalid because it was deleted or superseded (updated) by a new relationship. Default value is 31-Dec-2099.","concept_relationship","cdm"
-"369","invalid_reason","No","VARCHAR(1)","Reason the relationship was invalidated. Possible values are 'D' (deleted), 'U' (replaced with an update) or NULL when valid_end_date has the default value.","concept_relationship","cdm"
-"370","concept_id","Yes","INTEGER","A foreign key to the Concept in the CONCEPT table.","concept_synonym","cdm"
-"371","concept_synonym_name","Yes","VARCHAR(1000)","The alternative name for the Concept.","concept_synonym","cdm"
-"372","language_concept_id","Yes","INTEGER","A foreign key to a Concept representing the language.","concept_synonym","cdm"
-"373","domain_id","Yes","VARCHAR(20)","A unique key for each domain.","domain","cdm"
-"374","domain_name","Yes","VARCHAR(255)","The name describing the Domain, e.g. ""Condition"", ""Procedure"", ""Measurement"" etc.","domain","cdm"
-"375","domain_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the [CONCEPT](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT) table for the unique Domain Concept the Domain record belongs to.","domain","cdm"
-"376","drug_concept_id","Yes","INTEGER","A foreign key to the Concept in the CONCEPT table representing the identifier for Branded Drug or Clinical Drug Concept.","drug_strength","cdm"
-"377","ingredient_concept_id","Yes","INTEGER","A foreign key to the Concept in the CONCEPT table, representing the identifier for drug Ingredient Concept contained within the drug product.","drug_strength","cdm"
-"378","amount_value","No","FLOAT","The numeric value associated with the amount of active ingredient contained within the product.","drug_strength","cdm"
-"379","amount_unit_concept_id","No","INTEGER","A foreign key to the Concept in the CONCEPT table representing the identifier for the Unit for the absolute amount of active ingredient.","drug_strength","cdm"
-"380","numerator_value","No","FLOAT","The numeric value associated with the concentration of the active ingredient contained in the product","drug_strength","cdm"
-"381","numerator_unit_concept_id","No","INTEGER","A foreign key to the Concept in the CONCEPT table representing the identifier for the numerator Unit for the concentration of active ingredient.","drug_strength","cdm"
-"382","denominator_value","No","FLOAT","The amount of total liquid (or other divisible product, such as ointment, gel, spray, etc.).","drug_strength","cdm"
-"383","denominator_unit_concept_id","No","INTEGER","A foreign key to the Concept in the CONCEPT table representing the identifier for the denominator Unit for the concentration of active ingredient.","drug_strength","cdm"
-"384","box_size","No","INTEGER","The number of units of Clinical of Branded Drug, or Quantified Clinical or Branded Drug contained in a box as dispensed to the patient","drug_strength","cdm"
-"385","valid_start_date","Yes","DATE","The date when the Concept was first recorded. The default value is 1-Jan-1970.","drug_strength","cdm"
-"386","valid_end_date","Yes","DATE","The date when the concept became invalid because it was deleted or superseded (updated) by a new Concept. The default value is 31-Dec-2099.","drug_strength","cdm"
-"387","invalid_reason","No","VARCHAR(1)","Reason the concept was invalidated. Possible values are 'D' (deleted), 'U' (replaced with an update) or NULL when valid_end_date has the default value.","drug_strength","cdm"
-"388","relationship_id","Yes","VARCHAR(20)","The type of relationship captured by the relationship record.","relationship","cdm"
-"389","relationship_name","Yes","VARCHAR(255)","The text that describes the relationship type.","relationship","cdm"
-"390","is_hierarchical","Yes","VARCHAR(1)","Defines whether a relationship defines concepts into classes or hierarchies. Values are 1 for hierarchical relationship or 0 if not.","relationship","cdm"
-"391","defines_ancestry","Yes","VARCHAR(1)","Defines whether a hierarchical relationship contributes to the concept_ancestor table. These are subsets of the hierarchical relationships. Valid values are 1 or 0.","relationship","cdm"
-"392","reverse_relationship_id","Yes","VARCHAR(20)","The identifier for the relationship used to define the reverse relationship between two concepts.","relationship","cdm"
-"393","relationship_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the CONCEPT table for the unique relationship concept.","relationship","cdm"
-"394","source_code","Yes","VARCHAR(50)","The source code being translated into a Standard Concept.","source_to_concept_map","cdm"
-"395","source_concept_id","Yes","INTEGER","A foreign key to the Source Concept that is being translated into a Standard Concept.","source_to_concept_map","cdm"
-"396","source_vocabulary_id","Yes","VARCHAR(20)","A foreign key to the VOCABULARY table defining the vocabulary of the source code that is being translated to a Standard Concept.","source_to_concept_map","cdm"
-"397","source_code_description","No","VARCHAR(255)","An optional description for the source code. This is included as a convenience to compare the description of the source code to the name of the concept.","source_to_concept_map","cdm"
-"398","target_concept_id","Yes","INTEGER","A foreign key to the target Concept to which the source code is being mapped.","source_to_concept_map","cdm"
-"399","target_vocabulary_id","Yes","VARCHAR(20)","A foreign key to the VOCABULARY table defining the vocabulary of the target Concept.","source_to_concept_map","cdm"
-"400","valid_start_date","Yes","DATE","The date when the mapping instance was first recorded.","source_to_concept_map","cdm"
-"401","valid_end_date","Yes","DATE","The date when the mapping instance became invalid because it was deleted or superseded (updated) by a new relationship. Default value is 31-Dec-2099.","source_to_concept_map","cdm"
-"402","invalid_reason","No","VARCHAR(1)","Reason the mapping instance was invalidated. Possible values are D (deleted), U (replaced with an update) or NULL when valid_end_date has the default value.","source_to_concept_map","cdm"
-"403","vocabulary_id","Yes","VARCHAR(20)","A unique identifier for each Vocabulary, such as ICD9CM, SNOMED, Visit.","vocabulary","cdm"
-"404","vocabulary_name","Yes","VARCHAR(255)","The name describing the vocabulary, for example ""International Classification of Diseases, Ninth Revision, Clinical Modification, Volume 1 and 2 (NCHS)"" etc.","vocabulary","cdm"
-"405","vocabulary_reference","Yes","VARCHAR(255)","External reference to documentation or available download of the about the vocabulary.","vocabulary","cdm"
-"406","vocabulary_version","No","VARCHAR(255)","Version of the Vocabulary as indicated in the source.","vocabulary","cdm"
-"407","vocabulary_concept_id","Yes","INTEGER","A foreign key that refers to a standard concept identifier in the CONCEPT table for the Vocabulary the VOCABULARY record belongs to.","vocabulary","cdm"
diff --git a/OMOP_CDM_v5_3_1.pdf b/OMOP_CDM_v5_3_1.pdf
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-trailer
-<< /Size 894
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diff --git a/OMOP_CDM_v6_0.csv b/OMOP_CDM_v6_0.csv
new file mode 100644
index 0000000..5b1cd27
--- /dev/null
+++ b/OMOP_CDM_v6_0.csv
@@ -0,0 +1,428 @@
+"field","required","type","description","table"
+"cohort_definition_id","Yes","INTEGER","A foreign key to a record in the COHORT_DEFINITION table containing relevant Cohort Definition information.","cohort"
+"subject_id","Yes","INTEGER","A foreign key to the subject in the cohort. These could be referring to records in the PERSON, PROVIDER, VISIT_OCCURRENCE table.","cohort"
+"cohort_start_date","Yes","DATE","The date when the Cohort Definition criteria for the Person, Provider or Visit first match.","cohort"
+"cohort_end_date","Yes","DATE","The date when the Cohort Definition criteria for the Person, Provider or Visit no longer match or the Cohort membership was terminated.","cohort"
+"cohort_definition_id","Yes","INTEGER","A unique identifier for each Cohort.","cohort_definition"
+"cohort_definition_name","Yes","VARCHAR(255)","A short description of the Cohort.","cohort_definition"
+"cohort_definition_description","No","VARCHAR(MAX)","A complete description of the Cohort definition","cohort_definition"
+"definition_type_concept_id","Yes","INTEGER","Type defining what kind of Cohort Definition the record represents and how the syntax may be executed","cohort_definition"
+"cohort_definition_syntax","No","VARCHAR(MAX)","Syntax or code to operationalize the Cohort definition","cohort_definition"
+"subject_concept_id","Yes","INTEGER","A foreign key to the Concept to which defines the domain of subjects that are members of the cohort (e.g., Person, Provider, Visit).","cohort_definition"
+"cohort_initiation_date","No","DATE","A date to indicate when the Cohort was initiated in the COHORT table","cohort_definition"
+"condition_occurrence_id","Yes","BIGINT","A unique identifier for each Condition Occurrence event.","condition_occurrence"
+"person_id","Yes","BIGINT","A foreign key identifier to the Person who is experiencing the condition. The demographic details of that Person are stored in the PERSON table.","condition_occurrence"
+"condition_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies belonging to the 'Condition' domain.","condition_occurrence"
+"condition_start_date","No","DATE","The date when the instance of the Condition is recorded.","condition_occurrence"
+"condition_start_datetime","Yes","DATETIME","The date and time when the instance of the Condition is recorded.","condition_occurrence"
+"condition_end_date","No","DATE","The date when the instance of the Condition is considered to have ended.","condition_occurrence"
+"condition_end_datetime","No","DATETIME","The date when the instance of the Condition is considered to have ended.","condition_occurrence"
+"condition_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the source data from which the Condition was recorded, the level of standardization, and the type of occurrence. These belong to the 'Condition Type' vocabulary","condition_occurrence"
+"condition_status_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies reflecting the point of care at which the Condition was diagnosed.","condition_occurrence"
+"stop_reason","No","VARCHAR(20)","The reason that the Condition was no longer present, as indicated in the source data.","condition_occurrence"
+"provider_id","No","INTEGER","A foreign key to the Provider in the PROVIDER table who was responsible for capturing (diagnosing) the Condition.","condition_occurrence"
+"visit_occurrence_id","No","INTEGER","A foreign key to the visit in the VISIT_OCCURRENCE table during which the Condition was determined (diagnosed).","condition_occurrence"
+"visit_detail_id","No","INTEGER","A foreign key to the visit in the VISIT_DETAIL table during which the Condition was determined (diagnosed).","condition_occurrence"
+"condition_source_value","No","VARCHAR(50)","The source code for the Condition as it appears in the source data. This code is mapped to a Standard Condition Concept in the Standardized Vocabularies and the original code is stored here for reference.","condition_occurrence"
+"condition_source_concept_id","Yes","INTEGER","A foreign key to a Condition Concept that refers to the code used in the source.","condition_occurrence"
+"condition_status_source_value","No","VARCHAR(50)","The source code for the condition status as it appears in the source data.  This code is mapped to a Standard Concept in the Standardized Vocabularies and the original code is stored here for reference.","condition_occurrence"
+"device_exposure_id","Yes","BIGINT","A system-generated unique identifier for each Device Exposure.","device_exposure"
+"person_id","Yes","BIGINT","A foreign key identifier to the Person who is subjected to the Device. The demographic details of that Person are stored in the PERSON table.","device_exposure"
+"device_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies belonging to the 'Device' domain.","device_exposure"
+"device_exposure_start_date","No","DATE","The date the Device or supply was applied or used.","device_exposure"
+"device_exposure_start_datetime","Yes","DATETIME","The date and time the Device or supply was applied or used.","device_exposure"
+"device_exposure_end_date","No","DATE","The date use of the Device or supply was ceased.","device_exposure"
+"device_exposure_end_datetime","No","DATETIME","The date and time use of the Device or supply was ceased.","device_exposure"
+"device_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of Device Exposure recorded. It indicates how the Device Exposure was represented in the source data and belongs to the 'Device Type' domain.","device_exposure"
+"unique_device_id","No","VARCHAR(50)","A UDI or equivalent identifying the instance of the Device used in the Person.","device_exposure"
+"quantity","No","INTEGER","The number of individual Devices used in the exposure.","device_exposure"
+"provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who initiated or administered the Device.","device_exposure"
+"visit_occurrence_id","No","INTEGER","A foreign key to the visit in the VISIT_OCCURRENCE table during which the Device was used.","device_exposure"
+"visit_detail_id","No","INTEGER","A foreign key to the visit detail record in the VISIT_DETAIL table during which the Device was used.","device_exposure"
+"device_source_value","No","VARCHAR(50)","The source code for the Device as it appears in the source data. This code is mapped to a Standard Device Concept in the Standardized Vocabularies and the original code is stored here for reference.","device_exposure"
+"device_source_concept_id","Yes","INTEGER","A foreign key to a Device Concept that refers to the code used in the source.","device_exposure"
+"drug_exposure_id","Yes","BIGINT","A system-generated unique identifier for each Drug utilization event.","drug_exposure"
+"person_id","Yes","BIGINT","A foreign key identifier to the Person who is subjected to the Drug. The demographic details of that Person are stored in the PERSON table.","drug_exposure"
+"drug_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies belonging to the 'Drug' domain.","drug_exposure"
+"drug_exposure_start_date","No","DATE","The start date for the current instance of Drug utilization. Valid entries include a start date of a prescription, the date a prescription was filled, or the date on which a Drug administration procedure was recorded.","drug_exposure"
+"drug_exposure_start_datetime","Yes","DATETIME","The start date and time for the current instance of Drug utilization. Valid entries include a start datetime of a prescription, the date and time a prescription was filled, or the date and time on which a Drug administration procedure was recorded.","drug_exposure"
+"drug_exposure_end_date","No","DATE","The end date for the current instance of Drug utilization. Depending on different sources, it could be a known or an inferred date and denotes the last day at which the patient was still exposed to Drug.","drug_exposure"
+"drug_exposure_end_datetime","No","DATETIME","The end date and time for the current instance of Drug utilization. Depending on different sources, it could be a known or an inferred date and time and denotes the last day at which the patient was still exposed to Drug.","drug_exposure"
+"verbatim_end_date","No","DATE","The known end date of a drug_exposure as provided by the source.","drug_exposure"
+"drug_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of Drug Exposure recorded. It indicates how the Drug Exposure was represented in the source data and belongs to the 'Drug Type' vocabulary.","drug_exposure"
+"stop_reason","No","VARCHAR(20)","The reason the Drug was stopped. Reasons include regimen completed, changed, removed, etc.","drug_exposure"
+"refills","No","INTEGER","The number of refills after the initial prescription. The initial prescription is not counted, values start with null.","drug_exposure"
+"quantity","No","FLOAT","The quantity of drug as recorded in the original prescription or dispensing record.","drug_exposure"
+"days_supply","No","INTEGER","The number of days of supply of the medication as prescribed. This reflects the intention of the provider for the length of exposure.","drug_exposure"
+"sig","No","VARCHAR(MAX)","The directions ('signetur') on the Drug prescription as recorded in the original prescription (and printed on the container) or dispensing record.","drug_exposure"
+"route_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies reflecting the route of administration and belonging to the 'Route' domain.","drug_exposure"
+"lot_number","No","VARCHAR(50)","An identifier assigned to a particular quantity or lot of Drug product from the manufacturer.","drug_exposure"
+"provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who initiated (prescribed or administered) the Drug Exposure.","drug_exposure"
+"visit_occurrence_id","No","INTEGER","A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Drug Exposure was initiated.","drug_exposure"
+"visit_detail_id","No","INTEGER","A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Drug Exposure was initiated.","drug_exposure"
+"drug_source_value","No","VARCHAR(50)","The source code for the Drug as it appears in the source data. This code is mapped to a Standard Drug concept in the Standardized Vocabularies and the original code is, stored here for reference.","drug_exposure"
+"drug_source_concept_id","Yes","INTEGER","A foreign key to a Drug Concept that refers to the code used in the source.","drug_exposure"
+"route_source_value","No","VARCHAR(50)","The information about the route of administration as detailed in the source.","drug_exposure"
+"dose_unit_source_value","No","VARCHAR(50)","The information about the dose unit as detailed in the source.","drug_exposure"
+"domain_concept_id_1","Yes","INTEGER","The concept representing the domain of fact one, from which the corresponding table can be inferred.","fact_relationship"
+"fact_id_1","Yes","INTEGER","The unique identifier in the table corresponding to the domain of fact one.","fact_relationship"
+"domain_concept_id_2","Yes","INTEGER","The concept representing the domain of fact two, from which the corresponding table can be inferred.","fact_relationship"
+"fact_id_2","Yes","INTEGER","The unique identifier in the table corresponding to the domain of fact two.","fact_relationship"
+"relationship_concept_id","Yes","INTEGER","A foreign key to a Standard Concept ID of relationship in the Standardized Vocabularies.","fact_relationship"
+"measurement_id","Yes","INTEGER","A unique identifier for each Measurement.","measurement"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person about whom the measurement was recorded. The demographic details of that Person are stored in the PERSON table.","measurement"
+"measurement_concept_id","Yes","INTEGER","A foreign key to the standard measurement concept identifier in the Standardized Vocabularies. These belong to the 'Measurement' domain, but could overlap with the 'Observation' domain (see #3 below).","measurement"
+"measurement_date","No","DATE","The date of the Measurement.","measurement"
+"measurement_datetime","Yes","DATETIME","The date and time of the Measurement. Some database systems don't have a datatype of time. To accommodate all temporal analyses, datatype datetime can be used (combining measurement_date and measurement_time [forum discussion](http://forums.ohdsi.org/t/date-time-and-datetime-problem-and-the-world-of-hours-and-1day/314))","measurement"
+"measurement_time","No","VARCHAR(10)","The time of the Measurement. This is present for backwards compatibility and will be deprecated in an upcoming version","measurement"
+"measurement_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the provenance from where the Measurement record was recorded. These belong to the 'Meas Type' vocabulary","measurement"
+"operator_concept_id","No","INTEGER","A foreign key identifier to the predefined Concept in the Standardized Vocabularies reflecting the mathematical operator that is applied to the value_as_number. Operators are <, <=, =, >=, > and these concepts belong to the 'Meas Value Operator' domain.","measurement"
+"value_as_number","No","FLOAT","A Measurement result where the result is expressed as a numeric value.","measurement"
+"value_as_concept_id","No","INTEGER","A foreign key to a Measurement result represented as a Concept from the Standardized Vocabularies (e.g., positive/negative, present/absent, low/high, etc.). These belong to the 'Meas Value' domain","measurement"
+"unit_concept_id","No","INTEGER","A foreign key to a Standard Concept ID of Measurement Units in the Standardized Vocabularies that belong to the 'Unit' domain.","measurement"
+"range_low","No","FLOAT","The lower limit of the normal range of the Measurement result. The lower range is assumed to be of the same unit of measure as the Measurement value.","measurement"
+"range_high","No","FLOAT","The upper limit of the normal range of the Measurement. The upper range is assumed to be of the same unit of measure as the Measurement value.","measurement"
+"provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who was responsible for initiating or obtaining the measurement.","measurement"
+"visit_occurrence_id","No","INTEGER","A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Measurement was recorded.","measurement"
+"visit_detail_id","No","INTEGER","A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Measurement was recorded.","measurement"
+"measurement_source_value","No","VARCHAR(50)","The Measurement name as it appears in the source data. This code is mapped to a Standard Concept in the Standardized Vocabularies and the original code is stored here for reference.","measurement"
+"measurement_source_concept_id","Yes","INTEGER","A foreign key to a Concept in the Standard Vocabularies that refers to the code used in the source.","measurement"
+"unit_source_value","No","VARCHAR(50)","The source code for the unit as it appears in the source data. This code is mapped to a standard unit concept in the Standardized Vocabularies and the original code is stored here for reference.","measurement"
+"value_source_value","No","VARCHAR(50)","The source value associated with the content of the value_as_number or value_as_concept_id as stored in the source data.","measurement"
+"note_id","Yes","INTEGER","A unique identifier for each note.","note"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person about whom the Note was recorded. The demographic details of that Person are stored in the PERSON table.","note"
+"note_event_id","No","INTEGER","A foreign key identifier to the event (e.g. Measurement, Procedure, Visit, Drug Exposure, etc) record during which the note was recorded.","note"
+"note_event_field_concept_id","No","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the field to which the note_event_id is referring.","note"
+"note_date","No","DATE","The date the note was recorded.","note"
+"note_datetime","Yes","DATETIME","The date and time the note was recorded.","note"
+"note_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the type, origin or provenance of the Note. These belong to the 'Note Type' vocabulary","note"
+"note_class_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the HL7 LOINC Document Type Vocabulary classification of the note.","note"
+"note_title","No","VARCHAR(250)","The title of the Note as it appears in the source.","note"
+"note_text","Yes","VARCHAR(MAX)","The content of the Note.","note"
+"encoding_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the note character encoding type","note"
+"language_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the language of the note","note"
+"provider_id","No","INTEGER","A foreign key to the Provider in the PROVIDER table who took the Note.","note"
+"visit_occurrence_id","No","INTEGER","A foreign key to the Visit in the VISIT_OCCURRENCE table when the Note was taken.","note"
+"visit_detail_id","No","INTEGER","A foreign key to the Visit in the VISIT_DETAIL table when the Note was taken.","note"
+"note_source_value","No","VARCHAR(50)","The source value associated with the origin of the Note","note"
+"note_nlp_id","Yes","INTEGER","A unique identifier for each term extracted from a note.","note_nlp"
+"note_id","Yes","INTEGER","A foreign key to the Note table note the term was","note_nlp"
+"section_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies representing the section of the extracted term.","note_nlp"
+"snippet","No","VARCHAR(250)","A small window of text surrounding the term.","note_nlp"
+"offset","No","VARCHAR(50)","Character offset of the extracted term in the input note.","note_nlp"
+"lexical_variant","Yes","VARCHAR(250)","Raw text extracted from the NLP tool.","note_nlp"
+"note_nlp_concept_id","Yes","INTEGER","A foreign key to the predefined Concept in the Standardized Vocabularies reflecting the normalized concept for the extracted term. Domain of the term is represented as part of the Concept table.","note_nlp"
+"note_nlp_source_concept_id","Yes","INTEGER","A foreign key to a Concept that refers to the code in the source vocabulary used by the NLP system","note_nlp"
+"nlp_system","No","VARCHAR(250)","Name and version of the NLP system that extracted the term.Useful for data provenance.","note_nlp"
+"nlp_date","Yes","DATE","The date of the note processing.Useful for data provenance.","note_nlp"
+"nlp_datetime","No","DATETIME","The date and time of the note processing. Useful for data provenance.","note_nlp"
+"term_exists","No","VARCHAR(1)","A summary modifier that signifies presence or absence of the term for a given patient. Useful for quick querying.","note_nlp"
+"term_temporal","No","VARCHAR(50)","An optional time modifier associated with the extracted term. (for now “past� or “present� only). Standardize it later.","note_nlp"
+"term_modifiers","No","VARCHAR(2000)","A compact description of all the modifiers of the specific term extracted by the NLP system. (e.g. “son has rash� ? “negated=no,subject=family, certainty=undef,conditional=false,general=false�).","note_nlp"
+"observation_id","Yes","INTEGER","A unique identifier for each observation.","observation"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person about whom the observation was recorded. The demographic details of that Person are stored in the PERSON table.","observation"
+"observation_concept_id","Yes","INTEGER","A foreign key to the standard observation concept identifier in the Standardized Vocabularies.","observation"
+"observation_date","No","DATE","The date of the observation.","observation"
+"observation_datetime","Yes","DATETIME","The date and time of the observation.","observation"
+"observation_type_concept_id","Yes","INTEGER","A foreign key to the predefined concept identifier in the Standardized Vocabularies reflecting the type of the observation.","observation"
+"value_as_number","No","FLOAT","The observation result stored as a number. This is applicable to observations where the result is expressed as a numeric value.","observation"
+"value_as_string","No","VARCHAR(60)","The observation result stored as a string. This is applicable to observations where the result is expressed as verbatim text.","observation"
+"value_as_concept_id","No","INTEGER","A foreign key to an observation result stored as a Concept ID. This is applicable to observations where the result can be expressed as a Standard Concept from the Standardized Vocabularies (e.g., positive/negative, present/absent, low/high, etc.).","observation"
+"qualifier_concept_id","No","INTEGER","A foreign key to a Standard Concept ID for a qualifier (e.g., severity of drug-drug interaction alert)","observation"
+"unit_concept_id","No","INTEGER","A foreign key to a Standard Concept ID of measurement units in the Standardized Vocabularies.","observation"
+"provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who was responsible for making the observation.","observation"
+"visit_occurrence_id","No","INTEGER","A foreign key to the visit in the VISIT_OCCURRENCE table during which the observation was recorded.","observation"
+"visit_detail_id","No","INTEGER","A foreign key to the visit in the VISIT_DETAIL table during which the observation was recorded.","observation"
+"observation_source_value","No","VARCHAR(50)","The observation code as it appears in the source data. This code is mapped to a Standard Concept in the Standardized Vocabularies and the original code is, stored here for reference.","observation"
+"observation_source_concept_id","Yes","INTEGER","A foreign key to a Concept that refers to the code used in the source.","observation"
+"unit_source_value","No","VARCHAR(50)","The source code for the unit as it appears in the source data. This code is mapped to a standard unit concept in the Standardized Vocabularies and the original code is, stored here for reference.","observation"
+"qualifier_source_value","No","VARCHAR(50)","The source value associated with a qualifier to characterize the observation","observation"
+"observation_event_id","No","INTEGER","A foreign key to an event table (e.g., PROCEDURE_OCCURRENCE_ID).","observation"
+"obs_event_field_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies referring to the field represented in the OBSERVATION_EVENT_ID.","observation"
+"value_as_datetime","No","INTEGER","The observation result stored as a datetime value. This is applicable to observations where the result is expressed as a point in time.","observation"
+"observation_period_id","Yes","INTEGER","A unique identifier for each observation period.","observation_period"
+"person_id","Yes","INTEGER","A foreign key identifier to the person for whom the observation period is defined. The demographic details of that person are stored in the person table.","observation_period"
+"observation_period_start_date","Yes","DATE","The start date of the observation period for which data are available from the data source.","observation_period"
+"observation_period_end_date","Yes","DATE","The end date of the observation period for which data are available from the data source.","observation_period"
+"period_type_concept_id","Yes","INTEGER","A foreign key identifier to the predefined concept in the Standardized Vocabularies reflecting the source of the observation period information, belonging to the 'Obs Period Type' vocabulary","observation_period"
+"person_id","Yes","INTEGER","A unique identifier for each person.","person"
+"gender_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the CONCEPT table for the unique gender of the person.","person"
+"year_of_birth","Yes","INTEGER","The year of birth of the person. For data sources with date of birth, the year is extracted. For data sources where the year of birth is not available, the approximate year of birth is derived based on any age group categorization available.","person"
+"month_of_birth","No","INTEGER","The month of birth of the person. For data sources that provide the precise date of birth, the month is extracted and stored in this field.","person"
+"day_of_birth","No","INTEGER","The day of the month of birth of the person. For data sources that provide the precise date of birth, the day is extracted and stored in this field.","person"
+"birth_datetime","No","DATETIME","The date and time of birth of the person.","person"
+"death_datetime","No","DATETIME","The date and time of death of the person.","person"
+"race_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the CONCEPT table for the unique race of the person, belonging to the 'Race' vocabulary.","person"
+"ethnicity_concept_id","Yes","INTEGER","A foreign key that refers to the standard concept identifier in the Standardized Vocabularies for the ethnicity of the person, belonging to the 'Ethnicity' vocabulary.","person"
+"location_id","No","INTEGER","A foreign key to the place of residency for the person in the location table, where the detailed address information is stored.","person"
+"provider_id","No","INTEGER","A foreign key to the primary care provider the person is seeing in the provider table.","person"
+"care_site_id","No","INTEGER","A foreign key to the site of primary care in the care_site table, where the details of the care site are stored.","person"
+"person_source_value","No","VARCHAR(50)","An (encrypted) key derived from the person identifier in the source data. This is necessary when a use case requires a link back to the person data at the source dataset.","person"
+"gender_source_value","No","VARCHAR(50)","The source code for the gender of the person as it appears in the source data. The person’s gender is mapped to a standard gender concept in the Standardized Vocabularies; the original value is stored here for reference.","person"
+"gender_source_concept_id","Yes","INTEGER","A foreign key to the gender concept that refers to the code used in the source.","person"
+"race_source_value","No","VARCHAR(50)","The source code for the race of the person as it appears in the source data. The person race is mapped to a standard race concept in the Standardized Vocabularies and the original value is stored here for reference.","person"
+"race_source_concept_id","Yes","INTEGER","A foreign key to the race concept that refers to the code used in the source.","person"
+"ethnicity_source_value","No","VARCHAR(50)","The source code for the ethnicity of the person as it appears in the source data. The person ethnicity is mapped to a standard ethnicity concept in the Standardized Vocabularies and the original code is, stored here for reference.","person"
+"ethnicity_source_concept_id","Yes","INTEGER","A foreign key to the ethnicity concept that refers to the code used in the source.","person"
+"procedure_occurrence_id","Yes","INTEGER","A system-generated unique identifier for each Procedure Occurrence.","procedure_occurrence"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person who is subjected to the Procedure. The demographic details of that Person are stored in the PERSON table.","procedure_occurrence"
+"procedure_concept_id","Yes","INTEGER","A foreign key that refers to a standard procedure Concept identifier in the Standardized Vocabularies.","procedure_occurrence"
+"procedure_date","No","DATE","The date on which the Procedure was performed.","procedure_occurrence"
+"procedure_datetime","Yes","DATETIME","The date and time on which the Procedure was performed.","procedure_occurrence"
+"procedure_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the procedure record is derived, belonging to the 'Procedure Type' vocabulary.","procedure_occurrence"
+"modifier_concept_id","Yes","INTEGER","A foreign key to a Standard Concept identifier for a modifier to the Procedure (e.g. bilateral). These concepts are typically distinguished by 'Modifier' concept classes (e.g., 'CPT4 Modifier' as part of the 'CPT4' vocabulary).","procedure_occurrence"
+"quantity","No","INTEGER","The quantity of procedures ordered or administered.","procedure_occurrence"
+"provider_id","No","INTEGER","A foreign key to the provider in the PROVIDER table who was responsible for carrying out the procedure.","procedure_occurrence"
+"visit_occurrence_id","No","INTEGER","A foreign key to the Visit in the VISIT_OCCURRENCE table during which the Procedure was carried out.","procedure_occurrence"
+"visit_detail_id","No","INTEGER","A foreign key to the Visit Detail in the VISIT_DETAIL table during which the Procedure was carried out.","procedure_occurrence"
+"procedure_source_value","No","VARCHAR(50)","The source code for the Procedure as it appears in the source data. This code is mapped to a standard procedure Concept in the Standardized Vocabularies and the original code is, stored here for reference. Procedure source codes are typically ICD-9-Proc, CPT-4, HCPCS or OPCS-4 codes.","procedure_occurrence"
+"procedure_source_concept_id","Yes","INTEGER","A foreign key to a Procedure Concept that refers to the code used in the source.","procedure_occurrence"
+"modifier_source_value","No","VARCHAR(50)","The source code for the qualifier as it appears in the source data.","procedure_occurrence"
+"specimen_id","Yes","INTEGER","A unique identifier for each specimen.","specimen"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person for whom the Specimen is recorded.","specimen"
+"specimen_concept_id","Yes","INTEGER","A foreign key referring to a Standard Concept identifier in the Standardized Vocabularies for the Specimen.","specimen"
+"specimen_type_concept_id","Yes","INTEGER","A foreign key referring to the Concept identifier in the Standardized Vocabularies reflecting the system of record from which the Specimen was represented in the source data.","specimen"
+"specimen_date","No","DATE","The date the specimen was obtained from the Person.","specimen"
+"specimen_datetime","Yes","DATETIME","The date and time on the date when the Specimen was obtained from the person.","specimen"
+"quantity","No","FLOAT","The amount of specimen collection from the person during the sampling procedure.","specimen"
+"unit_concept_id","No","INTEGER","A foreign key to a Standard Concept identifier for the Unit associated with the numeric quantity of the Specimen collection.","specimen"
+"anatomic_site_concept_id","Yes","INTEGER","A foreign key to a Standard Concept identifier for the anatomic location of specimen collection.","specimen"
+"disease_status_concept_id","Yes","INTEGER","A foreign key to a Standard Concept identifier for the Disease Status of specimen collection.","specimen"
+"specimen_source_id","No","VARCHAR(50)","The Specimen identifier as it appears in the source data.","specimen"
+"specimen_source_value","No","VARCHAR(50)","The Specimen value as it appears in the source data. This value is mapped to a Standard Concept in the Standardized Vocabularies and the original code is, stored here for reference.","specimen"
+"unit_source_value","No","VARCHAR(50)","The information about the Unit as detailed in the source.","specimen"
+"anatomic_site_source_value","No","VARCHAR(50)","The information about the anatomic site as detailed in the source.","specimen"
+"disease_status_source_value","No","VARCHAR(50)","The information about the disease status as detailed in the source.","specimen"
+"survey_conduct_id","Yes","INTEGER","Unique identifier for each completed survey.","survey_conduct"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person in the PERSON table about whom the survey was completed.","survey_conduct"
+"survey_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the name and identity of the survey.","survey_conduct"
+"survey_start_date","No","DATE","Date on which the survey was started.","survey_conduct"
+"survey_start_datetime","No","DATETIME","Date and time the survey was started.","survey_conduct"
+"survey_end_date","Yes","DATE","Date on which the survey was completed.","survey_conduct"
+"survey_end_datetime","No","DATETIME","Date and time the survey was completed.","survey_conduct"
+"provider_id","NoÂ","INTEGERÂ","A foreign key to the provider in the provider table who was associated with the survey completion.","survey_conduct"
+"assisted_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies indicating whether the survey was completed with assistance.","survey_conduct"
+"respondent_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the respondent type. Example: Research Associate, Patient.","survey_conduct"
+"timing_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies that refers to a certain timing. Example: 3 month follow-up, 6 month follow-up.","survey_conduct"
+"collection_method_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the data collection method (e.g. Paper, Telephone, Electronic Questionnaire).","survey_conduct"
+"assisted_source_value","No","VARCHAR(50)","Source value representing whether patient required assistance to complete the survey. Example: “Completed without assistance�, �Completed with assistance�.","survey_conduct"
+"respondent_type_source_value","No","VARCHAR(100)","Source code representing role of person who completed the survey.","survey_conduct"
+"timing_source_value","No","VARCHAR(100)","Text string representing the timing of the survey. Example: Baseline, 6-month follow-up.","survey_conduct"
+"collection_method_source_value","No","VARCHAR(100)","The collection method as it appears in the source data.","survey_conduct"
+"survey_source_value","No","VARCHAR(100)","The survey name/title as it appears in the source data.","survey_conduct"
+"survey_source_concept_id","Yes","INTEGER","A foreign key to a predefined Concept that refers to the code for the survey name/title used in the source.","survey_conduct"
+"survey_source_identifier","No","VARCHAR(100)","Unique identifier for each completed survey in source system.","survey_conduct"
+"validated_survey_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the validation status of the survey.","survey_conduct"
+"validated_survey_source_value","No","INTEGER","Source value representing the validation status of the survey.","survey_conduct"
+"survey_version_number","No","VARCHAR(20)","Version number of the questionnaire or survey used.","survey_conduct"
+"visit_occurrence_id","No","INTEGER","A foreign key to the VISIT_OCCURRENCE table during which the survey was completed","survey_conduct"
+"response_visit_occurrence_id","No","INTEGERÂ","A foreign key to the visit in the VISIT_OCCURRENCE table during which treatment was carried out that relates to this survey.","survey_conduct"
+"visit_detail_id","Yes","INTEGER","A unique identifier for each Person's visit or encounter at a healthcare provider.","visit_detail"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person for whom the visit is recorded. The demographic details of that Person are stored in the PERSON table.","visit_detail"
+"visit_detail_concept_id","Yes","INTEGER","A foreign key that refers to a visit Concept identifier in the Standardized Vocabularies belonging to the 'Visit' Vocabulary.","visit_detail"
+"visit_detail_start_date","No","DATE","The start date of the visit.","visit_detail"
+"visit_detail_start_datetime","Yes","DATETIME","The date and time of the visit started.","visit_detail"
+"visit_detail_end_date","No","DATE","The end date of the visit. If this is a one-day visit the end date should match the start date.","visit_detail"
+"visit_detail_end_datetime","Yes","DATETIME","The date and time of the visit end.","visit_detail"
+"visit_detail_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the visit record is derived belonging to the 'Visit Type' vocabulary.","visit_detail"
+"provider_id","No","INTEGER","A foreign key to the provider in the provider table who was associated with the visit.","visit_detail"
+"care_site_id","No","INTEGER","A foreign key to the care site in the care site table that was visited.","visit_detail"
+"visit_detail_source_value","No","STRING(50)","The source code for the visit as it appears in the source data.","visit_detail"
+"visit_detail_source_concept_id","Yes","INTEGER","A foreign key to a Concept that refers to the code used in the source.","visit_detail"
+"admitted_from_source_value","No","VARCHAR(50)","The source code for the admitting source as it appears in the source data.","visit_detail"
+"admitted_from_concept_id","Yes","INTEGER","A foreign key to the predefined concept in the 'Place of Service' Vocabulary reflecting the admitting source for a visit.","visit_detail"
+"discharge_to_source_value","No","VARCHAR(50)","The source code for the discharge disposition as it appears in the source data.","visit_detail"
+"discharge_to_concept_id","Yes","INTEGER","A foreign key to the predefined concept in the 'Place of Service' Vocabulary reflecting the discharge disposition for a visit.","visit_detail"
+"preceding_visit_detail_id","No","INTEGER","A foreign key to the VISIT_DETAIL table of the visit immediately preceding this visit","visit_detail"
+"visit_detail_parent_id","No","INTEGER","A foreign key to the VISIT_DETAIL table record to represent the immediate parent visit-detail record.","visit_detail"
+"visit_occurrence_id","Yes","INTEGER","A foreign key that refers to the record in the VISIT_OCCURRENCE table. This is a required field, because for every visit_detail is a child of visit_occurrence and cannot exist without a corresponding parent record in visit_occurrence.","visit_detail"
+"visit_occurrence_id","Yes","INTEGER","A unique identifier for each Person's visit or encounter at a healthcare provider.","visit_occurrence"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person for whom the visit is recorded. The demographic details of that Person are stored in the PERSON table.","visit_occurrence"
+"visit_concept_id","Yes","INTEGER","A foreign key that refers to a visit Concept identifier in the Standardized Vocabularies belonging to the 'Visit' Vocabulary.","visit_occurrence"
+"visit_start_date","No","DATE","The start date of the visit.","visit_occurrence"
+"visit_start_datetime","Yes","DATETIME","The date and time of the visit started.","visit_occurrence"
+"visit_end_date","No","DATE","The end date of the visit. If this is a one-day visit the end date should match the start date.","visit_occurrence"
+"visit_end_datetime","Yes","DATETIME","The date and time of the visit end.","visit_occurrence"
+"visit_type_concept_id","Yes","INTEGER","A foreign key to the predefined Concept identifier in the Standardized Vocabularies reflecting the type of source data from which the visit record is derived belonging to the 'Visit Type' vocabulary.","visit_occurrence"
+"provider_id","No","INTEGER","A foreign key to the provider in the provider table who was associated with the visit.","visit_occurrence"
+"care_site_id","No","INTEGER","A foreign key to the care site in the care site table that was visited.","visit_occurrence"
+"visit_source_value","No","VARCHAR(50)","The source code for the visit as it appears in the source data.","visit_occurrence"
+"visit_source_concept_id","Yes","INTEGER","A foreign key to a Concept that refers to the code used in the source.","visit_occurrence"
+"admitting_source_concept_id","Yes","INTEGER","A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the admitting source for a visit.","visit_occurrence"
+"admitting_source_value","No","VARCHAR(50)","The source code for the admitting source as it appears in the source data.","visit_occurrence"
+"discharge_to_concept_id","Yes","INTEGER","A foreign key to the predefined concept in the Place of Service Vocabulary reflecting the discharge disposition for a visit.","visit_occurrence"
+"discharge_to_source_value","No","VARCHAR(50)","The source code for the discharge disposition as it appears in the source data.","visit_occurrence"
+"preceding_visit_occurrence_id","No","INTEGER","A foreign key to the VISIT_OCCURRENCE table of the visit immediately preceding this visit","visit_occurrence"
+"condition_era_id","Yes","INTEGER","A unique identifier for each Condition Era.","condition_era"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person who is experiencing the Condition during the Condition Era. The demographic details of that Person are stored in the PERSON table.","condition_era"
+"condition_concept_id","Yes","INTEGER","A foreign key that refers to a standard Condition Concept identifier in the Standardized Vocabularies.","condition_era"
+"condition_era_start_datetime","Yes","DATE","The start date for the Condition Era constructed from the individual instances of Condition Occurrences. It is the start date of the very first chronologically recorded instance of the condition.","condition_era"
+"condition_era_end_datetime","Yes","DATE","The end date for the Condition Era constructed from the individual instances of Condition Occurrences. It is the end date of the final continuously recorded instance of the Condition.","condition_era"
+"condition_occurrence_count","No","INTEGER","The number of individual Condition Occurrences used to construct the condition era.","condition_era"
+"dose_era_id","Yes","INTEGER","A unique identifier for each Dose Era.","dose_era"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person who is subjected to the drug during the drug era. The demographic details of that Person are stored in the PERSON table.","dose_era"
+"drug_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the active Ingredient Concept.","dose_era"
+"unit_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the unit concept.","dose_era"
+"dose_value","Yes","FLOAT","The numeric value of the dose.","dose_era"
+"dose_era_start_datetime","Yes","DATE","The start date for the drug era constructed from the individual instances of drug exposures. It is the start date of the very first chronologically recorded instance of utilization of a drug.","dose_era"
+"dose_era_end_datetime","Yes","DATE","The end date for the drug era constructed from the individual instance of drug exposures. It is the end date of the final continuously recorded instance of utilization of a drug.","dose_era"
+"drug_era_id","Yes","INTEGER","A unique identifier for each Drug Era.","drug_era"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person who is subjected to the Drug during the fDrug Era. The demographic details of that Person are stored in the PERSON table.","drug_era"
+"drug_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Concept identifier in the Standardized Vocabularies for the Ingredient Concept.","drug_era"
+"drug_era_start_datetime","Yes","DATE","The start date for the Drug Era constructed from the individual instances of Drug Exposures. It is the start date of the very first chronologically recorded instance of conutilization of a Drug.","drug_era"
+"drug_era_end_datetime","Yes","DATE","The end date for the drug era constructed from the individual instance of drug exposures. It is the end date of the final continuously recorded instance of utilization of a drug.","drug_era"
+"drug_exposure_count","No","INTEGER","The number of individual Drug Exposure occurrences used to construct the Drug Era.","drug_era"
+"gap_days","No","INTEGER","The number of days that are not covered by DRUG_EXPOSURE records that were used to make up the era record.","drug_era"
+"cost_id","Yes","INTEGER","A unique identifier for each COST record.","cost"
+"person_id","Yes","INTEGER","A unique identifier for each PERSON.","cost"
+"cost_event_id","Yes","INTEGER","A foreign key identifier to the event (e.g. Measurement, Procedure, Visit, Drug Exposure, etc) record for which cost data are recorded.","cost"
+"cost_event_field_concept_id","Yes","INTEGER","A foreign key identifier to a concept in the CONCEPT table representing the identity of the field represented by COST_EVENT_ID","cost"
+"cost_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Cost Concept identifier in the Standardized Vocabularies belonging to the 'Cost' vocabulary.","cost"
+"cost_type_concept_id","Yes","INTEGER","A foreign key identifier to a concept in the CONCEPT table for the provenance or the source of the COST data and belonging to the 'Cost Type' vocabulary","cost"
+"cost_source_concept_id","Yes","INTEGER","A foreign key to a Cost Concept that refers to the code used in the source.","cost"
+"cost_source_value","No","VARCHAR(50)","The source value for the cost as it appears in the source data","cost"
+"currency_concept_id","Yes","INTEGER","A foreign key identifier to the concept representing the 3-letter code used to delineate international currencies, such as USD for US Dollar. These belong to the 'Currency' vocabulary","cost"
+"cost","Yes","FLOAT","The actual financial cost amount","cost"
+"incurred_date","Yes","DATE","The first date of service of the clinical event corresponding to the cost as in table capturing the information (e.g. date of visit, date of procedure, date of condition, date of drug etc).","cost"
+"billed_date","No","DATE","The date a bill was generated for a service or encounter","cost"
+"paid_date","No","DATE","The date payment was received for a service or encounter","cost"
+"revenue_code_concept_id","Yes","INTEGER","A foreign key referring to a Standard Concept ID in the Standardized Vocabularies for Revenue codes belonging to the 'Revenue Code' vocabulary.","cost"
+"drg_concept_id","Yes","INTEGER","A foreign key referring to a Standard Concept ID in the Standardized Vocabularies for DRG codes belonging to the 'DRG' vocabulary.","cost"
+"revenue_code_source_value","No","VARCHAR(50)","The source value for the Revenue code as it appears in the source data, stored here for reference.","cost"
+"drg_source_value","No","VARCHAR(50)","The source value for the 3-digit DRG source code as it appears in the source data, stored here for reference.","cost"
+"payer_plan_period_id","No","INTEGER","A foreign key to the PAYER_PLAN_PERIOD table, where the details of the Payer, Plan and Family are stored. Record the payer_plan_id that relates to the payer who contributed to the paid_by_payer field.","cost"
+"payer_plan_period_id","Yes","INTEGER","A identifier for each unique combination of payer, plan, family code and time span.","payer_plan_period"
+"person_id","Yes","INTEGER","A foreign key identifier to the Person covered by the payer. The demographic details of that Person are stored in the PERSON table.","payer_plan_period"
+"contract_person_id","No","INTEGER","A foreign key identifier to the person_id in person table, for the person who is the primary subscriber/contract owner for the record in the payer_plan_period table. Maybe the same person or different person, depending on who is the primary subscriber/contract owner.","payer_plan_period"
+"payer_plan_period_start_date","Yes","DATE","The start date of the payer plan period.","payer_plan_period"
+"payer_plan_period_end_date","Yes","DATE","The end date of the payer plan period.","payer_plan_period"
+"payer_concept_id","Yes","INTEGER","A foreign key that refers to a standard Payer concept identifier in the Standarized Vocabularies","payer_plan_period"
+"payer_source_value","No","VARCHAR(50)","The source code for the payer as it appears in the source data.","payer_plan_period"
+"payer_source_concept_id","Yes","INTEGER","A foreign key to a payer concept that refers to the code used in the source.","payer_plan_period"
+"plan_concept_id","Yes","INTEGER","A foreign key that refers to a standard plan concept identifier that represents the health benefit plan in the Standardized Vocabularies.","payer_plan_period"
+"plan_source_value","No","VARCHAR(50)","The source code for the Person's health benefit plan as it appears in the source data.","payer_plan_period"
+"plan_source_concept_id","Yes","INTEGER","A foreign key to a plan concept that refers to the plan code used in the source data.","payer_plan_period"
+"contract_concept_id","Yes","INTEGER","A foreign key to a standard concept representing the reason justifying the contract between person_id and contract_person_id.","payer_plan_period"
+"contract_source_value","No","INTEGER","The source code representing the reason justifying the contract. Usually it is family relationship like a spouse, domestic partner, child etc.","payer_plan_period"
+"contract_source_concept_id","Yes","INTEGER","A foreign key to a concept that refers to the code used in the source as the reason justifying the contract.","payer_plan_period"
+"sponsor_concept_id","Yes","INTEGER","A foreign key that refers to a concept identifier that represents the sponsor in the Standardized Vocabularies.","payer_plan_period"
+"sponsor_source_value","No","VARCHAR(50)","The source code for the Person's sponsor of the health plan as it appears in the source data.","payer_plan_period"
+"sponsor_source_concept_id","Yes","INTEGER","A foreign key to a sponsor concept that refers to the sponsor code used in the source data.","payer_plan_period"
+"family_source_value","No","VARCHAR(50)","The source code for the Person's family as it appears in the source data.","payer_plan_period"
+"stop_reason_concept_id","Yes","INTEGER","A foreign key that refers to a standard termination reason that represents the reason for the termination in the Standardized Vocabularies.","payer_plan_period"
+"stop_reason_source_value","No","VARCHAR(50)","The reason for stop-coverage as it appears in the source data.","payer_plan_period"
+"stop_reason_source_concept_id","Yes","INTEGER","A foreign key to a stop-coverage concept that refers to the code used in the source.","payer_plan_period"
+"care_site_id","Yes","INTEGER","A unique identifier for each Care Site.","care_site"
+"care_site_name","No","VARCHAR(255)","The verbatim description or name of the Care Site as in data source","care_site"
+"place_of_service_concept_id","Yes","INTEGER","A foreign key that refers to a Place of Service Concept ID in the Standardized Vocabularies.","care_site"
+"location_id","No","INTEGER","A foreign key to the geographic Location in the LOCATION table, where the detailed address information is stored.","care_site"
+"care_site_source_value","No","VARCHAR(50)","The identifier for the Care Site in the source data, stored here for reference.","care_site"
+"place_of_service_source_value","No","VARCHAR(50)","The source code for the Place of Service as it appears in the source data, stored here for reference.","care_site"
+"location_id","Yes","INTEGER","A unique identifier for each geographic location.","location"
+"address_1","No","VARCHAR(50)","The address field 1, typically used for the street address, as it appears in the source data.","location"
+"address_2","No","VARCHAR(50)","The address field 2, typically used for additional detail such as buildings, suites, floors, as it appears in the source data.","location"
+"city","No","VARCHAR(50)","The city field as it appears in the source data.","location"
+"state","No","VARCHAR(2)","The state field as it appears in the source data.","location"
+"zip","No","VARCHAR(9)","The zip or postal code.","location"
+"county","No","VARCHAR(20)","The county.","location"
+"country","No","VARCHAR(100)","The country","location"
+"location_source_value","No","VARCHAR(50)","The verbatim information that is used to uniquely identify the location as it appears in the source data.","location"
+"latitude","No","FLOAT","The geocoded latitude","location"
+"longitude","No","FLOAT","The geocoded longitude","location"
+"location_id","Yes","INTEGER","A foreign key to the location table.","location_history"
+"relationship_type_concept_id","Yes","VARCHAR(50)","The type of relationship between location and entity.","location_history"
+"domain_id","Yes","VARCHAR(50)","The domain of the entity that is related to the location. Either PERSON, PROVIDER, or CARE_SITE.","location_history"
+"entity_id","Yes","INTEGER","The unique identifier for the entity. References either person_id, provider_id, or care_site_id, depending on domain_id.","location_history"
+"start_date","Yes","DATE","The date the relationship started.","location_history"
+"end_date","No","DATE","The date the relationship ended.","location_history"
+"provider_id","Yes","INTEGER","A unique identifier for each Provider.","provider"
+"provider_name","No","VARCHAR(255)","A description of the Provider.","provider"
+"npi","No","VARCHAR(20)","The National Provider Identifier (NPI) of the provider.","provider"
+"dea","No","VARCHAR(20)","The Drug Enforcement Administration (DEA) number of the provider.","provider"
+"specialty_concept_id","Yes","INTEGER","A foreign key to a Standard Specialty Concept ID in the Standardized Vocabularies.","provider"
+"care_site_id","No","INTEGER","A foreign key to the main Care Site where the provider is practicing.","provider"
+"year_of_birth","No","INTEGER","The year of birth of the Provider.","provider"
+"gender_concept_id","Yes","INTEGER","The gender of the Provider.","provider"
+"provider_source_value","No","VARCHAR(50)","The identifier used for the Provider in the source data, stored here for reference.","provider"
+"specialty_source_value","No","VARCHAR(50)","The source code for the Provider specialty as it appears in the source data, stored here for reference.","provider"
+"specialty_source_concept_id","Yes","INTEGER","A foreign key to a Concept that refers to the code used in the source.","provider"
+"gender_source_value","No","VARCHAR(50)","The gender code for the Provider as it appears in the source data, stored here for reference.","provider"
+"gender_source_concept_id","Yes","INTEGER","A foreign key to a Concept that refers to the code used in the source.","provider"
+"cdm_source_name","Yes","VARCHAR(255)","The full name of the source","cdm_source"
+"cdm_source_abbreviation","No","VARCHAR(25)","An abbreviation of the name","cdm_source"
+"cdm_holder","No","VARCHAR(255)","The name of the organization responsible for the development of the CDM instance","cdm_source"
+"source_description","No","CLOB","A description of the source data origin and purpose for collection. The description may contain a summary of the period of time that is expected to be covered by this dataset.","cdm_source"
+"source_documentation_reference","No","VARCHAR(255)","URL or other external reference to location of source documentation","cdm_source"
+"cdm_etl_reference","No","VARCHAR(255)","URL or other external reference to location of ETL specification documentation and ETL source code","cdm_source"
+"source_release_date","No","DATE","The date for which the source data are most current, such as the last day of data capture","cdm_source"
+"cdm_release_date","No","DATE","The date when the CDM was instantiated","cdm_source"
+"cdm_version","No","VARCHAR(10)","The version of CDM used","cdm_source"
+"vocabulary_version","No","VARCHAR(20)","The version of the vocabulary used","cdm_source"
+"metadata_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Metadata Concept identifier in the Standardized Vocabularies.","metadata"
+"metadata_type_concept_id","Yes","INTEGER","A foreign key that refers to a Standard Type Concept identifier in the Standardized Vocabularies.","metadata"
+"name","Yes","VARCHAR(250)","The name of the Concept stored in metadata_concept_id or a description of the data being stored.","metadata"
+"value_as_string","No","NVARCHAR","The metadata value stored as a string.","metadata"
+"value_as_concept_id","No","INTEGER","A foreign key to a metadata value stored as a Concept ID.","metadata"
+"metadata date","No","DATE","The date associated with the metadata","metadata"
+"metadata_datetime","No","DATETIME","The date and time associated with the metadata","metadata"
+"concept_id","Yes","INTEGER","A unique identifier for each Concept across all domains.","concept"
+"concept_name","Yes","VARCHAR(255)","An unambiguous, meaningful and descriptive name for the Concept.","concept"
+"domain_id","Yes","VARCHAR(20)","A foreign key to the [DOMAIN](https://github.com/OHDSI/CommonDataModel/wiki/DOMAIN) table the Concept belongs to.","concept"
+"vocabulary_id","Yes","VARCHAR(20)","A foreign key to the [VOCABULARY](https://github.com/OHDSI/CommonDataModel/wiki/VOCABULARY) table indicating from which source the Concept has been adapted.","concept"
+"concept_class_id","Yes","VARCHAR(20)","The attribute or concept class of the Concept. Examples are 'Clinical Drug', 'Ingredient', 'Clinical Finding' etc.","concept"
+"standard_concept","No","VARCHAR(1)","This flag determines where a Concept is a Standard Concept, i.e. is used in the data, a Classification Concept, or a non-standard Source Concept. The allowables values are 'S' (Standard Concept) and 'C' (Classification Concept), otherwise the content is NULL.","concept"
+"concept_code","Yes","VARCHAR(50)","The concept code represents the identifier of the Concept in the source vocabulary, such as SNOMED-CT concept IDs, RxNorm RXCUIs etc. Note that concept codes are not unique across vocabularies.","concept"
+"valid_start_date","Yes","DATE","The date when the Concept was first recorded. The default value is 1-Jan-1970, meaning, the Concept has no (known) date of inception.","concept"
+"valid_end_date","Yes","DATE","The date when the Concept became invalid because it was deleted or superseded (updated) by a new concept. The default value is 31-Dec-2099, meaning, the Concept is valid until it becomes deprecated.","concept"
+"invalid_reason","No","VARCHAR(1)","Reason the Concept was invalidated. Possible values are D (deleted), U (replaced with an update) or NULL when valid_end_date has the default value.","concept"
+"ancestor_concept_id","Yes","INTEGER","A foreign key to the concept in the concept table for the higher-level concept that forms the ancestor in the relationship.","concept_ancestor"
+"descendant_concept_id","Yes","INTEGER","A foreign key to the concept in the concept table for the lower-level concept that forms the descendant in the relationship.","concept_ancestor"
+"min_levels_of_separation","Yes","INTEGER","The minimum separation in number of levels of hierarchy between ancestor and descendant concepts. This is an attribute that is used to simplify hierarchic analysis.","concept_ancestor"
+"max_levels_of_separation","Yes","INTEGER","The maximum separation in number of levels of hierarchy between ancestor and descendant concepts. This is an attribute that is used to simplify hierarchic analysis.","concept_ancestor"
+"concept_class_id","Yes","VARCHAR(20)","A unique key for each class.","concept_class"
+"concept_class_name","Yes","VARCHAR(255)","The name describing the Concept Class, e.g. ""Clinical Finding"", ""Ingredient"", etc.","concept_class"
+"concept_class_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the [CONCEPT](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT) table for the unique Concept Class the record belongs to.","concept_class"
+"concept_id_1","Yes","INTEGER","A foreign key to a Concept in the [CONCEPT](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT) table associated with the relationship. Relationships are directional, and this field represents the source concept designation.","concept_relationship"
+"concept_id_2","Yes","INTEGER","A foreign key to a Concept in the [CONCEPT](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT) table associated with the relationship. Relationships are directional, and this field represents the destination concept designation.","concept_relationship"
+"relationship_id","Yes","VARCHAR(20)","A unique identifier to the type or nature of the Relationship as defined in the [RELATIONSHIP](https://github.com/OHDSI/CommonDataModel/wiki/RELATIONSHIP) table.","concept_relationship"
+"valid_start_date","Yes","DATE","The date when the instance of the Concept Relationship is first recorded.","concept_relationship"
+"valid_end_date","Yes","DATE","The date when the Concept Relationship became invalid because it was deleted or superseded (updated) by a new relationship. Default value is 31-Dec-2099.","concept_relationship"
+"invalid_reason","No","VARCHAR(1)","Reason the relationship was invalidated. Possible values are 'D' (deleted), 'U' (replaced with an update) or NULL when valid_end_date has the default value.","concept_relationship"
+"concept_id","Yes","INTEGER","A foreign key to the Concept in the CONCEPT table.","concept_synonym"
+"concept_synonym_name","Yes","VARCHAR(1000)","The alternative name for the Concept.","concept_synonym"
+"language_concept_id","Yes","INTEGER","A foreign key to a Concept representing the language.","concept_synonym"
+"domain_id","Yes","VARCHAR(20)","A unique key for each domain.","domain"
+"domain_name","Yes","VARCHAR(255)","The name describing the Domain, e.g. ""Condition"", ""Procedure"", ""Measurement"" etc.","domain"
+"domain_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the [CONCEPT](https://github.com/OHDSI/CommonDataModel/wiki/CONCEPT) table for the unique Domain Concept the Domain record belongs to.","domain"
+"drug_concept_id","Yes","INTEGER","A foreign key to the Concept in the CONCEPT table representing the identifier for Branded Drug or Clinical Drug Concept.","drug_strength"
+"ingredient_concept_id","Yes","INTEGER","A foreign key to the Concept in the CONCEPT table, representing the identifier for drug Ingredient Concept contained within the drug product.","drug_strength"
+"amount_value","No","FLOAT","The numeric value associated with the amount of active ingredient contained within the product.","drug_strength"
+"amount_unit_concept_id","No","INTEGER","A foreign key to the Concept in the CONCEPT table representing the identifier for the Unit for the absolute amount of active ingredient.","drug_strength"
+"numerator_value","No","FLOAT","The numeric value associated with the concentration of the active ingredient contained in the product","drug_strength"
+"numerator_unit_concept_id","No","INTEGER","A foreign key to the Concept in the CONCEPT table representing the identifier for the numerator Unit for the concentration of active ingredient.","drug_strength"
+"denominator_value","No","FLOAT","The amount of total liquid (or other divisible product, such as ointment, gel, spray, etc.).","drug_strength"
+"denominator_unit_concept_id","No","INTEGER","A foreign key to the Concept in the CONCEPT table representing the identifier for the denominator Unit for the concentration of active ingredient.","drug_strength"
+"box_size","No","INTEGER","The number of units of Clinical of Branded Drug, or Quantified Clinical or Branded Drug contained in a box as dispensed to the patient","drug_strength"
+"valid_start_date","Yes","DATE","The date when the Concept was first recorded. The default value is 1-Jan-1970.","drug_strength"
+"valid_end_date","Yes","DATE","The date when the concept became invalid because it was deleted or superseded (updated) by a new Concept. The default value is 31-Dec-2099.","drug_strength"
+"invalid_reason","No","VARCHAR(1)","Reason the concept was invalidated. Possible values are 'D' (deleted), 'U' (replaced with an update) or NULL when valid_end_date has the default value.","drug_strength"
+"relationship_id","Yes","VARCHAR(20)","The type of relationship captured by the relationship record.","relationship"
+"relationship_name","Yes","VARCHAR(255)","The text that describes the relationship type.","relationship"
+"is_hierarchical","Yes","VARCHAR(1)","Defines whether a relationship defines concepts into classes or hierarchies. Values are 1 for hierarchical relationship or 0 if not.","relationship"
+"defines_ancestry","Yes","VARCHAR(1)","Defines whether a hierarchical relationship contributes to the concept_ancestor table. These are subsets of the hierarchical relationships. Valid values are 1 or 0.","relationship"
+"reverse_relationship_id","Yes","VARCHAR(20)","The identifier for the relationship used to define the reverse relationship between two concepts.","relationship"
+"relationship_concept_id","Yes","INTEGER","A foreign key that refers to an identifier in the CONCEPT table for the unique relationship concept.","relationship"
+"source_code","Yes","VARCHAR(50)","The source code being translated into a Standard Concept.","source_to_concept_map"
+"source_concept_id","Yes","INTEGER","A foreign key to the Source Concept that is being translated into a Standard Concept.","source_to_concept_map"
+"source_vocabulary_id","Yes","VARCHAR(20)","A foreign key to the VOCABULARY table defining the vocabulary of the source code that is being translated to a Standard Concept.","source_to_concept_map"
+"source_code_description","No","VARCHAR(255)","An optional description for the source code. This is included as a convenience to compare the description of the source code to the name of the concept.","source_to_concept_map"
+"target_concept_id","Yes","INTEGER","A foreign key to the target Concept to which the source code is being mapped.","source_to_concept_map"
+"target_vocabulary_id","Yes","VARCHAR(20)","A foreign key to the VOCABULARY table defining the vocabulary of the target Concept.","source_to_concept_map"
+"valid_start_date","Yes","DATE","The date when the mapping instance was first recorded.","source_to_concept_map"
+"valid_end_date","Yes","DATE","The date when the mapping instance became invalid because it was deleted or superseded (updated) by a new relationship. Default value is 31-Dec-2099.","source_to_concept_map"
+"invalid_reason","No","VARCHAR(1)","Reason the mapping instance was invalidated. Possible values are D (deleted), U (replaced with an update) or NULL when valid_end_date has the default value.","source_to_concept_map"
+"vocabulary_id","Yes","VARCHAR(20)","A unique identifier for each Vocabulary, such as ICD9CM, SNOMED, Visit.","vocabulary"
+"vocabulary_name","Yes","VARCHAR(255)","The name describing the vocabulary, for example ""International Classification of Diseases, Ninth Revision, Clinical Modification, Volume 1 and 2 (NCHS)"" etc.","vocabulary"
+"vocabulary_reference","Yes","VARCHAR(255)","External reference to documentation or available download of the about the vocabulary.","vocabulary"
+"vocabulary_version","No","VARCHAR(255)","Version of the Vocabulary as indicated in the source.","vocabulary"
+"vocabulary_concept_id","Yes","INTEGER","A foreign key that refers to a standard concept identifier in the CONCEPT table for the Vocabulary the VOCABULARY record belongs to.","vocabulary"
diff --git a/OMOP_CDM_v6_0.pdf b/OMOP_CDM_v6_0.pdf
new file mode 100644
index 0000000..b90e06c
Binary files /dev/null and b/OMOP_CDM_v6_0.pdf differ
diff --git a/Oracle/OMOP CDM Results oracle ddl.txt b/Oracle/OMOP CDM Results oracle ddl.txt
new file mode 100644
index 0000000..074c1e1
--- /dev/null
+++ b/Oracle/OMOP CDM Results oracle ddl.txt	
@@ -0,0 +1,70 @@
+/*********************************************************************************
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
+#
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+********************************************************************************/
+
+/************************
+
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
+
+oracle script to create OMOP common data model results schema version 6.0
+
+last revised: 27-Aug-2018
+
+Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
+
+
+*************************/
+
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE cohort_definition (
+  cohort_definition_id				INTEGER 		NOT NULL,
+  cohort_definition_name			VARCHAR(255)	NOT NULL,
+  cohort_definition_description		CLOB			NULL,
+  definition_type_concept_id		INTEGER			NOT NULL,
+  cohort_definition_syntax			CLOB			NULL,
+  subject_concept_id				INTEGER			NOT NULL,
+  cohort_initiation_date			DATE			NULL
+)
+;
+
+
+--HINT DISTRIBUTE_ON_KEY(subject_id)
+CREATE TABLE cohort
+(
+  cohort_definition_id	NUMBER(19)		NOT NULL ,
+  subject_id						NUMBER(19)		NOT NULL ,
+  cohort_start_date			DATE			NOT NULL ,
+  cohort_end_date				DATE			NOT NULL
+)
+;
+
+ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
+
+ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY ( cohort_definition_id );
+
+ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_definition_concept FOREIGN KEY ( definition_type_concept_id )  REFERENCES concept ( concept_id );
+
+ALTER TABLE cohort_definition ADD CONSTRAINT fpk_subject_concept FOREIGN KEY ( subject_concept_id )  REFERENCES concept ( concept_id );
+
+ALTER TABLE cohort ADD CONSTRAINT fpk_cohort_definition FOREIGN KEY ( cohort_definition_id )  REFERENCES cohort_definition ( cohort_definition_id );
+
+CREATE INDEX idx_cohort_subject_id ON cohort ( subject_id ASC );
diff --git a/Oracle/OMOP CDM oracle constraints.txt b/Oracle/OMOP CDM oracle constraints.txt
index e2b066a..8800181 100644
--- a/Oracle/OMOP CDM oracle constraints.txt	
+++ b/Oracle/OMOP CDM oracle constraints.txt	
@@ -2,7 +2,7 @@
 # Copyright 2014 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,18 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #    #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #    #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####     #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #    #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #    #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####      #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###       #####
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #     #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #    #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #    #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #    #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #     #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###       #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
 
 
-oracle script to create foreign key constraints within OMOP common data model, version 5.3.0
+oracle script to create foreign key, unique, and check constraints within the OMOP common data model, version 6.0
 
-last revised: 14-June-2018
+last revised: 30-Aug-2018
 
 author:  Patrick Ryan, Clair Blacketer
 
@@ -62,38 +62,45 @@ ALTER TABLE concept ADD CONSTRAINT fpk_concept_class FOREIGN KEY (concept_class_
 
 ALTER TABLE concept ADD CONSTRAINT fpk_concept_vocabulary FOREIGN KEY (vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
+
 ALTER TABLE vocabulary ADD CONSTRAINT fpk_vocabulary_concept FOREIGN KEY (vocabulary_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE domain ADD CONSTRAINT fpk_domain_concept FOREIGN KEY (domain_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE concept_class ADD CONSTRAINT fpk_concept_class_concept FOREIGN KEY (concept_class_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_c_1 FOREIGN KEY (concept_id_1)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_c_2 FOREIGN KEY (concept_id_2)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_id FOREIGN KEY (relationship_id)  REFERENCES relationship (relationship_id);
 
+
 ALTER TABLE relationship ADD CONSTRAINT fpk_relationship_concept FOREIGN KEY (relationship_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE relationship ADD CONSTRAINT fpk_relationship_reverse FOREIGN KEY (reverse_relationship_id)  REFERENCES relationship (relationship_id);
 
+
 ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_concept FOREIGN KEY (concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_language FOREIGN KEY (language_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE concept_synonym ADD CONSTRAINT fpk_synonym_language FOREIGN KEY (language_concept_id)  REFERENCES concept (concept_id);
+
 
 ALTER TABLE concept_ancestor ADD CONSTRAINT fpk_concept_ancestor_concept_1 FOREIGN KEY (ancestor_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_ancestor ADD CONSTRAINT fpk_concept_ancestor_concept_2 FOREIGN KEY (descendant_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_1 FOREIGN KEY (source_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
-ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_concept_id FOREIGN KEY (source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_1 FOREIGN KEY (source_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
 ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_2 FOREIGN KEY (target_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
 ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_c_1 FOREIGN KEY (target_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_concept_1 FOREIGN KEY (drug_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_concept_2 FOREIGN KEY (ingredient_concept_id)  REFERENCES concept (concept_id);
@@ -104,12 +111,6 @@ ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_unit_2 FOREIGN KEY (n
 
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_unit_3 FOREIGN KEY (denominator_unit_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_definition_concept FOREIGN KEY (definition_type_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_subject_concept FOREIGN KEY (subject_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE attribute_definition ADD CONSTRAINT fpk_attribute_type_concept FOREIGN KEY (attribute_type_concept_id)  REFERENCES concept (concept_id);
-
 
 /**************************
 
@@ -118,7 +119,9 @@ Standardized meta-data
 ***************************/
 
 
+ALTER TABLE metadata ADD CONSTRAINT fpk_metadata_concept FOREIGN KEY (metadata_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE metadata ADD CONSTRAINT fpk_metadata_type_concept FOREIGN KEY (metadata_type_concept_id) REFERENCES concept (concept_id);
 
 
 /************************
@@ -175,6 +178,8 @@ ALTER TABLE death ADD CONSTRAINT fpk_death_cause_concept_s FOREIGN KEY (cause_so
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
+ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_concept FOREIGN KEY (visit_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_type_concept FOREIGN KEY (visit_type_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
@@ -183,7 +188,7 @@ ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_care_site FOREIGN KEY (car
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_concept_s FOREIGN KEY (visit_source_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_admitting_s FOREIGN KEY (admitting_source_concept_id) REFERENCES concept (concept_id);
+ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_admitting_s FOREIGN KEY (admitted_from_concept_id) REFERENCES concept (concept_id);
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_discharge FOREIGN KEY (discharge_to_concept_id) REFERENCES concept (concept_id);
 
@@ -192,18 +197,20 @@ ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_preceding FOREIGN KEY (pre
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept FOREIGN KEY (visit_detail_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_type_concept FOREIGN KEY (visit_detail_type_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_care_site FOREIGN KEY (care_site_id)  REFERENCES care_site (care_site_id);
 
-ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept_s FOREIGN KEY (visit_detail_source_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_admitting_s FOREIGN KEY (admitting_source_concept_id) REFERENCES concept (concept_id);
-
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_discharge FOREIGN KEY (discharge_to_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_admitting_s FOREIGN KEY (admitted_from_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept_s FOREIGN KEY (visit_detail_source_concept_id)  REFERENCES concept (concept_id);
+
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_preceding FOREIGN KEY (preceding_visit_detail_id) REFERENCES visit_detail (visit_detail_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_parent FOREIGN KEY (visit_detail_parent_id) REFERENCES visit_detail (visit_detail_id);
@@ -223,6 +230,8 @@ ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_provider FOREIGN K
 
 ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_concept_s FOREIGN KEY (procedure_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -238,6 +247,8 @@ ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_provider FOREIGN KEY (provider
 
 ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_concept_s FOREIGN KEY (drug_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -251,6 +262,8 @@ ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_provider FOREIGN KEY (prov
 
 ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_concept_s FOREIGN KEY (device_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -260,13 +273,15 @@ ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept FOREIGN KE
 
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_type_concept FOREIGN KEY (condition_type_concept_id)  REFERENCES concept (concept_id);
 
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_status_concept FOREIGN KEY (condition_status_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
 
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
-ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept_s FOREIGN KEY (condition_source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
 
-ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_status_concept FOREIGN KEY (condition_status_concept_id) REFERENCES concept (concept_id);
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept_s FOREIGN KEY (condition_source_concept_id)  REFERENCES concept (concept_id);
 
 
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
@@ -285,6 +300,8 @@ ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_provider FOREIGN KEY (pro
 
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_concept_s FOREIGN KEY (measurement_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -302,6 +319,8 @@ ALTER TABLE note ADD CONSTRAINT fpk_note_provider FOREIGN KEY (provider_id)  REF
 
 ALTER TABLE note ADD CONSTRAINT fpk_note_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE note ADD CONSTRAINT fpk_note_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 
 ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_note FOREIGN KEY (note_id) REFERENCES note (note_id);
 
@@ -309,6 +328,7 @@ ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_section_concept FOREIGN KEY (se
 
 ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_concept FOREIGN KEY (note_nlp_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_concept_s FOREIGN KEY (note_nlp_source_concept_id) REFERENCES concept (concept_id);
 
 
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
@@ -327,9 +347,36 @@ ALTER TABLE observation ADD CONSTRAINT fpk_observation_provider FOREIGN KEY (pro
 
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE observation ADD CONSTRAint fpk_observation_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_concept_s FOREIGN KEY (observation_source_concept_id)  REFERENCES concept (concept_id);
 
 
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_concept FOREIGN KEY (survey_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_provider FOREIGN KEY (provider_id) REFERENCES provider (provider_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_assist FOREIGN KEY (assisted_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_respondent_type FOREIGN KEY (respondent_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_timing FOREIGN KEY (timing_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_collection_method FOREIGN KEY (collection_method_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_source FOREIGN KEY (survey_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_validation FOREIGN KEY (validated_survey_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_visit FOREIGN KEY (visit_occurrence_id) REFERENCES visit (visit_occurrence_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_response_visit FOREIGN KEY (response_visit_occurrence_id) REFERENCES visit (visit_occurrence_id);
+
+
 ALTER TABLE fact_relationship ADD CONSTRAINT fpk_fact_domain_1 FOREIGN KEY (domain_concept_id_1)  REFERENCES concept (concept_id);
 
 ALTER TABLE fact_relationship ADD CONSTRAINT fpk_fact_domain_2 FOREIGN KEY (domain_concept_id_2)  REFERENCES concept (concept_id);
@@ -344,10 +391,15 @@ Standardized health system data
 
 ************************/
 
-ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_location FOREIGN KEY (location_id)  REFERENCES location (location_id);
+ALTER TABLE location_history ADD CONSTRAINT fpk_location_history FOREIGN KEY ( location_id ) REFERENCES location ( location_id ) ;
+
+ALTER TABLE location_history ADD CONSTRAINT fpk_relationship_type FOREIGN KEY (relationship_type_concept_id) REFERENCES concept (concept_id);
+
 
 ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_place FOREIGN KEY (place_of_service_concept_id)  REFERENCES concept (concept_id);
 
+ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_location FOREIGN KEY (location_id)  REFERENCES location (location_id);
+
 
 ALTER TABLE provider ADD CONSTRAINT fpk_provider_specialty FOREIGN KEY (specialty_concept_id)  REFERENCES concept (concept_id);
 
@@ -361,7 +413,6 @@ ALTER TABLE provider ADD CONSTRAINT fpk_provider_gender_s FOREIGN KEY (gender_so
 
 
 
-
 /************************
 
 Standardized health economics
@@ -370,12 +421,46 @@ Standardized health economics
 
 ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_plan_period FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
-ALTER TABLE cost ADD CONSTRAINT fpk_visit_cost_currency FOREIGN KEY (currency_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_person FOREIGN KEY (contract_person_id) REFERENCES person (person_id);
 
-ALTER TABLE cost ADD CONSTRAINT fpk_visit_cost_period FOREIGN KEY (payer_plan_period_id)  REFERENCES payer_plan_period (payer_plan_period_id);
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_concept FOREIGN KEY (payer_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_plan_concept_id FOREIGN KEY (plan_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_concept FOREIGN KEY (contract_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_sponsor_concept FOREIGN KEY (sponsor_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_stop_reason_concept FOREIGN KEY (stop_reason_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_s FOREIGN KEY (payer_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_plan_s FOREIGN KEY (plan_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_s FOREIGN KEY (contract_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_sponsor_s FOREIGN KEY (sponsor_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_stop_reason_s FOREIGN KEY (stop_reason_source_concept_id) REFERENCES concept (concept_id);
+
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_concept FOREIGN KEY (cost_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_type FOREIGN KEY (cost_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_currency FOREIGN KEY (currency_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_revenue_concept FOREIGN KEY (revenue_code_concept_id) REFERENCES concept (concept_id);
 
 ALTER TABLE cost ADD CONSTRAINT fpk_drg_concept FOREIGN KEY (drg_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_s FOREIGN KEY (cost_source_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_period FOREIGN KEY (payer_plan_period_id)  REFERENCES payer_plan_period (payer_plan_period_id);
+
+
 /************************
 
 Standardized derived elements
@@ -383,16 +468,6 @@ Standardized derived elements
 ************************/
 
 
---ALTER TABLE cohort ADD CONSTRAINT fpk_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
-
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_attribute_definition FOREIGN KEY (attribute_definition_id)  REFERENCES attribute_definition (attribute_definition_id);
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_value FOREIGN KEY (value_as_concept_id)  REFERENCES concept (concept_id);
-
-
 ALTER TABLE drug_era ADD CONSTRAINT fpk_drug_era_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
 ALTER TABLE drug_era ADD CONSTRAINT fpk_drug_era_concept FOREIGN KEY (drug_concept_id)  REFERENCES concept (concept_id);
@@ -423,3 +498,29 @@ Unique constraints
 ************************/
 
 ALTER TABLE concept_synonym ADD CONSTRAINT uq_concept_synonym UNIQUE (concept_id, concept_synonym_name, language_concept_id);
+
+/************************
+*************************
+*************************
+*************************
+
+Check constraints
+
+*************************
+*************************
+*************************
+************************/
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_concept_name CHECK (concept_name <> '');
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_standard_concept CHECK (COALESCE(standard_concept,'C') in ('C','S'));
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_concept_code CHECK (concept_code <> '');
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_invalid_reason CHECK (COALESCE(invalid_reason,'D') in ('D','U'));
+
+
+ALTER TABLE concept_relationship ADD CONSTRAINT chk_cr_invalid_reason CHECK (COALESCE(invalid_reason,'D')='D');
+
+
+ALTER TABLE concept_synonym ADD CONSTRAINT chk_csyn_concept_synonym_name CHECK (concept_synonym_name <> '');
diff --git a/Oracle/OMOP CDM oracle ddl.txt b/Oracle/OMOP CDM oracle ddl.txt
index 1a6783e..dea2cf8 100644
--- a/Oracle/OMOP CDM oracle ddl.txt	
+++ b/Oracle/OMOP CDM oracle ddl.txt	
@@ -1,8 +1,8 @@
 /*********************************************************************************
-# Copyright 2017-11 Observational Health Data Sciences and Informatics
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,17 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
 
+oracle script to create OMOP common data model version 6.0
 
-oracle script to create OMOP common data model version 5.3
-
-last revised: 14-June-2018
+last revised: 27-Aug-2018
 
 Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
 
@@ -43,138 +42,123 @@ Standardized vocabulary
 ************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept (
-  concept_id			    INTEGER			  NOT NULL ,
-  concept_name			  VARCHAR(255)	NOT NULL ,
-  domain_id				    VARCHAR(20)		NOT NULL ,
+  concept_id			  INTEGER			NOT NULL ,
+  concept_name			  VARCHAR(255)	    NOT NULL ,
+  domain_id				  VARCHAR(20)		NOT NULL ,
   vocabulary_id			  VARCHAR(20)		NOT NULL ,
-  concept_class_id		VARCHAR(20)		NOT NULL ,
-  standard_concept		VARCHAR(1)		NULL ,
+  concept_class_id		  VARCHAR(20)		NOT NULL ,
+  standard_concept		  VARCHAR(1)		NULL ,
   concept_code			  VARCHAR(50)		NOT NULL ,
-  valid_start_date		DATE			    NOT NULL ,
+  valid_start_date		  DATE			    NOT NULL ,
   valid_end_date		  DATE			    NOT NULL ,
   invalid_reason		  VARCHAR(1)		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE vocabulary (
-  vocabulary_id			    VARCHAR(20)		NOT NULL,
-  vocabulary_name		    VARCHAR(255)	NOT NULL,
+  vocabulary_id			VARCHAR(20)		NOT NULL,
+  vocabulary_name		VARCHAR(255)	NOT NULL,
   vocabulary_reference	VARCHAR(255)	NOT NULL,
-  vocabulary_version	  VARCHAR(255)	NOT NULL,
-  vocabulary_concept_id	INTEGER			  NOT NULL
+  vocabulary_version	VARCHAR(255)	NULL,
+  vocabulary_concept_id	INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE domain (
   domain_id			    VARCHAR(20)		NOT NULL,
   domain_name		    VARCHAR(255)	NOT NULL,
-  domain_concept_id	INTEGER			  NOT NULL
+  domain_concept_id		INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_class (
-  concept_class_id			    VARCHAR(20)		NOT NULL,
-  concept_class_name		    VARCHAR(255)	NOT NULL,
-  concept_class_concept_id	INTEGER			  NOT NULL
+  concept_class_id			VARCHAR(20)		NOT NULL,
+  concept_class_name		VARCHAR(255)	NOT NULL,
+  concept_class_concept_id	INTEGER      	NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_relationship (
   concept_id_1			INTEGER			NOT NULL,
   concept_id_2			INTEGER			NOT NULL,
-  relationship_id		VARCHAR(20)	NOT NULL,
-  valid_start_date	DATE			  NOT NULL,
-  valid_end_date		DATE			  NOT NULL,
-  invalid_reason		VARCHAR(1)	NULL
+  relationship_id		VARCHAR(20)		NOT NULL,
+  valid_start_date		DATE			NOT NULL,
+  valid_end_date		DATE			NOT NULL,
+  invalid_reason		VARCHAR(1)		NULL
   )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE relationship (
-  relationship_id			    VARCHAR(20)		NOT NULL,
-  relationship_name			  VARCHAR(255)	NOT NULL,
-  is_hierarchical			    VARCHAR(1)		NOT NULL,
-  defines_ancestry			  VARCHAR(1)		NOT NULL,
+  relationship_id			VARCHAR(20)		NOT NULL,
+  relationship_name			VARCHAR(255)	NOT NULL,
+  is_hierarchical			VARCHAR(1)		NOT NULL,
+  defines_ancestry			VARCHAR(1)		NOT NULL,
   reverse_relationship_id	VARCHAR(20)		NOT NULL,
-  relationship_concept_id	INTEGER			  NOT NULL
+  relationship_concept_id	INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_synonym (
-  concept_id			      INTEGER			  NOT NULL,
+  concept_id			INTEGER			NOT NULL,
   concept_synonym_name	VARCHAR(1000)	NOT NULL,
-  language_concept_id	  INTEGER			  NOT NULL
+  language_concept_id	INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_ancestor (
-  ancestor_concept_id		    INTEGER		NOT NULL,
-  descendant_concept_id		  INTEGER		NOT NULL,
+  ancestor_concept_id		INTEGER		NOT NULL,
+  descendant_concept_id		INTEGER		NOT NULL,
   min_levels_of_separation	INTEGER		NOT NULL,
   max_levels_of_separation	INTEGER		NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE source_to_concept_map (
-  source_code				      VARCHAR(50)		NOT NULL,
-  source_concept_id			  INTEGER			  NOT NULL,
+  source_code				VARCHAR(50)		NOT NULL,
+  source_concept_id			INTEGER			NOT NULL,
   source_vocabulary_id		VARCHAR(20)		NOT NULL,
   source_code_description	VARCHAR(255)	NULL,
-  target_concept_id			  INTEGER			  NOT NULL,
+  target_concept_id			INTEGER			NOT NULL,
   target_vocabulary_id		VARCHAR(20)		NOT NULL,
-  valid_start_date			  DATE			    NOT NULL,
-  valid_end_date			    DATE			    NOT NULL,
-  invalid_reason			    VARCHAR(1)		NULL
+  valid_start_date			DATE			NOT NULL,
+  valid_end_date			DATE			NOT NULL,
+  invalid_reason			VARCHAR(1)		NULL
 )
 ;
 
 
-
-
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE drug_strength (
-  drug_concept_id				      INTEGER		  NOT NULL,
-  ingredient_concept_id			  INTEGER		  NOT NULL,
-  amount_value					      FLOAT		    NULL,
-  amount_unit_concept_id		  INTEGER		  NULL,
-  numerator_value				      FLOAT		    NULL,
-  numerator_unit_concept_id		INTEGER		  NULL,
-  denominator_value				    FLOAT		    NULL,
-  denominator_unit_concept_id	INTEGER		  NULL,
-  box_size						        INTEGER		  NULL,
-  valid_start_date				    DATE		    NOT NULL,
-  valid_end_date				      DATE		    NOT NULL,
-  invalid_reason				      VARCHAR(1)  NULL
-)
-;
-
-
-
-CREATE TABLE cohort_definition (
-  cohort_definition_id				    INTEGER			  NOT NULL,
-  cohort_definition_name			    VARCHAR(255)	NOT NULL,
-  cohort_definition_description		CLOB	NULL,
-  definition_type_concept_id		  INTEGER			  NOT NULL,
-  cohort_definition_syntax			  CLOB	NULL,
-  subject_concept_id				      INTEGER			  NOT NULL,
-  cohort_initiation_date			    DATE			    NULL
-)
-;
-
-
-CREATE TABLE attribute_definition (
-  attribute_definition_id		  INTEGER			  NOT NULL,
-  attribute_name				      VARCHAR(255)	NOT NULL,
-  attribute_description			  CLOB	NULL,
-  attribute_type_concept_id		INTEGER			  NOT NULL,
-  attribute_syntax				    CLOB	NULL
+  drug_concept_id				INTEGER		  	NOT NULL,
+  ingredient_concept_id			INTEGER		  	NOT NULL,
+  amount_value					FLOAT		    NULL,
+  amount_unit_concept_id		INTEGER		  	NULL,
+  numerator_value				FLOAT		    NULL,
+  numerator_unit_concept_id		INTEGER		  	NULL,
+  denominator_value				FLOAT		    NULL,
+  denominator_unit_concept_id	INTEGER		  	NULL,
+  box_size						INTEGER		  	NULL,
+  valid_start_date				DATE		    NOT NULL,
+  valid_end_date				DATE		    NOT NULL,
+  invalid_reason				VARCHAR(1)  	NULL
 )
 ;
 
@@ -186,34 +170,40 @@ Standardized meta-data
 ***************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE cdm_source
 (
-  cdm_source_name					        VARCHAR(255)	NOT NULL ,
-  cdm_source_abbreviation			    VARCHAR(25)		NULL ,
-  cdm_holder							        VARCHAR(255)	NULL ,
-  source_description					    CLOB	NULL ,
+  cdm_source_name					VARCHAR(255)	NOT NULL ,
+  cdm_source_abbreviation			VARCHAR(25)		NULL ,
+  cdm_holder						VARCHAR(255)	NULL ,
+  source_description				CLOB			NULL ,
   source_documentation_reference	VARCHAR(255)	NULL ,
-  cdm_etl_reference					      VARCHAR(255)	NULL ,
-  source_release_date				      DATE			    NULL ,
-  cdm_release_date					      DATE			    NULL ,
-  cdm_version						          VARCHAR(10)		NULL ,
-  vocabulary_version					    VARCHAR(20)		NULL
+  cdm_etl_reference					VARCHAR(255)	NULL ,
+  source_release_date				DATE			NULL ,
+  cdm_release_date					DATE			NULL ,
+  cdm_version						VARCHAR(10)		NULL ,
+  vocabulary_version				VARCHAR(20)		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE metadata
 (
   metadata_concept_id       INTEGER       NOT NULL ,
   metadata_type_concept_id  INTEGER       NOT NULL ,
   name                      VARCHAR(250)  NOT NULL ,
-  value_as_string           CLOB  NULL ,
+  value_as_string           CLOB  		  NULL ,
   value_as_concept_id       INTEGER       NULL ,
   metadata_date             DATE          NULL ,
-  metadata_datetime         DATETIME2      NULL
+  metadata_datetime         TIMESTAMP     NULL
 )
 ;
 
+INSERT INTO metadata (metadata_concept_id, metadata_type_concept_id, name, value_as_string, value_as_concept_id, metadata_date, metadata_datetime) --Added cdm version record
+VALUES (0,0,'CDM Version', '6.0',0,NULL,NULL)
+;
+
 
 /************************
 
@@ -221,27 +211,29 @@ Standardized clinical data
 
 ************************/
 
+
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE person
 (
-  person_id						        INTEGER	  	NOT NULL ,
-  gender_concept_id				    INTEGER	  	NOT NULL ,
-  year_of_birth					      INTEGER	  	NOT NULL ,
-  month_of_birth				      INTEGER	  	NULL,
-  day_of_birth					      INTEGER	  	NULL,
-  birth_datetime				      DATETIME2	  NULL,
-  race_concept_id				      INTEGER		  NOT NULL,
-  ethnicity_concept_id			  INTEGER	  	NOT NULL,
-  location_id					        INTEGER		  NULL,
-  provider_id					        INTEGER		  NULL,
-  care_site_id					      INTEGER		  NULL,
-  person_source_value			    VARCHAR(50) NULL,
-  gender_source_value			    VARCHAR(50) NULL,
-  gender_source_concept_id	  INTEGER		  NULL,
-  race_source_value				    VARCHAR(50) NULL,
-  race_source_concept_id		  INTEGER		  NULL,
-  ethnicity_source_value		  VARCHAR(50) NULL,
-  ethnicity_source_concept_id	INTEGER		  NULL
+  person_id						NUMBER(19)	NOT NULL , 
+  gender_concept_id				INTEGER	  	NOT NULL ,
+  year_of_birth					INTEGER	  	NOT NULL ,
+  month_of_birth				INTEGER	  	NULL,
+  day_of_birth					INTEGER	  	NULL,
+  birth_datetime				TIMESTAMP	NULL,
+  death_datetime				TIMESTAMP	NULL,
+  race_concept_id				INTEGER		NOT NULL,
+  ethnicity_concept_id			INTEGER	  	NOT NULL,
+  location_id					NUMBER(19)	NULL,
+  provider_id					NUMBER(19)	NULL,
+  care_site_id					NUMBER(19)  NULL,
+  person_source_value			VARCHAR(50) NULL,
+  gender_source_value			VARCHAR(50) NULL,
+  gender_source_concept_id		INTEGER		NOT NULL,
+  race_source_value				VARCHAR(50) NULL,
+  race_source_concept_id		INTEGER		NOT NULL,
+  ethnicity_source_value		VARCHAR(50) NULL,
+  ethnicity_source_concept_id	INTEGER		NOT NULL
 )
 ;
 
@@ -249,11 +241,11 @@ CREATE TABLE person
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation_period
 (
-  observation_period_id				      INTEGER		NOT NULL ,
-  person_id							            INTEGER		NOT NULL ,
+  observation_period_id				  NUMBER(19)  NOT NULL ,
+  person_id							  NUMBER(19)  NOT NULL ,
   observation_period_start_date		  DATE		  NOT NULL ,
-  observation_period_end_date		    DATE		  NOT NULL ,
-  period_type_concept_id			      INTEGER		NOT NULL
+  observation_period_end_date		  DATE		  NOT NULL ,
+  period_type_concept_id			  INTEGER	  NOT NULL
 )
 ;
 
@@ -261,35 +253,21 @@ CREATE TABLE observation_period
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE specimen
 (
-  specimen_id						      INTEGER			NOT NULL ,
-  person_id							      INTEGER			NOT NULL ,
-  specimen_concept_id				  INTEGER			NOT NULL ,
-  specimen_type_concept_id		INTEGER			NOT NULL ,
-  specimen_date						    DATE			  NOT NULL ,
-  specimen_datetime					  DATETIME2		NULL ,
-  quantity							      FLOAT			  NULL ,
-  unit_concept_id					    INTEGER			NULL ,
-  anatomic_site_concept_id		INTEGER			NULL ,
-  disease_status_concept_id		INTEGER			NULL ,
-  specimen_source_id				  VARCHAR(50)	NULL ,
-  specimen_source_value				VARCHAR(50)	NULL ,
-  unit_source_value					  VARCHAR(50)	NULL ,
+  specimen_id					NUMBER(19)	NOT NULL ,
+  person_id						NUMBER(19)	NOT NULL ,
+  specimen_concept_id			INTEGER		NOT NULL ,
+  specimen_type_concept_id		INTEGER		NOT NULL ,
+  specimen_date					DATE		NULL ,
+  specimen_datetime				TIMESTAMP	NOT NULL ,
+  quantity						FLOAT		NULL ,
+  unit_concept_id				INTEGER		NULL ,
+  anatomic_site_concept_id		INTEGER		NOT NULL ,
+  disease_status_concept_id		INTEGER	    NOT NULL ,
+  specimen_source_id			VARCHAR(50)	NULL ,
+  specimen_source_value			VARCHAR(50)	NULL ,
+  unit_source_value				VARCHAR(50)	NULL ,
   anatomic_site_source_value	VARCHAR(50)	NULL ,
-  disease_status_source_value VARCHAR(50)	NULL
-)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(person_id)
-CREATE TABLE death
-(
-  person_id							  INTEGER			NOT NULL ,
-  death_date							DATE			  NOT NULL ,
-  death_datetime					DATETIME2		NULL ,
-  death_type_concept_id   INTEGER			NOT NULL ,
-  cause_concept_id			  INTEGER			NULL ,
-  cause_source_value			VARCHAR(50)	NULL,
-  cause_source_concept_id INTEGER			NULL
+  disease_status_source_value 	VARCHAR(50)	NULL
 )
 ;
 
@@ -297,23 +275,23 @@ CREATE TABLE death
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_occurrence
 (
-  visit_occurrence_id			      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  visit_concept_id				      INTEGER			NOT NULL ,
-  visit_start_date				      DATE			  NOT NULL ,
-  visit_start_datetime				  DATETIME2		NULL ,
-  visit_end_date					      DATE			  NOT NULL ,
-  visit_end_datetime					  DATETIME2		NULL ,
-  visit_type_concept_id			    INTEGER			NOT NULL ,
-  provider_id					          INTEGER			NULL,
-  care_site_id					        INTEGER			NULL,
-  visit_source_value				    VARCHAR(50)	NULL,
-  visit_source_concept_id		    INTEGER			NULL ,
-  admitting_source_concept_id	  INTEGER			NULL ,
-  admitting_source_value		    VARCHAR(50)	NULL ,
-  discharge_to_concept_id		    INTEGER   	NULL ,
-  discharge_to_source_value		  VARCHAR(50)	NULL ,
-  preceding_visit_occurrence_id	INTEGER			NULL
+  visit_occurrence_id			NUMBER(19)	NOT NULL ,
+  person_id						NUMBER(19)	NOT NULL ,
+  visit_concept_id				INTEGER		NOT NULL ,
+  visit_start_date				DATE		NULL ,
+  visit_start_datetime			TIMESTAMP	NOT NULL ,
+  visit_end_date			    DATE		NULL ,
+  visit_end_datetime			TIMESTAMP	NOT NULL ,
+  visit_type_concept_id			INTEGER		NOT NULL ,
+  provider_id					NUMBER(19)	NULL,
+  care_site_id					NUMBER(19)	NULL,
+  visit_source_value			VARCHAR(50)	NULL,
+  visit_source_concept_id		INTEGER		NOT NULL ,
+  admitted_from_concept_id      INTEGER     NOT NULL ,   
+  admitted_from_source_value    VARCHAR(50) NULL ,
+  discharge_to_source_value		VARCHAR(50)	NULL ,
+  discharge_to_concept_id		INTEGER   	NOT NULL ,
+  preceding_visit_occurrence_id	INTEGER		NULL
 )
 ;
 
@@ -321,25 +299,25 @@ CREATE TABLE visit_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_detail
 (
-  visit_detail_id                    INTEGER     NOT NULL ,
-  person_id                          INTEGER     NOT NULL ,
+  visit_detail_id                    NUMBER(19)  NOT NULL ,
+  person_id                          NUMBER(19)  NOT NULL ,
   visit_detail_concept_id            INTEGER     NOT NULL ,
-  visit_detail_start_date            DATE        NOT NULL ,
-  visit_detail_start_datetime        DATETIME2    NULL ,
-  visit_detail_end_date              DATE        NOT NULL ,
-  visit_detail_end_datetime          DATETIME2    NULL ,
+  visit_detail_start_date            DATE        NULL ,
+  visit_detail_start_datetime        TIMESTAMP   NOT NULL ,
+  visit_detail_end_date              DATE        NULL ,
+  visit_detail_end_datetime          TIMESTAMP   NOT NULL ,
   visit_detail_type_concept_id       INTEGER     NOT NULL ,
-  provider_id                        INTEGER     NULL ,
-  care_site_id                       INTEGER     NULL ,
-  admitting_source_concept_id        INTEGER     NULL ,
-  discharge_to_concept_id            INTEGER     NULL ,
-  preceding_visit_detail_id          INTEGER     NULL ,
+  provider_id                        NUMBER(19)  NULL ,
+  care_site_id                       NUMBER(19)  NULL ,
+  discharge_to_concept_id            INTEGER     NOT NULL ,
+  admitted_from_concept_id           INTEGER     NOT NULL , 
+  admitted_from_source_value         VARCHAR(50) NULL ,
   visit_detail_source_value          VARCHAR(50) NULL ,
-  visit_detail_source_concept_id     INTEGER     NULL ,
-  admitting_source_value             VARCHAR(50) NULL ,
+  visit_detail_source_concept_id     INTEGER     NOT NULL ,
   discharge_to_source_value          VARCHAR(50) NULL ,
-  visit_detail_parent_id             INTEGER     NULL ,
-  visit_occurrence_id                INTEGER     NOT NULL
+  preceding_visit_detail_id          NUMBER(19)  NULL ,
+  visit_detail_parent_id             NUMBER(19)  NULL ,
+  visit_occurrence_id                NUMBER(19)  NOT NULL
 )
 ;
 
@@ -347,20 +325,20 @@ CREATE TABLE visit_detail
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE procedure_occurrence
 (
-  procedure_occurrence_id		  INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  procedure_concept_id			  INTEGER			NOT NULL ,
-  procedure_date				      DATE			  NOT NULL ,
-  procedure_datetime			    DATETIME2		NULL ,
+  procedure_occurrence_id		NUMBER(19)		NOT NULL ,
+  person_id						NUMBER(19)		NOT NULL ,
+  procedure_concept_id			INTEGER			NOT NULL ,
+  procedure_date				DATE			NULL ,
+  procedure_datetime			TIMESTAMP		NOT NULL ,
   procedure_type_concept_id		INTEGER			NOT NULL ,
-  modifier_concept_id			    INTEGER			NULL ,
-  quantity						        INTEGER			NULL ,
-  provider_id					        INTEGER			NULL ,
-  visit_occurrence_id			    INTEGER			NULL ,
-  visit_detail_id             INTEGER     NULL ,
-  procedure_source_value		  VARCHAR(50)	NULL ,
-  procedure_source_concept_id	INTEGER			NULL ,
-  modifier_source_value		   VARCHAR(50)	NULL
+  modifier_concept_id			INTEGER			NOT NULL ,
+  quantity						INTEGER			NULL ,
+  provider_id					NUMBER(19)		NULL ,
+  visit_occurrence_id			NUMBER(19)		NULL ,
+  visit_detail_id             	NUMBER(19)     	NULL ,
+  procedure_source_value		VARCHAR(50)		NULL ,
+  procedure_source_concept_id	INTEGER			NOT NULL ,
+  modifier_source_value		    VARCHAR(50)		NULL 
 )
 ;
 
@@ -368,29 +346,29 @@ CREATE TABLE procedure_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_exposure
 (
-  drug_exposure_id				      INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  drug_concept_id				        INTEGER			  NOT NULL ,
-  drug_exposure_start_date		  DATE			    NOT NULL ,
-  drug_exposure_start_datetime  DATETIME2		  NULL ,
-  drug_exposure_end_date		    DATE			    NOT NULL ,
-  drug_exposure_end_datetime	  DATETIME2		  NULL ,
-  verbatim_end_date				      DATE			    NULL ,
-  drug_type_concept_id			    INTEGER			  NOT NULL ,
-  stop_reason					          VARCHAR(20)		NULL ,
-  refills						            INTEGER		  	NULL ,
-  quantity						          FLOAT			    NULL ,
-  days_supply					          INTEGER		  	NULL ,
-  sig							              CLOB	NULL ,
-  route_concept_id				      INTEGER			  NULL ,
-  lot_number					          VARCHAR(50)	  NULL ,
-  provider_id					          INTEGER			  NULL ,
-  visit_occurrence_id			      INTEGER			  NULL ,
-  visit_detail_id               INTEGER       NULL ,
-  drug_source_value				      VARCHAR(50)	  NULL ,
-  drug_source_concept_id		    INTEGER			  NULL ,
-  route_source_value			      VARCHAR(50)	  NULL ,
-  dose_unit_source_value		    VARCHAR(50)	  NULL
+  drug_exposure_id				NUMBER(19)	  NOT NULL ,
+  person_id						NUMBER(19)	  NOT NULL ,
+  drug_concept_id				INTEGER	      NOT NULL ,
+  drug_exposure_start_date		DATE	      NULL ,
+  drug_exposure_start_datetime  TIMESTAMP	  NOT NULL ,
+  drug_exposure_end_date		DATE	      NULL ,
+  drug_exposure_end_datetime	TIMESTAMP     NOT NULL ,
+  verbatim_end_date				DATE	      NULL ,
+  drug_type_concept_id			INTEGER	      NOT NULL ,
+  stop_reason					VARCHAR(20)	  NULL ,
+  refills						INTEGER		  NULL ,
+  quantity						FLOAT		  NULL ,
+  days_supply					INTEGER		  NULL ,
+  sig							CLOB		  NULL ,
+  route_concept_id				INTEGER		  NOT NULL ,
+  lot_number					VARCHAR(50)	  NULL ,
+  provider_id					NUMBER(19)	  NULL ,
+  visit_occurrence_id			NUMBER(19)	  NULL ,
+  visit_detail_id               NUMBER(19)    NULL ,
+  drug_source_value				VARCHAR(50)	  NULL ,
+  drug_source_concept_id		INTEGER		  NOT NULL ,
+  route_source_value			VARCHAR(50)	  NULL ,
+  dose_unit_source_value		VARCHAR(50)	  NULL
 )
 ;
 
@@ -398,21 +376,21 @@ CREATE TABLE drug_exposure
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE device_exposure
 (
-  device_exposure_id			        INTEGER		  	NOT NULL ,
-  person_id						            INTEGER			  NOT NULL ,
-  device_concept_id			        	INTEGER			  NOT NULL ,
-  device_exposure_start_date	    DATE			    NOT NULL ,
-  device_exposure_start_datetime  DATETIME2		  NULL ,
-  device_exposure_end_date		    DATE			    NULL ,
-  device_exposure_end_datetime    DATETIME2		  NULL ,
-  device_type_concept_id		      INTEGER			  NOT NULL ,
-  unique_device_id			        	VARCHAR(50)		NULL ,
-  quantity						            INTEGER			  NULL ,
-  provider_id					            INTEGER			  NULL ,
-  visit_occurrence_id			        INTEGER			  NULL ,
-  visit_detail_id                 INTEGER       NULL ,
-  device_source_value			        VARCHAR(100)	NULL ,
-  device_source_concept_id		    INTEGER			  NULL
+  device_exposure_id			  NUMBER(19)	NOT NULL ,
+  person_id						  NUMBER(19)	NOT NULL ,
+  device_concept_id			      INTEGER		NOT NULL ,
+  device_exposure_start_date	  DATE			NULL ,
+  device_exposure_start_datetime  TIMESTAMP		NOT NULL ,
+  device_exposure_end_date		  DATE			NULL ,
+  device_exposure_end_datetime    TIMESTAMP		NULL ,
+  device_type_concept_id		  INTEGER		NOT NULL ,
+  unique_device_id			      VARCHAR(50)	NULL ,
+  quantity						  INTEGER		NULL ,
+  provider_id					  NUMBER(19)	NULL ,
+  visit_occurrence_id			  NUMBER(19)	NULL ,
+  visit_detail_id                 NUMBER(19)    NULL ,
+  device_source_value			  VARCHAR(100)	NULL ,
+  device_source_concept_id		  INTEGER		NOT NULL
 )
 ;
 
@@ -420,22 +398,22 @@ CREATE TABLE device_exposure
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_occurrence
 (
-  condition_occurrence_id		    INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  condition_concept_id			    INTEGER			NOT NULL ,
-  condition_start_date			    DATE			  NOT NULL ,
-  condition_start_datetime		  DATETIME2		NULL ,
-  condition_end_date			      DATE			  NULL ,
-  condition_end_datetime		    DATETIME2		NULL ,
-  condition_type_concept_id		  INTEGER			NOT NULL ,
-  stop_reason					          VARCHAR(20)	NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  condition_source_value		    VARCHAR(50)	NULL ,
-  condition_source_concept_id	  INTEGER			NULL ,
-  condition_status_source_value	VARCHAR(50)	NULL ,
-  condition_status_concept_id	  INTEGER			NULL
+  condition_occurrence_id		NUMBER(19)		NOT NULL ,
+  person_id						NUMBER(19)		NOT NULL ,
+  condition_concept_id			INTEGER			NOT NULL ,
+  condition_start_date			DATE			NULL ,
+  condition_start_datetime		TIMESTAMP		NOT NULL ,
+  condition_end_date			DATE			NULL ,
+  condition_end_datetime		TIMESTAMP		NULL ,
+  condition_type_concept_id		INTEGER			NOT NULL ,
+  condition_status_concept_id	INTEGER			NOT NULL ,
+  stop_reason					VARCHAR(20)		NULL ,
+  provider_id					NUMBER(19)		NULL ,
+  visit_occurrence_id			NUMBER(19)		NULL ,
+  visit_detail_id               NUMBER(19)     	NULL ,
+  condition_source_value		VARCHAR(50)		NULL ,
+  condition_source_concept_id	INTEGER			NOT NULL ,
+  condition_status_source_value	VARCHAR(50)		NULL
 )
 ;
 
@@ -443,26 +421,26 @@ CREATE TABLE condition_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE measurement
 (
-  measurement_id				        INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  measurement_concept_id		    INTEGER			NOT NULL ,
-  measurement_date				      DATE			  NOT NULL ,
-  measurement_datetime			    DATETIME2		NULL ,
+  measurement_id				NUMBER(19)	NOT NULL ,
+  person_id						NUMBER(19)	NOT NULL ,
+  measurement_concept_id		INTEGER		NOT NULL ,
+  measurement_date				DATE		NULL ,
+  measurement_datetime			TIMESTAMP	NOT NULL ,
   measurement_time              VARCHAR(10) NULL,
-  measurement_type_concept_id	  INTEGER			NOT NULL ,
-  operator_concept_id			      INTEGER			NULL ,
-  value_as_number				        FLOAT			  NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  range_low					          	FLOAT			  NULL ,
-  range_high					          FLOAT			  NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  measurement_source_value		  VARCHAR(50)	NULL ,
-  measurement_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  value_source_value			      VARCHAR(50)	NULL
+  measurement_type_concept_id	INTEGER		NOT NULL ,
+  operator_concept_id			INTEGER		NULL ,
+  value_as_number				FLOAT		NULL ,
+  value_as_concept_id			INTEGER		NULL ,
+  unit_concept_id				INTEGER		NULL ,
+  range_low					    FLOAT		NULL ,
+  range_high					FLOAT		NULL ,
+  provider_id					NUMBER(19)	NULL ,
+  visit_occurrence_id			NUMBER(19)	NULL ,
+  visit_detail_id               NUMBER(19)  NULL ,
+  measurement_source_value		VARCHAR(50)	NULL ,
+  measurement_source_concept_id	INTEGER		NOT NULL ,
+  unit_source_value				VARCHAR(50)	NULL ,
+  value_source_value			VARCHAR(50)	NULL
 )
 ;
 
@@ -470,41 +448,43 @@ CREATE TABLE measurement
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE note
 (
-  note_id						    INTEGER			  NOT NULL ,
-  person_id						  INTEGER			  NOT NULL ,
-  note_date						  DATE			    NOT NULL ,
-  note_datetime					DATETIME2		  NULL ,
-  note_type_concept_id	INTEGER			  NOT NULL ,
-  note_class_concept_id INTEGER			  NOT NULL ,
-  note_title					  VARCHAR(250)	NULL ,
-  note_text						  CLOB  NULL ,
-  encoding_concept_id		INTEGER			  NOT NULL ,
-  language_concept_id		INTEGER			  NOT NULL ,
-  provider_id					  INTEGER			  NULL ,
-  visit_occurrence_id		INTEGER			  NULL ,
-  visit_detail_id       INTEGER       NULL ,
-  note_source_value			VARCHAR(50)		NULL
+  note_id						NUMBER(19)		NOT NULL ,
+  person_id						NUMBER(19)		NOT NULL ,
+  note_event_id         		NUMBER(19)      NULL , 
+  note_event_field_concept_id	INTEGER 		NOT NULL , 
+  note_date						DATE			NULL ,
+  note_datetime					TIMESTAMP		NOT NULL ,
+  note_type_concept_id			INTEGER			NOT NULL ,
+  note_class_concept_id 		INTEGER			NOT NULL ,
+  note_title					VARCHAR(250)	NULL ,
+  note_text						CLOB  			NULL ,
+  encoding_concept_id			INTEGER			NOT NULL ,
+  language_concept_id			INTEGER			NOT NULL ,
+  provider_id					NUMBER(19)		NULL ,
+  visit_occurrence_id			NUMBER(19)		NULL ,
+  visit_detail_id       		NUMBER(19)     	NULL ,
+  note_source_value				VARCHAR(50)		NULL
 )
 ;
 
 
-
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE note_nlp
 (
-  note_nlp_id					        INTEGER			  NOT NULL ,
-  note_id						          INTEGER			  NOT NULL ,
-  section_concept_id			    INTEGER			  NULL ,
-  snippet						          VARCHAR(250)	NULL ,
-  "offset"					          VARCHAR(250)	NULL ,
-  lexical_variant				      VARCHAR(250)	NOT NULL ,
-  note_nlp_concept_id			    INTEGER			  NULL ,
-  note_nlp_source_concept_id  INTEGER			  NULL ,
-  nlp_system					        VARCHAR(250)	NULL ,
-  nlp_date						        DATE			    NOT NULL ,
-  nlp_datetime					      DATETIME2		  NULL ,
-  term_exists					        VARCHAR(1)		NULL ,
-  term_temporal					      VARCHAR(50)		NULL ,
-  term_modifiers				      VARCHAR(2000)	NULL
+  note_nlp_id					NUMBER(19)		NOT NULL ,
+  note_id						NUMBER(19)		NOT NULL ,
+  section_concept_id			INTEGER			NOT NULL ,
+  snippet						VARCHAR(250)	NULL ,
+  "offset"					    VARCHAR(250)	NULL ,
+  lexical_variant				VARCHAR(250)	NOT NULL ,
+  note_nlp_concept_id			INTEGER			NOT NULL ,
+  nlp_system					VARCHAR(250)	NULL ,
+  nlp_date						DATE			NOT NULL ,
+  nlp_datetime					TIMESTAMP		NULL ,
+  term_exists					VARCHAR(1)		NULL ,
+  term_temporal					VARCHAR(50)		NULL ,
+  term_modifiers				VARCHAR(2000)	NULL ,
+  note_nlp_source_concept_id	INTEGER			NOT NULL
 )
 ;
 
@@ -512,35 +492,71 @@ CREATE TABLE note_nlp
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation
 (
-  observation_id					      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  observation_concept_id			  INTEGER			NOT NULL ,
-  observation_date				      DATE			  NOT NULL ,
-  observation_datetime				  DATETIME2		NULL ,
-  observation_type_concept_id	  INTEGER			NOT NULL ,
-  value_as_number				        FLOAT			  NULL ,
-  value_as_string				        VARCHAR(60)	NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
+  observation_id					NUMBER(19)		NOT NULL ,
+  person_id						    NUMBER(19)		NOT NULL ,
+  observation_concept_id			INTEGER			NOT NULL ,
+  observation_date				    DATE		    NULL ,
+  observation_datetime				TIMESTAMP		NOT NULL ,
+  observation_type_concept_id	    INTEGER			NOT NULL ,
+  value_as_number				    FLOAT		    NULL ,
+  value_as_string				    VARCHAR(60)		NULL ,
+  value_as_concept_id			    INTEGER			NULL ,
   qualifier_concept_id			    INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  observation_source_value		  VARCHAR(50)	NULL ,
-  observation_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  qualifier_source_value			  VARCHAR(50)	NULL
+  unit_concept_id				    INTEGER			NULL ,
+  provider_id					    NUMBER(19)		NULL ,
+  visit_occurrence_id			    NUMBER(19)		NULL ,
+  visit_detail_id               	NUMBER(19)      NULL ,
+  observation_source_value		  	VARCHAR(50)		NULL ,
+  observation_source_concept_id		INTEGER			NOT NULL ,
+  unit_source_value				    VARCHAR(50)		NULL ,
+  qualifier_source_value			VARCHAR(50)		NULL ,
+  observation_event_id				NUMBER(19)		NULL , 
+  obs_event_field_concept_id		INTEGER			NOT NULL , 
+  value_as_datetime					TIMESTAMP 		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON KEY(person_id)
+CREATE TABLE survey_conduct --Table added
+(
+  survey_conduct_id					  NUMBER(19)		NOT NULL ,
+  person_id						      NUMBER(19)		NOT NULL ,
+  survey_concept_id			  		  INTEGER			NOT NULL ,
+  survey_start_date				   	  DATE			  	NULL ,
+  survey_start_datetime			      TIMESTAMP			NULL ,
+  survey_end_date					  DATE  			NULL ,
+  survey_end_datetime				  TIMESTAMP			NOT NULL ,
+  provider_id						  NUMBER(19)    	NULL ,
+  assisted_concept_id	  			  INTEGER			NOT NULL ,
+  respondent_type_concept_id		  INTEGER			NOT NULL ,
+  timing_concept_id					  INTEGER			NOT NULL ,
+  collection_method_concept_id		  INTEGER			NOT NULL ,
+  assisted_source_value		  		  VARCHAR(50)		NULL ,
+  respondent_type_source_value		  VARCHAR(100)  	NULL ,
+  timing_source_value				  VARCHAR(100)		NULL ,
+  collection_method_source_value	  VARCHAR(100)		NULL ,
+  survey_source_value				  VARCHAR(100)		NULL ,
+  survey_source_concept_id			  INTEGER			NOT NULL ,
+  survey_source_identifier		      VARCHAR(100)		NULL ,
+  validated_survey_concept_id		  INTEGER			NOT NULL ,
+  validated_survey_source_value		  VARCHAR(100)		NULL ,
+  survey_version_number				  VARCHAR(20)		NULL ,
+  visit_occurrence_id				  NUMBER(19)		NULL ,
+  visit_detail_id					  NUMBER(19)		NULL ,
+  response_visit_occurrence_id	  	  NUMBER(19)		NULL
+)
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE fact_relationship
 (
   domain_concept_id_1			INTEGER			NOT NULL ,
-  fact_id_1						    INTEGER			NOT NULL ,
+  fact_id_1						NUMBER(19)		NOT NULL ,
   domain_concept_id_2			INTEGER			NOT NULL ,
-  fact_id_2						    INTEGER			NOT NULL ,
-  relationship_concept_id	INTEGER			NOT NULL
+  fact_id_2						NUMBER(19)		NOT NULL ,
+  relationship_concept_id		INTEGER			NOT NULL
 )
 ;
 
@@ -553,47 +569,67 @@ Standardized health system data
 ************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE location
 (
-  location_id					  INTEGER			  NOT NULL ,
-  address_1						  VARCHAR(50)		NULL ,
-  address_2						  VARCHAR(50)		NULL ,
-  city							    VARCHAR(50)		NULL ,
-  state							    VARCHAR(2)		NULL ,
-  zip							      VARCHAR(9)		NULL ,
-  county							  VARCHAR(20)		NULL ,
-  location_source_value VARCHAR(50)		NULL
+  location_id			NUMBER(19)		NOT NULL ,
+  address_1				VARCHAR(50)		NULL ,
+  address_2				VARCHAR(50)		NULL ,
+  city					VARCHAR(50)		NULL ,
+  state					VARCHAR(2)		NULL ,
+  zip					VARCHAR(9)		NULL ,
+  county				VARCHAR(20)		NULL ,
+  country				VARCHAR(100)	NULL ,
+  location_source_value VARCHAR(50)		NULL ,
+  latitude				FLOAT			NULL ,
+  longitude				FLOAT			NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE location_history --Table added
+(
+  location_history_id           NUMBER(19)  NOT NULL ,
+  location_id			        NUMBER(19)	NOT NULL ,
+  relationship_type_concept_id	INTEGER		NOT NULL ,  
+  domain_id				        VARCHAR(50) NOT NULL ,
+  entity_id				        NUMBER(19)	NOT NULL ,
+  start_date			        DATE		NOT NULL ,
+  end_date				        DATE		NULL
+)
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE care_site
 (
-  care_site_id						      INTEGER			  NOT NULL ,
-  care_site_name						    VARCHAR(255)  NULL ,
-  place_of_service_concept_id	  INTEGER			  NULL ,
-  location_id						        INTEGER			  NULL ,
-  care_site_source_value			  VARCHAR(50)		NULL ,
-  place_of_service_source_value VARCHAR(50)		NULL
+  care_site_id					NUMBER(19)	  NOT NULL ,
+  care_site_name				VARCHAR(255)  NULL ,
+  place_of_service_concept_id	INTEGER		  NOT NULL ,
+  location_id					NUMBER(19)	  NULL ,
+  care_site_source_value		VARCHAR(50)	  NULL ,
+  place_of_service_source_value	VARCHAR(50)	  NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE provider
 (
-  provider_id					        INTEGER			  NOT NULL ,
-  provider_name					      VARCHAR(255)	NULL ,
-  NPI							            VARCHAR(20)		NULL ,
-  DEA							            VARCHAR(20)		NULL ,
-  specialty_concept_id			  INTEGER			  NULL ,
-  care_site_id					      INTEGER			  NULL ,
-  year_of_birth					      INTEGER			  NULL ,
-  gender_concept_id				    INTEGER			  NULL ,
-  provider_source_value			  VARCHAR(50)		NULL ,
-  specialty_source_value			VARCHAR(50)		NULL ,
-  specialty_source_concept_id	INTEGER			  NULL ,
-  gender_source_value			    VARCHAR(50)		NULL ,
-  gender_source_concept_id		INTEGER			  NULL
+  provider_id					NUMBER(19)		NOT NULL ,
+  provider_name					VARCHAR(255)	NULL ,
+  NPI							VARCHAR(20)		NULL ,
+  DEA							VARCHAR(20)		NULL ,
+  specialty_concept_id			INTEGER			NOT NULL ,
+  care_site_id					NUMBER(19)		NULL ,
+  year_of_birth					INTEGER			NULL ,
+  gender_concept_id				INTEGER			NULL ,
+  provider_source_value			VARCHAR(50)		NULL ,
+  specialty_source_value		VARCHAR(50)		NULL ,
+  specialty_source_concept_id	INTEGER			NOT NULL ,
+  gender_source_value			VARCHAR(50)		NULL ,
+  gender_source_concept_id		INTEGER			NOT NULL
 )
 ;
 
@@ -608,51 +644,52 @@ Standardized health economics
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE payer_plan_period
 (
-  payer_plan_period_id			    INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  payer_plan_period_start_date  DATE			    NOT NULL ,
-  payer_plan_period_end_date		DATE			    NOT NULL ,
-  payer_concept_id              INTEGER       NULL ,
-  payer_source_value				    VARCHAR(50)	  NULL ,
-  payer_source_concept_id       INTEGER       NULL ,
-  plan_concept_id               INTEGER       NULL ,
-  plan_source_value				      VARCHAR(50)	  NULL ,
-  plan_source_concept_id        INTEGER       NULL ,
-  sponsor_concept_id            INTEGER       NULL ,
+  payer_plan_period_id			NUMBER(19)	  NOT NULL ,
+  person_id						NUMBER(19)	  NOT NULL ,
+  contract_person_id            NUMBER(19)    NULL ,
+  payer_plan_period_start_date  DATE		  NOT NULL ,
+  payer_plan_period_end_date	DATE		  NOT NULL ,
+  payer_concept_id              INTEGER       NOT NULL ,
+  plan_concept_id               INTEGER       NOT NULL ,
+  contract_concept_id           INTEGER       NOT NULL ,
+  sponsor_concept_id            INTEGER       NOT NULL ,
+  stop_reason_concept_id        INTEGER       NOT NULL ,
+  payer_source_value			VARCHAR(50)	  NULL ,
+  payer_source_concept_id       INTEGER       NOT NULL ,
+  plan_source_value				VARCHAR(50)	  NULL ,
+  plan_source_concept_id        INTEGER       NOT NULL ,
+  contract_source_value         VARCHAR(50)   NULL ,
+  contract_source_concept_id    INTEGER       NOT NULL ,
   sponsor_source_value          VARCHAR(50)   NULL ,
-  sponsor_source_concept_id     INTEGER       NULL ,
-  family_source_value			      VARCHAR(50)	  NULL ,
-  stop_reason_concept_id        INTEGER       NULL ,
-  stop_reason_source_value      VARCHAR(50)      NULL ,
-  stop_reason_source_concept_id INTEGER       NULL
+  sponsor_source_concept_id     INTEGER       NOT NULL ,
+  family_source_value			VARCHAR(50)	  NULL ,
+  stop_reason_source_value      VARCHAR(50)   NULL ,
+  stop_reason_source_concept_id INTEGER       NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON KEY(person_id)
 CREATE TABLE cost
 (
-  cost_id					          INTEGER	    NOT NULL ,
-  cost_event_id             INTEGER     NOT NULL ,
-  cost_domain_id            VARCHAR(20) NOT NULL ,
-  cost_type_concept_id      INTEGER     NOT NULL ,
-  currency_concept_id			  INTEGER			NULL ,
-  total_charge						  FLOAT			  NULL ,
-  total_cost						    FLOAT			  NULL ,
-  total_paid						    FLOAT			  NULL ,
-  paid_by_payer					    FLOAT			  NULL ,
-  paid_by_patient						FLOAT			  NULL ,
-  paid_patient_copay				FLOAT			  NULL ,
-  paid_patient_coinsurance  FLOAT			  NULL ,
-  paid_patient_deductible		FLOAT			  NULL ,
-  paid_by_primary						FLOAT			  NULL ,
-  paid_ingredient_cost			FLOAT			  NULL ,
-  paid_dispensing_fee				FLOAT			  NULL ,
-  payer_plan_period_id			INTEGER			NULL ,
-  amount_allowed		        FLOAT			  NULL ,
-  revenue_code_concept_id		INTEGER			NULL ,
-  reveue_code_source_value  VARCHAR(50) NULL,
-  drg_concept_id			      INTEGER		  NULL,
-  drg_source_value			    VARCHAR(3)	NULL
+  cost_id						NUMBER(19)	NOT NULL ,
+  person_id						NUMBER(19)	NOT NULL,
+  cost_event_id					NUMBER(19)  NOT NULL ,
+  cost_event_field_concept_id	INTEGER		NOT NULL , 
+  cost_concept_id				INTEGER		NOT NULL ,
+  cost_type_concept_id		    INTEGER     NOT NULL ,
+  currency_concept_id			INTEGER		NOT NULL ,
+  cost							FLOAT		NULL ,
+  incurred_date					DATE		NOT NULL ,
+  billed_date					DATE		NULL ,
+  paid_date						DATE		NULL ,
+  revenue_code_concept_id		INTEGER		NOT NULL ,
+  drg_concept_id			    INTEGER		NOT NULL ,
+  cost_source_value				VARCHAR(50)	NULL ,
+  cost_source_concept_id	    INTEGER		NOT NULL ,
+  revenue_code_source_value 	VARCHAR(50) NULL ,
+  drg_source_value			    VARCHAR(3)	NULL ,
+  payer_plan_period_id			NUMBER(19)	NULL
 )
 ;
 
@@ -664,41 +701,16 @@ Standardized derived elements
 ************************/
 
 
---HINT DISTRIBUTE_ON_KEY(subject_id)
-CREATE TABLE cohort
-(
-  cohort_definition_id	INTEGER		NOT NULL ,
-  subject_id						INTEGER		NOT NULL ,
-  cohort_start_date			DATE			NOT NULL ,
-  cohort_end_date				DATE			NOT NULL
-)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(subject_id)
-CREATE TABLE cohort_attribute
-(
-  cohort_definition_id		INTEGER		NOT NULL ,
-  subject_id						  INTEGER		NOT NULL ,
-  cohort_start_date				DATE			NOT NULL ,
-  cohort_end_date				  DATE			NOT NULL ,
-  attribute_definition_id INTEGER		NOT NULL ,
-  value_as_number				  FLOAT			NULL ,
-  value_as_concept_id			INTEGER		NULL
-)
-;
-
-
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_era
 (
-  drug_era_id					INTEGER			NOT NULL ,
-  person_id						INTEGER			NOT NULL ,
+  drug_era_id				NUMBER(19)		NOT NULL ,
+  person_id					NUMBER(19)		NOT NULL ,
   drug_concept_id			INTEGER			NOT NULL ,
-  drug_era_start_date	DATE			  NOT NULL ,
-  drug_era_end_date		DATE			  NOT NULL ,
-  drug_exposure_count	INTEGER			NULL ,
-  gap_days						INTEGER			NULL
+  drug_era_start_datetime	TIMESTAMP		NOT NULL ,
+  drug_era_end_datetime		TIMESTAMP		NOT NULL ,
+  drug_exposure_count		INTEGER			NULL ,
+  gap_days					INTEGER			NULL
 )
 ;
 
@@ -706,13 +718,13 @@ CREATE TABLE drug_era
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE dose_era
 (
-  dose_era_id					  INTEGER			NOT NULL ,
-  person_id						  INTEGER			NOT NULL ,
-  drug_concept_id				INTEGER			NOT NULL ,
-  unit_concept_id				INTEGER			NOT NULL ,
-  dose_value						FLOAT			  NOT NULL ,
-  dose_era_start_date		DATE			  NOT NULL ,
-  dose_era_end_date	    DATE			  NOT NULL
+  dose_era_id				NUMBER(19)		NOT NULL ,
+  person_id					NUMBER(19)		NOT NULL ,
+  drug_concept_id			INTEGER			NOT NULL ,
+  unit_concept_id			INTEGER			NOT NULL ,
+  dose_value				FLOAT			NOT NULL ,
+  dose_era_start_datetime	TIMESTAMP		NOT NULL ,
+  dose_era_end_datetime	    TIMESTAMP		NOT NULL
 )
 ;
 
@@ -720,11 +732,11 @@ CREATE TABLE dose_era
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_era
 (
-  condition_era_id				    INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  condition_concept_id			  INTEGER			NOT NULL ,
-  condition_era_start_date		DATE			  NOT NULL ,
-  condition_era_end_date			DATE			  NOT NULL ,
-  condition_occurrence_count	INTEGER			NULL
+  condition_era_id					NUMBER(19)		NOT NULL ,
+  person_id							NUMBER(19)		NOT NULL ,
+  condition_concept_id				INTEGER			NOT NULL ,
+  condition_era_start_datetime		TIMESTAMP		NOT NULL ,
+  condition_era_end_datetime		TIMESTAMP		NOT NULL ,
+  condition_occurrence_count		INTEGER			NULL
 )
 ;
diff --git a/Oracle/OMOP CDM oracle indexes.txt b/Oracle/OMOP CDM oracle pk indexes.txt
similarity index 87%
rename from Oracle/OMOP CDM oracle indexes.txt
rename to Oracle/OMOP CDM oracle pk indexes.txt
index 6c77b8f..ee5b2f2 100644
--- a/Oracle/OMOP CDM oracle indexes.txt	
+++ b/Oracle/OMOP CDM oracle pk indexes.txt	
@@ -17,18 +17,18 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####     ###
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #     #  #    # #####  ###### #    # ######  ####
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #     #  ##   # #    # #       #  #  #      #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####      #  # #  # #    # #####    ##   #####   ####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #     #  #  # # #    # #        ##   #           #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #     #  #   ## #    # #       #  #  #      #    #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####     ### #    # #####  ###### #    # ######  ####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###      ######  #    #      ##       ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #     #     # #   #      #  #       #  #    # #####  #  ####  ######  ####
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #    #     # #  #        ##        #  ##   # #    # # #    # #      #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #    ######  ###        ###        #  # #  # #    # # #      #####   ####
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #    #       #  #      #   # #     #  #  # # #    # # #      #           #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #     #       #   #     #    #      #  #   ## #    # # #    # #      #    #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###      #       #    #     ###  #    ### #    # #####  #  ####  ######  ####
 
 
-oracle script to create the required indexes within OMOP common data model, version 5.3
+oracle script to create the required primary keys and indices within the OMOP common data model, version 6.0
 
-last revised: 14-November-2017
+last revised: 30-Aug-2017
 
 author:  Patrick Ryan, Clair Blacketer
 
@@ -77,10 +77,6 @@ ALTER TABLE source_to_concept_map ADD CONSTRAINT xpk_source_to_concept_map PRIMA
 
 ALTER TABLE drug_strength ADD CONSTRAINT xpk_drug_strength PRIMARY KEY (drug_concept_id, ingredient_concept_id);
 
-ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY (cohort_definition_id);
-
-ALTER TABLE attribute_definition ADD CONSTRAINT xpk_attribute_definition PRIMARY KEY (attribute_definition_id);
-
 
 /**************************
 
@@ -127,7 +123,7 @@ ALTER TABLE note_nlp ADD CONSTRAINT xpk_note_nlp PRIMARY KEY ( note_nlp_id ) ;
 
 ALTER TABLE observation  ADD CONSTRAINT xpk_observation PRIMARY KEY ( observation_id ) ;
 
-
+ALTER TABLE survey_conduct ADD CONSTRAINT xpk_survey_conduct PRIMARY KEY ( survey_conduct_id ) ;
 
 
 /************************
@@ -139,6 +135,8 @@ Standardized health system data
 
 ALTER TABLE location ADD CONSTRAINT xpk_location PRIMARY KEY ( location_id ) ;
 
+ALTER TABLE location_history ADD CONSTRAINT xpk_location_history PRIMARY KEY ( location_history_id ) ; 
+
 ALTER TABLE care_site ADD CONSTRAINT xpk_care_site PRIMARY KEY ( care_site_id ) ;
 
 ALTER TABLE provider ADD CONSTRAINT xpk_provider PRIMARY KEY ( provider_id ) ;
@@ -163,10 +161,6 @@ Standardized derived elements
 
 ************************/
 
-ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT xpk_cohort_attribute PRIMARY KEY ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date, attribute_definition_id ) ;
-
 ALTER TABLE drug_era ADD CONSTRAINT xpk_drug_era PRIMARY KEY ( drug_era_id ) ;
 
 ALTER TABLE dose_era  ADD CONSTRAINT xpk_dose_era PRIMARY KEY ( dose_era_id ) ;
@@ -200,7 +194,6 @@ EXCEPTION
       RAISE;
     END IF;
 END;
-
 CREATE INDEX idx_concept_code ON concept (concept_code ASC);
 CREATE INDEX idx_concept_vocabluary_id ON concept (vocabulary_id ASC);
 CREATE INDEX idx_concept_domain_id ON concept (domain_id ASC);
@@ -259,10 +252,6 @@ CREATE INDEX idx_source_to_concept_map_code ON source_to_concept_map (source_cod
 CREATE INDEX idx_drug_strength_id_1 ON drug_strength (drug_concept_id ASC);
 CREATE INDEX idx_drug_strength_id_2 ON drug_strength (ingredient_concept_id ASC);
 
-CREATE INDEX idx_cohort_definition_id ON cohort_definition (cohort_definition_id ASC);
-
-CREATE INDEX idx_attribute_definition_id ON attribute_definition (attribute_definition_id ASC);
-
 
 /**************************
 
@@ -333,6 +322,8 @@ CREATE INDEX idx_observation_person_id ON observation (person_id ASC);
 CREATE INDEX idx_observation_concept_id ON observation (observation_concept_id ASC);
 CREATE INDEX idx_observation_visit_id ON observation (visit_occurrence_id ASC);
 
+CREATE INDEX idx_survey_person_id ON survey (person_id ASC);
+
 CREATE INDEX idx_fact_relationship_id_1 ON fact_relationship (domain_concept_id_1 ASC);
 CREATE INDEX idx_fact_relationship_id_2 ON fact_relationship (domain_concept_id_2 ASC);
 CREATE INDEX idx_fact_relationship_id_3 ON fact_relationship (relationship_concept_id ASC);
@@ -357,8 +348,7 @@ Standardized health economics
 
 CREATE INDEX idx_period_person_id ON payer_plan_period (person_id ASC);
 
-
-
+CREATE INDEX idx_cost_person_id ON cost (person_id ASC);
 
 
 /************************
@@ -368,12 +358,6 @@ Standardized derived elements
 ************************/
 
 
-CREATE INDEX idx_cohort_subject_id ON cohort (subject_id ASC);
-CREATE INDEX idx_cohort_c_definition_id ON cohort (cohort_definition_id ASC);
-
-CREATE INDEX idx_ca_subject_id ON cohort_attribute (subject_id ASC);
-CREATE INDEX idx_ca_definition_id ON cohort_attribute (cohort_definition_id ASC);
-
 CREATE INDEX idx_drug_era_person_id ON drug_era (person_id ASC);
 CREATE INDEX idx_drug_era_concept_id ON drug_era (drug_concept_id ASC);
 
diff --git a/Oracle/README.md b/Oracle/README.md
index 22505e6..2eb73a7 100644
--- a/Oracle/README.md
+++ b/Oracle/README.md
@@ -7,7 +7,7 @@ In order to create your instantiation of the Common Data Model, we recommend fol
 
 1. Create an empty schema.
 
-2. Execute the script `OMOP CDM oracle ddl.txt` to create the tables and fields.
+2. Execute the script `OMOP CDM oracle ddl.txt`  and `OMOP CDM Results oracle ddl.txt` to create the tables and fields.
 
 3. Load your data into the schema.
 
diff --git a/ParallelDataWarehouse/OMOP CDM Results pdw ddl.txt b/ParallelDataWarehouse/OMOP CDM Results pdw ddl.txt
new file mode 100644
index 0000000..c722613
--- /dev/null
+++ b/ParallelDataWarehouse/OMOP CDM Results pdw ddl.txt	
@@ -0,0 +1,78 @@
+/*********************************************************************************
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
+#
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+********************************************************************************/
+
+/************************
+
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
+
+pdw script to create OMOP common data model results schema version 6.0
+
+last revised: 27-Aug-2018
+
+Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
+
+
+*************************/
+
+
+--HINT DISTRIBUTE_ON_KEY(subject_id) 
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+cohort  (
+  cohort_definition_id	BIGINT		NOT NULL ,
+  subject_id			BIGINT		NOT NULL ,
+  cohort_start_date		DATE		NOT NULL ,
+  cohort_end_date		DATE		NOT NULL
+)
+WITH (DISTRIBUTION = HASH(subject_id));
+
+
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE
+cohort_definition  (
+  cohort_definition_id				INTEGER			NOT NULL,
+  cohort_definition_name			VARCHAR(255)	NOT NULL,
+  cohort_definition_description		VARCHAR(1000)	NULL,
+  definition_type_concept_id		INTEGER			NOT NULL,
+  cohort_definition_syntax			VARCHAR(1000)	NULL,
+  subject_concept_id				INTEGER			NOT NULL,
+  cohort_initiation_date			DATE			NULL
+)
+WITH (DISTRIBUTION = REPLICATE);
+
+
+ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY NONCLUSTERED ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
+
+ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY NONCLUSTERED (cohort_definition_id);
+
+
+ALTER TABLE cohort ADD CONSTRAINT fpk_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
+
+
+ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_definition_concept FOREIGN KEY (definition_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cohort_definition ADD CONSTRAINT fpk_subject_concept FOREIGN KEY (subject_concept_id)  REFERENCES concept (concept_id);
+
+
+CREATE INDEX idx_cohort_subject_id ON cohort (subject_id ASC);
+CREATE INDEX idx_cohort_c_definition_id ON cohort (cohort_definition_id ASC);
+
diff --git a/ParallelDataWarehouse/OMOP CDM pdw constraints.txt b/ParallelDataWarehouse/OMOP CDM pdw constraints.txt
index 814d41f..f3fe321 100644
--- a/ParallelDataWarehouse/OMOP CDM pdw constraints.txt	
+++ b/ParallelDataWarehouse/OMOP CDM pdw constraints.txt	
@@ -2,7 +2,7 @@
 # Copyright 2014 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,18 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #    #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #    #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####     #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #    #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #    #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####      #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###       #####
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #     #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #    #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #    #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #    #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #     #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###       #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
 
 
-pdw script to create foreign key constraints within OMOP common data model, version 5.3.0
+pdw script to create foreign key, unique, and check constraints within the OMOP common data model, version 6.0
 
-last revised: 14-June-2018
+last revised: 30-Aug-2018
 
 author:  Patrick Ryan, Clair Blacketer
 
@@ -62,38 +62,45 @@ ALTER TABLE concept ADD CONSTRAINT fpk_concept_class FOREIGN KEY (concept_class_
 
 ALTER TABLE concept ADD CONSTRAINT fpk_concept_vocabulary FOREIGN KEY (vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
+
 ALTER TABLE vocabulary ADD CONSTRAINT fpk_vocabulary_concept FOREIGN KEY (vocabulary_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE domain ADD CONSTRAINT fpk_domain_concept FOREIGN KEY (domain_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE concept_class ADD CONSTRAINT fpk_concept_class_concept FOREIGN KEY (concept_class_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_c_1 FOREIGN KEY (concept_id_1)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_c_2 FOREIGN KEY (concept_id_2)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_id FOREIGN KEY (relationship_id)  REFERENCES relationship (relationship_id);
 
+
 ALTER TABLE relationship ADD CONSTRAINT fpk_relationship_concept FOREIGN KEY (relationship_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE relationship ADD CONSTRAINT fpk_relationship_reverse FOREIGN KEY (reverse_relationship_id)  REFERENCES relationship (relationship_id);
 
+
 ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_concept FOREIGN KEY (concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_language FOREIGN KEY (language_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE concept_synonym ADD CONSTRAINT fpk_synonym_language FOREIGN KEY (language_concept_id)  REFERENCES concept (concept_id);
+
 
 ALTER TABLE concept_ancestor ADD CONSTRAINT fpk_concept_ancestor_concept_1 FOREIGN KEY (ancestor_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_ancestor ADD CONSTRAINT fpk_concept_ancestor_concept_2 FOREIGN KEY (descendant_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_1 FOREIGN KEY (source_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
-ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_concept_id FOREIGN KEY (source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_1 FOREIGN KEY (source_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
 ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_2 FOREIGN KEY (target_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
 ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_c_1 FOREIGN KEY (target_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_concept_1 FOREIGN KEY (drug_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_concept_2 FOREIGN KEY (ingredient_concept_id)  REFERENCES concept (concept_id);
@@ -104,12 +111,6 @@ ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_unit_2 FOREIGN KEY (n
 
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_unit_3 FOREIGN KEY (denominator_unit_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_definition_concept FOREIGN KEY (definition_type_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_subject_concept FOREIGN KEY (subject_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE attribute_definition ADD CONSTRAINT fpk_attribute_type_concept FOREIGN KEY (attribute_type_concept_id)  REFERENCES concept (concept_id);
-
 
 /**************************
 
@@ -118,7 +119,9 @@ Standardized meta-data
 ***************************/
 
 
+ALTER TABLE metadata ADD CONSTRAINT fpk_metadata_concept FOREIGN KEY (metadata_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE metadata ADD CONSTRAINT fpk_metadata_type_concept FOREIGN KEY (metadata_type_concept_id) REFERENCES concept (concept_id);
 
 
 /************************
@@ -175,6 +178,8 @@ ALTER TABLE death ADD CONSTRAINT fpk_death_cause_concept_s FOREIGN KEY (cause_so
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
+ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_concept FOREIGN KEY (visit_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_type_concept FOREIGN KEY (visit_type_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
@@ -183,7 +188,7 @@ ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_care_site FOREIGN KEY (car
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_concept_s FOREIGN KEY (visit_source_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_admitting_s FOREIGN KEY (admitting_source_concept_id) REFERENCES concept (concept_id);
+ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_admitting_s FOREIGN KEY (admitted_frome_concept_id) REFERENCES concept (concept_id);
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_discharge FOREIGN KEY (discharge_to_concept_id) REFERENCES concept (concept_id);
 
@@ -192,18 +197,20 @@ ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_preceding FOREIGN KEY (pre
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept FOREIGN KEY (visit_detail_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_type_concept FOREIGN KEY (visit_detail_type_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_care_site FOREIGN KEY (care_site_id)  REFERENCES care_site (care_site_id);
 
-ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept_s FOREIGN KEY (visit_detail_source_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_admitting_s FOREIGN KEY (admitting_source_concept_id) REFERENCES concept (concept_id);
-
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_discharge FOREIGN KEY (discharge_to_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_admitting_s FOREIGN KEY (admitted_from_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept_s FOREIGN KEY (visit_detail_source_concept_id)  REFERENCES concept (concept_id);
+
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_preceding FOREIGN KEY (preceding_visit_detail_id) REFERENCES visit_detail (visit_detail_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_parent FOREIGN KEY (visit_detail_parent_id) REFERENCES visit_detail (visit_detail_id);
@@ -223,6 +230,8 @@ ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_provider FOREIGN K
 
 ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_concept_s FOREIGN KEY (procedure_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -238,6 +247,8 @@ ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_provider FOREIGN KEY (provider
 
 ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_concept_s FOREIGN KEY (drug_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -251,6 +262,8 @@ ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_provider FOREIGN KEY (prov
 
 ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_concept_s FOREIGN KEY (device_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -260,13 +273,15 @@ ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept FOREIGN KE
 
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_type_concept FOREIGN KEY (condition_type_concept_id)  REFERENCES concept (concept_id);
 
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_status_concept FOREIGN KEY (condition_status_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
 
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
-ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept_s FOREIGN KEY (condition_source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
 
-ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_status_concept FOREIGN KEY (condition_status_concept_id) REFERENCES concept (concept_id);
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept_s FOREIGN KEY (condition_source_concept_id)  REFERENCES concept (concept_id);
 
 
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
@@ -285,6 +300,8 @@ ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_provider FOREIGN KEY (pro
 
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_concept_s FOREIGN KEY (measurement_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -302,6 +319,8 @@ ALTER TABLE note ADD CONSTRAINT fpk_note_provider FOREIGN KEY (provider_id)  REF
 
 ALTER TABLE note ADD CONSTRAINT fpk_note_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE note ADD CONSTRAINT fpk_note_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 
 ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_note FOREIGN KEY (note_id) REFERENCES note (note_id);
 
@@ -309,6 +328,7 @@ ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_section_concept FOREIGN KEY (se
 
 ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_concept FOREIGN KEY (note_nlp_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_concept_s FOREIGN KEY (note_nlp_source_concept_id) REFERENCES concept (concept_id);
 
 
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
@@ -327,9 +347,36 @@ ALTER TABLE observation ADD CONSTRAINT fpk_observation_provider FOREIGN KEY (pro
 
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE observation ADD CONSTRAint fpk_observation_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_concept_s FOREIGN KEY (observation_source_concept_id)  REFERENCES concept (concept_id);
 
 
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_concept FOREIGN KEY (survey_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_provider FOREIGN KEY (provider_id) REFERENCES provider (provider_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_assist FOREIGN KEY (assisted_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_respondent_type FOREIGN KEY (respondent_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_timing FOREIGN KEY (timing_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_collection_method FOREIGN KEY (collection_method_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_source FOREIGN KEY (survey_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_validation FOREIGN KEY (validated_survey_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_visit FOREIGN KEY (visit_occurrence_id) REFERENCES visit (visit_occurrence_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_response_visit FOREIGN KEY (response_visit_occurrence_id) REFERENCES visit (visit_occurrence_id);
+
+
 ALTER TABLE fact_relationship ADD CONSTRAINT fpk_fact_domain_1 FOREIGN KEY (domain_concept_id_1)  REFERENCES concept (concept_id);
 
 ALTER TABLE fact_relationship ADD CONSTRAINT fpk_fact_domain_2 FOREIGN KEY (domain_concept_id_2)  REFERENCES concept (concept_id);
@@ -344,10 +391,15 @@ Standardized health system data
 
 ************************/
 
-ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_location FOREIGN KEY (location_id)  REFERENCES location (location_id);
+ALTER TABLE location_history ADD CONSTRAINT fpk_location_history FOREIGN KEY ( location_id ) REFERENCES location ( location_id ) ;
+
+ALTER TABLE location_history ADD CONSTRAINT fpk_relationship_type FOREIGN KEY (relationship_type_concept_id) REFERENCES concept (concept_id);
+
 
 ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_place FOREIGN KEY (place_of_service_concept_id)  REFERENCES concept (concept_id);
 
+ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_location FOREIGN KEY (location_id)  REFERENCES location (location_id);
+
 
 ALTER TABLE provider ADD CONSTRAINT fpk_provider_specialty FOREIGN KEY (specialty_concept_id)  REFERENCES concept (concept_id);
 
@@ -361,7 +413,6 @@ ALTER TABLE provider ADD CONSTRAINT fpk_provider_gender_s FOREIGN KEY (gender_so
 
 
 
-
 /************************
 
 Standardized health economics
@@ -370,12 +421,46 @@ Standardized health economics
 
 ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_plan_period FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
-ALTER TABLE cost ADD CONSTRAINT fpk_visit_cost_currency FOREIGN KEY (currency_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_person FOREIGN KEY (contract_person_id) REFERENCES person (person_id);
 
-ALTER TABLE cost ADD CONSTRAINT fpk_visit_cost_period FOREIGN KEY (payer_plan_period_id)  REFERENCES payer_plan_period (payer_plan_period_id);
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_concept FOREIGN KEY (payer_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_plan_concept_id FOREIGN KEY (plan_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_concept FOREIGN KEY (contract_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_sponsor_concept FOREIGN KEY (sponsor_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_stop_reason_concept FOREIGN KEY (stop_reason_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_s FOREIGN KEY (payer_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_plan_s FOREIGN KEY (plan_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_s FOREIGN KEY (contract_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_sponsor_s FOREIGN KEY (sponsor_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_stop_reason_s FOREIGN KEY (stop_reason_source_concept_id) REFERENCES concept (concept_id);
+
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_concept FOREIGN KEY (cost_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_type FOREIGN KEY (cost_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_currency FOREIGN KEY (currency_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_revenue_concept FOREIGN KEY (revenue_code_concept_id) REFERENCES concept (concept_id);
 
 ALTER TABLE cost ADD CONSTRAINT fpk_drg_concept FOREIGN KEY (drg_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_s FOREIGN KEY (cost_source_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_period FOREIGN KEY (payer_plan_period_id)  REFERENCES payer_plan_period (payer_plan_period_id);
+
+
 /************************
 
 Standardized derived elements
@@ -383,16 +468,6 @@ Standardized derived elements
 ************************/
 
 
---ALTER TABLE cohort ADD CONSTRAINT fpk_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
-
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_attribute_definition FOREIGN KEY (attribute_definition_id)  REFERENCES attribute_definition (attribute_definition_id);
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_value FOREIGN KEY (value_as_concept_id)  REFERENCES concept (concept_id);
-
-
 ALTER TABLE drug_era ADD CONSTRAINT fpk_drug_era_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
 ALTER TABLE drug_era ADD CONSTRAINT fpk_drug_era_concept FOREIGN KEY (drug_concept_id)  REFERENCES concept (concept_id);
@@ -423,3 +498,29 @@ Unique constraints
 ************************/
 
 ALTER TABLE concept_synonym ADD CONSTRAINT uq_concept_synonym UNIQUE (concept_id, concept_synonym_name, language_concept_id);
+
+/************************
+*************************
+*************************
+*************************
+
+Check constraints
+
+*************************
+*************************
+*************************
+************************/
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_concept_name CHECK (concept_name <> '');
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_standard_concept CHECK (COALESCE(standard_concept,'C') in ('C','S'));
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_concept_code CHECK (concept_code <> '');
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_invalid_reason CHECK (COALESCE(invalid_reason,'D') in ('D','U'));
+
+
+ALTER TABLE concept_relationship ADD CONSTRAINT chk_cr_invalid_reason CHECK (COALESCE(invalid_reason,'D')='D');
+
+
+ALTER TABLE concept_synonym ADD CONSTRAINT chk_csyn_concept_synonym_name CHECK (concept_synonym_name <> '');
diff --git a/ParallelDataWarehouse/OMOP CDM pdw ddl.txt b/ParallelDataWarehouse/OMOP CDM pdw ddl.txt
index 5a49470..1ca56e5 100644
--- a/ParallelDataWarehouse/OMOP CDM pdw ddl.txt	
+++ b/ParallelDataWarehouse/OMOP CDM pdw ddl.txt	
@@ -1,8 +1,8 @@
 /*********************************************************************************
-# Copyright 2017-11 Observational Health Data Sciences and Informatics
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,17 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
 
+pdw script to create OMOP common data model version 6.0
 
-pdw script to create OMOP common data model version 5.3
-
-last revised: 14-June-2018
+last revised: 27-Aug-2018
 
 Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
 
@@ -43,126 +42,133 @@ Standardized vocabulary
 ************************/
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  concept  (concept_id			    INTEGER			  NOT NULL ,
-  concept_name			  VARCHAR(255)	NOT NULL ,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+concept  (
+  concept_id			 	INTEGER			NOT NULL ,
+  concept_name			  	VARCHAR(255)	NOT NULL ,
   domain_id				    VARCHAR(20)		NOT NULL ,
-  vocabulary_id			  VARCHAR(20)		NOT NULL ,
-  concept_class_id		VARCHAR(20)		NOT NULL ,
-  standard_concept		VARCHAR(1)		NULL ,
-  concept_code			  VARCHAR(50)		NOT NULL ,
-  valid_start_date		DATE			    NOT NULL ,
-  valid_end_date		  DATE			    NOT NULL ,
-  invalid_reason		  VARCHAR(1)		NULL
+  vocabulary_id			  	VARCHAR(20)		NOT NULL ,
+  concept_class_id			VARCHAR(20)		NOT NULL ,
+  standard_concept			VARCHAR(1)		NULL ,
+  concept_code			  	VARCHAR(50)		NOT NULL ,
+  valid_start_date			DATE			NOT NULL ,
+  valid_end_date		 	DATE			NOT NULL ,
+  invalid_reason		  	VARCHAR(1)		NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  vocabulary  (vocabulary_id			    VARCHAR(20)		NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+vocabulary  (
+  vocabulary_id			    VARCHAR(20)		NOT NULL,
   vocabulary_name		    VARCHAR(255)	NOT NULL,
-  vocabulary_reference	VARCHAR(255)	NOT NULL,
-  vocabulary_version	  VARCHAR(255)	NOT NULL,
-  vocabulary_concept_id	INTEGER			  NOT NULL
+  vocabulary_reference		VARCHAR(255)	NOT NULL,
+  vocabulary_version	  	VARCHAR(255)	NULL,
+  vocabulary_concept_id		INTEGER			NOT NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  domain  (domain_id			    VARCHAR(20)		NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+domain  (
+  domain_id			    VARCHAR(20)		NOT NULL,
   domain_name		    VARCHAR(255)	NOT NULL,
-  domain_concept_id	INTEGER			  NOT NULL
+  domain_concept_id		INTEGER			  NOT NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  concept_class  (concept_class_id			    VARCHAR(20)		NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+concept_class  (
+  concept_class_id			    VARCHAR(20)		NOT NULL,
   concept_class_name		    VARCHAR(255)	NOT NULL,
-  concept_class_concept_id	INTEGER			  NOT NULL
+  concept_class_concept_id		INTEGER			NOT NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  concept_relationship  (concept_id_1			INTEGER			NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+concept_relationship  (
+  concept_id_1			INTEGER			NOT NULL,
   concept_id_2			INTEGER			NOT NULL,
-  relationship_id		VARCHAR(20)	NOT NULL,
-  valid_start_date	DATE			  NOT NULL,
+  relationship_id		VARCHAR(20)		NOT NULL,
+  valid_start_date		DATE			  NOT NULL,
   valid_end_date		DATE			  NOT NULL,
-  invalid_reason		VARCHAR(1)	NULL
+  invalid_reason		VARCHAR(1)		NULL
   )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  relationship  (relationship_id			    VARCHAR(20)		NOT NULL,
-  relationship_name			  VARCHAR(255)	NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+relationship  (
+  relationship_id			    VARCHAR(20)		NOT NULL,
+  relationship_name			  	VARCHAR(255)	NOT NULL,
   is_hierarchical			    VARCHAR(1)		NOT NULL,
-  defines_ancestry			  VARCHAR(1)		NOT NULL,
-  reverse_relationship_id	VARCHAR(20)		NOT NULL,
-  relationship_concept_id	INTEGER			  NOT NULL
+  defines_ancestry			  	VARCHAR(1)		NOT NULL,
+  reverse_relationship_id		VARCHAR(20)		NOT NULL,
+  relationship_concept_id		INTEGER			  NOT NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  concept_synonym  (concept_id			      INTEGER			  NOT NULL,
-  concept_synonym_name	VARCHAR(1000)	NOT NULL,
-  language_concept_id	  INTEGER			  NOT NULL
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+concept_synonym  (
+  concept_id			    INTEGER			NOT NULL,
+  concept_synonym_name		VARCHAR(1000)	NOT NULL,
+  language_concept_id	  	INTEGER			NOT NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  concept_ancestor  (ancestor_concept_id		    INTEGER		NOT NULL,
-  descendant_concept_id		  INTEGER		NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+concept_ancestor  (
+  ancestor_concept_id		INTEGER		NOT NULL,
+  descendant_concept_id		INTEGER		NOT NULL,
   min_levels_of_separation	INTEGER		NOT NULL,
   max_levels_of_separation	INTEGER		NOT NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  source_to_concept_map  (source_code				      VARCHAR(50)		NOT NULL,
-  source_concept_id			  INTEGER			  NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+source_to_concept_map  (
+  source_code				VARCHAR(50)		NOT NULL,
+  source_concept_id			INTEGER			NOT NULL,
   source_vocabulary_id		VARCHAR(20)		NOT NULL,
   source_code_description	VARCHAR(255)	NULL,
-  target_concept_id			  INTEGER			  NOT NULL,
+  target_concept_id			INTEGER			NOT NULL,
   target_vocabulary_id		VARCHAR(20)		NOT NULL,
-  valid_start_date			  DATE			    NOT NULL,
-  valid_end_date			    DATE			    NOT NULL,
-  invalid_reason			    VARCHAR(1)		NULL
+  valid_start_date			DATE			NOT NULL,
+  valid_end_date			DATE			NOT NULL,
+  invalid_reason			VARCHAR(1)		NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-
-
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  drug_strength  (drug_concept_id				      INTEGER		  NOT NULL,
-  ingredient_concept_id			  INTEGER		  NOT NULL,
-  amount_value					      FLOAT		    NULL,
-  amount_unit_concept_id		  INTEGER		  NULL,
-  numerator_value				      FLOAT		    NULL,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+drug_strength  (
+  drug_concept_id				INTEGER		  NOT NULL,
+  ingredient_concept_id			INTEGER		  NOT NULL,
+  amount_value					FLOAT		  NULL,
+  amount_unit_concept_id		INTEGER		  NULL,
+  numerator_value				FLOAT		  NULL,
   numerator_unit_concept_id		INTEGER		  NULL,
-  denominator_value				    FLOAT		    NULL,
+  denominator_value				FLOAT		  NULL,
   denominator_unit_concept_id	INTEGER		  NULL,
-  box_size						        INTEGER		  NULL,
-  valid_start_date				    DATE		    NOT NULL,
-  valid_end_date				      DATE		    NOT NULL,
-  invalid_reason				      VARCHAR(1)  NULL
-)
-WITH (DISTRIBUTION = REPLICATE);
-
-
-
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  cohort_definition  (cohort_definition_id				    INTEGER			  NOT NULL,
-  cohort_definition_name			    VARCHAR(255)	NOT NULL,
-  cohort_definition_description		VARCHAR(1000)	NULL,
-  definition_type_concept_id		  INTEGER			  NOT NULL,
-  cohort_definition_syntax			  VARCHAR(1000)	NULL,
-  subject_concept_id				      INTEGER			  NOT NULL,
-  cohort_initiation_date			    DATE			    NULL
-)
-WITH (DISTRIBUTION = REPLICATE);
-
-
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  attribute_definition  (attribute_definition_id		  INTEGER			  NOT NULL,
-  attribute_name				      VARCHAR(255)	NOT NULL,
-  attribute_description			  VARCHAR(1000)	NULL,
-  attribute_type_concept_id		INTEGER			  NOT NULL,
-  attribute_syntax				    VARCHAR(1000)	NULL
+  box_size						INTEGER		  NULL,
+  valid_start_date				DATE		  NOT NULL,
+  valid_end_date				DATE		  NOT NULL,
+  invalid_reason				VARCHAR(1)    NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
@@ -174,32 +180,40 @@ Standardized meta-data
 ***************************/
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  cdm_source
- (cdm_source_name					        VARCHAR(255)	NOT NULL ,
-  cdm_source_abbreviation			    VARCHAR(25)		NULL ,
-  cdm_holder							        VARCHAR(255)	NULL ,
-  source_description					    VARCHAR(1000)	NULL ,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+cdm_source  (
+  cdm_source_name					VARCHAR(255)	NOT NULL ,
+  cdm_source_abbreviation			VARCHAR(25)		NULL ,
+  cdm_holder						VARCHAR(255)	NULL ,
+  source_description				VARCHAR(1000)	NULL ,
   source_documentation_reference	VARCHAR(255)	NULL ,
-  cdm_etl_reference					      VARCHAR(255)	NULL ,
-  source_release_date				      DATE			    NULL ,
-  cdm_release_date					      DATE			    NULL ,
-  cdm_version						          VARCHAR(10)		NULL ,
-  vocabulary_version					    VARCHAR(20)		NULL
+  cdm_etl_reference					VARCHAR(255)	NULL ,
+  source_release_date				DATE			NULL ,
+  cdm_release_date					DATE			NULL ,
+  cdm_version						VARCHAR(10)		NULL ,
+  vocabulary_version				VARCHAR(20)		NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  metadata
- (metadata_concept_id       INTEGER       NOT NULL ,
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+metadata  (
+  metadata_concept_id       INTEGER       NOT NULL ,
   metadata_type_concept_id  INTEGER       NOT NULL ,
   name                      VARCHAR(250)  NOT NULL ,
-  value_as_string           VARCHAR(1000)  NULL ,
+  value_as_string           VARCHAR(1000) NULL ,
   value_as_concept_id       INTEGER       NULL ,
   metadata_date             DATE          NULL ,
-  metadata_datetime         DATETIME2      NULL
+  metadata_datetime         DATETIME2     NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
+INSERT INTO metadata (metadata_concept_id, metadata_type_concept_id, name, value_as_string, value_as_concept_id, metadata_date, metadata_datetime) 
+VALUES (0, 0, 'CDM Version', '6.0', 0, NULL, NULL)
+;
+
 
 /************************
 
@@ -207,310 +221,351 @@ Standardized clinical data
 
 ************************/
 
+
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  person
- (person_id						        INTEGER	  	NOT NULL ,
-  gender_concept_id				    INTEGER	  	NOT NULL ,
-  year_of_birth					      INTEGER	  	NOT NULL ,
-  month_of_birth				      INTEGER	  	NULL,
-  day_of_birth					      INTEGER	  	NULL,
-  birth_datetime				      DATETIME2	  NULL,
-  race_concept_id				      INTEGER		  NOT NULL,
-  ethnicity_concept_id			  INTEGER	  	NOT NULL,
-  location_id					        INTEGER		  NULL,
-  provider_id					        INTEGER		  NULL,
-  care_site_id					      INTEGER		  NULL,
-  person_source_value			    VARCHAR(50) NULL,
-  gender_source_value			    VARCHAR(50) NULL,
-  gender_source_concept_id	  INTEGER		  NULL,
-  race_source_value				    VARCHAR(50) NULL,
-  race_source_concept_id		  INTEGER		  NULL,
-  ethnicity_source_value		  VARCHAR(50) NULL,
-  ethnicity_source_concept_id	INTEGER		  NULL
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+person  (
+  person_id						BIGINT	  	NOT NULL , 
+  gender_concept_id				INTEGER	  	NOT NULL ,
+  year_of_birth					INTEGER	  	NOT NULL ,
+  month_of_birth				INTEGER	  	NULL,
+  day_of_birth					INTEGER	  	NULL,
+  birth_datetime				DATETIME2	NULL,
+  death_datetime				DATETIME2	NULL,
+  race_concept_id				INTEGER		NOT NULL,
+  ethnicity_concept_id			INTEGER	  	NOT NULL,
+  location_id					INTEGER		NULL,
+  provider_id					INTEGER		NULL,
+  care_site_id					INTEGER		NULL,
+  person_source_value			VARCHAR(50) NULL,
+  gender_source_value			VARCHAR(50) NULL,
+  gender_source_concept_id	  	INTEGER		NOT NULL,
+  race_source_value				VARCHAR(50) NULL,
+  race_source_concept_id		INTEGER		NOT NULL,
+  ethnicity_source_value		VARCHAR(50) NULL,
+  ethnicity_source_concept_id	INTEGER		NOT NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  observation_period
- (observation_period_id				      INTEGER		NOT NULL ,
-  person_id							            INTEGER		NOT NULL ,
-  observation_period_start_date		  DATE		  NOT NULL ,
-  observation_period_end_date		    DATE		  NOT NULL ,
-  period_type_concept_id			      INTEGER		NOT NULL
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+observation_period  (
+  observation_period_id				BIGINT		NOT NULL ,
+  person_id							BIGINT		NOT NULL ,
+  observation_period_start_date		DATE		NOT NULL ,
+  observation_period_end_date		DATE		NOT NULL ,
+  period_type_concept_id			INTEGER		NOT NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  specimen
- (specimen_id						      INTEGER			NOT NULL ,
-  person_id							      INTEGER			NOT NULL ,
-  specimen_concept_id				  INTEGER			NOT NULL ,
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+specimen (
+  specimen_id					BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  specimen_concept_id			INTEGER			NOT NULL ,
   specimen_type_concept_id		INTEGER			NOT NULL ,
-  specimen_date						    DATE			  NOT NULL ,
-  specimen_datetime					  DATETIME2		NULL ,
-  quantity							      FLOAT			  NULL ,
-  unit_concept_id					    INTEGER			NULL ,
-  anatomic_site_concept_id		INTEGER			NULL ,
-  disease_status_concept_id		INTEGER			NULL ,
-  specimen_source_id				  VARCHAR(50)	NULL ,
-  specimen_source_value				VARCHAR(50)	NULL ,
-  unit_source_value					  VARCHAR(50)	NULL ,
-  anatomic_site_source_value	VARCHAR(50)	NULL ,
-  disease_status_source_value VARCHAR(50)	NULL
+  specimen_date					DATE			NULL ,
+  specimen_datetime				DATETIME2		NOT NULL ,
+  quantity						FLOAT			NULL ,
+  unit_concept_id				INTEGER			NULL ,
+  anatomic_site_concept_id		INTEGER			NOT NULL ,
+  disease_status_concept_id		INTEGER			NOT NULL ,
+  specimen_source_id			VARCHAR(50)		NULL ,
+  specimen_source_value			VARCHAR(50)		NULL ,
+  unit_source_value				VARCHAR(50)		NULL ,
+  anatomic_site_source_value	VARCHAR(50)		NULL ,
+  disease_status_source_value	VARCHAR(50)		NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  death
- (person_id							  INTEGER			NOT NULL ,
-  death_date							DATE			  NOT NULL ,
-  death_datetime					DATETIME2		NULL ,
-  death_type_concept_id   INTEGER			NOT NULL ,
-  cause_concept_id			  INTEGER			NULL ,
-  cause_source_value			VARCHAR(50)	NULL,
-  cause_source_concept_id INTEGER			NULL
-)
-WITH (DISTRIBUTION = HASH(person_id));
-
-
---HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  visit_occurrence
- (visit_occurrence_id			      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  visit_concept_id				      INTEGER			NOT NULL ,
-  visit_start_date				      DATE			  NOT NULL ,
-  visit_start_datetime				  DATETIME2		NULL ,
-  visit_end_date					      DATE			  NOT NULL ,
-  visit_end_datetime					  DATETIME2		NULL ,
-  visit_type_concept_id			    INTEGER			NOT NULL ,
-  provider_id					          INTEGER			NULL,
-  care_site_id					        INTEGER			NULL,
-  visit_source_value				    VARCHAR(50)	NULL,
-  visit_source_concept_id		    INTEGER			NULL ,
-  admitting_source_concept_id	  INTEGER			NULL ,
-  admitting_source_value		    VARCHAR(50)	NULL ,
-  discharge_to_concept_id		    INTEGER   	NULL ,
-  discharge_to_source_value		  VARCHAR(50)	NULL ,
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+visit_occurrence (
+  visit_occurrence_id			BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  visit_concept_id				INTEGER			NOT NULL ,
+  visit_start_date				DATE			NULL ,
+  visit_start_datetime			DATETIME2		NOT NULL ,
+  visit_end_date				DATE			NULL ,
+  visit_end_datetime			DATETIME2		NOT NULL ,
+  visit_type_concept_id			INTEGER			NOT NULL ,
+  provider_id					INTEGER			NULL,
+  care_site_id					INTEGER			NULL,
+  visit_source_value			VARCHAR(50)		NULL,
+  visit_source_concept_id		INTEGER			NOT NULL ,
+  admitted_from_concept_id      INTEGER     	NOT ULL ,   
+  admitted_from_source_value    VARCHAR(50) 	NULL ,
+  discharge_to_source_value		VARCHAR(50)		NULL ,
+  discharge_to_concept_id		INTEGER   		NOT NULL ,
   preceding_visit_occurrence_id	INTEGER			NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  visit_detail
- (visit_detail_id                    INTEGER     NOT NULL ,
-  person_id                          INTEGER     NOT NULL ,
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+visit_detail  (
+  visit_detail_id                    BIGINT      NOT NULL ,
+  person_id                          BIGINT      NOT NULL ,
   visit_detail_concept_id            INTEGER     NOT NULL ,
-  visit_detail_start_date            DATE        NOT NULL ,
-  visit_detail_start_datetime        DATETIME2    NULL ,
-  visit_detail_end_date              DATE        NOT NULL ,
-  visit_detail_end_datetime          DATETIME2    NULL ,
+  visit_detail_start_date            DATE        NULL ,
+  visit_detail_start_datetime        DATETIME2   NOT NULL ,
+  visit_detail_end_date              DATE        NULL ,
+  visit_detail_end_datetime          DATETIME2   NOT NULL ,
   visit_detail_type_concept_id       INTEGER     NOT NULL ,
   provider_id                        INTEGER     NULL ,
   care_site_id                       INTEGER     NULL ,
-  admitting_source_concept_id        INTEGER     NULL ,
-  discharge_to_concept_id            INTEGER     NULL ,
-  preceding_visit_detail_id          INTEGER     NULL ,
+  discharge_to_concept_id            INTEGER     NOT NULL ,
+  admitted_from_concept_id           INTEGER     NOT NULL , 
+  admitted_from_source_value         VARCHAR(50) NULL ,
   visit_detail_source_value          VARCHAR(50) NULL ,
-  visit_detail_source_concept_id     INTEGER     NULL ,
-  admitting_source_value             VARCHAR(50) NULL ,
+  visit_detail_source_concept_id     INTEGER     NOT NULL ,
   discharge_to_source_value          VARCHAR(50) NULL ,
-  visit_detail_parent_id             INTEGER     NULL ,
-  visit_occurrence_id                INTEGER     NOT NULL
+  preceding_visit_detail_id          BIGINT      NULL ,
+  visit_detail_parent_id             BIGINT      NULL ,
+  visit_occurrence_id                BIGINT      NOT NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  procedure_occurrence
- (procedure_occurrence_id		  INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  procedure_concept_id			  INTEGER			NOT NULL ,
-  procedure_date				      DATE			  NOT NULL ,
-  procedure_datetime			    DATETIME2		NULL ,
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+procedure_occurrence (
+  procedure_occurrence_id		BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  procedure_concept_id			INTEGER			NOT NULL ,
+  procedure_date				DATE			NULL ,
+  procedure_datetime			DATETIME2		NOT NULL ,
   procedure_type_concept_id		INTEGER			NOT NULL ,
-  modifier_concept_id			    INTEGER			NULL ,
-  quantity						        INTEGER			NULL ,
-  provider_id					        INTEGER			NULL ,
+  modifier_concept_id			INTEGER			NOT NULL ,
+  quantity						INTEGER			NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id             	INTEGER     	NULL ,
+  procedure_source_value		VARCHAR(50)		NULL ,
+  procedure_source_concept_id	INTEGER			NOT NULL ,
+  modifier_source_value		    VARCHAR(50)		NULL 
+)
+WITH (DISTRIBUTION = HASH(person_id));
+
+
+--HINT DISTRIBUTE_ON_KEY(person_id) 
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+drug_exposure  (
+  drug_exposure_id				BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  drug_concept_id				INTEGER			NOT NULL ,
+  drug_exposure_start_date		DATE			NULL ,
+  drug_exposure_start_datetime	DATETIME2		NOT NULL ,
+  drug_exposure_end_date		DATE			NULL ,
+  drug_exposure_end_datetime	DATETIME2		NOT NULL ,
+  verbatim_end_date				DATE			NULL ,
+  drug_type_concept_id			INTEGER			NOT NULL ,
+  stop_reason					VARCHAR(20)		NULL ,
+  refills						INTEGER		  	NULL ,
+  quantity						FLOAT			NULL ,
+  days_supply					INTEGER		  	NULL ,
+  sig							VARCHAR(1000)	NULL ,
+  route_concept_id				INTEGER			NOT NULL ,
+  lot_number					VARCHAR(50)	  	NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id               INTEGER       	NULL ,
+  drug_source_value				VARCHAR(50)	  	NULL ,
+  drug_source_concept_id		INTEGER			NOT NULL ,
+  route_source_value			VARCHAR(50)	  	NULL ,
+  dose_unit_source_value		VARCHAR(50)	  	NULL
+)
+WITH (DISTRIBUTION = HASH(person_id));
+
+
+--HINT DISTRIBUTE_ON_KEY(person_id) 
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+device_exposure  (
+  device_exposure_id			    BIGINT		  	NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
+  device_concept_id			        INTEGER			NOT NULL ,
+  device_exposure_start_date	  	DATE			NULL ,
+  device_exposure_start_datetime	DATETIME2		NOT NULL ,
+  device_exposure_end_date		    DATE			NULL ,
+  device_exposure_end_datetime    	DATETIME2		NULL ,
+  device_type_concept_id		    INTEGER			NOT NULL ,
+  unique_device_id			        VARCHAR(50)		NULL ,
+  quantity						    INTEGER			NULL ,
+  provider_id					    INTEGER			NULL ,
   visit_occurrence_id			    INTEGER			NULL ,
-  visit_detail_id             INTEGER     NULL ,
-  procedure_source_value		  VARCHAR(50)	NULL ,
-  procedure_source_concept_id	INTEGER			NULL ,
-  modifier_source_value		   VARCHAR(50)	NULL
+  visit_detail_id                 	INTEGER         NULL ,
+  device_source_value			    VARCHAR(100)	NULL ,
+  device_source_concept_id		    INTEGER			NOT NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  drug_exposure
- (drug_exposure_id				      INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  drug_concept_id				        INTEGER			  NOT NULL ,
-  drug_exposure_start_date		  DATE			    NOT NULL ,
-  drug_exposure_start_datetime  DATETIME2		  NULL ,
-  drug_exposure_end_date		    DATE			    NOT NULL ,
-  drug_exposure_end_datetime	  DATETIME2		  NULL ,
-  verbatim_end_date				      DATE			    NULL ,
-  drug_type_concept_id			    INTEGER			  NOT NULL ,
-  stop_reason					          VARCHAR(20)		NULL ,
-  refills						            INTEGER		  	NULL ,
-  quantity						          FLOAT			    NULL ,
-  days_supply					          INTEGER		  	NULL ,
-  sig							              VARCHAR(1000)	NULL ,
-  route_concept_id				      INTEGER			  NULL ,
-  lot_number					          VARCHAR(50)	  NULL ,
-  provider_id					          INTEGER			  NULL ,
-  visit_occurrence_id			      INTEGER			  NULL ,
-  visit_detail_id               INTEGER       NULL ,
-  drug_source_value				      VARCHAR(50)	  NULL ,
-  drug_source_concept_id		    INTEGER			  NULL ,
-  route_source_value			      VARCHAR(50)	  NULL ,
-  dose_unit_source_value		    VARCHAR(50)	  NULL
-)
-WITH (DISTRIBUTION = HASH(person_id));
-
-
---HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  device_exposure
- (device_exposure_id			        INTEGER		  	NOT NULL ,
-  person_id						            INTEGER			  NOT NULL ,
-  device_concept_id			        	INTEGER			  NOT NULL ,
-  device_exposure_start_date	    DATE			    NOT NULL ,
-  device_exposure_start_datetime  DATETIME2		  NULL ,
-  device_exposure_end_date		    DATE			    NULL ,
-  device_exposure_end_datetime    DATETIME2		  NULL ,
-  device_type_concept_id		      INTEGER			  NOT NULL ,
-  unique_device_id			        	VARCHAR(50)		NULL ,
-  quantity						            INTEGER			  NULL ,
-  provider_id					            INTEGER			  NULL ,
-  visit_occurrence_id			        INTEGER			  NULL ,
-  visit_detail_id                 INTEGER       NULL ,
-  device_source_value			        VARCHAR(100)	NULL ,
-  device_source_concept_id		    INTEGER			  NULL
-)
-WITH (DISTRIBUTION = HASH(person_id));
-
-
---HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  condition_occurrence
- (condition_occurrence_id		    INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  condition_concept_id			    INTEGER			NOT NULL ,
-  condition_start_date			    DATE			  NOT NULL ,
-  condition_start_datetime		  DATETIME2		NULL ,
-  condition_end_date			      DATE			  NULL ,
-  condition_end_datetime		    DATETIME2		NULL ,
-  condition_type_concept_id		  INTEGER			NOT NULL ,
-  stop_reason					          VARCHAR(20)	NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+condition_occurrence  (
+  condition_occurrence_id		BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  condition_concept_id			INTEGER			NOT NULL ,
+  condition_start_date			DATE			  NULL ,
+  condition_start_datetime		DATETIME2		NOT NULL ,
+  condition_end_date			DATE			  NULL ,
+  condition_end_datetime		DATETIME2		NULL ,
+  condition_type_concept_id		INTEGER			NOT NULL ,
+  condition_status_concept_id	INTEGER			NOT NULL ,
+  stop_reason					VARCHAR(20)	NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
   visit_detail_id               INTEGER     NULL ,
-  condition_source_value		    VARCHAR(50)	NULL ,
-  condition_source_concept_id	  INTEGER			NULL ,
-  condition_status_source_value	VARCHAR(50)	NULL ,
-  condition_status_concept_id	  INTEGER			NULL
+  condition_source_value		VARCHAR(50)	NULL ,
+  condition_source_concept_id	INTEGER			NOT NULL ,
+  condition_status_source_value	VARCHAR(50)	NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  measurement
- (measurement_id				        INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  measurement_concept_id		    INTEGER			NOT NULL ,
-  measurement_date				      DATE			  NOT NULL ,
-  measurement_datetime			    DATETIME2		NULL ,
-  measurement_time              VARCHAR(10) NULL,
-  measurement_type_concept_id	  INTEGER			NOT NULL ,
-  operator_concept_id			      INTEGER			NULL ,
-  value_as_number				        FLOAT			  NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  range_low					          	FLOAT			  NULL ,
-  range_high					          FLOAT			  NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  measurement_source_value		  VARCHAR(50)	NULL ,
-  measurement_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  value_source_value			      VARCHAR(50)	NULL
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+measurement  (
+  measurement_id				BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  measurement_concept_id		INTEGER			NOT NULL ,
+  measurement_date				DATE			NULL ,
+  measurement_datetime			DATETIME2		NOT NULL ,
+  measurement_time              VARCHAR(10) 	NULL,
+  measurement_type_concept_id	INTEGER			NOT NULL ,
+  operator_concept_id			INTEGER			NULL ,
+  value_as_number				FLOAT			NULL ,
+  value_as_concept_id			INTEGER			NULL ,
+  unit_concept_id				INTEGER			NULL ,
+  range_low					    FLOAT			NULL ,
+  range_high					FLOAT			NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id               INTEGER     	NULL ,
+  measurement_source_value		VARCHAR(50)		NULL ,
+  measurement_source_concept_id	INTEGER			NOT NULL ,
+  unit_source_value				VARCHAR(50)		NULL ,
+  value_source_value		    VARCHAR(50)		NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  note
- (note_id						    INTEGER			  NOT NULL ,
-  person_id						  INTEGER			  NOT NULL ,
-  note_date						  DATE			    NOT NULL ,
-  note_datetime					DATETIME2		  NULL ,
-  note_type_concept_id	INTEGER			  NOT NULL ,
-  note_class_concept_id INTEGER			  NOT NULL ,
-  note_title					  VARCHAR(250)	NULL ,
-  note_text						  VARCHAR(1000)  NULL ,
-  encoding_concept_id		INTEGER			  NOT NULL ,
-  language_concept_id		INTEGER			  NOT NULL ,
-  provider_id					  INTEGER			  NULL ,
-  visit_occurrence_id		INTEGER			  NULL ,
-  visit_detail_id       INTEGER       NULL ,
-  note_source_value			VARCHAR(50)		NULL
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+note  (
+  note_id						BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  note_event_id         		BIGINT        	NULL , 
+  note_event_field_concept_id	INTEGER			NOT NULL , 
+  note_date						DATE			NULL ,
+  note_datetime					DATETIME2		NOT NULL ,
+  note_type_concept_id			INTEGER			NOT NULL ,
+  note_class_concept_id 		INTEGER			NOT NULL ,
+  note_title					VARCHAR(250)	NULL ,
+  note_text						VARCHAR(1000)	NULL ,
+  encoding_concept_id			INTEGER			NOT NULL ,
+  language_concept_id			INTEGER			NOT NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id       		INTEGER       	NULL ,
+  note_source_value				VARCHAR(50)		NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
-
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  note_nlp
- (note_nlp_id					        INTEGER			  NOT NULL ,
-  note_id						          INTEGER			  NOT NULL ,
-  section_concept_id			    INTEGER			  NULL ,
-  snippet						          VARCHAR(250)	NULL ,
-  "offset"					          VARCHAR(250)	NULL ,
-  lexical_variant				      VARCHAR(250)	NOT NULL ,
-  note_nlp_concept_id			    INTEGER			  NULL ,
-  note_nlp_source_concept_id  INTEGER			  NULL ,
-  nlp_system					        VARCHAR(250)	NULL ,
-  nlp_date						        DATE			    NOT NULL ,
-  nlp_datetime					      DATETIME2		  NULL ,
-  term_exists					        VARCHAR(1)		NULL ,
-  term_temporal					      VARCHAR(50)		NULL ,
-  term_modifiers				      VARCHAR(2000)	NULL
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+note_nlp  (
+  note_nlp_id					BIGINT			NOT NULL ,
+  note_id						BIGINT			NOT NULL ,
+  section_concept_id			INTEGER			NOT NULL ,
+  snippet						VARCHAR(250)	NULL ,
+  "offset"					    VARCHAR(250)	NULL ,
+  lexical_variant				VARCHAR(250)	NOT NULL ,
+  note_nlp_concept_id			INTEGER			NOT NULL ,
+  nlp_system					VARCHAR(250)	NULL ,
+  nlp_date						DATE			NOT NULL ,
+  nlp_datetime					DATETIME2		NULL ,
+  term_exists					VARCHAR(1)		NULL ,
+  term_temporal					VARCHAR(50)		NULL ,
+  term_modifiers				VARCHAR(2000)	NULL ,
+  note_nlp_source_concept_id 	INTEGER			NOT NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  observation
- (observation_id					      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  observation_concept_id			  INTEGER			NOT NULL ,
-  observation_date				      DATE			  NOT NULL ,
-  observation_datetime				  DATETIME2		NULL ,
-  observation_type_concept_id	  INTEGER			NOT NULL ,
-  value_as_number				        FLOAT			  NULL ,
-  value_as_string				        VARCHAR(60)	NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
-  qualifier_concept_id			    INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  observation_source_value		  VARCHAR(50)	NULL ,
-  observation_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  qualifier_source_value			  VARCHAR(50)	NULL
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+observation  (
+  observation_id					BIGINT		NOT NULL ,
+  person_id						    BIGINT		NOT NULL ,
+  observation_concept_id			INTEGER		NOT NULL ,
+  observation_date				    DATE		NULL ,
+  observation_datetime				DATETIME2	NOT NULL ,
+  observation_type_concept_id	    INTEGER		NOT NULL ,
+  value_as_number				    FLOAT		NULL ,
+  value_as_string				    VARCHAR(60)	NULL ,
+  value_as_concept_id			    INTEGER		NULL ,
+  qualifier_concept_id			    INTEGER		NULL ,
+  unit_concept_id				    INTEGER		NULL ,
+  provider_id					    INTEGER		NULL ,
+  visit_occurrence_id			    BIGINT		NULL ,
+  visit_detail_id               	BIGINT      NULL ,
+  observation_source_value		  	VARCHAR(50)	NULL ,
+  observation_source_concept_id		INTEGER		NOT NULL ,
+  unit_source_value				    VARCHAR(50)	NULL ,
+  qualifier_source_value			VARCHAR(50)	NULL ,
+  observation_event_id				BIGINT		NULL , 
+  obs_event_field_concept_id		INTEGER		NOT NULL , 
+  value_as_datetime					DATETIME2	NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  fact_relationship
- (domain_concept_id_1			INTEGER			NOT NULL ,
-  fact_id_1						    INTEGER			NOT NULL ,
-  domain_concept_id_2			INTEGER			NOT NULL ,
-  fact_id_2						    INTEGER			NOT NULL ,
+--HINT DISTRIBUTE ON KEY(person_id)
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+survey_conduct  (
+  survey_conduct_id					BIGINT			NOT NULL ,
+   person_id 						BIGINT			NOT NULL ,
+  survey_concept_id			  		INTEGER			NOT NULL ,
+  survey_start_date				    DATE			NULL ,
+  survey_start_datetime				DATETIME2		NULL ,
+  survey_end_date					DATE			NULL ,
+  survey_end_datetime				DATETIME2		NOT NULL ,
+  provider_id						BIGINT			NULL ,
+  assisted_concept_id	  			INTEGER			NOT NULL ,
+  respondent_type_concept_id		INTEGER			NOT NULL ,
+  timing_concept_id					INTEGER			NOT NULL ,
+  collection_method_concept_id		INTEGER			NOT NULL ,
+  assisted_source_value		  		VARCHAR(50)		NULL ,
+  respondent_type_source_value		VARCHAR(100)  	NULL ,
+  timing_source_value				VARCHAR(100)	NULL ,
+  collection_method_source_value	VARCHAR(100)	NULL ,
+  survey_source_value				VARCHAR(100)	NULL ,
+  survey_source_concept_id			INTEGER			NOT NULL ,
+  survey_source_identifier			VARCHAR(100)	NULL ,
+  validated_survey_concept_id		INTEGER			NOT NULL ,
+  validated_survey_source_value		VARCHAR(100)	NULL ,
+  survey_version_number				VARCHAR(20)		NULL ,
+  visit_occurrence_id				BIGINT			NULL ,
+  visit_detail_id					BIGINT			NULL ,
+  response_visit_occurrence_id		BIGINT			NULL
+)
+WITH (DISTRIBUTION = HASH(person_id));
+
+
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+fact_relationship  (
+  domain_concept_id_1		INTEGER			NOT NULL ,
+  fact_id_1					BIGINT			NOT NULL ,
+  domain_concept_id_2		INTEGER			NOT NULL ,
+  fact_id_2					BIGINT			NOT NULL ,
   relationship_concept_id	INTEGER			NOT NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
@@ -524,44 +579,67 @@ Standardized health system data
 ************************/
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  location
- (location_id					  INTEGER			  NOT NULL ,
-  address_1						  VARCHAR(50)		NULL ,
-  address_2						  VARCHAR(50)		NULL ,
-  city							    VARCHAR(50)		NULL ,
-  state							    VARCHAR(2)		NULL ,
-  zip							      VARCHAR(9)		NULL ,
-  county							  VARCHAR(20)		NULL ,
-  location_source_value VARCHAR(50)		NULL
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+location  (
+  location_id			BIGINT			NOT NULL ,
+  address_1				VARCHAR(50)		NULL ,
+  address_2				VARCHAR(50)		NULL ,
+  city					VARCHAR(50)		NULL ,
+  state					VARCHAR(2)		NULL ,
+  zip					VARCHAR(9)		NULL ,
+  county				VARCHAR(20)		NULL ,
+  country				VARCHAR(100)	NULL ,
+  location_source_value	VARCHAR(50)		NULL ,
+  latitude				FLOAT			NULL ,
+  longitude				FLOAT			NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  care_site
- (care_site_id						      INTEGER			  NOT NULL ,
-  care_site_name						    VARCHAR(255)  NULL ,
-  place_of_service_concept_id	  INTEGER			  NULL ,
-  location_id						        INTEGER			  NULL ,
-  care_site_source_value			  VARCHAR(50)		NULL ,
-  place_of_service_source_value VARCHAR(50)		NULL
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+location_history  (
+  location_history_id           BIGINT      	NOT NULL ,
+  location_id			        BIGINT		  	NOT NULL ,
+  relationship_type_concept_id	INTEGER		  	NOT NULL ,  
+  domain_id				        VARCHAR(50)		NOT NULL ,
+  entity_id				        BIGINT			NOT NULL ,
+  start_date			        DATE			NOT NULL ,
+  end_date				        DATE			NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  provider
- (provider_id					        INTEGER			  NOT NULL ,
-  provider_name					      VARCHAR(255)	NULL ,
-  NPI							            VARCHAR(20)		NULL ,
-  DEA							            VARCHAR(20)		NULL ,
-  specialty_concept_id			  INTEGER			  NULL ,
-  care_site_id					      INTEGER			  NULL ,
-  year_of_birth					      INTEGER			  NULL ,
-  gender_concept_id				    INTEGER			  NULL ,
-  provider_source_value			  VARCHAR(50)		NULL ,
-  specialty_source_value			VARCHAR(50)		NULL ,
-  specialty_source_concept_id	INTEGER			  NULL ,
-  gender_source_value			    VARCHAR(50)		NULL ,
-  gender_source_concept_id		INTEGER			  NULL
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+care_site  (
+  care_site_id					BIGINT			NOT NULL ,
+  care_site_name				VARCHAR(255)	NULL ,
+  place_of_service_concept_id	INTEGER			NOT NULL ,
+  location_id					BIGINT			NULL ,
+  care_site_source_value		VARCHAR(50)		NULL ,
+  place_of_service_source_value	VARCHAR(50)		NULL
+)
+WITH (DISTRIBUTION = REPLICATE);
+
+
+--HINT DISTRIBUTE ON RANDOM
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+provider  (
+  provider_id					BIGINT			NOT NULL ,
+  provider_name					VARCHAR(255)	NULL ,
+  NPI							VARCHAR(20)		NULL ,
+  DEA							VARCHAR(20)		NULL ,
+  specialty_concept_id			INTEGER			NOT NULL ,
+  care_site_id					BIGINT			NULL ,
+  year_of_birth					INTEGER			NULL ,
+  gender_concept_id				INTEGER			NOT NULL ,
+  provider_source_value			VARCHAR(50)		NULL ,
+  specialty_source_value		VARCHAR(50)		NULL ,
+  specialty_source_concept_id	INTEGER			NOT NULL ,
+  gender_source_value			VARCHAR(50)		NULL ,
+  gender_source_concept_id		INTEGER			NOT NULL
 )
 WITH (DISTRIBUTION = REPLICATE);
 
@@ -574,53 +652,56 @@ Standardized health economics
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  payer_plan_period
- (payer_plan_period_id			    INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  payer_plan_period_start_date  DATE			    NOT NULL ,
-  payer_plan_period_end_date		DATE			    NOT NULL ,
-  payer_concept_id              INTEGER       NULL ,
-  payer_source_value				    VARCHAR(50)	  NULL ,
-  payer_source_concept_id       INTEGER       NULL ,
-  plan_concept_id               INTEGER       NULL ,
-  plan_source_value				      VARCHAR(50)	  NULL ,
-  plan_source_concept_id        INTEGER       NULL ,
-  sponsor_concept_id            INTEGER       NULL ,
-  sponsor_source_value          VARCHAR(50)   NULL ,
-  sponsor_source_concept_id     INTEGER       NULL ,
-  family_source_value			      VARCHAR(50)	  NULL ,
-  stop_reason_concept_id        INTEGER       NULL ,
-  stop_reason_source_value      VARCHAR(50)      NULL ,
-  stop_reason_source_concept_id INTEGER       NULL
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+payer_plan_period  (
+  payer_plan_period_id			BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  contract_person_id            BIGINT        	NULL ,
+  payer_plan_period_start_date  DATE			NOT NULL ,
+  payer_plan_period_end_date	DATE			NOT NULL ,
+  payer_concept_id              INTEGER       	NOT NULL ,
+  plan_concept_id               INTEGER       	NOT NULL ,
+  contract_concept_id           INTEGER       	NOT NULL ,
+  sponsor_concept_id            INTEGER       	NOT NULL ,
+  stop_reason_concept_id        INTEGER       	NOT NULL ,
+  payer_source_value			VARCHAR(50)	  	NULL ,
+  payer_source_concept_id       INTEGER       	NOT NULL ,
+  plan_source_value				VARCHAR(50)	  	NULL ,
+  plan_source_concept_id        INTEGER       	NOT NULL ,
+  contract_source_value         VARCHAR(50)   	NULL ,
+  contract_source_concept_id    INTEGER       	NOT NULL ,
+  sponsor_source_value          VARCHAR(50)   	NULL ,
+  sponsor_source_concept_id     INTEGER       	NOT NULL ,
+  family_source_value			VARCHAR(50)	  	NULL ,
+  stop_reason_source_value      VARCHAR(50)   	NULL ,
+  stop_reason_source_concept_id INTEGER       	NOT NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  cost
- (cost_id					          INTEGER	    NOT NULL ,
-  cost_event_id             INTEGER     NOT NULL ,
-  cost_domain_id            VARCHAR(20) NOT NULL ,
-  cost_type_concept_id      INTEGER     NOT NULL ,
-  currency_concept_id			  INTEGER			NULL ,
-  total_charge						  FLOAT			  NULL ,
-  total_cost						    FLOAT			  NULL ,
-  total_paid						    FLOAT			  NULL ,
-  paid_by_payer					    FLOAT			  NULL ,
-  paid_by_patient						FLOAT			  NULL ,
-  paid_patient_copay				FLOAT			  NULL ,
-  paid_patient_coinsurance  FLOAT			  NULL ,
-  paid_patient_deductible		FLOAT			  NULL ,
-  paid_by_primary						FLOAT			  NULL ,
-  paid_ingredient_cost			FLOAT			  NULL ,
-  paid_dispensing_fee				FLOAT			  NULL ,
-  payer_plan_period_id			INTEGER			NULL ,
-  amount_allowed		        FLOAT			  NULL ,
-  revenue_code_concept_id		INTEGER			NULL ,
-  reveue_code_source_value  VARCHAR(50) NULL,
-  drg_concept_id			      INTEGER		  NULL,
-  drg_source_value			    VARCHAR(3)	NULL
+--HINT DISTRIBUTE ON KEY(person_id)
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+cost  (
+  cost_id						        BIGINT	    NOT NULL ,
+  person_id BIGINT		  NOT NULL,
+  cost_event_id					BIGINT		NOT NULL ,
+  cost_event_field_concept_id	INTEGER		NOT NULL , 
+  cost_concept_id				INTEGER		NOT NULL ,
+  cost_type_concept_id		  	INTEGER     NOT NULL ,
+  currency_concept_id			INTEGER		NOT NULL ,
+  cost							FLOAT		NULL ,
+  incurred_date					DATE		NOT NULL ,
+  billed_date					DATE		NULL ,
+  paid_date						DATE		NULL ,
+  revenue_code_concept_id		INTEGER		NOT NULL ,
+  drg_concept_id			    INTEGER		NOT NULL ,
+  cost_source_value				VARCHAR(50)	NULL ,
+  cost_source_concept_id	  	INTEGER		NOT NULL ,
+  revenue_code_source_value 	VARCHAR(50) NULL ,
+  drg_source_value			    VARCHAR(3)	NULL ,
+  payer_plan_period_id			BIGINT		NULL
 )
-WITH (DISTRIBUTION = REPLICATE);
+WITH (DISTRIBUTION = HASH(person_id));
 
 
 /************************
@@ -630,62 +711,42 @@ Standardized derived elements
 ************************/
 
 
---HINT DISTRIBUTE_ON_KEY(subject_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  cohort
- (cohort_definition_id	INTEGER		NOT NULL ,
-  subject_id						INTEGER		NOT NULL ,
-  cohort_start_date			DATE			NOT NULL ,
-  cohort_end_date				DATE			NOT NULL
-)
-WITH (DISTRIBUTION = HASH(subject_id));
-
-
---HINT DISTRIBUTE_ON_KEY(subject_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  cohort_attribute
- (cohort_definition_id		INTEGER		NOT NULL ,
-  subject_id						  INTEGER		NOT NULL ,
-  cohort_start_date				DATE			NOT NULL ,
-  cohort_end_date				  DATE			NOT NULL ,
-  attribute_definition_id INTEGER		NOT NULL ,
-  value_as_number				  FLOAT			NULL ,
-  value_as_concept_id			INTEGER		NULL
-)
-WITH (DISTRIBUTION = HASH(subject_id));
-
-
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  drug_era
- (drug_era_id					INTEGER			NOT NULL ,
-  person_id						INTEGER			NOT NULL ,
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+drug_era  (
+  drug_era_id				BIGINT			NOT NULL ,
+  person_id					BIGINT			NOT NULL ,
   drug_concept_id			INTEGER			NOT NULL ,
-  drug_era_start_date	DATE			  NOT NULL ,
-  drug_era_end_date		DATE			  NOT NULL ,
-  drug_exposure_count	INTEGER			NULL ,
-  gap_days						INTEGER			NULL
+  drug_era_start_datetime	DATETIME2		NOT NULL ,
+  drug_era_end_datetime		DATETIME2		NOT NULL ,
+  drug_exposure_count		INTEGER			NULL ,
+  gap_days					INTEGER			NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  dose_era
- (dose_era_id					  INTEGER			NOT NULL ,
-  person_id						  INTEGER			NOT NULL ,
-  drug_concept_id				INTEGER			NOT NULL ,
-  unit_concept_id				INTEGER			NOT NULL ,
-  dose_value						FLOAT			  NOT NULL ,
-  dose_era_start_date		DATE			  NOT NULL ,
-  dose_era_end_date	    DATE			  NOT NULL
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+dose_era  (
+  dose_era_id				BIGINT			NOT NULL ,
+  person_id					BIGINT			NOT NULL ,
+  drug_concept_id			INTEGER			NOT NULL ,
+  unit_concept_id			INTEGER			NOT NULL ,
+  dose_value				FLOAT			NOT NULL ,
+  dose_era_start_datetime	DATETIME2		NOT NULL ,
+  dose_era_end_datetime		DATETIME2		NOT NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-IF XACT_STATE() = 1 COMMIT; CREATE TABLE  condition_era
- (condition_era_id				    INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  condition_concept_id			  INTEGER			NOT NULL ,
-  condition_era_start_date		DATE			  NOT NULL ,
-  condition_era_end_date			DATE			  NOT NULL ,
-  condition_occurrence_count	INTEGER			NULL
+IF XACT_STATE() = 1 COMMIT; CREATE TABLE  
+condition_era  (
+  condition_era_id					BIGINT			NOT NULL ,
+  person_id							BIGINT			NOT NULL ,
+  condition_concept_id				INTEGER			NOT NULL ,
+  condition_era_start_datetime		DATETIME2		NOT NULL ,
+  condition_era_end_datetime		DATETIME2		NOT NULL ,
+  condition_occurrence_count		INTEGER			NULL
 )
 WITH (DISTRIBUTION = HASH(person_id));
diff --git a/ParallelDataWarehouse/OMOP CDM pdw indexes.txt b/ParallelDataWarehouse/OMOP CDM pdw pk indexes.txt
similarity index 87%
rename from ParallelDataWarehouse/OMOP CDM pdw indexes.txt
rename to ParallelDataWarehouse/OMOP CDM pdw pk indexes.txt
index 3eb3a92..c4827bb 100644
--- a/ParallelDataWarehouse/OMOP CDM pdw indexes.txt	
+++ b/ParallelDataWarehouse/OMOP CDM pdw pk indexes.txt	
@@ -17,18 +17,18 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####     ###
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #     #  #    # #####  ###### #    # ######  ####
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #     #  ##   # #    # #       #  #  #      #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####      #  # #  # #    # #####    ##   #####   ####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #     #  #  # # #    # #        ##   #           #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #     #  #   ## #    # #       #  #  #      #    #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####     ### #    # #####  ###### #    # ######  ####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###      ######  #    #      ##       ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #     #     # #   #      #  #       #  #    # #####  #  ####  ######  ####
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #    #     # #  #        ##        #  ##   # #    # # #    # #      #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #    ######  ###        ###        #  # #  # #    # # #      #####   ####
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #    #       #  #      #   # #     #  #  # # #    # # #      #           #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #     #       #   #     #    #      #  #   ## #    # # #    # #      #    #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###      #       #    #     ###  #    ### #    # #####  #  ####  ######  ####
 
 
-pdw script to create the required indexes within OMOP common data model, version 5.3
+pdw script to create the required primary keys and indices within the OMOP common data model, version 6.0
 
-last revised: 14-November-2017
+last revised: 30-Aug-2017
 
 author:  Patrick Ryan, Clair Blacketer
 
@@ -77,10 +77,6 @@ ALTER TABLE source_to_concept_map ADD CONSTRAINT xpk_source_to_concept_map PRIMA
 
 ALTER TABLE drug_strength ADD CONSTRAINT xpk_drug_strength PRIMARY KEY NONCLUSTERED (drug_concept_id, ingredient_concept_id);
 
-ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY NONCLUSTERED (cohort_definition_id);
-
-ALTER TABLE attribute_definition ADD CONSTRAINT xpk_attribute_definition PRIMARY KEY NONCLUSTERED (attribute_definition_id);
-
 
 /**************************
 
@@ -127,7 +123,7 @@ ALTER TABLE note_nlp ADD CONSTRAINT xpk_note_nlp PRIMARY KEY NONCLUSTERED ( note
 
 ALTER TABLE observation  ADD CONSTRAINT xpk_observation PRIMARY KEY NONCLUSTERED ( observation_id ) ;
 
-
+ALTER TABLE survey_conduct ADD CONSTRAINT xpk_survey PRIMARY KEY NONCLUSTERED ( survey_conduct_id ) ;
 
 
 /************************
@@ -139,6 +135,8 @@ Standardized health system data
 
 ALTER TABLE location ADD CONSTRAINT xpk_location PRIMARY KEY NONCLUSTERED ( location_id ) ;
 
+ALTER TABLE location_history ADD CONSTRAINT xpk_location_history PRIMARY KEY NONCLUSTERED ( location_history_id ) ; --Assuming this should be added
+
 ALTER TABLE care_site ADD CONSTRAINT xpk_care_site PRIMARY KEY NONCLUSTERED ( care_site_id ) ;
 
 ALTER TABLE provider ADD CONSTRAINT xpk_provider PRIMARY KEY NONCLUSTERED ( provider_id ) ;
@@ -163,9 +161,6 @@ Standardized derived elements
 
 ************************/
 
-ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY NONCLUSTERED ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT xpk_cohort_attribute PRIMARY KEY NONCLUSTERED ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date, attribute_definition_id ) ;
 
 ALTER TABLE drug_era ADD CONSTRAINT xpk_drug_era PRIMARY KEY NONCLUSTERED ( drug_era_id ) ;
 
@@ -223,9 +218,6 @@ CREATE INDEX idx_source_to_concept_map_code ON source_to_concept_map (source_cod
 CREATE CLUSTERED INDEX idx_drug_strength_id_1 ON drug_strength (drug_concept_id ASC);
 CREATE INDEX idx_drug_strength_id_2 ON drug_strength (ingredient_concept_id ASC);
 
-CREATE CLUSTERED INDEX idx_cohort_definition_id ON cohort_definition (cohort_definition_id ASC);
-
-CREATE CLUSTERED INDEX idx_attribute_definition_id ON attribute_definition (attribute_definition_id ASC);
 
 
 /**************************
@@ -290,6 +282,8 @@ CREATE CLUSTERED INDEX idx_observation_person_id ON observation (person_id ASC);
 CREATE INDEX idx_observation_concept_id ON observation (observation_concept_id ASC);
 CREATE INDEX idx_observation_visit_id ON observation (visit_occurrence_id ASC);
 
+CREATE CLUSTERED INDEX idx_survey_person_id ON survey (person_id ASC);
+
 CREATE INDEX idx_fact_relationship_id_1 ON fact_relationship (domain_concept_id_1 ASC);
 CREATE INDEX idx_fact_relationship_id_2 ON fact_relationship (domain_concept_id_2 ASC);
 CREATE INDEX idx_fact_relationship_id_3 ON fact_relationship (relationship_concept_id ASC);
@@ -314,8 +308,7 @@ Standardized health economics
 
 CREATE CLUSTERED INDEX idx_period_person_id ON payer_plan_period (person_id ASC);
 
-
-
+CREATE CLUSTERED INDEX idx_cost_person_id ON cost (person_id ASC);
 
 
 /************************
@@ -325,12 +318,6 @@ Standardized derived elements
 ************************/
 
 
-CREATE INDEX idx_cohort_subject_id ON cohort (subject_id ASC);
-CREATE INDEX idx_cohort_c_definition_id ON cohort (cohort_definition_id ASC);
-
-CREATE INDEX idx_ca_subject_id ON cohort_attribute (subject_id ASC);
-CREATE INDEX idx_ca_definition_id ON cohort_attribute (cohort_definition_id ASC);
-
 CREATE CLUSTERED INDEX idx_drug_era_person_id ON drug_era (person_id ASC);
 CREATE INDEX idx_drug_era_concept_id ON drug_era (drug_concept_id ASC);
 
diff --git a/ParallelDataWarehouse/README.md b/ParallelDataWarehouse/README.md
index 22559f0..a4fb2be 100644
--- a/ParallelDataWarehouse/README.md
+++ b/ParallelDataWarehouse/README.md
@@ -14,3 +14,7 @@ n order to create your instantiation of the Common Data Model, we recommend foll
 4. Execute the script `OMOP CDM pdw indexes.txt` to add the minimum set of indices and primary keys we recommend.
 
 5. Execute the script `OMOP CDM pdw constraints.txt` to add the foreign key constraints.
+
+6. Create an empty schema for results.
+
+7. Execute the script `OMOP CDM Results pdw ddl.txt` to create the tables and fields in the results schema.
diff --git a/PostgreSQL/OMOP CDM Results postgresql ddl.txt b/PostgreSQL/OMOP CDM Results postgresql ddl.txt
new file mode 100644
index 0000000..f56ecd2
--- /dev/null
+++ b/PostgreSQL/OMOP CDM Results postgresql ddl.txt	
@@ -0,0 +1,90 @@
+/*********************************************************************************
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
+#
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+********************************************************************************/
+
+/************************
+
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
+
+postgresql script to create OMOP common data model results schema version 6.0
+
+last revised: 27-Aug-2018
+
+Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
+
+
+*************************/
+
+
+
+--HINT DISTRIBUTE_ON_KEY(subject_id)
+CREATE TABLE cohort
+(
+  cohort_definition_id	BIGINT		NOT NULL ,
+  subject_id			BIGINT		NOT NULL ,
+  cohort_start_date		DATE		NOT NULL ,
+  cohort_end_date		DATE		NOT NULL
+)
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE cohort_definition (
+  cohort_definition_id				INTEGER			NOT NULL,
+  cohort_definition_name			VARCHAR(255)	NOT NULL,
+  cohort_definition_description		TEXT			NULL,
+  definition_type_concept_id		INTEGER			NOT NULL,
+  cohort_definition_syntax			TEXT			NULL,
+  subject_concept_id				INTEGER			NOT NULL,
+  cohort_initiation_date			DATE			NULL
+)
+;
+
+
+ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
+
+ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY (cohort_definition_id);
+
+
+CREATE INDEX idx_cohort_definition_id  ON cohort_definition  (cohort_definition_id ASC);
+CLUSTER cohort_definition  USING idx_cohort_definition_id ;
+
+CREATE INDEX idx_cohort_subject_id ON cohort (subject_id ASC);
+CREATE INDEX idx_cohort_c_definition_id ON cohort (cohort_definition_id ASC);
+
+
+ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_definition_concept FOREIGN KEY (definition_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cohort_definition ADD CONSTRAINT fpk_subject_concept FOREIGN KEY (subject_concept_id)  REFERENCES concept (concept_id);
+
+
+ALTER TABLE cohort ADD CONSTRAINT fpk_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
+
+
+
+
+
+
+
+
+
+
diff --git a/PostgreSQL/OMOP CDM postgresql constraints.txt b/PostgreSQL/OMOP CDM postgresql constraints.txt
index d313dae..0f41d65 100644
--- a/PostgreSQL/OMOP CDM postgresql constraints.txt	
+++ b/PostgreSQL/OMOP CDM postgresql constraints.txt	
@@ -2,7 +2,7 @@
 # Copyright 2014 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,18 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #    #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #    #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####     #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #    #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #    #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####      #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###       #####
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #     #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #    #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #    #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #    #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #     #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###       #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
 
 
-postgresql script to create foreign key constraints within OMOP common data model, version 5.3.0
+postgresql script to create foreign key, unique, and check constraints within the OMOP common data model, version 6.0
 
-last revised: 14-June-2018
+last revised: 30-Aug-2018
 
 author:  Patrick Ryan, Clair Blacketer
 
@@ -62,38 +62,45 @@ ALTER TABLE concept ADD CONSTRAINT fpk_concept_class FOREIGN KEY (concept_class_
 
 ALTER TABLE concept ADD CONSTRAINT fpk_concept_vocabulary FOREIGN KEY (vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
+
 ALTER TABLE vocabulary ADD CONSTRAINT fpk_vocabulary_concept FOREIGN KEY (vocabulary_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE domain ADD CONSTRAINT fpk_domain_concept FOREIGN KEY (domain_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE concept_class ADD CONSTRAINT fpk_concept_class_concept FOREIGN KEY (concept_class_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_c_1 FOREIGN KEY (concept_id_1)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_c_2 FOREIGN KEY (concept_id_2)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_id FOREIGN KEY (relationship_id)  REFERENCES relationship (relationship_id);
 
+
 ALTER TABLE relationship ADD CONSTRAINT fpk_relationship_concept FOREIGN KEY (relationship_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE relationship ADD CONSTRAINT fpk_relationship_reverse FOREIGN KEY (reverse_relationship_id)  REFERENCES relationship (relationship_id);
 
+
 ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_concept FOREIGN KEY (concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_language FOREIGN KEY (language_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_concept FOREIGN KEY (language_concept_id)  REFERENCES concept (concept_id);
+
 
 ALTER TABLE concept_ancestor ADD CONSTRAINT fpk_concept_ancestor_concept_1 FOREIGN KEY (ancestor_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_ancestor ADD CONSTRAINT fpk_concept_ancestor_concept_2 FOREIGN KEY (descendant_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_1 FOREIGN KEY (source_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
-ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_concept_id FOREIGN KEY (source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_1 FOREIGN KEY (source_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
 ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_2 FOREIGN KEY (target_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
 ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_c_1 FOREIGN KEY (target_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_concept_1 FOREIGN KEY (drug_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_concept_2 FOREIGN KEY (ingredient_concept_id)  REFERENCES concept (concept_id);
@@ -104,12 +111,6 @@ ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_unit_2 FOREIGN KEY (n
 
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_unit_3 FOREIGN KEY (denominator_unit_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_definition_concept FOREIGN KEY (definition_type_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_subject_concept FOREIGN KEY (subject_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE attribute_definition ADD CONSTRAINT fpk_attribute_type_concept FOREIGN KEY (attribute_type_concept_id)  REFERENCES concept (concept_id);
-
 
 /**************************
 
@@ -118,7 +119,9 @@ Standardized meta-data
 ***************************/
 
 
+ALTER TABLE metadata ADD CONSTRAINT fpk_metadata_concept FOREIGN KEY (metadata_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE metadata ADD CONSTRAINT fpk_metadata_type_concept FOREIGN KEY (metadata_type_concept_id) REFERENCES concept (concept_id);
 
 
 /************************
@@ -175,6 +178,8 @@ ALTER TABLE death ADD CONSTRAINT fpk_death_cause_concept_s FOREIGN KEY (cause_so
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
+ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_concept FOREIGN KEY (visit_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_type_concept FOREIGN KEY (visit_type_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
@@ -192,17 +197,19 @@ ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_preceding FOREIGN KEY (pre
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept FOREIGN KEY (visit_detail_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_type_concept FOREIGN KEY (visit_detail_type_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_care_site FOREIGN KEY (care_site_id)  REFERENCES care_site (care_site_id);
 
-ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept_s FOREIGN KEY (visit_detail_source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_discharge FOREIGN KEY (discharge_to_concept_id) REFERENCES concept (concept_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_admitting_s FOREIGN KEY (admitting_source_concept_id) REFERENCES concept (concept_id);
 
-ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_discharge FOREIGN KEY (discharge_to_concept_id) REFERENCES concept (concept_id);
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept_s FOREIGN KEY (visit_detail_source_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_preceding FOREIGN KEY (preceding_visit_detail_id) REFERENCES visit_detail (visit_detail_id);
 
@@ -223,6 +230,8 @@ ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_provider FOREIGN K
 
 ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_concept_s FOREIGN KEY (procedure_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -238,6 +247,8 @@ ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_provider FOREIGN KEY (provider
 
 ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_concept_s FOREIGN KEY (drug_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -251,6 +262,8 @@ ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_provider FOREIGN KEY (prov
 
 ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_concept_s FOREIGN KEY (device_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -260,13 +273,15 @@ ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept FOREIGN KE
 
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_type_concept FOREIGN KEY (condition_type_concept_id)  REFERENCES concept (concept_id);
 
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_status_concept FOREIGN KEY (condition_status_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
 
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
-ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept_s FOREIGN KEY (condition_source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
 
-ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_status_concept FOREIGN KEY (condition_status_concept_id) REFERENCES concept (concept_id);
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept_s FOREIGN KEY (condition_source_concept_id)  REFERENCES concept (concept_id);
 
 
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
@@ -285,6 +300,8 @@ ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_provider FOREIGN KEY (pro
 
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_concept_s FOREIGN KEY (measurement_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -302,6 +319,8 @@ ALTER TABLE note ADD CONSTRAINT fpk_note_provider FOREIGN KEY (provider_id)  REF
 
 ALTER TABLE note ADD CONSTRAINT fpk_note_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE note ADD CONSTRAINT fpk_note_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 
 ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_note FOREIGN KEY (note_id) REFERENCES note (note_id);
 
@@ -309,6 +328,7 @@ ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_section_concept FOREIGN KEY (se
 
 ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_concept FOREIGN KEY (note_nlp_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_concept_s FOREIGN KEY (note_nlp_source_concept_id) REFERENCES concept (concept_id);
 
 
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
@@ -327,9 +347,36 @@ ALTER TABLE observation ADD CONSTRAINT fpk_observation_provider FOREIGN KEY (pro
 
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE observation ADD CONSTRAint fpk_observation_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_concept_s FOREIGN KEY (observation_source_concept_id)  REFERENCES concept (concept_id);
 
 
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_concept FOREIGN KEY (survey_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_provider FOREIGN KEY (provider_id) REFERENCES provider (provider_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_assist FOREIGN KEY (assisted_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_respondent_type FOREIGN KEY (respondent_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_timing FOREIGN KEY (timing_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_collection_method FOREIGN KEY (collection_method_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_source FOREIGN KEY (survey_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_validation FOREIGN KEY (validated_survey_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_visit FOREIGN KEY (visit_occurrence_id) REFERENCES visit (visit_occurrence_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_response_visit FOREIGN KEY (response_visit_occurrence_id) REFERENCES visit (visit_occurrence_id);
+
+
 ALTER TABLE fact_relationship ADD CONSTRAINT fpk_fact_domain_1 FOREIGN KEY (domain_concept_id_1)  REFERENCES concept (concept_id);
 
 ALTER TABLE fact_relationship ADD CONSTRAINT fpk_fact_domain_2 FOREIGN KEY (domain_concept_id_2)  REFERENCES concept (concept_id);
@@ -344,10 +391,15 @@ Standardized health system data
 
 ************************/
 
-ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_location FOREIGN KEY (location_id)  REFERENCES location (location_id);
+ALTER TABLE location_history ADD CONSTRAINT fpk_location_history FOREIGN KEY ( location_id ) REFERENCES location ( location_id ) ;
+
+ALTER TABLE location_history ADD CONSTRAINT fpk_relationship_type FOREIGN KEY (relationship_type_concept_id) REFERENCES concept (concept_id);
+
 
 ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_place FOREIGN KEY (place_of_service_concept_id)  REFERENCES concept (concept_id);
 
+ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_location FOREIGN KEY (location_id)  REFERENCES location (location_id);
+
 
 ALTER TABLE provider ADD CONSTRAINT fpk_provider_specialty FOREIGN KEY (specialty_concept_id)  REFERENCES concept (concept_id);
 
@@ -361,7 +413,6 @@ ALTER TABLE provider ADD CONSTRAINT fpk_provider_gender_s FOREIGN KEY (gender_so
 
 
 
-
 /************************
 
 Standardized health economics
@@ -370,12 +421,46 @@ Standardized health economics
 
 ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_plan_period FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
-ALTER TABLE cost ADD CONSTRAINT fpk_visit_cost_currency FOREIGN KEY (currency_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_person FOREIGN KEY (contract_person_id) REFERENCES person (person_id);
 
-ALTER TABLE cost ADD CONSTRAINT fpk_visit_cost_period FOREIGN KEY (payer_plan_period_id)  REFERENCES payer_plan_period (payer_plan_period_id);
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_concept FOREIGN KEY (payer_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_plan_concept_id FOREIGN KEY (plan_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_concept FOREIGN KEY (contract_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_sponsor_concept FOREIGN KEY (sponsor_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_stop_reason_concept FOREIGN KEY (stop_reason_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_s FOREIGN KEY (payer_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_plan_s FOREIGN KEY (plan_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_s FOREIGN KEY (contract_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_sponsor_s FOREIGN KEY (sponsor_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_stop_reason_s FOREIGN KEY (stop_reason_source_concept_id) REFERENCES concept (concept_id);
+
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_concept FOREIGN KEY (cost_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_type FOREIGN KEY (cost_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_currency FOREIGN KEY (currency_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_revenue_concept FOREIGN KEY (revenue_code_concept_id) REFERENCES concept (concept_id);
 
 ALTER TABLE cost ADD CONSTRAINT fpk_drg_concept FOREIGN KEY (drg_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_s FOREIGN KEY (cost_source_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_period FOREIGN KEY (payer_plan_period_id)  REFERENCES payer_plan_period (payer_plan_period_id);
+
+
 /************************
 
 Standardized derived elements
@@ -383,16 +468,6 @@ Standardized derived elements
 ************************/
 
 
---ALTER TABLE cohort ADD CONSTRAINT fpk_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
-
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_attribute_definition FOREIGN KEY (attribute_definition_id)  REFERENCES attribute_definition (attribute_definition_id);
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_value FOREIGN KEY (value_as_concept_id)  REFERENCES concept (concept_id);
-
-
 ALTER TABLE drug_era ADD CONSTRAINT fpk_drug_era_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
 ALTER TABLE drug_era ADD CONSTRAINT fpk_drug_era_concept FOREIGN KEY (drug_concept_id)  REFERENCES concept (concept_id);
@@ -423,3 +498,29 @@ Unique constraints
 ************************/
 
 ALTER TABLE concept_synonym ADD CONSTRAINT uq_concept_synonym UNIQUE (concept_id, concept_synonym_name, language_concept_id);
+
+/************************
+*************************
+*************************
+*************************
+
+Check constraints
+
+*************************
+*************************
+*************************
+************************/
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_concept_name CHECK (concept_name <> '');
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_standard_concept CHECK (COALESCE(standard_concept,'C') in ('C','S'));
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_concept_code CHECK (concept_code <> '');
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_invalid_reason CHECK (COALESCE(invalid_reason,'D') in ('D','U'));
+
+
+ALTER TABLE concept_relationship ADD CONSTRAINT chk_cr_invalid_reason CHECK (COALESCE(invalid_reason,'D')='D');
+
+
+ALTER TABLE concept_synonym ADD CONSTRAINT chk_csyn_concept_synonym_name CHECK (concept_synonym_name <> '');
diff --git a/PostgreSQL/OMOP CDM postgresql ddl.txt b/PostgreSQL/OMOP CDM postgresql ddl.txt
index c0a0f69..e2556e7 100644
--- a/PostgreSQL/OMOP CDM postgresql ddl.txt	
+++ b/PostgreSQL/OMOP CDM postgresql ddl.txt	
@@ -1,8 +1,8 @@
 /*********************************************************************************
-# Copyright 2017-11 Observational Health Data Sciences and Informatics
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,17 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
 
+postgresql script to create OMOP common data model version 6.0
 
-postgresql script to create OMOP common data model version 5.3
-
-last revised: 14-June-2018
+last revised: 27-Aug-2018
 
 Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
 
@@ -43,132 +42,128 @@ Standardized vocabulary
 ************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept (
-  concept_id			    INTEGER			  NOT NULL ,
-  concept_name			  VARCHAR(255)	NOT NULL ,
-  domain_id				    VARCHAR(20)		NOT NULL ,
-  vocabulary_id			  VARCHAR(20)		NOT NULL ,
+  concept_id			INTEGER			NOT NULL ,
+  concept_name			VARCHAR(255)	NOT NULL ,
+  domain_id				VARCHAR(20)		NOT NULL ,
+  vocabulary_id			VARCHAR(20)		NOT NULL ,
   concept_class_id		VARCHAR(20)		NOT NULL ,
   standard_concept		VARCHAR(1)		NULL ,
-  concept_code			  VARCHAR(50)		NOT NULL ,
-  valid_start_date		DATE			    NOT NULL ,
-  valid_end_date		  DATE			    NOT NULL ,
-  invalid_reason		  VARCHAR(1)		NULL
+  concept_code			VARCHAR(50)		NOT NULL ,
+  valid_start_date		DATE			NOT NULL ,
+  valid_end_date		DATE			NOT NULL ,
+  invalid_reason		VARCHAR(1)		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE vocabulary (
-  vocabulary_id			    VARCHAR(20)		NOT NULL,
-  vocabulary_name		    VARCHAR(255)	NOT NULL,
+  vocabulary_id			VARCHAR(20)		NOT NULL,
+  vocabulary_name		VARCHAR(255)	NOT NULL,
   vocabulary_reference	VARCHAR(255)	NOT NULL,
-  vocabulary_version	  VARCHAR(255)	NOT NULL,
-  vocabulary_concept_id	INTEGER			  NOT NULL
+  vocabulary_version	VARCHAR(255)	NULL,
+  vocabulary_concept_id	INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE domain (
   domain_id			    VARCHAR(20)		NOT NULL,
   domain_name		    VARCHAR(255)	NOT NULL,
-  domain_concept_id	INTEGER			  NOT NULL
+  domain_concept_id		INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_class (
-  concept_class_id			    VARCHAR(20)		NOT NULL,
-  concept_class_name		    VARCHAR(255)	NOT NULL,
-  concept_class_concept_id	INTEGER			  NOT NULL
+  concept_class_id			VARCHAR(20)		NOT NULL,
+  concept_class_name		VARCHAR(255)	NOT NULL,
+  concept_class_concept_id	INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_relationship (
   concept_id_1			INTEGER			NOT NULL,
   concept_id_2			INTEGER			NOT NULL,
-  relationship_id		VARCHAR(20)	NOT NULL,
-  valid_start_date	DATE			  NOT NULL,
-  valid_end_date		DATE			  NOT NULL,
-  invalid_reason		VARCHAR(1)	NULL
+  relationship_id		VARCHAR(20)		NOT NULL,
+  valid_start_date		DATE			NOT NULL,
+  valid_end_date		DATE			NOT NULL,
+  invalid_reason		VARCHAR(1)		NULL
   )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE relationship (
-  relationship_id			    VARCHAR(20)		NOT NULL,
-  relationship_name			  VARCHAR(255)	NOT NULL,
-  is_hierarchical			    VARCHAR(1)		NOT NULL,
-  defines_ancestry			  VARCHAR(1)		NOT NULL,
+  relationship_id			VARCHAR(20)		NOT NULL,
+  relationship_name			VARCHAR(255)	NOT NULL,
+  is_hierarchical			VARCHAR(1)		NOT NULL,
+  defines_ancestry			VARCHAR(1)		NOT NULL,
   reverse_relationship_id	VARCHAR(20)		NOT NULL,
-  relationship_concept_id	INTEGER			  NOT NULL
+  relationship_concept_id	INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_synonym (
-  concept_id			      INTEGER			  NOT NULL,
+  concept_id			INTEGER			NOT NULL,
   concept_synonym_name	VARCHAR(1000)	NOT NULL,
-  language_concept_id	  INTEGER			  NOT NULL
+  language_concept_id	INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_ancestor (
-  ancestor_concept_id		    INTEGER		NOT NULL,
-  descendant_concept_id		  INTEGER		NOT NULL,
+  ancestor_concept_id		INTEGER		NOT NULL,
+  descendant_concept_id		INTEGER		NOT NULL,
   min_levels_of_separation	INTEGER		NOT NULL,
   max_levels_of_separation	INTEGER		NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE source_to_concept_map (
-  source_code				      VARCHAR(50)		NOT NULL,
-  source_concept_id			  INTEGER			  NOT NULL,
+  source_code				VARCHAR(50)		NOT NULL,
+  source_concept_id			INTEGER			NOT NULL,
   source_vocabulary_id		VARCHAR(20)		NOT NULL,
   source_code_description	VARCHAR(255)	NULL,
-  target_concept_id			  INTEGER			  NOT NULL,
+  target_concept_id			INTEGER			NOT NULL,
   target_vocabulary_id		VARCHAR(20)		NOT NULL,
-  valid_start_date			  DATE			    NOT NULL,
-  valid_end_date			    DATE			    NOT NULL,
-  invalid_reason			    VARCHAR(1)		NULL
+  valid_start_date			DATE			NOT NULL,
+  valid_end_date			DATE			NOT NULL,
+  invalid_reason			VARCHAR(1)		NULL
 )
 ;
 
 
-
-
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE drug_strength (
-  drug_concept_id				      INTEGER		  NOT NULL,
-  ingredient_concept_id			  INTEGER		  NOT NULL,
-  amount_value					      NUMERIC		    NULL,
-  amount_unit_concept_id		  INTEGER		  NULL,
-  numerator_value				      NUMERIC		    NULL,
-  numerator_unit_concept_id		INTEGER		  NULL,
-  denominator_value				    NUMERIC		    NULL,
-  denominator_unit_concept_id	INTEGER		  NULL,
-  box_size						        INTEGER		  NULL,
-  valid_start_date				    DATE		    NOT NULL,
-  valid_end_date				      DATE		    NOT NULL,
-  invalid_reason				      VARCHAR(1)  NULL
-)
-;
-
-
-
-CREATE TABLE cohort_definition (
-  cohort_definition_id				    INTEGER			  NOT NULL,
-  cohort_definition_name			    VARCHAR(255)	NOT NULL,
-  cohort_definition_description		TEXT	NULL,
-  definition_type_concept_id		  INTEGER			  NOT NULL,
-  cohort_definition_syntax			  TEXT	NULL,
-  subject_concept_id				      INTEGER			  NOT NULL,
-  cohort_initiation_date			    DATE			    NULL
+  drug_concept_id				INTEGER		  	NOT NULL,
+  ingredient_concept_id			INTEGER		  	NOT NULL,
+  amount_value					NUMERIC		    NULL,
+  amount_unit_concept_id		INTEGER		  	NULL,
+  numerator_value				NUMERIC		    NULL,
+  numerator_unit_concept_id		INTEGER		  	NULL,
+  denominator_value				NUMERIC		    NULL,
+  denominator_unit_concept_id	INTEGER		  	NULL,
+  box_size						INTEGER		 	NULL,
+  valid_start_date				DATE		    NOT NULL,
+  valid_end_date				DATE		    NOT NULL,
+  invalid_reason				VARCHAR(1)  	NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE attribute_definition (
   attribute_definition_id		  INTEGER			  NOT NULL,
   attribute_name				      VARCHAR(255)	NOT NULL,
@@ -186,34 +181,40 @@ Standardized meta-data
 ***************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE cdm_source
 (
-  cdm_source_name					        VARCHAR(255)	NOT NULL ,
-  cdm_source_abbreviation			    VARCHAR(25)		NULL ,
-  cdm_holder							        VARCHAR(255)	NULL ,
-  source_description					    TEXT	NULL ,
+  cdm_source_name					VARCHAR(255)	NOT NULL ,
+  cdm_source_abbreviation			VARCHAR(25)		NULL ,
+  cdm_holder						VARCHAR(255)	NULL ,
+  source_description				TEXT			NULL ,
   source_documentation_reference	VARCHAR(255)	NULL ,
-  cdm_etl_reference					      VARCHAR(255)	NULL ,
-  source_release_date				      DATE			    NULL ,
-  cdm_release_date					      DATE			    NULL ,
-  cdm_version						          VARCHAR(10)		NULL ,
-  vocabulary_version					    VARCHAR(20)		NULL
+  cdm_etl_reference					VARCHAR(255)	NULL ,
+  source_release_date				DATE			NULL ,
+  cdm_release_date					DATE			NULL ,
+  cdm_version						VARCHAR(10)		NULL ,
+  vocabulary_version				VARCHAR(20)		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE metadata
 (
-  metadata_concept_id       INTEGER       NOT NULL ,
-  metadata_type_concept_id  INTEGER       NOT NULL ,
-  name                      VARCHAR(250)  NOT NULL ,
-  value_as_string           TEXT  NULL ,
-  value_as_concept_id       INTEGER       NULL ,
-  metadata_date             DATE          NULL ,
-  metadata_datetime         TIMESTAMP      NULL
+  metadata_concept_id       INTEGER       	NOT NULL ,
+  metadata_type_concept_id  INTEGER       	NOT NULL ,
+  name                      VARCHAR(250)  	NOT NULL ,
+  value_as_string           TEXT  			NULL ,
+  value_as_concept_id       INTEGER       	NULL ,
+  metadata_date             DATE          	NULL ,
+  metadata_datetime         TIMESTAMP      	NULL
 )
 ;
 
+INSERT INTO metadata (metadata_concept_id, metadata_type_concept_id, name, value_as_string, value_as_concept_id, metadata_date, metadata_datetime)
+VALUES (0, 0, 'CDM Version', '6.0', 0, NULL, NULL)
+;
+
 
 /************************
 
@@ -221,27 +222,29 @@ Standardized clinical data
 
 ************************/
 
+
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE person
 (
-  person_id						        INTEGER	  	NOT NULL ,
-  gender_concept_id				    INTEGER	  	NOT NULL ,
-  year_of_birth					      INTEGER	  	NOT NULL ,
-  month_of_birth				      INTEGER	  	NULL,
-  day_of_birth					      INTEGER	  	NULL,
-  birth_datetime				      TIMESTAMP	  NULL,
-  race_concept_id				      INTEGER		  NOT NULL,
-  ethnicity_concept_id			  INTEGER	  	NOT NULL,
-  location_id					        INTEGER		  NULL,
-  provider_id					        INTEGER		  NULL,
-  care_site_id					      INTEGER		  NULL,
-  person_source_value			    VARCHAR(50) NULL,
-  gender_source_value			    VARCHAR(50) NULL,
-  gender_source_concept_id	  INTEGER		  NULL,
-  race_source_value				    VARCHAR(50) NULL,
-  race_source_concept_id		  INTEGER		  NULL,
-  ethnicity_source_value		  VARCHAR(50) NULL,
-  ethnicity_source_concept_id	INTEGER		  NULL
+  person_id						BIGINT	  	NOT NULL , 
+  gender_concept_id				INTEGER	  	NOT NULL ,
+  year_of_birth					INTEGER	  	NOT NULL ,
+  month_of_birth				INTEGER	  	NULL,
+  day_of_birth					INTEGER	  	NULL,
+  birth_datetime				TIMESTAMP	NULL,
+  death_datetime				TIMESTAMP	NULL,
+  race_concept_id				INTEGER		NOT NULL,
+  ethnicity_concept_id			INTEGER	  	NOT NULL,
+  location_id					INTEGER		NULL,
+  provider_id					INTEGER		NULL,
+  care_site_id					INTEGER		NULL,
+  person_source_value			VARCHAR(50)	NULL,
+  gender_source_value			VARCHAR(50) NULL,
+  gender_source_concept_id	  	INTEGER		NOT NULL,
+  race_source_value				VARCHAR(50) NULL,
+  race_source_concept_id		INTEGER		NOT NULL,
+  ethnicity_source_value		VARCHAR(50) NULL,
+  ethnicity_source_concept_id	INTEGER		NOT NULL
 )
 ;
 
@@ -249,11 +252,11 @@ CREATE TABLE person
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation_period
 (
-  observation_period_id				      INTEGER		NOT NULL ,
-  person_id							            INTEGER		NOT NULL ,
-  observation_period_start_date		  DATE		  NOT NULL ,
-  observation_period_end_date		    DATE		  NOT NULL ,
-  period_type_concept_id			      INTEGER		NOT NULL
+  observation_period_id				BIGINT		NOT NULL ,
+  person_id							BIGINT		NOT NULL ,
+  observation_period_start_date		DATE		NOT NULL ,
+  observation_period_end_date		DATE		NOT NULL ,
+  period_type_concept_id			INTEGER		NOT NULL
 )
 ;
 
@@ -261,35 +264,21 @@ CREATE TABLE observation_period
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE specimen
 (
-  specimen_id						      INTEGER			NOT NULL ,
-  person_id							      INTEGER			NOT NULL ,
-  specimen_concept_id				  INTEGER			NOT NULL ,
+  specimen_id					BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  specimen_concept_id			INTEGER			NOT NULL ,
   specimen_type_concept_id		INTEGER			NOT NULL ,
-  specimen_date						    DATE			  NOT NULL ,
-  specimen_datetime					  TIMESTAMP		NULL ,
-  quantity							      NUMERIC			  NULL ,
-  unit_concept_id					    INTEGER			NULL ,
-  anatomic_site_concept_id		INTEGER			NULL ,
-  disease_status_concept_id		INTEGER			NULL ,
-  specimen_source_id				  VARCHAR(50)	NULL ,
-  specimen_source_value				VARCHAR(50)	NULL ,
-  unit_source_value					  VARCHAR(50)	NULL ,
-  anatomic_site_source_value	VARCHAR(50)	NULL ,
-  disease_status_source_value VARCHAR(50)	NULL
-)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(person_id)
-CREATE TABLE death
-(
-  person_id							  INTEGER			NOT NULL ,
-  death_date							DATE			  NOT NULL ,
-  death_datetime					TIMESTAMP		NULL ,
-  death_type_concept_id   INTEGER			NOT NULL ,
-  cause_concept_id			  INTEGER			NULL ,
-  cause_source_value			VARCHAR(50)	NULL,
-  cause_source_concept_id INTEGER			NULL
+  specimen_date					DATE			NULL ,
+  specimen_datetime				TIMESTAMP		NOT NULL ,
+  quantity						NUMERIC			NULL ,
+  unit_concept_id				INTEGER			NULL ,
+  anatomic_site_concept_id		INTEGER			NOT NULL ,
+  disease_status_concept_id		INTEGER			NOT NULL ,
+  specimen_source_id			VARCHAR(50)		NULL ,
+  specimen_source_value			VARCHAR(50)		NULL ,
+  unit_source_value				VARCHAR(50)		NULL ,
+  anatomic_site_source_value	VARCHAR(50)		NULL ,
+  disease_status_source_value	VARCHAR(50)		NULL
 )
 ;
 
@@ -297,22 +286,22 @@ CREATE TABLE death
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_occurrence
 (
-  visit_occurrence_id			      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  visit_concept_id				      INTEGER			NOT NULL ,
-  visit_start_date				      DATE			  NOT NULL ,
-  visit_start_datetime				  TIMESTAMP		NULL ,
-  visit_end_date					      DATE			  NOT NULL ,
-  visit_end_datetime					  TIMESTAMP		NULL ,
-  visit_type_concept_id			    INTEGER			NOT NULL ,
-  provider_id					          INTEGER			NULL,
-  care_site_id					        INTEGER			NULL,
-  visit_source_value				    VARCHAR(50)	NULL,
-  visit_source_concept_id		    INTEGER			NULL ,
-  admitting_source_concept_id	  INTEGER			NULL ,
-  admitting_source_value		    VARCHAR(50)	NULL ,
-  discharge_to_concept_id		    INTEGER   	NULL ,
-  discharge_to_source_value		  VARCHAR(50)	NULL ,
+  visit_occurrence_id			BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  visit_concept_id				INTEGER			NOT NULL ,
+  visit_start_date				DATE			NULL ,
+  visit_start_datetime			TIMESTAMP		NOT NULL ,
+  visit_end_date				DATE			NULL ,
+  visit_end_datetime			TIMESTAMP		NOT NULL ,
+  visit_type_concept_id			INTEGER			NOT NULL ,
+  provider_id					INTEGER			NULL,
+  care_site_id					INTEGER			NULL,
+  visit_source_value			VARCHAR(50)		NULL,
+  visit_source_concept_id		INTEGER			NOT NULL ,
+  admitted_from_concept_id      INTEGER     	NOT NULL ,   
+  admitted_from_source_value    VARCHAR(50) 	NULL ,
+  discharge_to_source_value		VARCHAR(50)		NULL ,
+  discharge_to_concept_id		INTEGER   		NOT NULL ,
   preceding_visit_occurrence_id	INTEGER			NULL
 )
 ;
@@ -321,25 +310,25 @@ CREATE TABLE visit_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_detail
 (
-  visit_detail_id                    INTEGER     NOT NULL ,
-  person_id                          INTEGER     NOT NULL ,
+  visit_detail_id                    BIGINT      NOT NULL ,
+  person_id                          BIGINT      NOT NULL ,
   visit_detail_concept_id            INTEGER     NOT NULL ,
-  visit_detail_start_date            DATE        NOT NULL ,
-  visit_detail_start_datetime        TIMESTAMP    NULL ,
-  visit_detail_end_date              DATE        NOT NULL ,
-  visit_detail_end_datetime          TIMESTAMP    NULL ,
+  visit_detail_start_date            DATE        NULL ,
+  visit_detail_start_datetime        TIMESTAMP   NOT NULL ,
+  visit_detail_end_date              DATE        NULL ,
+  visit_detail_end_datetime          TIMESTAMP   NOT NULL ,
   visit_detail_type_concept_id       INTEGER     NOT NULL ,
   provider_id                        INTEGER     NULL ,
   care_site_id                       INTEGER     NULL ,
-  admitting_source_concept_id        INTEGER     NULL ,
-  discharge_to_concept_id            INTEGER     NULL ,
-  preceding_visit_detail_id          INTEGER     NULL ,
+  discharge_to_concept_id            INTEGER     NOT NULL ,
+  admitted_from_concept_id           INTEGER     NOT NULL , 
+  admitted_from_source_value         VARCHAR(50) NULL ,
   visit_detail_source_value          VARCHAR(50) NULL ,
-  visit_detail_source_concept_id     INTEGER     NULL ,
-  admitting_source_value             VARCHAR(50) NULL ,
+  visit_detail_source_concept_id     INTEGER     NOT NULL ,
   discharge_to_source_value          VARCHAR(50) NULL ,
-  visit_detail_parent_id             INTEGER     NULL ,
-  visit_occurrence_id                INTEGER     NOT NULL
+  preceding_visit_detail_id          BIGINT      NULL ,
+  visit_detail_parent_id             BIGINT      NULL ,
+  visit_occurrence_id                BIGINT      NOT NULL
 )
 ;
 
@@ -347,20 +336,20 @@ CREATE TABLE visit_detail
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE procedure_occurrence
 (
-  procedure_occurrence_id		  INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  procedure_concept_id			  INTEGER			NOT NULL ,
-  procedure_date				      DATE			  NOT NULL ,
-  procedure_datetime			    TIMESTAMP		NULL ,
+  procedure_occurrence_id		BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  procedure_concept_id			INTEGER			NOT NULL ,
+  procedure_date				DATE			NULL ,
+  procedure_datetime			TIMESTAMP		NOT NULL ,
   procedure_type_concept_id		INTEGER			NOT NULL ,
-  modifier_concept_id			    INTEGER			NULL ,
-  quantity						        INTEGER			NULL ,
-  provider_id					        INTEGER			NULL ,
-  visit_occurrence_id			    INTEGER			NULL ,
-  visit_detail_id             INTEGER     NULL ,
-  procedure_source_value		  VARCHAR(50)	NULL ,
-  procedure_source_concept_id	INTEGER			NULL ,
-  modifier_source_value		   VARCHAR(50)	NULL
+  modifier_concept_id			INTEGER			NOT NULL ,
+  quantity						INTEGER			NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id             	INTEGER     	NULL ,
+  procedure_source_value		VARCHAR(50)		NULL ,
+  procedure_source_concept_id	INTEGER			NOT NULL ,
+  modifier_source_value		    VARCHAR(50)		NULL 
 )
 ;
 
@@ -368,29 +357,29 @@ CREATE TABLE procedure_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_exposure
 (
-  drug_exposure_id				      INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  drug_concept_id				        INTEGER			  NOT NULL ,
-  drug_exposure_start_date		  DATE			    NOT NULL ,
-  drug_exposure_start_datetime  TIMESTAMP		  NULL ,
-  drug_exposure_end_date		    DATE			    NOT NULL ,
-  drug_exposure_end_datetime	  TIMESTAMP		  NULL ,
-  verbatim_end_date				      DATE			    NULL ,
-  drug_type_concept_id			    INTEGER			  NOT NULL ,
-  stop_reason					          VARCHAR(20)		NULL ,
-  refills						            INTEGER		  	NULL ,
-  quantity						          NUMERIC			    NULL ,
-  days_supply					          INTEGER		  	NULL ,
-  sig							              TEXT	NULL ,
-  route_concept_id				      INTEGER			  NULL ,
-  lot_number					          VARCHAR(50)	  NULL ,
-  provider_id					          INTEGER			  NULL ,
-  visit_occurrence_id			      INTEGER			  NULL ,
-  visit_detail_id               INTEGER       NULL ,
-  drug_source_value				      VARCHAR(50)	  NULL ,
-  drug_source_concept_id		    INTEGER			  NULL ,
-  route_source_value			      VARCHAR(50)	  NULL ,
-  dose_unit_source_value		    VARCHAR(50)	  NULL
+  drug_exposure_id				BIGINT			 	NOT NULL ,
+  person_id						BIGINT			 	NOT NULL ,
+  drug_concept_id				INTEGER			  	NOT NULL ,
+  drug_exposure_start_date		DATE			    NULL ,
+  drug_exposure_start_datetime	TIMESTAMP		 	NOT NULL ,
+  drug_exposure_end_date		DATE			    NULL ,
+  drug_exposure_end_datetime	TIMESTAMP		  	NOT NULL ,
+  verbatim_end_date				DATE			    NULL ,
+  drug_type_concept_id			INTEGER			  	NOT NULL ,
+  stop_reason					VARCHAR(20)			NULL ,
+  refills						INTEGER		  		NULL ,
+  quantity						NUMERIC			    NULL ,
+  days_supply					INTEGER		  		NULL ,
+  sig							TEXT				NULL ,
+  route_concept_id				INTEGER				NOT NULL ,
+  lot_number					VARCHAR(50)	 		NULL ,
+  provider_id					INTEGER			  	NULL ,
+  visit_occurrence_id			INTEGER			  	NULL ,
+  visit_detail_id               INTEGER       		NULL ,
+  drug_source_value				VARCHAR(50)	  		NULL ,
+  drug_source_concept_id		INTEGER			  	NOT NULL ,
+  route_source_value			VARCHAR(50)	  		NULL ,
+  dose_unit_source_value		VARCHAR(50)	  		NULL
 )
 ;
 
@@ -398,21 +387,21 @@ CREATE TABLE drug_exposure
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE device_exposure
 (
-  device_exposure_id			        INTEGER		  	NOT NULL ,
-  person_id						            INTEGER			  NOT NULL ,
-  device_concept_id			        	INTEGER			  NOT NULL ,
-  device_exposure_start_date	    DATE			    NOT NULL ,
-  device_exposure_start_datetime  TIMESTAMP		  NULL ,
-  device_exposure_end_date		    DATE			    NULL ,
-  device_exposure_end_datetime    TIMESTAMP		  NULL ,
-  device_type_concept_id		      INTEGER			  NOT NULL ,
-  unique_device_id			        	VARCHAR(50)		NULL ,
-  quantity						            INTEGER			  NULL ,
-  provider_id					            INTEGER			  NULL ,
-  visit_occurrence_id			        INTEGER			  NULL ,
-  visit_detail_id                 INTEGER       NULL ,
-  device_source_value			        VARCHAR(100)	NULL ,
-  device_source_concept_id		    INTEGER			  NULL
+  device_exposure_id			    BIGINT		  	NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
+  device_concept_id			        INTEGER			NOT NULL ,
+  device_exposure_start_date	    DATE			NULL ,
+  device_exposure_start_datetime	TIMESTAMP		NOT NULL ,
+  device_exposure_end_date		    DATE			NULL ,
+  device_exposure_end_datetime    	TIMESTAMP		NULL ,
+  device_type_concept_id		    INTEGER			NOT NULL ,
+  unique_device_id			        VARCHAR(50)		NULL ,
+  quantity						    INTEGER			NULL ,
+  provider_id					    INTEGER			NULL ,
+  visit_occurrence_id			    INTEGER			NULL ,
+  visit_detail_id                 	INTEGER       	NULL ,
+  device_source_value			    VARCHAR(100)	NULL ,
+  device_source_concept_id		    INTEGER			NOT NULL
 )
 ;
 
@@ -420,22 +409,22 @@ CREATE TABLE device_exposure
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_occurrence
 (
-  condition_occurrence_id		    INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  condition_concept_id			    INTEGER			NOT NULL ,
-  condition_start_date			    DATE			  NOT NULL ,
-  condition_start_datetime		  TIMESTAMP		NULL ,
-  condition_end_date			      DATE			  NULL ,
-  condition_end_datetime		    TIMESTAMP		NULL ,
-  condition_type_concept_id		  INTEGER			NOT NULL ,
-  stop_reason					          VARCHAR(20)	NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  condition_source_value		    VARCHAR(50)	NULL ,
-  condition_source_concept_id	  INTEGER			NULL ,
-  condition_status_source_value	VARCHAR(50)	NULL ,
-  condition_status_concept_id	  INTEGER			NULL
+  condition_occurrence_id		BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  condition_concept_id			INTEGER			NOT NULL ,
+  condition_start_date			DATE			NULL ,
+  condition_start_datetime		TIMESTAMP		NOT NULL ,
+  condition_end_date			DATE			NULL ,
+  condition_end_datetime		TIMESTAMP		NULL ,
+  condition_type_concept_id		INTEGER			NOT NULL ,
+  condition_status_concept_id	INTEGER			NOT NULL ,
+  stop_reason					VARCHAR(20)		NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id               INTEGER     	NULL ,
+  condition_source_value		VARCHAR(50)		NULL ,
+  condition_source_concept_id	INTEGER			NOT NULL ,
+  condition_status_source_value	VARCHAR(50)		NULL
 )
 ;
 
@@ -443,26 +432,26 @@ CREATE TABLE condition_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE measurement
 (
-  measurement_id				        INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  measurement_concept_id		    INTEGER			NOT NULL ,
-  measurement_date				      DATE			  NOT NULL ,
-  measurement_datetime			    TIMESTAMP		NULL ,
-  measurement_time              VARCHAR(10) NULL,
-  measurement_type_concept_id	  INTEGER			NOT NULL ,
-  operator_concept_id			      INTEGER			NULL ,
-  value_as_number				        NUMERIC			  NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  range_low					          	NUMERIC			  NULL ,
-  range_high					          NUMERIC			  NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  measurement_source_value		  VARCHAR(50)	NULL ,
-  measurement_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  value_source_value			      VARCHAR(50)	NULL
+  measurement_id				BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  measurement_concept_id		INTEGER			NOT NULL ,
+  measurement_date				DATE			NULL ,
+  measurement_datetime			TIMESTAMP		NOT NULL ,
+  measurement_time              VARCHAR(10) 	NULL,
+  measurement_type_concept_id	INTEGER			NOT NULL ,
+  operator_concept_id			INTEGER			NULL ,
+  value_as_number				NUMERIC			NULL ,
+  value_as_concept_id			INTEGER			NULL ,
+  unit_concept_id				INTEGER			NULL ,
+  range_low					    NUMERIC			NULL ,
+  range_high					NUMERIC			NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id               INTEGER     	NULL ,
+  measurement_source_value		VARCHAR(50)		NULL ,
+  measurement_source_concept_id	INTEGER			NOT NULL ,
+  unit_source_value				VARCHAR(50)		NULL ,
+  value_source_value			VARCHAR(50)		NULL
 )
 ;
 
@@ -470,41 +459,43 @@ CREATE TABLE measurement
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE note
 (
-  note_id						    INTEGER			  NOT NULL ,
-  person_id						  INTEGER			  NOT NULL ,
-  note_date						  DATE			    NOT NULL ,
-  note_datetime					TIMESTAMP		  NULL ,
-  note_type_concept_id	INTEGER			  NOT NULL ,
-  note_class_concept_id INTEGER			  NOT NULL ,
-  note_title					  VARCHAR(250)	NULL ,
-  note_text						  TEXT  NULL ,
-  encoding_concept_id		INTEGER			  NOT NULL ,
-  language_concept_id		INTEGER			  NOT NULL ,
-  provider_id					  INTEGER			  NULL ,
-  visit_occurrence_id		INTEGER			  NULL ,
-  visit_detail_id       INTEGER       NULL ,
-  note_source_value			VARCHAR(50)		NULL
+  note_id						BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  note_event_id         		BIGINT      	NULL , 
+  note_event_field_concept_id	INTEGER 		NOT NULL , 
+  note_date						DATE			NULL ,
+  note_datetime					TIMESTAMP		NOT NULL ,
+  note_type_concept_id			INTEGER			NOT NULL ,
+  note_class_concept_id 		INTEGER			NOT NULL ,
+  note_title					VARCHAR(250)	NULL ,
+  note_text						TEXT  			NULL ,
+  encoding_concept_id			INTEGER			NOT NULL ,
+  language_concept_id			INTEGER			NOT NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id       		INTEGER       	NULL ,
+  note_source_value				VARCHAR(50)		NULL
 )
 ;
 
 
-
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE note_nlp
 (
-  note_nlp_id					        INTEGER			  NOT NULL ,
-  note_id						          INTEGER			  NOT NULL ,
-  section_concept_id			    INTEGER			  NULL ,
-  snippet						          VARCHAR(250)	NULL ,
-  "offset"					          VARCHAR(250)	NULL ,
-  lexical_variant				      VARCHAR(250)	NOT NULL ,
-  note_nlp_concept_id			    INTEGER			  NULL ,
-  note_nlp_source_concept_id  INTEGER			  NULL ,
-  nlp_system					        VARCHAR(250)	NULL ,
-  nlp_date						        DATE			    NOT NULL ,
-  nlp_datetime					      TIMESTAMP		  NULL ,
-  term_exists					        VARCHAR(1)		NULL ,
-  term_temporal					      VARCHAR(50)		NULL ,
-  term_modifiers				      VARCHAR(2000)	NULL
+  note_nlp_id					BIGINT			NOT NULL ,
+  note_id						BIGINT			NOT NULL ,
+  section_concept_id			INTEGER			NOT NULL ,
+  snippet						VARCHAR(250)	NULL ,
+  "offset"					    VARCHAR(250)	NULL ,
+  lexical_variant				VARCHAR(250)	NOT NULL ,
+  note_nlp_concept_id			INTEGER			NOT NULL ,
+  nlp_system					VARCHAR(250)	NULL ,
+  nlp_date						DATE			NOT NULL ,
+  nlp_datetime					TIMESTAMP		NULL ,
+  term_exists					VARCHAR(1)		NULL ,
+  term_temporal					VARCHAR(50)		NULL ,
+  term_modifiers				VARCHAR(2000)	NULL ,
+  note_nlp_source_concept_id  	INTEGER			NOT NULL
 )
 ;
 
@@ -512,34 +503,70 @@ CREATE TABLE note_nlp
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation
 (
-  observation_id					      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  observation_concept_id			  INTEGER			NOT NULL ,
-  observation_date				      DATE			  NOT NULL ,
-  observation_datetime				  TIMESTAMP		NULL ,
-  observation_type_concept_id	  INTEGER			NOT NULL ,
-  value_as_number				        NUMERIC			  NULL ,
-  value_as_string				        VARCHAR(60)	NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
+  observation_id					BIGINT			NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
+  observation_concept_id			INTEGER			NOT NULL ,
+  observation_date				    DATE			NULL ,
+  observation_datetime				TIMESTAMP		NOT NULL ,
+  observation_type_concept_id	    INTEGER			NOT NULL ,
+  value_as_number				    NUMERIC			NULL ,
+  value_as_string				    VARCHAR(60)		NULL ,
+  value_as_concept_id			    INTEGER			NULL ,
   qualifier_concept_id			    INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  observation_source_value		  VARCHAR(50)	NULL ,
-  observation_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  qualifier_source_value			  VARCHAR(50)	NULL
+  unit_concept_id				    INTEGER			NULL ,
+  provider_id					    INTEGER			NULL ,
+  visit_occurrence_id			    BIGINT			NULL ,
+  visit_detail_id               	BIGINT      	NULL ,
+  observation_source_value		  	VARCHAR(50)		NULL ,
+  observation_source_concept_id		INTEGER			NOT NULL ,
+  unit_source_value				    VARCHAR(50)		NULL ,
+  qualifier_source_value			VARCHAR(50)		NULL ,
+  observation_event_id				BIGINT			NULL , 
+  obs_event_field_concept_id		INTEGER			NOT NULL , 
+  value_as_datetime					TIMESTAMP		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON KEY(person_id)
+CREATE TABLE survey_conduct 
+(
+  survey_conduct_id					BIGINT			NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
+  survey_concept_id			  		INTEGER			NOT NULL ,
+  survey_start_date				    DATE			NULL ,
+  survey_start_datetime				TIMESTAMP		NULL ,
+  survey_end_date					DATE			NULL ,
+  survey_end_datetime				TIMESTAMP		NOT NULL ,
+  provider_id						BIGINT			NULL ,
+  assisted_concept_id	  			INTEGER			NOT NULL ,
+  respondent_type_concept_id		INTEGER			NOT NULL ,
+  timing_concept_id					INTEGER			NOT NULL ,
+  collection_method_concept_id		INTEGER			NOT NULL ,
+  assisted_source_value		  		VARCHAR(50)		NULL ,
+  respondent_type_source_value		VARCHAR(100)  	NULL ,
+  timing_source_value				VARCHAR(100)	NULL ,
+  collection_method_source_value	VARCHAR(100)	NULL ,
+  survey_source_value				VARCHAR(100)	NULL ,
+  survey_source_concept_id			INTEGER			NOT NULL ,
+  survey_source_identifier			VARCHAR(100)	NULL ,
+  validated_survey_concept_id		INTEGER			NOT NULL ,
+  validated_survey_source_value		VARCHAR(100)	NULL ,
+  survey_version_number				VARCHAR(20)		NULL ,
+  visit_occurrence_id				BIGINT			NULL ,
+  visit_detail_id					BIGINT			NULL ,
+  response_visit_occurrence_id	BIGINT			NULL
+)
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE fact_relationship
 (
-  domain_concept_id_1			INTEGER			NOT NULL ,
-  fact_id_1						    INTEGER			NOT NULL ,
-  domain_concept_id_2			INTEGER			NOT NULL ,
-  fact_id_2						    INTEGER			NOT NULL ,
+  domain_concept_id_1		INTEGER			NOT NULL ,
+  fact_id_1					BIGINT			NOT NULL ,
+  domain_concept_id_2		INTEGER			NOT NULL ,
+  fact_id_2					BIGINT			NOT NULL ,
   relationship_concept_id	INTEGER			NOT NULL
 )
 ;
@@ -553,47 +580,67 @@ Standardized health system data
 ************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE location
 (
-  location_id					  INTEGER			  NOT NULL ,
-  address_1						  VARCHAR(50)		NULL ,
-  address_2						  VARCHAR(50)		NULL ,
-  city							    VARCHAR(50)		NULL ,
-  state							    VARCHAR(2)		NULL ,
-  zip							      VARCHAR(9)		NULL ,
-  county							  VARCHAR(20)		NULL ,
-  location_source_value VARCHAR(50)		NULL
+  location_id			BIGINT			NOT NULL ,
+  address_1				VARCHAR(50)		NULL ,
+  address_2				VARCHAR(50)		NULL ,
+  city					VARCHAR(50)		NULL ,
+  state					VARCHAR(2)		NULL ,
+  zip					VARCHAR(9)		NULL ,
+  county				VARCHAR(20)		NULL ,
+  country				VARCHAR(100)	NULL ,
+  location_source_value VARCHAR(50)		NULL ,
+  latitude				NUMERIC			NULL ,
+  longitude				NUMERIC			NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE location_history --Table added
+(
+  location_history_id           BIGINT      NOT NULL ,
+  location_id			        BIGINT		NOT NULL ,
+  relationship_type_concept_id	INTEGER		NOT NULL , 
+  domain_id				        VARCHAR(50)	NOT NULL ,
+  entity_id				        BIGINT		NOT NULL ,
+  start_date			        DATE		NOT NULL ,
+  end_date				        DATE		NULL
+)
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE care_site
 (
-  care_site_id						      INTEGER			  NOT NULL ,
-  care_site_name						    VARCHAR(255)  NULL ,
-  place_of_service_concept_id	  INTEGER			  NULL ,
-  location_id						        INTEGER			  NULL ,
-  care_site_source_value			  VARCHAR(50)		NULL ,
-  place_of_service_source_value VARCHAR(50)		NULL
+  care_site_id					BIGINT			NOT NULL ,
+  care_site_name				VARCHAR(255)	NULL ,
+  place_of_service_concept_id	INTEGER			NOT NULL ,
+  location_id					BIGINT			NULL ,
+  care_site_source_value		VARCHAR(50)		NULL ,
+  place_of_service_source_value	VARCHAR(50)		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE provider
 (
-  provider_id					        INTEGER			  NOT NULL ,
-  provider_name					      VARCHAR(255)	NULL ,
-  NPI							            VARCHAR(20)		NULL ,
-  DEA							            VARCHAR(20)		NULL ,
-  specialty_concept_id			  INTEGER			  NULL ,
-  care_site_id					      INTEGER			  NULL ,
-  year_of_birth					      INTEGER			  NULL ,
-  gender_concept_id				    INTEGER			  NULL ,
-  provider_source_value			  VARCHAR(50)		NULL ,
-  specialty_source_value			VARCHAR(50)		NULL ,
-  specialty_source_concept_id	INTEGER			  NULL ,
-  gender_source_value			    VARCHAR(50)		NULL ,
-  gender_source_concept_id		INTEGER			  NULL
+  provider_id					BIGINT			NOT NULL ,
+  provider_name					VARCHAR(255)	NULL ,
+  NPI							VARCHAR(20)		NULL ,
+  DEA							VARCHAR(20)		NULL ,
+  specialty_concept_id			INTEGER			NOT NULL ,
+  care_site_id					BIGINT			NULL ,
+  year_of_birth					INTEGER			NULL ,
+  gender_concept_id				INTEGER			NOT NULL ,
+  provider_source_value			VARCHAR(50)		NULL ,
+  specialty_source_value		VARCHAR(50)		NULL ,
+  specialty_source_concept_id	INTEGER			NULL ,
+  gender_source_value			VARCHAR(50)		NULL ,
+  gender_source_concept_id		INTEGER			NOT NULL
 )
 ;
 
@@ -608,51 +655,52 @@ Standardized health economics
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE payer_plan_period
 (
-  payer_plan_period_id			    INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  payer_plan_period_start_date  DATE			    NOT NULL ,
-  payer_plan_period_end_date		DATE			    NOT NULL ,
-  payer_concept_id              INTEGER       NULL ,
-  payer_source_value				    VARCHAR(50)	  NULL ,
-  payer_source_concept_id       INTEGER       NULL ,
-  plan_concept_id               INTEGER       NULL ,
-  plan_source_value				      VARCHAR(50)	  NULL ,
-  plan_source_concept_id        INTEGER       NULL ,
-  sponsor_concept_id            INTEGER       NULL ,
-  sponsor_source_value          VARCHAR(50)   NULL ,
-  sponsor_source_concept_id     INTEGER       NULL ,
-  family_source_value			      VARCHAR(50)	  NULL ,
-  stop_reason_concept_id        INTEGER       NULL ,
-  stop_reason_source_value      VARCHAR(50)      NULL ,
-  stop_reason_source_concept_id INTEGER       NULL
+  payer_plan_period_id			BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  contract_person_id            BIGINT        	NULL ,
+  payer_plan_period_start_date  DATE			NOT NULL ,
+  payer_plan_period_end_date	DATE			NOT NULL ,
+  payer_concept_id              INTEGER       	NOT NULL ,
+  plan_concept_id               INTEGER       	NOT NULL ,
+  contract_concept_id           INTEGER       	NOT NULL ,
+  sponsor_concept_id            INTEGER       	NOT NULL ,
+  stop_reason_concept_id        INTEGER       	NOT NULL ,
+  payer_source_value			VARCHAR(50)	  	NULL ,
+  payer_source_concept_id       INTEGER       	NOT NULL ,
+  plan_source_value				VARCHAR(50)	  	NULL ,
+  plan_source_concept_id        INTEGER       	NOT NULL ,
+  contract_source_value         VARCHAR(50)   	NULL ,
+  contract_source_concept_id    INTEGER       	NOT NULL ,
+  sponsor_source_value          VARCHAR(50)   	NULL ,
+  sponsor_source_concept_id     INTEGER       	NOT NULL ,
+  family_source_value			VARCHAR(50)	  	NULL ,
+  stop_reason_source_value      VARCHAR(50)   	NULL ,
+  stop_reason_source_concept_id INTEGER       	NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON KEY(person_id)
 CREATE TABLE cost
 (
-  cost_id					          INTEGER	    NOT NULL ,
-  cost_event_id             INTEGER     NOT NULL ,
-  cost_domain_id            VARCHAR(20) NOT NULL ,
-  cost_type_concept_id      INTEGER     NOT NULL ,
-  currency_concept_id			  INTEGER			NULL ,
-  total_charge						  NUMERIC			  NULL ,
-  total_cost						    NUMERIC			  NULL ,
-  total_paid						    NUMERIC			  NULL ,
-  paid_by_payer					    NUMERIC			  NULL ,
-  paid_by_patient						NUMERIC			  NULL ,
-  paid_patient_copay				NUMERIC			  NULL ,
-  paid_patient_coinsurance  NUMERIC			  NULL ,
-  paid_patient_deductible		NUMERIC			  NULL ,
-  paid_by_primary						NUMERIC			  NULL ,
-  paid_ingredient_cost			NUMERIC			  NULL ,
-  paid_dispensing_fee				NUMERIC			  NULL ,
-  payer_plan_period_id			INTEGER			NULL ,
-  amount_allowed		        NUMERIC			  NULL ,
-  revenue_code_concept_id		INTEGER			NULL ,
-  reveue_code_source_value  VARCHAR(50) NULL,
-  drg_concept_id			      INTEGER		  NULL,
-  drg_source_value			    VARCHAR(3)	NULL
+  cost_id						BIGINT		NOT NULL ,
+  person_id						BIGINT		NOT NULL,
+  cost_event_id					BIGINT      NOT NULL ,
+  cost_event_field_concept_id	INTEGER		NOT NULL , 
+  cost_concept_id				INTEGER		NOT NULL ,
+  cost_type_concept_id		  	INTEGER     NOT NULL ,
+  currency_concept_id			INTEGER		NOT NULL ,
+  cost							NUMERIC		NULL ,
+  incurred_date					DATE		NOT NULL ,
+  billed_date					DATE		NULL ,
+  paid_date						DATE		NULL ,
+  revenue_code_concept_id		INTEGER		NOT NULL ,
+  drg_concept_id			    INTEGER		NOT NULL ,
+  cost_source_value				VARCHAR(50)	NULL ,
+  cost_source_concept_id	  	INTEGER		NOT NULL ,
+  revenue_code_source_value 	VARCHAR(50) NULL ,
+  drg_source_value			    VARCHAR(3)	NULL ,
+  payer_plan_period_id			BIGINT		NULL
 )
 ;
 
@@ -664,41 +712,16 @@ Standardized derived elements
 ************************/
 
 
---HINT DISTRIBUTE_ON_KEY(subject_id)
-CREATE TABLE cohort
-(
-  cohort_definition_id	INTEGER		NOT NULL ,
-  subject_id						INTEGER		NOT NULL ,
-  cohort_start_date			DATE			NOT NULL ,
-  cohort_end_date				DATE			NOT NULL
-)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(subject_id)
-CREATE TABLE cohort_attribute
-(
-  cohort_definition_id		INTEGER		NOT NULL ,
-  subject_id						  INTEGER		NOT NULL ,
-  cohort_start_date				DATE			NOT NULL ,
-  cohort_end_date				  DATE			NOT NULL ,
-  attribute_definition_id INTEGER		NOT NULL ,
-  value_as_number				  NUMERIC			NULL ,
-  value_as_concept_id			INTEGER		NULL
-)
-;
-
-
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_era
 (
-  drug_era_id					INTEGER			NOT NULL ,
-  person_id						INTEGER			NOT NULL ,
-  drug_concept_id			INTEGER			NOT NULL ,
-  drug_era_start_date	DATE			  NOT NULL ,
-  drug_era_end_date		DATE			  NOT NULL ,
-  drug_exposure_count	INTEGER			NULL ,
-  gap_days						INTEGER			NULL
+  drug_era_id				BIGINT		NOT NULL ,
+  person_id					BIGINT		NOT NULL ,
+  drug_concept_id			INTEGER		NOT NULL ,
+  drug_era_start_datetime	TIMESTAMP		NOT NULL ,
+  drug_era_end_datetime		TIMESTAMP		NOT NULL ,
+  drug_exposure_count		INTEGER		NULL ,
+  gap_days					INTEGER		NULL
 )
 ;
 
@@ -706,13 +729,13 @@ CREATE TABLE drug_era
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE dose_era
 (
-  dose_era_id					  INTEGER			NOT NULL ,
-  person_id						  INTEGER			NOT NULL ,
-  drug_concept_id				INTEGER			NOT NULL ,
-  unit_concept_id				INTEGER			NOT NULL ,
-  dose_value						NUMERIC			  NOT NULL ,
-  dose_era_start_date		DATE			  NOT NULL ,
-  dose_era_end_date	    DATE			  NOT NULL
+  dose_era_id				BIGINT			NOT NULL ,
+  person_id					BIGINT			NOT NULL ,
+  drug_concept_id			INTEGER			NOT NULL ,
+  unit_concept_id			INTEGER			NOT NULL ,
+  dose_value				NUMERIC			NOT NULL ,
+  dose_era_start_datetime	TIMESTAMP		NOT NULL ,
+  dose_era_end_datetime		TIMESTAMP		NOT NULL
 )
 ;
 
@@ -720,11 +743,11 @@ CREATE TABLE dose_era
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_era
 (
-  condition_era_id				    INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  condition_concept_id			  INTEGER			NOT NULL ,
-  condition_era_start_date		DATE			  NOT NULL ,
-  condition_era_end_date			DATE			  NOT NULL ,
-  condition_occurrence_count	INTEGER			NULL
+  condition_era_id					BIGINT			NOT NULL ,
+  person_id							BIGINT			NOT NULL ,
+  condition_concept_id				INTEGER			NOT NULL ,
+  condition_era_start_datetime		TIMESTAMP		NOT NULL ,
+  condition_era_end_datetime		TIMESTAMP		NOT NULL ,
+  condition_occurrence_count		INTEGER			NULL
 )
 ;
diff --git a/PostgreSQL/OMOP CDM postgresql indexes.txt b/PostgreSQL/OMOP CDM postgresql pk indexes.txt
similarity index 87%
rename from PostgreSQL/OMOP CDM postgresql indexes.txt
rename to PostgreSQL/OMOP CDM postgresql pk indexes.txt
index 9d27e1a..7776979 100644
--- a/PostgreSQL/OMOP CDM postgresql indexes.txt	
+++ b/PostgreSQL/OMOP CDM postgresql pk indexes.txt	
@@ -17,18 +17,18 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####     ###
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #     #  #    # #####  ###### #    # ######  ####
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #     #  ##   # #    # #       #  #  #      #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####      #  # #  # #    # #####    ##   #####   ####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #     #  #  # # #    # #        ##   #           #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #     #  #   ## #    # #       #  #  #      #    #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####     ### #    # #####  ###### #    # ######  ####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###      ######  #    #      ##       ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #     #     # #   #      #  #       #  #    # #####  #  ####  ######  ####
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #    #     # #  #        ##        #  ##   # #    # # #    # #      #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #    ######  ###        ###        #  # #  # #    # # #      #####   ####
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #    #       #  #      #   # #     #  #  # # #    # # #      #           #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #     #       #   #     #    #      #  #   ## #    # # #    # #      #    #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###      #       #    #     ###  #    ### #    # #####  #  ####  ######  ####
 
 
-postgresql script to create the required indexes within OMOP common data model, version 5.3
+postgresql script to create the required primary keys and indices within the OMOP common data model, version 6.0
 
-last revised: 14-November-2017
+last revised: 30-Aug-2017
 
 author:  Patrick Ryan, Clair Blacketer
 
@@ -77,10 +77,6 @@ ALTER TABLE source_to_concept_map ADD CONSTRAINT xpk_source_to_concept_map PRIMA
 
 ALTER TABLE drug_strength ADD CONSTRAINT xpk_drug_strength PRIMARY KEY (drug_concept_id, ingredient_concept_id);
 
-ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY (cohort_definition_id);
-
-ALTER TABLE attribute_definition ADD CONSTRAINT xpk_attribute_definition PRIMARY KEY (attribute_definition_id);
-
 
 /**************************
 
@@ -127,7 +123,7 @@ ALTER TABLE note_nlp ADD CONSTRAINT xpk_note_nlp PRIMARY KEY ( note_nlp_id ) ;
 
 ALTER TABLE observation  ADD CONSTRAINT xpk_observation PRIMARY KEY ( observation_id ) ;
 
-
+ALTER TABLE survey_conduct ADD CONSTRAINT xpk_survey PRIMARY KEY ( survey_conduct_id ) ;
 
 
 /************************
@@ -139,6 +135,8 @@ Standardized health system data
 
 ALTER TABLE location ADD CONSTRAINT xpk_location PRIMARY KEY ( location_id ) ;
 
+ALTER TABLE location_history ADD CONSTRAINT xpk_location_history PRIMARY KEY ( location_history_id ) ; 
+
 ALTER TABLE care_site ADD CONSTRAINT xpk_care_site PRIMARY KEY ( care_site_id ) ;
 
 ALTER TABLE provider ADD CONSTRAINT xpk_provider PRIMARY KEY ( provider_id ) ;
@@ -163,10 +161,6 @@ Standardized derived elements
 
 ************************/
 
-ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT xpk_cohort_attribute PRIMARY KEY ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date, attribute_definition_id ) ;
-
 ALTER TABLE drug_era ADD CONSTRAINT xpk_drug_era PRIMARY KEY ( drug_era_id ) ;
 
 ALTER TABLE dose_era  ADD CONSTRAINT xpk_dose_era PRIMARY KEY ( dose_era_id ) ;
@@ -232,12 +226,6 @@ CREATE INDEX idx_drug_strength_id_1  ON drug_strength  (drug_concept_id ASC);
 CLUSTER drug_strength  USING idx_drug_strength_id_1 ;
 CREATE INDEX idx_drug_strength_id_2 ON drug_strength (ingredient_concept_id ASC);
 
-CREATE INDEX idx_cohort_definition_id  ON cohort_definition  (cohort_definition_id ASC);
-CLUSTER cohort_definition  USING idx_cohort_definition_id ;
-
-CREATE INDEX idx_attribute_definition_id  ON attribute_definition  (attribute_definition_id ASC);
-CLUSTER attribute_definition  USING idx_attribute_definition_id ;
-
 
 /**************************
 
@@ -315,6 +303,9 @@ CLUSTER observation  USING idx_observation_person_id ;
 CREATE INDEX idx_observation_concept_id ON observation (observation_concept_id ASC);
 CREATE INDEX idx_observation_visit_id ON observation (visit_occurrence_id ASC);
 
+CREATE INDEX idx_survey_person_id  ON survey_conduct  (person_id ASC);
+CLUSTER survey_conduct  USING idx_survey_person_id ;
+
 CREATE INDEX idx_fact_relationship_id_1 ON fact_relationship (domain_concept_id_1 ASC);
 CREATE INDEX idx_fact_relationship_id_2 ON fact_relationship (domain_concept_id_2 ASC);
 CREATE INDEX idx_fact_relationship_id_3 ON fact_relationship (relationship_concept_id ASC);
@@ -340,8 +331,8 @@ Standardized health economics
 CREATE INDEX idx_period_person_id  ON payer_plan_period  (person_id ASC);
 CLUSTER payer_plan_period  USING idx_period_person_id ;
 
-
-
+CREATE INDEX idx_cost_person_id  ON cost  (person_id ASC);
+CLUSTER cost  USING idx_cost_person_id ;
 
 
 /************************
@@ -351,12 +342,6 @@ Standardized derived elements
 ************************/
 
 
-CREATE INDEX idx_cohort_subject_id ON cohort (subject_id ASC);
-CREATE INDEX idx_cohort_c_definition_id ON cohort (cohort_definition_id ASC);
-
-CREATE INDEX idx_ca_subject_id ON cohort_attribute (subject_id ASC);
-CREATE INDEX idx_ca_definition_id ON cohort_attribute (cohort_definition_id ASC);
-
 CREATE INDEX idx_drug_era_person_id  ON drug_era  (person_id ASC);
 CLUSTER drug_era  USING idx_drug_era_person_id ;
 CREATE INDEX idx_drug_era_concept_id ON drug_era (drug_concept_id ASC);
diff --git a/PostgreSQL/README.md b/PostgreSQL/README.md
index da1519f..42d64fa 100644
--- a/PostgreSQL/README.md
+++ b/PostgreSQL/README.md
@@ -16,3 +16,5 @@ In order to create your instantiation of the Common Data Model, we recommend fol
 5. Execute the script `OMOP CDM postgresql constraints.txt` to add the constraints (foreign keys). 
 
 Note: you could also apply the constraints and/or the indexes before loading the data, but this will slow down the insertion of the data considerably.
+
+6. Repeat steps 1-3, executing the script `OMOP CDM Results postgresql ddl.txt`
diff --git a/README.md b/README.md
index c78ef7e..40efe42 100644
--- a/README.md
+++ b/README.md
@@ -1,46 +1,48 @@
-Common Data Model v5.3.1
+Common Data Model v6.0
 =================
 
-See full CDM specification file on our github [wiki](https://github.com/OHDSI/CommonDataModel/wiki) or in the [CDM V5.3.1 PDF](https://github.com/OHDSI/CommonDataModel/blob/master/OMOP_CDM_v5_3_1.pdf)
+See full CDM specification file on our github [wiki](https://github.com/OHDSI/CommonDataModel/wiki) or in the [CDM V6.0 PDF]
 
 
-Release Notes for v5.3.1
+Release Notes for v6.0
 =============
 
 ### This version address the following issues/pull requests:
 
-* [#183](https://github.com/OHDSI/CommonDataModel/pull/183) Fixes VISIT_DETAIL documentation, 'required' and 'type' columns were switched
-* [#169](https://github.com/OHDSI/CommonDataModel/pull/183) Data type changes for BigQuery
-* [#171](https://github.com/OHDSI/CommonDataModel/issues/171) Datetime formats in Sql Server changed to Datetime2
-* [#173](https://github.com/OHDSI/CommonDataModel/issues/173) Impala reserved words
-* [#177](https://github.com/OHDSI/CommonDataModel/pull/177) Postgres readme
-* [#140](https://github.com/OHDSI/CommonDataModel/issues/140), [#144](https://github.com/OHDSI/CommonDataModel/issues/140), [#135](https://github.com/OHDSI/CommonDataModel/issues/140) 
-  * Typos in readme and documentation
-* [#158](https://github.com/OHDSI/CommonDataModel/pull/158) VOCABULARY.VOCABULARY_VERSION no longer a required field
-* [#157](https://github.com/OHDSI/CommonDataModel/pull/157) Added MEASUREMENT.MEASUREMENT_TIME back to DDL for backwards compatibility
-* [#147](https://github.com/OHDSI/CommonDataModel/issues/147) PAYER_PLAN_PERIOD.STOP_REASON_SOURCE_VALUE varchar instead of integer
-* [#120](https://github.com/OHDSI/CommonDataModel/issues/120) PAYER_PLAN_PERIOD documentation
-* [#160](https://github.com/OHDSI/CommonDataModel/issues/160) Removed errant semicolon in license header
-* **[#145](https://github.com/OHDSI/CommonDataModel/issues/145) VISIT_DETAIL naming convention** 
-  * This is the change with the most potential impact as column names were updated
-* [#67](https://github.com/OHDSI/CommonDataModel/issues/67) Removed COHORT_DEFINITION_ID foreign key constraint from COHORT table
-* [#16](https://github.com/OHDSI/CommonDataModel/issues/16) Added additional foreign key constraints that were missing
-* [#12](https://github.com/OHDSI/CommonDataModel/issues/12) .csv file is now delivered with each version
-* Additional BigQuery updates for compatibility
-* A portion of [#112](https://github.com/OHDSI/CommonDataModel/issues/112) was addressed
-  * VISIT_DETAIL and documentation typos
+#### CDM
+* [#81](https://github.com/OHDSI/CommonDataModel/pull/81) Adds the COST table
+* [#137](https://github.com/OHDSI/CommonDataModel/pull/137) Adds the SURVEY_CONDUCT table
+* [#181](https://github.com/OHDSI/CommonDataModel/pull/181) Adds the LOCATION_HISTORY table
+* [#91](https://github.com/OHDSI/CommonDataModel/issues/91) Latitude and longitude added to LOCATION table
+* [#107](https://github.com/OHDSI/CommonDataModel/issues/107) Contract owner information added to PAYER_PLAN_PERIOD 
+* [#120](https://github.com/OHDSI/CommonDataModel/pull/120) New fields added to PAYER_PLAN_PERIOD (PAYER_CONCEPT_ID, PLAN_CONCEPT_ID)
+* [#166](https://github.com/OHDSI/CommonDataModel/issues/166) Record inserted into METADATA to document CDM version
+* [#172](https://github.com/OHDSI/CommonDataModel/pull/172) NOTE_EVENT_ID and NOTE_DOMAIN_ID (NOTE_EVENT_TABLE_CONCEPT_ID) added to NOTE
+* [#198](https://github.com/OHDSI/CommonDataModel/pull/198) Change IDs to BIGINT 
+* [#153](https://github.com/OHDSI/CommonDataModel/issues/153) ADMISSION_SOURCE_CONCEPT_ID changed to ADMITTED_FROM_CONCEPT_ID 
+* [#214](https://github.com/OHDSI/CommonDataModel/issues/214) All CONCEPT_IDs are mandatory except for UNIT_CONCEPT_ID, VALUE_AS_CONCEPT_ID, and OPERATOR_CONCEPT_ID 
+* [#164](https://github.com/OHDSI/CommonDataModel/issues/164) Any reference to DOMAIN_ID was switched to EVENT_FIELD_CONCEPT_ID
+* [#212](https://github.com/OHDSI/CommonDataModel/issues/212) CDM Results schema created with tables COHORT and COHORT_DEFINITION
+* [#210](https://github.com/OHDSI/CommonDataModel/issues/210) DEATH table removed and cause of death now stored in CONDITION_OCCURRENCE
+* [#166](https://github.com/OHDSI/CommonDataModel/issues/166) Record inserted into METADATA identifying the CDM version
+* [#172](https://github.com/OHDSI/CommonDataModel/issues/172) Added NOTE_EVENT_ID and EVENT_FIELD_CONCEPT_ID to NOTE table
+
+#### Vocabulary
+* [#186](https://github.com/OHDSI/CommonDataModel/issues/186) Keep deprecated CPT concepts active and standard
+* [#85](https://github.com/OHDSI/CommonDataModel/issues/85) NOTE_NLP concepts added
+
+#### Wiki
+* [#188](https://github.com/OHDSI/CommonDataModel/issues/188) Added foreign key description to wiki files
+* All [THEMIS](https://github.com/OHDSI/THEMIS/issues) rules added to wiki
 
 Additional Updates
 ==================
 
-* There is a [development branch](https://github.com/OHDSI/CommonDataModel/tree/Dev) now available with the DDLs and documentation for tables and/or changes that have been accepted into a future version of the CDM. Please use these with caution as they are subject to change upon formal release
-* BigQuery, Netezza, and Parallel Data Warehouse DDLs are now available
-
+* DATE fields are now optional and DATETIME fields are mandatory
 
 ---------
   
-
 This repo contains the definition of the OMOP Common Data Model. It supports the SQL technologies: BigQuery, Impala, Netezza, Oracle, Parallel Data Warehouse, Postgres, Redshift, and SQL Server. For each, the DDL, constraints and indexes (if appropriate) are defined. 
 
 
-Versions are defined using tagging and versioning. Full versions (V6, 7 etc.) are usually released each year (1-Jan) and are not backwards compatible. Minor versions (V5.1, 5.2 etc.) are not guaranteed to be backwards compatible though an effort is made to make sure that current queries will not break. Micro versions (V5.1.1, V5.1.2 etc.) are released irregularly and often, and contain small hot fixes or backward compatible changes to the last minor version.
+Versions are defined using tagging and versioning. Full versions (V6, 7 etc.) are usually released at most once a year and are not backwards compatible. Minor versions (V5.1, 5.2 etc.) are not guaranteed to be backwards compatible though an effort is made to make sure that current queries will not break. Micro versions (V5.1.1, V5.1.2 etc.) are released irregularly and often, and contain small hot fixes or backward compatible changes to the last minor version.
diff --git a/Redshift/OMOP CDM Results redshift ddl.txt b/Redshift/OMOP CDM Results redshift ddl.txt
new file mode 100644
index 0000000..0bf9024
--- /dev/null
+++ b/Redshift/OMOP CDM Results redshift ddl.txt	
@@ -0,0 +1,59 @@
+/*********************************************************************************
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
+#
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+********************************************************************************/
+
+/************************
+
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
+
+redshift script to create OMOP common data model results schema version 6.0
+
+last revised: 27-Aug-2018
+
+Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
+
+
+*************************/
+
+
+--HINT DISTRIBUTE_ON_KEY(subject_id) 
+CREATE TABLE cohort  (
+  cohort_definition_id	BIGINT		NOT NULL ,
+  subject_id			BIGINT		NOT NULL ,
+  cohort_start_date		DATE		NOT NULL ,
+  cohort_end_date		DATE		NOT NULL
+)
+DISTKEY(subject_id);
+
+
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE cohort_definition  (
+  cohort_definition_id				    INTEGER			  NOT NULL,
+  cohort_definition_name			    VARCHAR(255)	NOT NULL,
+  cohort_definition_description		VARCHAR(MAX)	NULL,
+  definition_type_concept_id		  INTEGER			  NOT NULL,
+  cohort_definition_syntax			  VARCHAR(MAX)	NULL,
+  subject_concept_id				      INTEGER			  NOT NULL,
+  cohort_initiation_date			    DATE			    NULL
+)
+DISTSTYLE ALL;
+
diff --git a/Redshift/OMOP CDM redshift ddl.txt b/Redshift/OMOP CDM redshift ddl.txt
index ccebf0d..e3a51ad 100644
--- a/Redshift/OMOP CDM redshift ddl.txt	
+++ b/Redshift/OMOP CDM redshift ddl.txt	
@@ -1,8 +1,8 @@
 /*********************************************************************************
-# Copyright 2017-11 Observational Health Data Sciences and Informatics
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,17 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
 
+redshift script to create OMOP common data model version 6.0
 
-redshift script to create OMOP common data model version 5.3
-
-last revised: 14-June-2018
+last revised: 27-Aug-2018
 
 Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
 
@@ -43,126 +42,123 @@ Standardized vocabulary
 ************************/
 
 
-CREATE TABLE concept  (concept_id			    INTEGER			  NOT NULL ,
-  concept_name			  VARCHAR(255)	NOT NULL ,
-  domain_id				    VARCHAR(20)		NOT NULL ,
-  vocabulary_id			  VARCHAR(20)		NOT NULL ,
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE concept  (
+  concept_id			INTEGER			NOT NULL ,
+  concept_name			VARCHAR(255)	NOT NULL ,
+  domain_id				VARCHAR(20)		NOT NULL ,
+  vocabulary_id			VARCHAR(20)		NOT NULL ,
   concept_class_id		VARCHAR(20)		NOT NULL ,
   standard_concept		VARCHAR(1)		NULL ,
-  concept_code			  VARCHAR(50)		NOT NULL ,
-  valid_start_date		DATE			    NOT NULL ,
-  valid_end_date		  DATE			    NOT NULL ,
-  invalid_reason		  VARCHAR(1)		NULL
+  concept_code			VARCHAR(50)		NOT NULL ,
+  valid_start_date		DATE			NOT NULL ,
+  valid_end_date		DATE			NOT NULL ,
+  invalid_reason		VARCHAR(1)		NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE vocabulary  (vocabulary_id			    VARCHAR(20)		NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE vocabulary  (
+  vocabulary_id			    VARCHAR(20)		NOT NULL,
   vocabulary_name		    VARCHAR(255)	NOT NULL,
-  vocabulary_reference	VARCHAR(255)	NOT NULL,
-  vocabulary_version	  VARCHAR(255)	NOT NULL,
-  vocabulary_concept_id	INTEGER			  NOT NULL
+  vocabulary_reference		VARCHAR(255)	NOT NULL,
+  vocabulary_version	 	VARCHAR(255)	NULL,
+  vocabulary_concept_id		INTEGER			NOT NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE domain  (domain_id			    VARCHAR(20)		NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE domain  (
+  domain_id			    VARCHAR(20)		NOT NULL,
   domain_name		    VARCHAR(255)	NOT NULL,
-  domain_concept_id	INTEGER			  NOT NULL
+  domain_concept_id		INTEGER			NOT NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE concept_class  (concept_class_id			    VARCHAR(20)		NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE concept_class  (
+  concept_class_id			    VARCHAR(20)		NOT NULL,
   concept_class_name		    VARCHAR(255)	NOT NULL,
-  concept_class_concept_id	INTEGER			  NOT NULL
+  concept_class_concept_id		INTEGER			NOT NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE concept_relationship  (concept_id_1			INTEGER			NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE concept_relationship  (
+  concept_id_1			INTEGER			NOT NULL,
   concept_id_2			INTEGER			NOT NULL,
-  relationship_id		VARCHAR(20)	NOT NULL,
-  valid_start_date	DATE			  NOT NULL,
-  valid_end_date		DATE			  NOT NULL,
-  invalid_reason		VARCHAR(1)	NULL
+  relationship_id		VARCHAR(20)		NOT NULL,
+  valid_start_date		DATE			NOT NULL,
+  valid_end_date		DATE			NOT NULL,
+  invalid_reason		VARCHAR(1)		NULL
   )
 DISTSTYLE ALL;
 
 
-CREATE TABLE relationship  (relationship_id			    VARCHAR(20)		NOT NULL,
-  relationship_name			  VARCHAR(255)	NOT NULL,
-  is_hierarchical			    VARCHAR(1)		NOT NULL,
-  defines_ancestry			  VARCHAR(1)		NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE relationship  (
+  relationship_id			VARCHAR(20)		NOT NULL,
+  relationship_name			VARCHAR(255)	NOT NULL,
+  is_hierarchical			VARCHAR(1)		NOT NULL,
+  defines_ancestry			VARCHAR(1)		NOT NULL,
   reverse_relationship_id	VARCHAR(20)		NOT NULL,
-  relationship_concept_id	INTEGER			  NOT NULL
+  relationship_concept_id	INTEGER			NOT NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE concept_synonym  (concept_id			      INTEGER			  NOT NULL,
-  concept_synonym_name	VARCHAR(1000)	NOT NULL,
-  language_concept_id	  INTEGER			  NOT NULL
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE concept_synonym  (
+  concept_id			    INTEGER			NOT NULL,
+  concept_synonym_name		VARCHAR(1000)	NOT NULL,
+  language_concept_id	  	INTEGER			NOT NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE concept_ancestor  (ancestor_concept_id		    INTEGER		NOT NULL,
-  descendant_concept_id		  INTEGER		NOT NULL,
-  min_levels_of_separation	INTEGER		NOT NULL,
-  max_levels_of_separation	INTEGER		NOT NULL
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE concept_ancestor  (
+  ancestor_concept_id		    INTEGER		NOT NULL,
+  descendant_concept_id		  	INTEGER		NOT NULL,
+  min_levels_of_separation		INTEGER		NOT NULL,
+  max_levels_of_separation		INTEGER		NOT NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE source_to_concept_map  (source_code				      VARCHAR(50)		NOT NULL,
-  source_concept_id			  INTEGER			  NOT NULL,
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE source_to_concept_map  (
+  source_code				VARCHAR(50)		NOT NULL,
+  source_concept_id			INTEGER			NOT NULL,
   source_vocabulary_id		VARCHAR(20)		NOT NULL,
   source_code_description	VARCHAR(255)	NULL,
-  target_concept_id			  INTEGER			  NOT NULL,
+  target_concept_id			INTEGER			NOT NULL,
   target_vocabulary_id		VARCHAR(20)		NOT NULL,
-  valid_start_date			  DATE			    NOT NULL,
-  valid_end_date			    DATE			    NOT NULL,
-  invalid_reason			    VARCHAR(1)		NULL
+  valid_start_date			DATE			NOT NULL,
+  valid_end_date			DATE			NOT NULL,
+  invalid_reason			VARCHAR(1)		NULL
 )
 DISTSTYLE ALL;
 
 
-
-
-CREATE TABLE drug_strength  (drug_concept_id				      INTEGER		  NOT NULL,
-  ingredient_concept_id			  INTEGER		  NOT NULL,
-  amount_value					      FLOAT		    NULL,
-  amount_unit_concept_id		  INTEGER		  NULL,
-  numerator_value				      FLOAT		    NULL,
-  numerator_unit_concept_id		INTEGER		  NULL,
-  denominator_value				    FLOAT		    NULL,
-  denominator_unit_concept_id	INTEGER		  NULL,
-  box_size						        INTEGER		  NULL,
-  valid_start_date				    DATE		    NOT NULL,
-  valid_end_date				      DATE		    NOT NULL,
-  invalid_reason				      VARCHAR(1)  NULL
-)
-DISTSTYLE ALL;
-
-
-
-CREATE TABLE cohort_definition  (cohort_definition_id				    INTEGER			  NOT NULL,
-  cohort_definition_name			    VARCHAR(255)	NOT NULL,
-  cohort_definition_description		VARCHAR(MAX)	NULL,
-  definition_type_concept_id		  INTEGER			  NOT NULL,
-  cohort_definition_syntax			  VARCHAR(MAX)	NULL,
-  subject_concept_id				      INTEGER			  NOT NULL,
-  cohort_initiation_date			    DATE			    NULL
-)
-DISTSTYLE ALL;
-
-
-CREATE TABLE attribute_definition  (attribute_definition_id		  INTEGER			  NOT NULL,
-  attribute_name				      VARCHAR(255)	NOT NULL,
-  attribute_description			  VARCHAR(MAX)	NULL,
-  attribute_type_concept_id		INTEGER			  NOT NULL,
-  attribute_syntax				    VARCHAR(MAX)	NULL
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE drug_strength  (
+  drug_concept_id				INTEGER		NOT NULL,
+  ingredient_concept_id			INTEGER		NOT NULL,
+  amount_value					FLOAT		NULL,
+  amount_unit_concept_id		INTEGER		NULL,
+  numerator_value				FLOAT		NULL,
+  numerator_unit_concept_id		INTEGER		NULL,
+  denominator_value				FLOAT		NULL,
+  denominator_unit_concept_id	INTEGER		NULL,
+  box_size						INTEGER		NULL,
+  valid_start_date				DATE		NOT NULL,
+  valid_end_date				DATE		NOT NULL,
+  invalid_reason				VARCHAR(1)  NULL
 )
 DISTSTYLE ALL;
 
@@ -174,32 +170,38 @@ Standardized meta-data
 ***************************/
 
 
-CREATE TABLE cdm_source
- (cdm_source_name					        VARCHAR(255)	NOT NULL ,
-  cdm_source_abbreviation			    VARCHAR(25)		NULL ,
-  cdm_holder							        VARCHAR(255)	NULL ,
-  source_description					    VARCHAR(MAX)	NULL ,
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE cdm_source  (
+  cdm_source_name					VARCHAR(255)	NOT NULL ,
+  cdm_source_abbreviation			VARCHAR(25)		NULL ,
+  cdm_holder						VARCHAR(255)	NULL ,
+  source_description				VARCHAR(MAX)	NULL ,
   source_documentation_reference	VARCHAR(255)	NULL ,
-  cdm_etl_reference					      VARCHAR(255)	NULL ,
-  source_release_date				      DATE			    NULL ,
-  cdm_release_date					      DATE			    NULL ,
-  cdm_version						          VARCHAR(10)		NULL ,
-  vocabulary_version					    VARCHAR(20)		NULL
+  cdm_etl_reference					VARCHAR(255)	NULL ,
+  source_release_date				DATE			NULL ,
+  cdm_release_date					DATE			NULL ,
+  cdm_version						VARCHAR(10)		NULL ,
+  vocabulary_version				VARCHAR(20)		NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE metadata
- (metadata_concept_id       INTEGER       NOT NULL ,
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE metadata  (
+  metadata_concept_id       INTEGER       NOT NULL ,
   metadata_type_concept_id  INTEGER       NOT NULL ,
   name                      VARCHAR(250)  NOT NULL ,
   value_as_string           VARCHAR(MAX)  NULL ,
   value_as_concept_id       INTEGER       NULL ,
   metadata_date             DATE          NULL ,
-  metadata_datetime         TIMESTAMP      NULL
+  metadata_datetime         TIMESTAMP     NULL
 )
 DISTSTYLE ALL;
 
+INSERT INTO metadata (metadata_concept_id, metadata_type_concept_id, name, value_as_string, value_as_concept_id, metadata_date, metadata_datetime)
+VALUES (0, 0, 'CDM Version', '6.0', 0, NULL, NULL)
+;
+
 
 /************************
 
@@ -207,310 +209,336 @@ Standardized clinical data
 
 ************************/
 
+
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE person
- (person_id						        INTEGER	  	NOT NULL ,
-  gender_concept_id				    INTEGER	  	NOT NULL ,
-  year_of_birth					      INTEGER	  	NOT NULL ,
-  month_of_birth				      INTEGER	  	NULL,
-  day_of_birth					      INTEGER	  	NULL,
-  birth_datetime				      TIMESTAMP	  NULL,
-  race_concept_id				      INTEGER		  NOT NULL,
-  ethnicity_concept_id			  INTEGER	  	NOT NULL,
-  location_id					        INTEGER		  NULL,
-  provider_id					        INTEGER		  NULL,
-  care_site_id					      INTEGER		  NULL,
-  person_source_value			    VARCHAR(50) NULL,
-  gender_source_value			    VARCHAR(50) NULL,
-  gender_source_concept_id	  INTEGER		  NULL,
-  race_source_value				    VARCHAR(50) NULL,
-  race_source_concept_id		  INTEGER		  NULL,
-  ethnicity_source_value		  VARCHAR(50) NULL,
-  ethnicity_source_concept_id	INTEGER		  NULL
+CREATE TABLE person  (
+  person_id						BIGINT	  		NOT NULL ,
+  gender_concept_id				INTEGER	  		NOT NULL ,
+  year_of_birth					INTEGER	  		NOT NULL ,
+  month_of_birth				INTEGER	  		NULL,
+  day_of_birth					INTEGER	  		NULL,
+  birth_datetime				TIMESTAMP	  	NULL,
+  death_datetime				TIMESTAMP		NULL,
+  race_concept_id				INTEGER		  	NOT NULL,
+  ethnicity_concept_id			INTEGER	  		NOT NULL,
+  location_id					INTEGER		 	NULL,
+  provider_id					INTEGER		  	NULL,
+  care_site_id					INTEGER		  	NULL,
+  person_source_value			VARCHAR(50)		NULL,
+  gender_source_value			VARCHAR(50)		NULL,
+  gender_source_concept_id	  	INTEGER		  	NOT NULL,
+  race_source_value				VARCHAR(50) 	NULL,
+  race_source_concept_id		INTEGER		  	NOT NULL,
+  ethnicity_source_value		VARCHAR(50) 	NULL,
+  ethnicity_source_concept_id	INTEGER		  	NOT NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE observation_period
- (observation_period_id				      INTEGER		NOT NULL ,
-  person_id							            INTEGER		NOT NULL ,
-  observation_period_start_date		  DATE		  NOT NULL ,
-  observation_period_end_date		    DATE		  NOT NULL ,
-  period_type_concept_id			      INTEGER		NOT NULL
+CREATE TABLE observation_period  (
+  observation_period_id				BIGINT		NOT NULL ,
+  person_id							BIGINT		NOT NULL ,
+  observation_period_start_date		DATE		NOT NULL ,
+  observation_period_end_date		DATE		NOT NULL ,
+  period_type_concept_id			INTEGER		NOT NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE specimen
- (specimen_id						      INTEGER			NOT NULL ,
-  person_id							      INTEGER			NOT NULL ,
-  specimen_concept_id				  INTEGER			NOT NULL ,
+CREATE TABLE specimen  (
+  specimen_id					BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  specimen_concept_id			INTEGER			NOT NULL ,
   specimen_type_concept_id		INTEGER			NOT NULL ,
-  specimen_date						    DATE			  NOT NULL ,
-  specimen_datetime					  TIMESTAMP		NULL ,
-  quantity							      FLOAT			  NULL ,
-  unit_concept_id					    INTEGER			NULL ,
-  anatomic_site_concept_id		INTEGER			NULL ,
-  disease_status_concept_id		INTEGER			NULL ,
-  specimen_source_id				  VARCHAR(50)	NULL ,
-  specimen_source_value				VARCHAR(50)	NULL ,
-  unit_source_value					  VARCHAR(50)	NULL ,
-  anatomic_site_source_value	VARCHAR(50)	NULL ,
-  disease_status_source_value VARCHAR(50)	NULL
+  specimen_date					DATE			NULL ,
+  specimen_datetime				TIMESTAMP		NOT NULL ,
+  quantity						FLOAT			NULL ,
+  unit_concept_id				INTEGER			NULL ,
+  anatomic_site_concept_id		INTEGER			NOT NULL ,
+  disease_status_concept_id		INTEGER			NOT NULL ,
+  specimen_source_id			VARCHAR(50)		NULL ,
+  specimen_source_value			VARCHAR(50)		NULL ,
+  unit_source_value				VARCHAR(50)		NULL ,
+  anatomic_site_source_value	VARCHAR(50)		NULL ,
+  disease_status_source_value	VARCHAR(50)		NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE death
- (person_id							  INTEGER			NOT NULL ,
-  death_date							DATE			  NOT NULL ,
-  death_datetime					TIMESTAMP		NULL ,
-  death_type_concept_id   INTEGER			NOT NULL ,
-  cause_concept_id			  INTEGER			NULL ,
-  cause_source_value			VARCHAR(50)	NULL,
-  cause_source_concept_id INTEGER			NULL
-)
-DISTKEY(person_id);
-
-
---HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE visit_occurrence
- (visit_occurrence_id			      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  visit_concept_id				      INTEGER			NOT NULL ,
-  visit_start_date				      DATE			  NOT NULL ,
-  visit_start_datetime				  TIMESTAMP		NULL ,
-  visit_end_date					      DATE			  NOT NULL ,
-  visit_end_datetime					  TIMESTAMP		NULL ,
+CREATE TABLE visit_occurrence  (
+  visit_occurrence_id			    BIGINT			NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
+  visit_concept_id				    INTEGER			NOT NULL ,
+  visit_start_date				    DATE			NULL ,
+  visit_start_datetime				TIMESTAMP		NOT NULL ,
+  visit_end_date					DATE			NULL ,
+  visit_end_datetime				TIMESTAMP		NOT NULL ,
   visit_type_concept_id			    INTEGER			NOT NULL ,
-  provider_id					          INTEGER			NULL,
-  care_site_id					        INTEGER			NULL,
-  visit_source_value				    VARCHAR(50)	NULL,
-  visit_source_concept_id		    INTEGER			NULL ,
-  admitting_source_concept_id	  INTEGER			NULL ,
-  admitting_source_value		    VARCHAR(50)	NULL ,
-  discharge_to_concept_id		    INTEGER   	NULL ,
-  discharge_to_source_value		  VARCHAR(50)	NULL ,
-  preceding_visit_occurrence_id	INTEGER			NULL
+  provider_id					    INTEGER			NULL,
+  care_site_id					    INTEGER			NULL,
+  visit_source_value				VARCHAR(50)		NULL,
+  visit_source_concept_id		    INTEGER			NOT NULL ,
+  admitted_from_concept_id      	INTEGER     	NOT NULL ,   
+  admitted_from_source_value    	VARCHAR(50) 	NULL ,
+  discharge_to_source_value		  	VARCHAR(50)		NULL ,
+  discharge_to_concept_id		    INTEGER   		NOT NULL ,
+  preceding_visit_occurrence_id		INTEGER			NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE visit_detail
- (visit_detail_id                    INTEGER     NOT NULL ,
-  person_id                          INTEGER     NOT NULL ,
+CREATE TABLE visit_detail  (
+  visit_detail_id                    BIGINT      NOT NULL ,
+  person_id                          BIGINT      NOT NULL ,
   visit_detail_concept_id            INTEGER     NOT NULL ,
-  visit_detail_start_date            DATE        NOT NULL ,
-  visit_detail_start_datetime        TIMESTAMP    NULL ,
-  visit_detail_end_date              DATE        NOT NULL ,
-  visit_detail_end_datetime          TIMESTAMP    NULL ,
+  visit_detail_start_date            DATE        NULL ,
+  visit_detail_start_datetime        TIMESTAMP   NOT NULL ,
+  visit_detail_end_date              DATE        NULL ,
+  visit_detail_end_datetime          TIMESTAMP   NOT NULL ,
   visit_detail_type_concept_id       INTEGER     NOT NULL ,
   provider_id                        INTEGER     NULL ,
   care_site_id                       INTEGER     NULL ,
-  admitting_source_concept_id        INTEGER     NULL ,
-  discharge_to_concept_id            INTEGER     NULL ,
-  preceding_visit_detail_id          INTEGER     NULL ,
+  discharge_to_concept_id            INTEGER     NOT NULL ,
+  admitted_from_concept_id           INTEGER     NOT NULL , 
+  admitted_from_source_value         VARCHAR(50) NULL ,
   visit_detail_source_value          VARCHAR(50) NULL ,
-  visit_detail_source_concept_id     INTEGER     NULL ,
-  admitting_source_value             VARCHAR(50) NULL ,
+  visit_detail_source_concept_id     INTEGER     NOT NULL ,
   discharge_to_source_value          VARCHAR(50) NULL ,
-  visit_detail_parent_id             INTEGER     NULL ,
-  visit_occurrence_id                INTEGER     NOT NULL
+  preceding_visit_detail_id          BIGINT      NULL ,
+  visit_detail_parent_id             BIGINT      NULL ,
+  visit_occurrence_id                BIGINT      NOT NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE procedure_occurrence
- (procedure_occurrence_id		  INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  procedure_concept_id			  INTEGER			NOT NULL ,
-  procedure_date				      DATE			  NOT NULL ,
-  procedure_datetime			    TIMESTAMP		NULL ,
+CREATE TABLE procedure_occurrence  (
+  procedure_occurrence_id		BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  procedure_concept_id			INTEGER			NOT NULL ,
+  procedure_date				DATE			NULL ,
+  procedure_datetime			TIMESTAMP		NOT NULL ,
   procedure_type_concept_id		INTEGER			NOT NULL ,
-  modifier_concept_id			    INTEGER			NULL ,
-  quantity						        INTEGER			NULL ,
-  provider_id					        INTEGER			NULL ,
+  modifier_concept_id			INTEGER			NOT NULL ,
+  quantity						INTEGER			NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id             	INTEGER     	NULL ,
+  procedure_source_value		VARCHAR(50)		NULL ,
+  procedure_source_concept_id	INTEGER			NOT NULL ,
+  modifier_source_value		    VARCHAR(50)		NULL 
+)
+DISTKEY(person_id);
+
+
+--HINT DISTRIBUTE_ON_KEY(person_id) 
+CREATE TABLE drug_exposure  (
+  drug_exposure_id				BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  drug_concept_id				INTEGER			NOT NULL ,
+  drug_exposure_start_date		DATE			NULL ,
+  drug_exposure_start_datetime	TIMESTAMP		NOT NULL ,
+  drug_exposure_end_date		DATE			NULL ,
+  drug_exposure_end_datetime	TIMESTAMP		NOT NULL ,
+  verbatim_end_date				DATE			NULL ,
+  drug_type_concept_id			INTEGER			NOT NULL ,
+  stop_reason					VARCHAR(20)		NULL ,
+  refills						INTEGER		  	NULL ,
+  quantity						FLOAT			NULL ,
+  days_supply					INTEGER		  	NULL ,
+  sig							VARCHAR(MAX)	NULL ,
+  route_concept_id				INTEGER			NOT NULL ,
+  lot_number					VARCHAR(50)		NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id               INTEGER       	NULL ,
+  drug_source_value				VARCHAR(50)	  	NULL ,
+  drug_source_concept_id		INTEGER			NOT NULL ,
+  route_source_value			VARCHAR(50)	  	NULL ,
+  dose_unit_source_value		VARCHAR(50)	  	NULL
+)
+DISTKEY(person_id);
+
+
+--HINT DISTRIBUTE_ON_KEY(person_id) 
+CREATE TABLE device_exposure  (
+  device_exposure_id			    BIGINT		  	NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
+  device_concept_id			        INTEGER			NOT NULL ,
+  device_exposure_start_date	    DATE			NULL ,
+  device_exposure_start_datetime	TIMESTAMP		NOT NULL ,
+  device_exposure_end_date		    DATE			NULL ,
+  device_exposure_end_datetime    	TIMESTAMP		NULL ,
+  device_type_concept_id		    INTEGER			NOT NULL ,
+  unique_device_id			        VARCHAR(50)		NULL ,
+  quantity						    INTEGER			NULL ,
+  provider_id					    INTEGER			NULL ,
   visit_occurrence_id			    INTEGER			NULL ,
-  visit_detail_id             INTEGER     NULL ,
-  procedure_source_value		  VARCHAR(50)	NULL ,
-  procedure_source_concept_id	INTEGER			NULL ,
-  modifier_source_value		   VARCHAR(50)	NULL
+  visit_detail_id                 	INTEGER       	NULL ,
+  device_source_value			    VARCHAR(100)	NULL ,
+  device_source_concept_id		    INTEGER			NOT NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE drug_exposure
- (drug_exposure_id				      INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  drug_concept_id				        INTEGER			  NOT NULL ,
-  drug_exposure_start_date		  DATE			    NOT NULL ,
-  drug_exposure_start_datetime  TIMESTAMP		  NULL ,
-  drug_exposure_end_date		    DATE			    NOT NULL ,
-  drug_exposure_end_datetime	  TIMESTAMP		  NULL ,
-  verbatim_end_date				      DATE			    NULL ,
-  drug_type_concept_id			    INTEGER			  NOT NULL ,
-  stop_reason					          VARCHAR(20)		NULL ,
-  refills						            INTEGER		  	NULL ,
-  quantity						          FLOAT			    NULL ,
-  days_supply					          INTEGER		  	NULL ,
-  sig							              VARCHAR(MAX)	NULL ,
-  route_concept_id				      INTEGER			  NULL ,
-  lot_number					          VARCHAR(50)	  NULL ,
-  provider_id					          INTEGER			  NULL ,
-  visit_occurrence_id			      INTEGER			  NULL ,
-  visit_detail_id               INTEGER       NULL ,
-  drug_source_value				      VARCHAR(50)	  NULL ,
-  drug_source_concept_id		    INTEGER			  NULL ,
-  route_source_value			      VARCHAR(50)	  NULL ,
-  dose_unit_source_value		    VARCHAR(50)	  NULL
-)
-DISTKEY(person_id);
-
-
---HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE device_exposure
- (device_exposure_id			        INTEGER		  	NOT NULL ,
-  person_id						            INTEGER			  NOT NULL ,
-  device_concept_id			        	INTEGER			  NOT NULL ,
-  device_exposure_start_date	    DATE			    NOT NULL ,
-  device_exposure_start_datetime  TIMESTAMP		  NULL ,
-  device_exposure_end_date		    DATE			    NULL ,
-  device_exposure_end_datetime    TIMESTAMP		  NULL ,
-  device_type_concept_id		      INTEGER			  NOT NULL ,
-  unique_device_id			        	VARCHAR(50)		NULL ,
-  quantity						            INTEGER			  NULL ,
-  provider_id					            INTEGER			  NULL ,
-  visit_occurrence_id			        INTEGER			  NULL ,
-  visit_detail_id                 INTEGER       NULL ,
-  device_source_value			        VARCHAR(100)	NULL ,
-  device_source_concept_id		    INTEGER			  NULL
-)
-DISTKEY(person_id);
-
-
---HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE condition_occurrence
- (condition_occurrence_id		    INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
+CREATE TABLE condition_occurrence  (
+  condition_occurrence_id		    BIGINT			NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
   condition_concept_id			    INTEGER			NOT NULL ,
-  condition_start_date			    DATE			  NOT NULL ,
-  condition_start_datetime		  TIMESTAMP		NULL ,
-  condition_end_date			      DATE			  NULL ,
+  condition_start_date			    DATE			NULL ,
+  condition_start_datetime		  	TIMESTAMP		NOT NULL ,
+  condition_end_date			    DATE			NULL ,
   condition_end_datetime		    TIMESTAMP		NULL ,
-  condition_type_concept_id		  INTEGER			NOT NULL ,
-  stop_reason					          VARCHAR(20)	NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  condition_source_value		    VARCHAR(50)	NULL ,
-  condition_source_concept_id	  INTEGER			NULL ,
-  condition_status_source_value	VARCHAR(50)	NULL ,
-  condition_status_concept_id	  INTEGER			NULL
+  condition_type_concept_id		  	INTEGER			NOT NULL ,
+  condition_status_concept_id	  	INTEGER			NOT NULL ,
+  stop_reason					    VARCHAR(20)		NULL ,
+  provider_id					    INTEGER			NULL ,
+  visit_occurrence_id			    INTEGER			NULL ,
+  visit_detail_id               	INTEGER     	NULL ,
+  condition_source_value		    VARCHAR(50)		NULL ,
+  condition_source_concept_id	  	INTEGER			NOT NULL ,
+  condition_status_source_value		VARCHAR(50)		NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE measurement
- (measurement_id				        INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  measurement_concept_id		    INTEGER			NOT NULL ,
-  measurement_date				      DATE			  NOT NULL ,
-  measurement_datetime			    TIMESTAMP		NULL ,
-  measurement_time              VARCHAR(10) NULL,
-  measurement_type_concept_id	  INTEGER			NOT NULL ,
-  operator_concept_id			      INTEGER			NULL ,
-  value_as_number				        FLOAT			  NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  range_low					          	FLOAT			  NULL ,
-  range_high					          FLOAT			  NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  measurement_source_value		  VARCHAR(50)	NULL ,
-  measurement_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  value_source_value			      VARCHAR(50)	NULL
+CREATE TABLE measurement  (
+  measurement_id				BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  measurement_concept_id		INTEGER			NOT NULL ,
+  measurement_date				DATE			NULL ,
+  measurement_datetime			TIMESTAMP		NOT NULL ,
+  measurement_time              VARCHAR(10)		NULL,
+  measurement_type_concept_id	INTEGER			NOT NULL ,
+  operator_concept_id			INTEGER			NULL ,
+  value_as_number				FLOAT			NULL ,
+  value_as_concept_id			INTEGER			NULL ,
+  unit_concept_id				INTEGER			NULL ,
+  range_low					    FLOAT			NULL ,
+  range_high					FLOAT			NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id               INTEGER     	NULL ,
+  measurement_source_value		VARCHAR(50)		NULL ,
+  measurement_source_concept_id	INTEGER			NOT NULL ,
+  unit_source_value				VARCHAR(50)		NULL ,
+  value_source_value			VARCHAR(50)		NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE note
- (note_id						    INTEGER			  NOT NULL ,
-  person_id						  INTEGER			  NOT NULL ,
-  note_date						  DATE			    NOT NULL ,
-  note_datetime					TIMESTAMP		  NULL ,
-  note_type_concept_id	INTEGER			  NOT NULL ,
-  note_class_concept_id INTEGER			  NOT NULL ,
-  note_title					  VARCHAR(250)	NULL ,
-  note_text						  VARCHAR(MAX)  NULL ,
-  encoding_concept_id		INTEGER			  NOT NULL ,
-  language_concept_id		INTEGER			  NOT NULL ,
-  provider_id					  INTEGER			  NULL ,
-  visit_occurrence_id		INTEGER			  NULL ,
-  visit_detail_id       INTEGER       NULL ,
-  note_source_value			VARCHAR(50)		NULL
+CREATE TABLE note  (
+  note_id						BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  note_event_id         		BIGINT      	NULL , 
+  note_event_field_concept_id	INTEGER			NOT NULL , 
+  note_date						DATE			NULL ,
+  note_datetime					TIMESTAMP		NOT NULL ,
+  note_type_concept_id			INTEGER			NOT NULL ,
+  note_class_concept_id 		INTEGER			NOT NULL ,
+  note_title					VARCHAR(250)	NULL ,
+  note_text						VARCHAR(MAX)	NULL ,
+  encoding_concept_id			INTEGER			NOT NULL ,
+  language_concept_id			INTEGER			NOT NULL ,
+  provider_id					INTEGER			NULL ,
+  visit_occurrence_id			INTEGER			NULL ,
+  visit_detail_id       		INTEGER       	NULL ,
+  note_source_value				VARCHAR(50)		NULL
 )
 DISTKEY(person_id);
 
 
-
-CREATE TABLE note_nlp
- (note_nlp_id					        INTEGER			  NOT NULL ,
-  note_id						          INTEGER			  NOT NULL ,
-  section_concept_id			    INTEGER			  NULL ,
-  snippet						          VARCHAR(250)	NULL ,
-  "offset"					          VARCHAR(250)	NULL ,
-  lexical_variant				      VARCHAR(250)	NOT NULL ,
-  note_nlp_concept_id			    INTEGER			  NULL ,
-  note_nlp_source_concept_id  INTEGER			  NULL ,
-  nlp_system					        VARCHAR(250)	NULL ,
-  nlp_date						        DATE			    NOT NULL ,
-  nlp_datetime					      TIMESTAMP		  NULL ,
-  term_exists					        VARCHAR(1)		NULL ,
-  term_temporal					      VARCHAR(50)		NULL ,
-  term_modifiers				      VARCHAR(2000)	NULL
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE note_nlp  (
+  note_nlp_id					BIGINT			NOT NULL ,
+  note_id						BIGINT			NOT NULL ,
+  section_concept_id			INTEGER			NOT NULL ,
+  snippet						VARCHAR(250)	NULL ,
+  "offset"					    VARCHAR(250)	NULL ,
+  lexical_variant				VARCHAR(250)	NOT NULL ,
+  note_nlp_concept_id			INTEGER			NOT NULL ,
+  nlp_system					VARCHAR(250)	NULL ,
+  nlp_date						DATE			NOT NULL ,
+  nlp_datetime					TIMESTAMP		NULL ,
+  term_exists					VARCHAR(1)		NULL ,
+  term_temporal					VARCHAR(50)		NULL ,
+  term_modifiers				VARCHAR(2000)	NULL ,
+  note_nlp_source_concept_id  	INTEGER			NOT NULL
 )
 DISTSTYLE ALL;
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
 CREATE TABLE observation
- (observation_id					      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  observation_concept_id			  INTEGER			NOT NULL ,
-  observation_date				      DATE			  NOT NULL ,
-  observation_datetime				  TIMESTAMP		NULL ,
-  observation_type_concept_id	  INTEGER			NOT NULL ,
-  value_as_number				        FLOAT			  NULL ,
-  value_as_string				        VARCHAR(60)	NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
+ (observation_id					BIGINT			NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
+  observation_concept_id			INTEGER			NOT NULL ,
+  observation_date				    DATE			NULL ,
+  observation_datetime				TIMESTAMP		NOT NULL ,
+  observation_type_concept_id	    INTEGER			NOT NULL ,
+  value_as_number				    FLOAT			NULL ,
+  value_as_string				    VARCHAR(60)		NULL ,
+  value_as_concept_id			    INTEGER			NULL ,
   qualifier_concept_id			    INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  observation_source_value		  VARCHAR(50)	NULL ,
-  observation_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  qualifier_source_value			  VARCHAR(50)	NULL
+  unit_concept_id				    INTEGER			NULL ,
+  provider_id					    INTEGER			NULL ,
+  visit_occurrence_id			    BIGINT			NULL ,
+  visit_detail_id               	BIGINT      	NULL ,
+  observation_source_value		  	VARCHAR(50)		NULL ,
+  observation_source_concept_id		INTEGER			NOT NULL ,
+  unit_source_value				   	VARCHAR(50)		NULL ,
+  qualifier_source_value			VARCHAR(50)		NULL ,
+  observation_event_id				BIGINT			NULL , 
+  obs_event_field_concept_id		INTEGER			NOT NULL , 
+  value_as_datetime					TIMESTAMP		NULL
 )
 DISTKEY(person_id);
 
 
-CREATE TABLE fact_relationship
- (domain_concept_id_1			INTEGER			NOT NULL ,
-  fact_id_1						    INTEGER			NOT NULL ,
-  domain_concept_id_2			INTEGER			NOT NULL ,
-  fact_id_2						    INTEGER			NOT NULL ,
+--HINT DISTRIBUTE ON KEY(person_id)
+CREATE TABLE survey_conduct (
+  survey_conduct_id					BIGINT			NOT NULL ,
+  person_id 						BIGINT			NOT NULL ,
+  survey_concept_id			  		INTEGER			NOT NULL ,
+  survey_start_date				    DATE			NULL ,
+  survey_start_datetime				TIMESTAMP		NULL ,
+  survey_end_date					DATE			NULL ,
+  survey_end_datetime				TIMESTAMP		NOT NULL ,
+  provider_id						BIGINT			NULL ,
+  assisted_concept_id	  			INTEGER			NOT NULL ,
+  respondent_type_concept_id		INTEGER			NOT NULL ,
+  timing_concept_id					INTEGER			NOT NULL ,
+  collection_method_concept_id		INTEGER			NOT NULL ,
+  assisted_source_value		  		VARCHAR(50)		NULL ,
+  respondent_type_source_value		VARCHAR(100)	NULL ,
+  timing_source_value				VARCHAR(100)	NULL ,
+  collection_method_source_value	VARCHAR(100)	NULL ,
+  survey_source_value				VARCHAR(100)	NULL ,
+  survey_source_concept_id			INTEGER			NOT NULL ,
+  survey_source_identifier			VARCHAR(100)	NULL ,
+  validated_survey_concept_id		INTEGER			NOT NULL ,
+  validated_survey_source_value		VARCHAR(100)	NULL ,
+  survey_version_number				VARCHAR(20)		NULL ,
+  visit_occurrence_id				BIGINT			NULL ,
+  visit_detail_id					BIGINT			NULL ,
+  response_visit_occurrence_id		BIGINT			NULL
+)
+DISTKEY(person_id);
+
+
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE fact_relationship  (
+  domain_concept_id_1		INTEGER			NOT NULL ,
+  fact_id_1					BIGINT			NOT NULL ,
+  domain_concept_id_2		INTEGER			NOT NULL ,
+  fact_id_2					BIGINT			NOT NULL ,
   relationship_concept_id	INTEGER			NOT NULL
 )
 DISTSTYLE ALL;
@@ -524,44 +552,63 @@ Standardized health system data
 ************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE location
- (location_id					  INTEGER			  NOT NULL ,
-  address_1						  VARCHAR(50)		NULL ,
-  address_2						  VARCHAR(50)		NULL ,
-  city							    VARCHAR(50)		NULL ,
-  state							    VARCHAR(2)		NULL ,
-  zip							      VARCHAR(9)		NULL ,
-  county							  VARCHAR(20)		NULL ,
-  location_source_value VARCHAR(50)		NULL
+ (location_id				BIGINT			NOT NULL ,
+  address_1					VARCHAR(50)		NULL ,
+  address_2					VARCHAR(50)		NULL ,
+  city						VARCHAR(50)		NULL ,
+  state						VARCHAR(2)		NULL ,
+  zip						VARCHAR(9)		NULL ,
+  county					VARCHAR(20)		NULL ,
+  country					VARCHAR(100)	NULL ,
+  location_source_value		VARCHAR(50)		NULL ,
+  latitude					FLOAT			NULL ,
+  longitude					FLOAT			NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE care_site
- (care_site_id						      INTEGER			  NOT NULL ,
-  care_site_name						    VARCHAR(255)  NULL ,
-  place_of_service_concept_id	  INTEGER			  NULL ,
-  location_id						        INTEGER			  NULL ,
-  care_site_source_value			  VARCHAR(50)		NULL ,
-  place_of_service_source_value VARCHAR(50)		NULL
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE location_history  (
+  location_history_id           BIGINT      	NOT NULL ,
+  location_id			        BIGINT		  	NOT NULL ,
+  relationship_type_concept_id	INTEGER		  	NOT NULL ,  
+  domain_id				        VARCHAR(50)		NOT NULL ,
+  entity_id				        BIGINT			NOT NULL ,
+  start_date			        DATE			NOT NULL ,
+  end_date				        DATE			NULL
 )
 DISTSTYLE ALL;
 
 
-CREATE TABLE provider
- (provider_id					        INTEGER			  NOT NULL ,
-  provider_name					      VARCHAR(255)	NULL ,
-  NPI							            VARCHAR(20)		NULL ,
-  DEA							            VARCHAR(20)		NULL ,
-  specialty_concept_id			  INTEGER			  NULL ,
-  care_site_id					      INTEGER			  NULL ,
-  year_of_birth					      INTEGER			  NULL ,
-  gender_concept_id				    INTEGER			  NULL ,
-  provider_source_value			  VARCHAR(50)		NULL ,
-  specialty_source_value			VARCHAR(50)		NULL ,
-  specialty_source_concept_id	INTEGER			  NULL ,
-  gender_source_value			    VARCHAR(50)		NULL ,
-  gender_source_concept_id		INTEGER			  NULL
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE care_site  (
+  care_site_id						BIGINT			NOT NULL ,
+  care_site_name					VARCHAR(255)	NULL ,
+  place_of_service_concept_id	  	INTEGER			NOT NULL ,
+  location_id						BIGINT			NULL ,
+  care_site_source_value			VARCHAR(50)		NULL ,
+  place_of_service_source_value		VARCHAR(50)		NULL
+)
+DISTSTYLE ALL;
+
+
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE provider  (
+  provider_id					BIGINT			NOT NULL ,
+  provider_name					VARCHAR(255)	NULL ,
+  NPI							VARCHAR(20)		NULL ,
+  DEA							VARCHAR(20)		NULL ,
+  specialty_concept_id			INTEGER			NOT NULL ,
+  care_site_id					BIGINT			NULL ,
+  year_of_birth					INTEGER			NULL ,
+  gender_concept_id				INTEGER			NOT NULL ,
+  provider_source_value			VARCHAR(50)		NULL ,
+  specialty_source_value		VARCHAR(50)		NULL ,
+  specialty_source_concept_id	INTEGER			NULL ,
+  gender_source_value			VARCHAR(50)		NULL ,
+  gender_source_concept_id		INTEGER			NOT NULL
 )
 DISTSTYLE ALL;
 
@@ -575,52 +622,53 @@ Standardized health economics
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
 CREATE TABLE payer_plan_period
- (payer_plan_period_id			    INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  payer_plan_period_start_date  DATE			    NOT NULL ,
-  payer_plan_period_end_date		DATE			    NOT NULL ,
-  payer_concept_id              INTEGER       NULL ,
-  payer_source_value				    VARCHAR(50)	  NULL ,
-  payer_source_concept_id       INTEGER       NULL ,
-  plan_concept_id               INTEGER       NULL ,
-  plan_source_value				      VARCHAR(50)	  NULL ,
-  plan_source_concept_id        INTEGER       NULL ,
-  sponsor_concept_id            INTEGER       NULL ,
-  sponsor_source_value          VARCHAR(50)   NULL ,
-  sponsor_source_concept_id     INTEGER       NULL ,
-  family_source_value			      VARCHAR(50)	  NULL ,
-  stop_reason_concept_id        INTEGER       NULL ,
-  stop_reason_source_value      VARCHAR(50)      NULL ,
-  stop_reason_source_concept_id INTEGER       NULL
+ (payer_plan_period_id			BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  contract_person_id            BIGINT        	NULL ,
+  payer_plan_period_start_date  DATE			NOT NULL ,
+  payer_plan_period_end_date	DATE			NOT NULL ,
+  payer_concept_id              INTEGER       	NOT NULL ,
+  plan_concept_id               INTEGER       	NOT NULL ,
+  contract_concept_id           INTEGER       	NOT NULL ,
+  sponsor_concept_id            INTEGER       	NOT NULL ,
+  stop_reason_concept_id        INTEGER       	NOT NULL ,
+  payer_source_value			VARCHAR(50)	  	NULL ,
+  payer_source_concept_id       INTEGER       	NOT NULL ,
+  plan_source_value				VARCHAR(50)	  	NULL ,
+  plan_source_concept_id        INTEGER       	NOT NULL ,
+  contract_source_value         VARCHAR(50)   	NULL ,
+  contract_source_concept_id    INTEGER       	NOT NULL ,
+  sponsor_source_value          VARCHAR(50)   	NULL ,
+  sponsor_source_concept_id     INTEGER       	NOT NULL ,
+  family_source_value			VARCHAR(50)	  	NULL ,
+  stop_reason_source_value      VARCHAR(50)   	NULL ,
+  stop_reason_source_concept_id INTEGER       	NOT NULL
 )
 DISTKEY(person_id);
 
 
-CREATE TABLE cost
- (cost_id					          INTEGER	    NOT NULL ,
-  cost_event_id             INTEGER     NOT NULL ,
-  cost_domain_id            VARCHAR(20) NOT NULL ,
-  cost_type_concept_id      INTEGER     NOT NULL ,
-  currency_concept_id			  INTEGER			NULL ,
-  total_charge						  FLOAT			  NULL ,
-  total_cost						    FLOAT			  NULL ,
-  total_paid						    FLOAT			  NULL ,
-  paid_by_payer					    FLOAT			  NULL ,
-  paid_by_patient						FLOAT			  NULL ,
-  paid_patient_copay				FLOAT			  NULL ,
-  paid_patient_coinsurance  FLOAT			  NULL ,
-  paid_patient_deductible		FLOAT			  NULL ,
-  paid_by_primary						FLOAT			  NULL ,
-  paid_ingredient_cost			FLOAT			  NULL ,
-  paid_dispensing_fee				FLOAT			  NULL ,
-  payer_plan_period_id			INTEGER			NULL ,
-  amount_allowed		        FLOAT			  NULL ,
-  revenue_code_concept_id		INTEGER			NULL ,
-  reveue_code_source_value  VARCHAR(50) NULL,
-  drg_concept_id			      INTEGER		  NULL,
-  drg_source_value			    VARCHAR(3)	NULL
+--HINT DISTRIBUTE ON KEY(person_id)
+CREATE TABLE cost  (
+  cost_id						BIGINT		NOT NULL ,
+  person_id 					BIGINT		NOT NULL,
+  cost_event_id					BIGINT      NOT NULL ,
+  cost_event_field_concept_id	INTEGER		NOT NULL , 
+  cost_concept_id				INTEGER		NOT NULL ,
+  cost_type_concept_id		  	INTEGER     NOT NULL ,
+  currency_concept_id			INTEGER		NOT NULL ,
+  cost							FLOAT		NULL ,
+  incurred_date					DATE		NOT NULL ,
+  billed_date					DATE		NULL ,
+  paid_date						DATE		NULL ,
+  revenue_code_concept_id		INTEGER		NOT NULL ,
+  drg_concept_id			    INTEGER		NOT NULL ,
+  cost_source_value				VARCHAR(50)	NULL ,
+  cost_source_concept_id	  	INTEGER		NOT NULL ,
+  revenue_code_source_value		VARCHAR(50) NULL ,
+  drg_source_value			    VARCHAR(3)	NULL ,
+  payer_plan_period_id			BIGINT		NULL
 )
-DISTSTYLE ALL;
+DISTKEY(person_id);
 
 
 /************************
@@ -630,62 +678,39 @@ Standardized derived elements
 ************************/
 
 
---HINT DISTRIBUTE_ON_KEY(subject_id) 
-CREATE TABLE cohort
- (cohort_definition_id	INTEGER		NOT NULL ,
-  subject_id						INTEGER		NOT NULL ,
-  cohort_start_date			DATE			NOT NULL ,
-  cohort_end_date				DATE			NOT NULL
-)
-DISTKEY(subject_id);
-
-
---HINT DISTRIBUTE_ON_KEY(subject_id) 
-CREATE TABLE cohort_attribute
- (cohort_definition_id		INTEGER		NOT NULL ,
-  subject_id						  INTEGER		NOT NULL ,
-  cohort_start_date				DATE			NOT NULL ,
-  cohort_end_date				  DATE			NOT NULL ,
-  attribute_definition_id INTEGER		NOT NULL ,
-  value_as_number				  FLOAT			NULL ,
-  value_as_concept_id			INTEGER		NULL
-)
-DISTKEY(subject_id);
-
-
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE drug_era
- (drug_era_id					INTEGER			NOT NULL ,
-  person_id						INTEGER			NOT NULL ,
+CREATE TABLE drug_era  (
+  drug_era_id				BIGINT			NOT NULL ,
+  person_id					BIGINT			NOT NULL ,
   drug_concept_id			INTEGER			NOT NULL ,
-  drug_era_start_date	DATE			  NOT NULL ,
-  drug_era_end_date		DATE			  NOT NULL ,
-  drug_exposure_count	INTEGER			NULL ,
-  gap_days						INTEGER			NULL
+  drug_era_start_datetime	TIMESTAMP		NOT NULL ,
+  drug_era_end_datetime		TIMESTAMP		NOT NULL ,
+  drug_exposure_count		INTEGER			NULL ,
+  gap_days					INTEGER			NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE dose_era
- (dose_era_id					  INTEGER			NOT NULL ,
-  person_id						  INTEGER			NOT NULL ,
-  drug_concept_id				INTEGER			NOT NULL ,
-  unit_concept_id				INTEGER			NOT NULL ,
-  dose_value						FLOAT			  NOT NULL ,
-  dose_era_start_date		DATE			  NOT NULL ,
-  dose_era_end_date	    DATE			  NOT NULL
+CREATE TABLE dose_era  (
+  dose_era_id				BIGINT		NOT NULL ,
+  person_id					BIGINT		NOT NULL ,
+  drug_concept_id			INTEGER		NOT NULL ,
+  unit_concept_id			INTEGER		NOT NULL ,
+  dose_value				FLOAT		NOT NULL ,
+  dose_era_start_datetime	TIMESTAMP	NOT NULL ,
+  dose_era_end_datetime		TIMESTAMP	NOT NULL
 )
 DISTKEY(person_id);
 
 
 --HINT DISTRIBUTE_ON_KEY(person_id) 
-CREATE TABLE condition_era
- (condition_era_id				    INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  condition_concept_id			  INTEGER			NOT NULL ,
-  condition_era_start_date		DATE			  NOT NULL ,
-  condition_era_end_date			DATE			  NOT NULL ,
-  condition_occurrence_count	INTEGER			NULL
+CREATE TABLE condition_era  (
+  condition_era_id					BIGINT			NOT NULL ,
+  person_id							BIGINT			NOT NULL ,
+  condition_concept_id				INTEGER			NOT NULL ,
+  condition_era_start_datetime		TIMESTAMP		NOT NULL ,
+  condition_era_end_datetime		TIMESTAMP		NOT NULL ,
+  condition_occurrence_count		INTEGER			NULL
 )
 DISTKEY(person_id);
diff --git a/Redshift/README.md b/Redshift/README.md
index d6feb1c..849c890 100644
--- a/Redshift/README.md
+++ b/Redshift/README.md
@@ -11,4 +11,6 @@ In order to create your instantiation of the Common Data Model, we recommend fol
 
 3. Execute the script `OMOP CDM redshift ddl.txt` to create the tables and fields.
 
-4. Load your data into the schema using COPY commands from Amazon S3.
\ No newline at end of file
+4. Load your data into the schema using COPY commands from Amazon S3.
+
+5. Repeat to create the results schema, executing the script `OMOP CDM Results redshift ddl.txt`
\ No newline at end of file
diff --git a/Sql Server/OMOP CDM Results sql server.txt b/Sql Server/OMOP CDM Results sql server.txt
new file mode 100644
index 0000000..6cf4197
--- /dev/null
+++ b/Sql Server/OMOP CDM Results sql server.txt	
@@ -0,0 +1,91 @@
+/*********************************************************************************
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
+#
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+********************************************************************************/
+
+/************************
+
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
+
+sql server script to create OMOP common data model results schema version 6.0
+
+last revised: 27-Aug-2018
+
+Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
+
+
+*************************/
+
+
+/************************
+
+Standardized vocabulary
+
+************************/
+
+
+--HINT DISTRIBUTE_ON_KEY(subject_id)
+CREATE TABLE cohort
+(
+  cohort_definition_id	BIGINT		NOT NULL ,
+  subject_id			BIGINT		NOT NULL ,
+  cohort_start_date		DATE		NOT NULL ,
+  cohort_end_date		DATE		NOT NULL
+)
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE cohort_definition (
+  cohort_definition_id				    INTEGER			  NOT NULL,
+  cohort_definition_name			    VARCHAR(255)	NOT NULL,
+  cohort_definition_description		VARCHAR(MAX)	NULL,
+  definition_type_concept_id		  INTEGER			  NOT NULL,
+  cohort_definition_syntax			  VARCHAR(MAX)	NULL,
+  subject_concept_id				      INTEGER			  NOT NULL,
+  cohort_initiation_date			    DATE			    NULL
+)
+;
+
+ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY NONCLUSTERED (cohort_definition_id);
+
+ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY NONCLUSTERED ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
+
+
+CREATE CLUSTERED INDEX idx_cohort_definition_id ON cohort_definition (cohort_definition_id ASC);
+
+CREATE INDEX idx_cohort_subject_id ON cohort (subject_id ASC);
+CREATE INDEX idx_cohort_c_definition_id ON cohort (cohort_definition_id ASC);
+
+
+ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_definition_concept FOREIGN KEY (definition_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cohort_definition ADD CONSTRAINT fpk_subject_concept FOREIGN KEY (subject_concept_id)  REFERENCES concept (concept_id);
+
+
+ALTER TABLE cohort ADD CONSTRAINT fpk_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
+
+
+
+
+
+
+
diff --git a/Sql Server/OMOP CDM sql server constraints.txt b/Sql Server/OMOP CDM sql server constraints.txt
index e74bdac..7f41455 100644
--- a/Sql Server/OMOP CDM sql server constraints.txt	
+++ b/Sql Server/OMOP CDM sql server constraints.txt	
@@ -2,7 +2,7 @@
 # Copyright 2014 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,18 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #    #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #    #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####     #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #    #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #    #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####      #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###       #####
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #     #     #  ####  #    #  ####  ##### #####    ##   # #    # #####  ####
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #    #       #    # ##   # #        #   #    #  #  #  # ##   #   #   #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #    #       #    # # #  #  ####    #   #    # #    # # # #  #   #    ####
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #    #       #    # #  # #      #   #   #####  ###### # #  # #   #        #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #     #     # #    # #   ## #    #   #   #   #  #    # # #   ##   #   #    #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###       #####   ####  #    #  ####    #   #    # #    # # #    #   #    ####
 
 
-sql server script to create foreign key constraints within OMOP common data model, version 5.3.0
+sql server script to create foreign key, unique, and check constraints within the OMOP common data model, version 6.0
 
-last revised: 14-June-2018
+last revised: 30-Aug�-2018
 
 author:  Patrick Ryan, Clair Blacketer
 
@@ -62,38 +62,45 @@ ALTER TABLE concept ADD CONSTRAINT fpk_concept_class FOREIGN KEY (concept_class_
 
 ALTER TABLE concept ADD CONSTRAINT fpk_concept_vocabulary FOREIGN KEY (vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
+
 ALTER TABLE vocabulary ADD CONSTRAINT fpk_vocabulary_concept FOREIGN KEY (vocabulary_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE domain ADD CONSTRAINT fpk_domain_concept FOREIGN KEY (domain_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE concept_class ADD CONSTRAINT fpk_concept_class_concept FOREIGN KEY (concept_class_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_c_1 FOREIGN KEY (concept_id_1)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_c_2 FOREIGN KEY (concept_id_2)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_relationship ADD CONSTRAINT fpk_concept_relationship_id FOREIGN KEY (relationship_id)  REFERENCES relationship (relationship_id);
 
+
 ALTER TABLE relationship ADD CONSTRAINT fpk_relationship_concept FOREIGN KEY (relationship_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE relationship ADD CONSTRAINT fpk_relationship_reverse FOREIGN KEY (reverse_relationship_id)  REFERENCES relationship (relationship_id);
 
+
 ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_concept FOREIGN KEY (concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_language FOREIGN KEY (language_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE concept_synonym ADD CONSTRAINT fpk_concept_synonym_concept FOREIGN KEY (language_concept_id)  REFERENCES concept (concept_id);
+
 
 ALTER TABLE concept_ancestor ADD CONSTRAINT fpk_concept_ancestor_concept_1 FOREIGN KEY (ancestor_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE concept_ancestor ADD CONSTRAINT fpk_concept_ancestor_concept_2 FOREIGN KEY (descendant_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_1 FOREIGN KEY (source_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
-ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_concept_id FOREIGN KEY (source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_1 FOREIGN KEY (source_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
 ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_v_2 FOREIGN KEY (target_vocabulary_id)  REFERENCES vocabulary (vocabulary_id);
 
 ALTER TABLE source_to_concept_map ADD CONSTRAINT fpk_source_to_concept_map_c_1 FOREIGN KEY (target_concept_id)  REFERENCES concept (concept_id);
 
+
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_concept_1 FOREIGN KEY (drug_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_concept_2 FOREIGN KEY (ingredient_concept_id)  REFERENCES concept (concept_id);
@@ -104,12 +111,6 @@ ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_unit_2 FOREIGN KEY (n
 
 ALTER TABLE drug_strength ADD CONSTRAINT fpk_drug_strength_unit_3 FOREIGN KEY (denominator_unit_concept_id)  REFERENCES concept (concept_id);
 
-ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_definition_concept FOREIGN KEY (definition_type_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE cohort_definition ADD CONSTRAINT fpk_cohort_subject_concept FOREIGN KEY (subject_concept_id)  REFERENCES concept (concept_id);
-
-ALTER TABLE attribute_definition ADD CONSTRAINT fpk_attribute_type_concept FOREIGN KEY (attribute_type_concept_id)  REFERENCES concept (concept_id);
-
 
 /**************************
 
@@ -118,7 +119,9 @@ Standardized meta-data
 ***************************/
 
 
+ALTER TABLE metadata ADD CONSTRAINT fpk_metadata_concept FOREIGN KEY (metadata_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE metadata ADD CONSTRAINT fpk_metadata_type_concept FOREIGN KEY (metadata_type_concept_id) REFERENCES concept (concept_id);
 
 
 /************************
@@ -175,6 +178,8 @@ ALTER TABLE death ADD CONSTRAINT fpk_death_cause_concept_s FOREIGN KEY (cause_so
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
+ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_concept FOREIGN KEY (visit_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_type_concept FOREIGN KEY (visit_type_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
@@ -192,17 +197,19 @@ ALTER TABLE visit_occurrence ADD CONSTRAINT fpk_visit_preceding FOREIGN KEY (pre
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept FOREIGN KEY (visit_detail_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_type_concept FOREIGN KEY (visit_detail_type_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_care_site FOREIGN KEY (care_site_id)  REFERENCES care_site (care_site_id);
 
-ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept_s FOREIGN KEY (visit_detail_source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_discharge FOREIGN KEY (discharge_to_concept_id) REFERENCES concept (concept_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_admitting_s FOREIGN KEY (admitting_source_concept_id) REFERENCES concept (concept_id);
 
-ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_discharge FOREIGN KEY (discharge_to_concept_id) REFERENCES concept (concept_id);
+ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_concept_s FOREIGN KEY (visit_detail_source_concept_id)  REFERENCES concept (concept_id);
 
 ALTER TABLE visit_detail ADD CONSTRAINT fpk_v_detail_preceding FOREIGN KEY (preceding_visit_detail_id) REFERENCES visit_detail (visit_detail_id);
 
@@ -223,6 +230,8 @@ ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_provider FOREIGN K
 
 ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE procedure_occurrence ADD CONSTRAINT fpk_procedure_concept_s FOREIGN KEY (procedure_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -238,6 +247,8 @@ ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_provider FOREIGN KEY (provider
 
 ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE drug_exposure ADD CONSTRAINT fpk_drug_concept_s FOREIGN KEY (drug_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -251,6 +262,8 @@ ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_provider FOREIGN KEY (prov
 
 ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE device_exposure ADD CONSTRAINT fpk_device_concept_s FOREIGN KEY (device_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -260,13 +273,15 @@ ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept FOREIGN KE
 
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_type_concept FOREIGN KEY (condition_type_concept_id)  REFERENCES concept (concept_id);
 
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_status_concept FOREIGN KEY (condition_status_concept_id) REFERENCES concept (concept_id);
+
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_provider FOREIGN KEY (provider_id)  REFERENCES provider (provider_id);
 
 ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
-ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept_s FOREIGN KEY (condition_source_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
 
-ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_status_concept FOREIGN KEY (condition_status_concept_id) REFERENCES concept (concept_id);
+ALTER TABLE condition_occurrence ADD CONSTRAINT fpk_condition_concept_s FOREIGN KEY (condition_source_concept_id)  REFERENCES concept (concept_id);
 
 
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
@@ -285,6 +300,8 @@ ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_provider FOREIGN KEY (pro
 
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE measurement ADD CONSTRAINT fpk_measurement_concept_s FOREIGN KEY (measurement_source_concept_id)  REFERENCES concept (concept_id);
 
 
@@ -302,6 +319,8 @@ ALTER TABLE note ADD CONSTRAINT fpk_note_provider FOREIGN KEY (provider_id)  REF
 
 ALTER TABLE note ADD CONSTRAINT fpk_note_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE note ADD CONSTRAINT fpk_note_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 
 ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_note FOREIGN KEY (note_id) REFERENCES note (note_id);
 
@@ -309,6 +328,7 @@ ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_section_concept FOREIGN KEY (se
 
 ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_concept FOREIGN KEY (note_nlp_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE note_nlp ADD CONSTRAINT fpk_note_nlp_concept_s FOREIGN KEY (note_nlp_source_concept_id) REFERENCES concept (concept_id);
 
 
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
@@ -327,9 +347,36 @@ ALTER TABLE observation ADD CONSTRAINT fpk_observation_provider FOREIGN KEY (pro
 
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_visit FOREIGN KEY (visit_occurrence_id)  REFERENCES visit_occurrence (visit_occurrence_id);
 
+ALTER TABLE observation ADD CONSTRAint fpk_observation_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
 ALTER TABLE observation ADD CONSTRAINT fpk_observation_concept_s FOREIGN KEY (observation_source_concept_id)  REFERENCES concept (concept_id);
 
 
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_concept FOREIGN KEY (survey_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_provider FOREIGN KEY (provider_id) REFERENCES provider (provider_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_assist FOREIGN KEY (assisted_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_respondent_type FOREIGN KEY (respondent_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_timing FOREIGN KEY (timing_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_collection_method FOREIGN KEY (collection_method_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_source FOREIGN KEY (survey_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_validation FOREIGN KEY (validated_survey_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_visit FOREIGN KEY (visit_occurrence_id) REFERENCES visit (visit_occurrence_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_survey_v_detail FOREIGN KEY (visit_detail_id) REFERENCES visit_detail (visit_detail_id);
+
+ALTER TABLE survey_conduct ADD CONSTRAINT fpk_response_visit FOREIGN KEY (response_to_visit_occurrence_id) REFERENCES visit (visit_occurrence_id);
+
+
 ALTER TABLE fact_relationship ADD CONSTRAINT fpk_fact_domain_1 FOREIGN KEY (domain_concept_id_1)  REFERENCES concept (concept_id);
 
 ALTER TABLE fact_relationship ADD CONSTRAINT fpk_fact_domain_2 FOREIGN KEY (domain_concept_id_2)  REFERENCES concept (concept_id);
@@ -344,10 +391,15 @@ Standardized health system data
 
 ************************/
 
-ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_location FOREIGN KEY (location_id)  REFERENCES location (location_id);
+ALTER TABLE location_history ADD CONSTRAINT fpk_location_history FOREIGN KEY ( location_id ) REFERENCES location ( location_id ) ;
+
+ALTER TABLE location_history ADD CONSTRAINT fpk_relationship_type FOREIGN KEY (relationship_type_concept_id) REFERENCES concept (concept_id);
+
 
 ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_place FOREIGN KEY (place_of_service_concept_id)  REFERENCES concept (concept_id);
 
+ALTER TABLE care_site ADD CONSTRAINT fpk_care_site_location FOREIGN KEY (location_id)  REFERENCES location (location_id);
+
 
 ALTER TABLE provider ADD CONSTRAINT fpk_provider_specialty FOREIGN KEY (specialty_concept_id)  REFERENCES concept (concept_id);
 
@@ -361,7 +413,6 @@ ALTER TABLE provider ADD CONSTRAINT fpk_provider_gender_s FOREIGN KEY (gender_so
 
 
 
-
 /************************
 
 Standardized health economics
@@ -370,12 +421,46 @@ Standardized health economics
 
 ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_plan_period FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
-ALTER TABLE cost ADD CONSTRAINT fpk_visit_cost_currency FOREIGN KEY (currency_concept_id)  REFERENCES concept (concept_id);
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_person FOREIGN KEY (contract_person_id) REFERENCES person (person_id);
 
-ALTER TABLE cost ADD CONSTRAINT fpk_visit_cost_period FOREIGN KEY (payer_plan_period_id)  REFERENCES payer_plan_period (payer_plan_period_id);
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_concept FOREIGN KEY (payer_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_plan_concept_id FOREIGN KEY (plan_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_concept FOREIGN KEY (contract_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_sponsor_concept FOREIGN KEY (sponsor_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_stop_reason_concept FOREIGN KEY (stop_reason_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_payer_s FOREIGN KEY (payer_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_plan_s FOREIGN KEY (plan_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_contract_s FOREIGN KEY (contract_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_sponsor_s FOREIGN KEY (sponsor_source_concept_id) REFERENCES concept (concept_id);
+
+ALTER TABLE payer_plan_period ADD CONSTRAINT fpk_stop_reason_s FOREIGN KEY (stop_reason_source_concept_id) REFERENCES concept (concept_id);
+
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_concept FOREIGN KEY (cost_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_type FOREIGN KEY (cost_type_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_currency FOREIGN KEY (currency_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_revenue_concept FOREIGN KEY (revenue_code_concept_id) REFERENCES concept (concept_id);
 
 ALTER TABLE cost ADD CONSTRAINT fpk_drg_concept FOREIGN KEY (drg_concept_id) REFERENCES concept (concept_id);
 
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_s FOREIGN KEY (cost_source_concept_id)  REFERENCES concept (concept_id);
+
+ALTER TABLE cost ADD CONSTRAINT fpk_cost_period FOREIGN KEY (payer_plan_period_id)  REFERENCES payer_plan_period (payer_plan_period_id);
+
+
 /************************
 
 Standardized derived elements
@@ -383,16 +468,6 @@ Standardized derived elements
 ************************/
 
 
---ALTER TABLE cohort ADD CONSTRAINT fpk_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
-
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_cohort_definition FOREIGN KEY (cohort_definition_id)  REFERENCES cohort_definition (cohort_definition_id);
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_attribute_definition FOREIGN KEY (attribute_definition_id)  REFERENCES attribute_definition (attribute_definition_id);
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT fpk_ca_value FOREIGN KEY (value_as_concept_id)  REFERENCES concept (concept_id);
-
-
 ALTER TABLE drug_era ADD CONSTRAINT fpk_drug_era_person FOREIGN KEY (person_id)  REFERENCES person (person_id);
 
 ALTER TABLE drug_era ADD CONSTRAINT fpk_drug_era_concept FOREIGN KEY (drug_concept_id)  REFERENCES concept (concept_id);
@@ -423,3 +498,29 @@ Unique constraints
 ************************/
 
 ALTER TABLE concept_synonym ADD CONSTRAINT uq_concept_synonym UNIQUE (concept_id, concept_synonym_name, language_concept_id);
+
+/************************
+*************************
+*************************
+*************************
+
+Check constraints
+
+*************************
+*************************
+*************************
+************************/
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_concept_name CHECK (concept_name <> '');
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_standard_concept CHECK (COALESCE(standard_concept,'C') in ('C','S'));
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_concept_code CHECK (concept_code <> '');
+
+ALTER TABLE concept ADD CONSTRAINT chk_c_invalid_reason CHECK (COALESCE(invalid_reason,'D') in ('D','U'));
+
+
+ALTER TABLE concept_relationship ADD CONSTRAINT chk_cr_invalid_reason CHECK (COALESCE(invalid_reason,'D')='D');
+
+
+ALTER TABLE concept_synonym ADD CONSTRAINT chk_csyn_concept_synonym_name CHECK (concept_synonym_name <> '');
diff --git a/Sql Server/OMOP CDM sql server ddl.txt b/Sql Server/OMOP CDM sql server ddl.txt
index cc2c114..b63b201 100644
--- a/Sql Server/OMOP CDM sql server ddl.txt	
+++ b/Sql Server/OMOP CDM sql server ddl.txt	
@@ -1,8 +1,8 @@
 /*********************************************************************************
-# Copyright 2017-11 Observational Health Data Sciences and Informatics
+# Copyright 2018-08 Observational Health Data Sciences and Informatics
 #
 #
-# Licensed under the Apache License, Version 2.0 (the "License")
+# Licensed under the Apache License, Version 2.0 (the "License");
 # you may not use this file except in compliance with the License.
 # You may obtain a copy of the License at
 #
@@ -17,18 +17,17 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###
 
+sql server script to create OMOP common data model version 6.0
 
-sql server script to create OMOP common data model version 5.3
-
-last revised: 14-June-2018
+last revised: 27-Aug-2018
 
 Authors:  Patrick Ryan, Christian Reich, Clair Blacketer
 
@@ -43,138 +42,123 @@ Standardized vocabulary
 ************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept (
-  concept_id			    INTEGER			  NOT NULL ,
-  concept_name			  VARCHAR(255)	NOT NULL ,
+  concept_id			    INTEGER			NOT NULL ,
+  concept_name			  	VARCHAR(255)	NOT NULL ,
   domain_id				    VARCHAR(20)		NOT NULL ,
-  vocabulary_id			  VARCHAR(20)		NOT NULL ,
-  concept_class_id		VARCHAR(20)		NOT NULL ,
-  standard_concept		VARCHAR(1)		NULL ,
-  concept_code			  VARCHAR(50)		NOT NULL ,
-  valid_start_date		DATE			    NOT NULL ,
-  valid_end_date		  DATE			    NOT NULL ,
-  invalid_reason		  VARCHAR(1)		NULL
+  vocabulary_id			  	VARCHAR(20)		NOT NULL ,
+  concept_class_id			VARCHAR(20)		NOT NULL ,
+  standard_concept			VARCHAR(1)		NULL ,
+  concept_code			  	VARCHAR(50)		NOT NULL ,
+  valid_start_date			DATE			NOT NULL ,
+  valid_end_date		  	DATE			NOT NULL ,
+  invalid_reason		  	VARCHAR(1)		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE vocabulary (
   vocabulary_id			    VARCHAR(20)		NOT NULL,
   vocabulary_name		    VARCHAR(255)	NOT NULL,
-  vocabulary_reference	VARCHAR(255)	NOT NULL,
-  vocabulary_version	  VARCHAR(255)	NOT NULL,
-  vocabulary_concept_id	INTEGER			  NOT NULL
+  vocabulary_reference		VARCHAR(255)	NOT NULL,
+  vocabulary_version	  	VARCHAR(255)	NULL,
+  vocabulary_concept_id		INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE domain (
   domain_id			    VARCHAR(20)		NOT NULL,
   domain_name		    VARCHAR(255)	NOT NULL,
-  domain_concept_id	INTEGER			  NOT NULL
+  domain_concept_id		INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_class (
   concept_class_id			    VARCHAR(20)		NOT NULL,
   concept_class_name		    VARCHAR(255)	NOT NULL,
-  concept_class_concept_id	INTEGER			  NOT NULL
+  concept_class_concept_id		INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_relationship (
   concept_id_1			INTEGER			NOT NULL,
   concept_id_2			INTEGER			NOT NULL,
-  relationship_id		VARCHAR(20)	NOT NULL,
-  valid_start_date	DATE			  NOT NULL,
-  valid_end_date		DATE			  NOT NULL,
-  invalid_reason		VARCHAR(1)	NULL
+  relationship_id		VARCHAR(20)		NOT NULL,
+  valid_start_date		DATE			NOT NULL,
+  valid_end_date		DATE			NOT NULL,
+  invalid_reason		VARCHAR(1)		NULL
   )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE relationship (
-  relationship_id			    VARCHAR(20)		NOT NULL,
-  relationship_name			  VARCHAR(255)	NOT NULL,
-  is_hierarchical			    VARCHAR(1)		NOT NULL,
-  defines_ancestry			  VARCHAR(1)		NOT NULL,
+  relationship_id			VARCHAR(20)		NOT NULL,
+  relationship_name			VARCHAR(255)	NOT NULL,
+  is_hierarchical			VARCHAR(1)		NOT NULL,
+  defines_ancestry			VARCHAR(1)		NOT NULL,
   reverse_relationship_id	VARCHAR(20)		NOT NULL,
-  relationship_concept_id	INTEGER			  NOT NULL
+  relationship_concept_id	INTEGER			NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_synonym (
-  concept_id			      INTEGER			  NOT NULL,
-  concept_synonym_name	VARCHAR(1000)	NOT NULL,
-  language_concept_id	  INTEGER			  NOT NULL
+  concept_id			  INTEGER		NOT NULL,
+  concept_synonym_name	  VARCHAR(1000)	NOT NULL,
+  language_concept_id	  INTEGER		NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE concept_ancestor (
   ancestor_concept_id		    INTEGER		NOT NULL,
-  descendant_concept_id		  INTEGER		NOT NULL,
-  min_levels_of_separation	INTEGER		NOT NULL,
-  max_levels_of_separation	INTEGER		NOT NULL
+  descendant_concept_id		  	INTEGER		NOT NULL,
+  min_levels_of_separation		INTEGER		NOT NULL,
+  max_levels_of_separation		INTEGER		NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE source_to_concept_map (
-  source_code				      VARCHAR(50)		NOT NULL,
-  source_concept_id			  INTEGER			  NOT NULL,
-  source_vocabulary_id		VARCHAR(20)		NOT NULL,
-  source_code_description	VARCHAR(255)	NULL,
-  target_concept_id			  INTEGER			  NOT NULL,
-  target_vocabulary_id		VARCHAR(20)		NOT NULL,
-  valid_start_date			  DATE			    NOT NULL,
-  valid_end_date			    DATE			    NOT NULL,
+  source_code				  	VARCHAR(50)		NOT NULL,
+  source_concept_id			  	INTEGER			NOT NULL,
+  source_vocabulary_id			VARCHAR(20)		NOT NULL,
+  source_code_description		VARCHAR(255)	NULL,
+  target_concept_id			  	INTEGER			NOT NULL,
+  target_vocabulary_id			VARCHAR(20)		NOT NULL,
+  valid_start_date			  	DATE			NOT NULL,
+  valid_end_date			    DATE			NOT NULL,
   invalid_reason			    VARCHAR(1)		NULL
 )
 ;
 
 
-
-
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE drug_strength (
-  drug_concept_id				      INTEGER		  NOT NULL,
-  ingredient_concept_id			  INTEGER		  NOT NULL,
-  amount_value					      FLOAT		    NULL,
-  amount_unit_concept_id		  INTEGER		  NULL,
-  numerator_value				      FLOAT		    NULL,
+  drug_concept_id				INTEGER		  NOT NULL,
+  ingredient_concept_id			INTEGER		  NOT NULL,
+  amount_value					FLOAT		  NULL,
+  amount_unit_concept_id		INTEGER		  NULL,
+  numerator_value				FLOAT		  NULL,
   numerator_unit_concept_id		INTEGER		  NULL,
-  denominator_value				    FLOAT		    NULL,
+  denominator_value				FLOAT		  NULL,
   denominator_unit_concept_id	INTEGER		  NULL,
-  box_size						        INTEGER		  NULL,
-  valid_start_date				    DATE		    NOT NULL,
-  valid_end_date				      DATE		    NOT NULL,
-  invalid_reason				      VARCHAR(1)  NULL
-)
-;
-
-
-
-CREATE TABLE cohort_definition (
-  cohort_definition_id				    INTEGER			  NOT NULL,
-  cohort_definition_name			    VARCHAR(255)	NOT NULL,
-  cohort_definition_description		VARCHAR(MAX)	NULL,
-  definition_type_concept_id		  INTEGER			  NOT NULL,
-  cohort_definition_syntax			  VARCHAR(MAX)	NULL,
-  subject_concept_id				      INTEGER			  NOT NULL,
-  cohort_initiation_date			    DATE			    NULL
-)
-;
-
-
-CREATE TABLE attribute_definition (
-  attribute_definition_id		  INTEGER			  NOT NULL,
-  attribute_name				      VARCHAR(255)	NOT NULL,
-  attribute_description			  VARCHAR(MAX)	NULL,
-  attribute_type_concept_id		INTEGER			  NOT NULL,
-  attribute_syntax				    VARCHAR(MAX)	NULL
+  box_size						INTEGER		  NULL,
+  valid_start_date				DATE		  NOT NULL,
+  valid_end_date				DATE		  NOT NULL,
+  invalid_reason				VARCHAR(1) 	  NULL
 )
 ;
 
@@ -186,22 +170,24 @@ Standardized meta-data
 ***************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE cdm_source
 (
-  cdm_source_name					        VARCHAR(255)	NOT NULL ,
-  cdm_source_abbreviation			    VARCHAR(25)		NULL ,
-  cdm_holder							        VARCHAR(255)	NULL ,
-  source_description					    VARCHAR(MAX)	NULL ,
+  cdm_source_name					VARCHAR(255)	NOT NULL ,
+  cdm_source_abbreviation			VARCHAR(25)		NULL ,
+  cdm_holder						VARCHAR(255)	NULL ,
+  source_description				VARCHAR(MAX)	NULL ,
   source_documentation_reference	VARCHAR(255)	NULL ,
-  cdm_etl_reference					      VARCHAR(255)	NULL ,
-  source_release_date				      DATE			    NULL ,
-  cdm_release_date					      DATE			    NULL ,
-  cdm_version						          VARCHAR(10)		NULL ,
-  vocabulary_version					    VARCHAR(20)		NULL
+  cdm_etl_reference					VARCHAR(255)	NULL ,
+  source_release_date				DATE			NULL ,
+  cdm_release_date					DATE			NULL ,
+  cdm_version						VARCHAR(10)		NULL ,
+  vocabulary_version				VARCHAR(20)		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE metadata
 (
   metadata_concept_id       INTEGER       NOT NULL ,
@@ -210,10 +196,14 @@ CREATE TABLE metadata
   value_as_string           VARCHAR(MAX)  NULL ,
   value_as_concept_id       INTEGER       NULL ,
   metadata_date             DATE          NULL ,
-  metadata_datetime         DATETIME2      NULL
+  metadata_datetime         DATETIME2     NULL
 )
 ;
 
+INSERT INTO metadata (metadata_concept_id, metadata_type_concept_id, name, value_as_string, value_as_concept_id, metadata_date, metadata_datetime) --Added cdm version record
+VALUES (0,0,'CDM Version', '6.0',0,NULL,NULL)
+;
+
 
 /************************
 
@@ -221,27 +211,29 @@ Standardized clinical data
 
 ************************/
 
+
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE person
 (
-  person_id						        INTEGER	  	NOT NULL ,
-  gender_concept_id				    INTEGER	  	NOT NULL ,
+  person_id						      BIGINT	  	NOT NULL , 
+  gender_concept_id				      INTEGER	  	NOT NULL ,
   year_of_birth					      INTEGER	  	NOT NULL ,
   month_of_birth				      INTEGER	  	NULL,
   day_of_birth					      INTEGER	  	NULL,
-  birth_datetime				      DATETIME2	  NULL,
-  race_concept_id				      INTEGER		  NOT NULL,
-  ethnicity_concept_id			  INTEGER	  	NOT NULL,
-  location_id					        INTEGER		  NULL,
-  provider_id					        INTEGER		  NULL,
-  care_site_id					      INTEGER		  NULL,
-  person_source_value			    VARCHAR(50) NULL,
-  gender_source_value			    VARCHAR(50) NULL,
-  gender_source_concept_id	  INTEGER		  NULL,
-  race_source_value				    VARCHAR(50) NULL,
-  race_source_concept_id		  INTEGER		  NULL,
-  ethnicity_source_value		  VARCHAR(50) NULL,
-  ethnicity_source_concept_id	INTEGER		  NULL
+  birth_datetime				      DATETIME2	  	NULL,
+  death_datetime					  DATETIME2		NULL,
+  race_concept_id				      INTEGER		NOT NULL,
+  ethnicity_concept_id			  	  INTEGER	  	NOT NULL,
+  location_id					      BIGINT		NULL,
+  provider_id					      BIGINT		NULL,
+  care_site_id					      BIGINT		NULL,
+  person_source_value			      VARCHAR(50)   NULL,
+  gender_source_value			      VARCHAR(50)   NULL,
+  gender_source_concept_id	  		  INTEGER		NOT NULL,
+  race_source_value				      VARCHAR(50)   NULL,
+  race_source_concept_id		      INTEGER		NOT NULL,
+  ethnicity_source_value		  	  VARCHAR(50)   NULL,
+  ethnicity_source_concept_id		  INTEGER		NOT NULL
 )
 ;
 
@@ -249,11 +241,11 @@ CREATE TABLE person
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation_period
 (
-  observation_period_id				      INTEGER		NOT NULL ,
-  person_id							            INTEGER		NOT NULL ,
-  observation_period_start_date		  DATE		  NOT NULL ,
-  observation_period_end_date		    DATE		  NOT NULL ,
-  period_type_concept_id			      INTEGER		NOT NULL
+  observation_period_id				  BIGINT		NOT NULL ,
+  person_id							  BIGINT		NOT NULL ,
+  observation_period_start_date		  DATE		  	NOT NULL ,
+  observation_period_end_date		  DATE		  	NOT NULL ,
+  period_type_concept_id			  INTEGER		NOT NULL
 )
 ;
 
@@ -261,35 +253,21 @@ CREATE TABLE observation_period
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE specimen
 (
-  specimen_id						      INTEGER			NOT NULL ,
-  person_id							      INTEGER			NOT NULL ,
-  specimen_concept_id				  INTEGER			NOT NULL ,
+  specimen_id					BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  specimen_concept_id			INTEGER			NOT NULL ,
   specimen_type_concept_id		INTEGER			NOT NULL ,
-  specimen_date						    DATE			  NOT NULL ,
-  specimen_datetime					  DATETIME2		NULL ,
-  quantity							      FLOAT			  NULL ,
-  unit_concept_id					    INTEGER			NULL ,
-  anatomic_site_concept_id		INTEGER			NULL ,
-  disease_status_concept_id		INTEGER			NULL ,
-  specimen_source_id				  VARCHAR(50)	NULL ,
-  specimen_source_value				VARCHAR(50)	NULL ,
-  unit_source_value					  VARCHAR(50)	NULL ,
-  anatomic_site_source_value	VARCHAR(50)	NULL ,
-  disease_status_source_value VARCHAR(50)	NULL
-)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(person_id)
-CREATE TABLE death
-(
-  person_id							  INTEGER			NOT NULL ,
-  death_date							DATE			  NOT NULL ,
-  death_datetime					DATETIME2		NULL ,
-  death_type_concept_id   INTEGER			NOT NULL ,
-  cause_concept_id			  INTEGER			NULL ,
-  cause_source_value			VARCHAR(50)	NULL,
-  cause_source_concept_id INTEGER			NULL
+  specimen_date					DATE			NULL ,
+  specimen_datetime				DATETIME2		NOT NULL ,
+  quantity						FLOAT			NULL ,
+  unit_concept_id				INTEGER			NULL ,
+  anatomic_site_concept_id		INTEGER			NOT NULL ,
+  disease_status_concept_id		INTEGER			NOT NULL ,
+  specimen_source_id			VARCHAR(50)		NULL ,
+  specimen_source_value			VARCHAR(50)		NULL ,
+  unit_source_value				VARCHAR(50)		NULL ,
+  anatomic_site_source_value	VARCHAR(50)		NULL ,
+  disease_status_source_value	VARCHAR(50)		NULL
 )
 ;
 
@@ -297,23 +275,23 @@ CREATE TABLE death
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_occurrence
 (
-  visit_occurrence_id			      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  visit_concept_id				      INTEGER			NOT NULL ,
-  visit_start_date				      DATE			  NOT NULL ,
-  visit_start_datetime				  DATETIME2		NULL ,
-  visit_end_date					      DATE			  NOT NULL ,
-  visit_end_datetime					  DATETIME2		NULL ,
-  visit_type_concept_id			    INTEGER			NOT NULL ,
-  provider_id					          INTEGER			NULL,
-  care_site_id					        INTEGER			NULL,
-  visit_source_value				    VARCHAR(50)	NULL,
-  visit_source_concept_id		    INTEGER			NULL ,
-  admitting_source_concept_id	  INTEGER			NULL ,
-  admitting_source_value		    VARCHAR(50)	NULL ,
-  discharge_to_concept_id		    INTEGER   	NULL ,
-  discharge_to_source_value		  VARCHAR(50)	NULL ,
-  preceding_visit_occurrence_id	INTEGER			NULL
+  visit_occurrence_id			BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  visit_concept_id				INTEGER			NOT NULL ,
+  visit_start_date				DATE			NULL ,
+  visit_start_datetime			DATETIME2		NOT NULL ,
+  visit_end_date				DATE			NULL ,
+  visit_end_datetime			DATETIME2		NOT NULL ,
+  visit_type_concept_id			INTEGER			NOT NULL ,
+  provider_id					BIGINT			NULL,
+  care_site_id					BIGINT			NULL,
+  visit_source_value			VARCHAR(50)		NULL,
+  visit_source_concept_id		INTEGER			NOT NULL ,
+  admitted_from_concept_id      INTEGER     	NOT NULL ,   
+  admitted_from_source_value    VARCHAR(50) 	NULL ,
+  discharge_to_source_value		VARCHAR(50)		NULL ,
+  discharge_to_concept_id		INTEGER   		NOT NULL ,
+  preceding_visit_occurrence_id	BIGINT			NULL
 )
 ;
 
@@ -321,25 +299,25 @@ CREATE TABLE visit_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE visit_detail
 (
-  visit_detail_id                    INTEGER     NOT NULL ,
-  person_id                          INTEGER     NOT NULL ,
+  visit_detail_id                    BIGINT      NOT NULL ,
+  person_id                          BIGINT      NOT NULL ,
   visit_detail_concept_id            INTEGER     NOT NULL ,
-  visit_detail_start_date            DATE        NOT NULL ,
-  visit_detail_start_datetime        DATETIME2    NULL ,
-  visit_detail_end_date              DATE        NOT NULL ,
-  visit_detail_end_datetime          DATETIME2    NULL ,
+  visit_detail_start_date            DATE        NULL ,
+  visit_detail_start_datetime        DATETIME2   NOT NULL ,
+  visit_detail_end_date              DATE        NULL ,
+  visit_detail_end_datetime          DATETIME2   NOT NULL ,
   visit_detail_type_concept_id       INTEGER     NOT NULL ,
-  provider_id                        INTEGER     NULL ,
-  care_site_id                       INTEGER     NULL ,
-  admitting_source_concept_id        INTEGER     NULL ,
-  discharge_to_concept_id            INTEGER     NULL ,
-  preceding_visit_detail_id          INTEGER     NULL ,
+  provider_id                        BIGINT      NULL ,
+  care_site_id                       BIGINT      NULL ,
+  discharge_to_concept_id            INTEGER     NOT NULL ,
+  admitted_from_concept_id           INTEGER     NOT NULL , 
+  admitted_from_source_value         VARCHAR(50) NULL ,
   visit_detail_source_value          VARCHAR(50) NULL ,
-  visit_detail_source_concept_id     INTEGER     NULL ,
-  admitting_source_value             VARCHAR(50) NULL ,
+  visit_detail_source_concept_id     INTEGER     NOT NULL ,
   discharge_to_source_value          VARCHAR(50) NULL ,
-  visit_detail_parent_id             INTEGER     NULL ,
-  visit_occurrence_id                INTEGER     NOT NULL
+  preceding_visit_detail_id          BIGINT      NULL ,
+  visit_detail_parent_id             BIGINT      NULL ,
+  visit_occurrence_id                BIGINT      NOT NULL
 )
 ;
 
@@ -347,20 +325,20 @@ CREATE TABLE visit_detail
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE procedure_occurrence
 (
-  procedure_occurrence_id		  INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  procedure_concept_id			  INTEGER			NOT NULL ,
-  procedure_date				      DATE			  NOT NULL ,
-  procedure_datetime			    DATETIME2		NULL ,
+  procedure_occurrence_id		BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  procedure_concept_id			INTEGER			NOT NULL ,
+  procedure_date				DATE			NULL ,
+  procedure_datetime			DATETIME2		NOT NULL ,
   procedure_type_concept_id		INTEGER			NOT NULL ,
-  modifier_concept_id			    INTEGER			NULL ,
-  quantity						        INTEGER			NULL ,
-  provider_id					        INTEGER			NULL ,
-  visit_occurrence_id			    INTEGER			NULL ,
-  visit_detail_id             INTEGER     NULL ,
-  procedure_source_value		  VARCHAR(50)	NULL ,
-  procedure_source_concept_id	INTEGER			NULL ,
-  modifier_source_value		   VARCHAR(50)	NULL
+  modifier_concept_id			INTEGER			NOT NULL ,
+  quantity						INTEGER			NULL ,
+  provider_id					BIGINT			NULL ,
+  visit_occurrence_id			BIGINT			NULL ,
+  visit_detail_id             	BIGINT      	NULL ,
+  procedure_source_value		VARCHAR(50)		NULL ,
+  procedure_source_concept_id	INTEGER			NOT NULL ,
+  modifier_source_value		    VARCHAR(50)		NULL 
 )
 ;
 
@@ -368,29 +346,29 @@ CREATE TABLE procedure_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_exposure
 (
-  drug_exposure_id				      INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  drug_concept_id				        INTEGER			  NOT NULL ,
-  drug_exposure_start_date		  DATE			    NOT NULL ,
-  drug_exposure_start_datetime  DATETIME2		  NULL ,
-  drug_exposure_end_date		    DATE			    NOT NULL ,
-  drug_exposure_end_datetime	  DATETIME2		  NULL ,
-  verbatim_end_date				      DATE			    NULL ,
-  drug_type_concept_id			    INTEGER			  NOT NULL ,
-  stop_reason					          VARCHAR(20)		NULL ,
-  refills						            INTEGER		  	NULL ,
-  quantity						          FLOAT			    NULL ,
-  days_supply					          INTEGER		  	NULL ,
-  sig							              VARCHAR(MAX)	NULL ,
-  route_concept_id				      INTEGER			  NULL ,
-  lot_number					          VARCHAR(50)	  NULL ,
-  provider_id					          INTEGER			  NULL ,
-  visit_occurrence_id			      INTEGER			  NULL ,
-  visit_detail_id               INTEGER       NULL ,
-  drug_source_value				      VARCHAR(50)	  NULL ,
-  drug_source_concept_id		    INTEGER			  NULL ,
-  route_source_value			      VARCHAR(50)	  NULL ,
-  dose_unit_source_value		    VARCHAR(50)	  NULL
+  drug_exposure_id				BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  drug_concept_id				INTEGER			NOT NULL ,
+  drug_exposure_start_date		DATE			NULL ,
+  drug_exposure_start_datetime	DATETIME2		NOT NULL ,
+  drug_exposure_end_date		DATE			NULL ,
+  drug_exposure_end_datetime	DATETIME2		NOT NULL ,
+  verbatim_end_date				DATE			NULL ,
+  drug_type_concept_id			INTEGER			NOT NULL ,
+  stop_reason					VARCHAR(20)		NULL ,
+  refills						INTEGER		  	NULL ,
+  quantity						FLOAT			NULL ,
+  days_supply					INTEGER		  	NULL ,
+  sig							VARCHAR(MAX)	NULL ,
+  route_concept_id				INTEGER			NOT NULL ,
+  lot_number					VARCHAR(50)	  	NULL ,
+  provider_id					BIGINT			NULL ,
+  visit_occurrence_id			BIGINT			NULL ,
+  visit_detail_id               BIGINT       	NULL ,
+  drug_source_value				VARCHAR(50)	  	NULL ,
+  drug_source_concept_id		INTEGER			NOT NULL ,
+  route_source_value			VARCHAR(50)		NULL ,
+  dose_unit_source_value		VARCHAR(50)	  	NULL
 )
 ;
 
@@ -398,21 +376,21 @@ CREATE TABLE drug_exposure
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE device_exposure
 (
-  device_exposure_id			        INTEGER		  	NOT NULL ,
-  person_id						            INTEGER			  NOT NULL ,
-  device_concept_id			        	INTEGER			  NOT NULL ,
-  device_exposure_start_date	    DATE			    NOT NULL ,
-  device_exposure_start_datetime  DATETIME2		  NULL ,
-  device_exposure_end_date		    DATE			    NULL ,
-  device_exposure_end_datetime    DATETIME2		  NULL ,
-  device_type_concept_id		      INTEGER			  NOT NULL ,
-  unique_device_id			        	VARCHAR(50)		NULL ,
-  quantity						            INTEGER			  NULL ,
-  provider_id					            INTEGER			  NULL ,
-  visit_occurrence_id			        INTEGER			  NULL ,
-  visit_detail_id                 INTEGER       NULL ,
-  device_source_value			        VARCHAR(100)	NULL ,
-  device_source_concept_id		    INTEGER			  NULL
+  device_exposure_id			  BIGINT		NOT NULL ,
+  person_id						  BIGINT		NOT NULL ,
+  device_concept_id			      INTEGER		NOT NULL ,
+  device_exposure_start_date	  DATE			NULL ,
+  device_exposure_start_datetime  DATETIME2		NOT NULL ,
+  device_exposure_end_date		  DATE			NULL ,
+  device_exposure_end_datetime    DATETIME2		NULL ,
+  device_type_concept_id		  INTEGER		NOT NULL ,
+  unique_device_id			      VARCHAR(50)	NULL ,
+  quantity						  INTEGER		NULL ,
+  provider_id					  BIGINT		NULL ,
+  visit_occurrence_id			  BIGINT		NULL ,
+  visit_detail_id                 BIGINT        NULL ,
+  device_source_value			  VARCHAR(100)	NULL ,
+  device_source_concept_id		  INTEGER		NOT NULL
 )
 ;
 
@@ -420,22 +398,22 @@ CREATE TABLE device_exposure
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_occurrence
 (
-  condition_occurrence_id		    INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  condition_concept_id			    INTEGER			NOT NULL ,
-  condition_start_date			    DATE			  NOT NULL ,
-  condition_start_datetime		  DATETIME2		NULL ,
-  condition_end_date			      DATE			  NULL ,
-  condition_end_datetime		    DATETIME2		NULL ,
-  condition_type_concept_id		  INTEGER			NOT NULL ,
-  stop_reason					          VARCHAR(20)	NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  condition_source_value		    VARCHAR(50)	NULL ,
-  condition_source_concept_id	  INTEGER			NULL ,
-  condition_status_source_value	VARCHAR(50)	NULL ,
-  condition_status_concept_id	  INTEGER			NULL
+  condition_occurrence_id		BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  condition_concept_id			INTEGER			NOT NULL ,
+  condition_start_date			DATE			NULL ,
+  condition_start_datetime		DATETIME2		NOT NULL ,
+  condition_end_date			DATE			NULL ,
+  condition_end_datetime		DATETIME2		NULL ,
+  condition_type_concept_id		INTEGER			NOT NULL ,
+  condition_status_concept_id	INTEGER			NOT NULL ,
+  stop_reason					VARCHAR(20)		NULL ,
+  provider_id					BIGINT			NULL ,
+  visit_occurrence_id			BIGINT			NULL ,
+  visit_detail_id               BIGINT     		NULL ,
+  condition_source_value		VARCHAR(50)		NULL ,
+  condition_source_concept_id	INTEGER			NOT NULL ,
+  condition_status_source_value	VARCHAR(50)		NULL
 )
 ;
 
@@ -443,26 +421,26 @@ CREATE TABLE condition_occurrence
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE measurement
 (
-  measurement_id				        INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  measurement_concept_id		    INTEGER			NOT NULL ,
-  measurement_date				      DATE			  NOT NULL ,
-  measurement_datetime			    DATETIME2		NULL ,
-  measurement_time              VARCHAR(10) NULL,
-  measurement_type_concept_id	  INTEGER			NOT NULL ,
-  operator_concept_id			      INTEGER			NULL ,
-  value_as_number				        FLOAT			  NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  range_low					          	FLOAT			  NULL ,
-  range_high					          FLOAT			  NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  measurement_source_value		  VARCHAR(50)	NULL ,
-  measurement_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  value_source_value			      VARCHAR(50)	NULL
+  measurement_id				BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  measurement_concept_id		INTEGER			NOT NULL ,
+  measurement_date				DATE			NULL ,
+  measurement_datetime			DATETIME2		NOT NULL ,
+  measurement_time              VARCHAR(10) 	NULL,
+  measurement_type_concept_id	INTEGER			NOT NULL ,
+  operator_concept_id			INTEGER			NULL ,
+  value_as_number				FLOAT			NULL ,
+  value_as_concept_id			INTEGER			NULL ,
+  unit_concept_id				INTEGER			NULL ,
+  range_low					    FLOAT			NULL ,
+  range_high					FLOAT			NULL ,
+  provider_id					BIGINT			NULL ,
+  visit_occurrence_id			BIGINT			NULL ,
+  visit_detail_id               BIGINT	     	NULL ,
+  measurement_source_value		VARCHAR(50)		NULL ,
+  measurement_source_concept_id	INTEGER			NOT NULL ,
+  unit_source_value				VARCHAR(50)		NULL ,
+  value_source_value			VARCHAR(50)		NULL
 )
 ;
 
@@ -470,41 +448,43 @@ CREATE TABLE measurement
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE note
 (
-  note_id						    INTEGER			  NOT NULL ,
-  person_id						  INTEGER			  NOT NULL ,
-  note_date						  DATE			    NOT NULL ,
-  note_datetime					DATETIME2		  NULL ,
-  note_type_concept_id	INTEGER			  NOT NULL ,
-  note_class_concept_id INTEGER			  NOT NULL ,
-  note_title					  VARCHAR(250)	NULL ,
-  note_text						  VARCHAR(MAX)  NULL ,
-  encoding_concept_id		INTEGER			  NOT NULL ,
-  language_concept_id		INTEGER			  NOT NULL ,
-  provider_id					  INTEGER			  NULL ,
-  visit_occurrence_id		INTEGER			  NULL ,
-  visit_detail_id       INTEGER       NULL ,
-  note_source_value			VARCHAR(50)		NULL
+  note_id						BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  note_event_id         		BIGINT        	NULL , 
+  note_event_field_concept_id	INTEGER 		NOT NULL , 
+  note_date						DATE			NULL ,
+  note_datetime					DATETIME2		NOT NULL ,
+  note_type_concept_id			INTEGER			NOT NULL ,
+  note_class_concept_id 		INTEGER			NOT NULL ,
+  note_title					VARCHAR(250)	NULL ,
+  note_text						VARCHAR(MAX)    NULL ,
+  encoding_concept_id			INTEGER			NOT NULL ,
+  language_concept_id			INTEGER			NOT NULL ,
+  provider_id					BIGINT			NULL ,
+  visit_occurrence_id			BIGINT			NULL ,
+  visit_detail_id       		BIGINT       	NULL ,
+  note_source_value				VARCHAR(50)		NULL
 )
 ;
 
 
-
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE note_nlp
 (
-  note_nlp_id					        INTEGER			  NOT NULL ,
-  note_id						          INTEGER			  NOT NULL ,
-  section_concept_id			    INTEGER			  NULL ,
-  snippet						          VARCHAR(250)	NULL ,
-  "offset"					          VARCHAR(250)	NULL ,
-  lexical_variant				      VARCHAR(250)	NOT NULL ,
-  note_nlp_concept_id			    INTEGER			  NULL ,
-  note_nlp_source_concept_id  INTEGER			  NULL ,
-  nlp_system					        VARCHAR(250)	NULL ,
-  nlp_date						        DATE			    NOT NULL ,
-  nlp_datetime					      DATETIME2		  NULL ,
-  term_exists					        VARCHAR(1)		NULL ,
-  term_temporal					      VARCHAR(50)		NULL ,
-  term_modifiers				      VARCHAR(2000)	NULL
+  note_nlp_id					BIGINT			NOT NULL ,
+  note_id						BIGINT			NOT NULL ,
+  section_concept_id			INTEGER			NOT NULL ,
+  snippet						VARCHAR(250)	NULL ,
+  "offset"					    VARCHAR(250)	NULL ,
+  lexical_variant				VARCHAR(250)	NOT NULL ,
+  note_nlp_concept_id			INTEGER			NOT NULL ,
+  nlp_system					VARCHAR(250)	NULL ,
+  nlp_date						DATE			NOT NULL ,
+  nlp_datetime					DATETIME2		NULL ,
+  term_exists					VARCHAR(1)		NULL ,
+  term_temporal					VARCHAR(50)		NULL ,
+  term_modifiers				VARCHAR(2000)	NULL ,
+  note_nlp_source_concept_id	INTEGER			NOT NULL
 )
 ;
 
@@ -512,34 +492,70 @@ CREATE TABLE note_nlp
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE observation
 (
-  observation_id					      INTEGER			NOT NULL ,
-  person_id						          INTEGER			NOT NULL ,
-  observation_concept_id			  INTEGER			NOT NULL ,
-  observation_date				      DATE			  NOT NULL ,
-  observation_datetime				  DATETIME2		NULL ,
-  observation_type_concept_id	  INTEGER			NOT NULL ,
-  value_as_number				        FLOAT			  NULL ,
-  value_as_string				        VARCHAR(60)	NULL ,
-  value_as_concept_id			      INTEGER			NULL ,
+  observation_id					BIGINT			NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
+  observation_concept_id			INTEGER			NOT NULL ,
+  observation_date				    DATE			NULL ,
+  observation_datetime				DATETIME2		NOT NULL ,
+  observation_type_concept_id	    INTEGER			NOT NULL ,
+  value_as_number				    FLOAT			NULL ,
+  value_as_string				    VARCHAR(60)		NULL ,
+  value_as_concept_id			    INTEGER			NULL ,
   qualifier_concept_id			    INTEGER			NULL ,
-  unit_concept_id				        INTEGER			NULL ,
-  provider_id					          INTEGER			NULL ,
-  visit_occurrence_id			      INTEGER			NULL ,
-  visit_detail_id               INTEGER     NULL ,
-  observation_source_value		  VARCHAR(50)	NULL ,
-  observation_source_concept_id	INTEGER			NULL ,
-  unit_source_value				      VARCHAR(50)	NULL ,
-  qualifier_source_value			  VARCHAR(50)	NULL
+  unit_concept_id				   	INTEGER			NULL ,
+  provider_id					    INTEGER			NULL ,
+  visit_occurrence_id			    BIGINT			NULL ,
+  visit_detail_id               	BIGINT      	NULL ,
+  observation_source_value		  	VARCHAR(50)		NULL ,
+  observation_source_concept_id		INTEGER			NOT NULL ,
+  unit_source_value				    VARCHAR(50)		NULL ,
+  qualifier_source_value			VARCHAR(50)		NULL ,
+  observation_event_id				BIGINT			NULL , 
+  obs_event_field_concept_id		INTEGER			NOT NULL , 
+  value_as_datetime					DATETIME2		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON KEY(person_id)
+CREATE TABLE survey_conduct
+(
+  survey_conduct_id					BIGINT			NOT NULL ,
+  person_id						    BIGINT			NOT NULL ,
+  survey_concept_id			  		INTEGER			NOT NULL ,
+  survey_start_date				    DATE			NULL ,
+  survey_start_datetime				DATETIME2		NULL ,
+  survey_end_date					DATE			NULL ,
+  survey_end_datetime				DATETIME2		NOT NULL ,
+  provider_id						BIGINT			NULL ,
+  assisted_concept_id	  			INTEGER			NOT NULL ,
+  respondent_type_concept_id		INTEGER			NOT NULL ,
+  timing_concept_id					INTEGER			NOT NULL ,
+  collection_method_concept_id		INTEGER			NOT NULL ,
+  assisted_source_value		  		VARCHAR(50)		NULL ,
+  respondent_type_source_value		VARCHAR(100)  	NULL ,
+  timing_source_value				VARCHAR(100)	NULL ,
+  collection_method_source_value	VARCHAR(100)	NULL ,
+  survey_source_value				VARCHAR(100)	NULL ,
+  survey_source_concept_id			INTEGER			NOT NULL ,
+  survey_source_identifier			VARCHAR(100)	NULL ,
+  validated_survey_concept_id		INTEGER			NOT NULL ,
+  validated_survey_source_value		VARCHAR(100)	NULL ,
+  survey_version_number				VARCHAR(20)		NULL ,
+  visit_occurrence_id				BIGINT			NULL ,
+  visit_detail_id					BIGINT			NULL ,
+  response_visit_occurrence_id		BIGINT			NULL
+)
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE fact_relationship
 (
-  domain_concept_id_1			INTEGER			NOT NULL ,
-  fact_id_1						    INTEGER			NOT NULL ,
-  domain_concept_id_2			INTEGER			NOT NULL ,
-  fact_id_2						    INTEGER			NOT NULL ,
+  domain_concept_id_1		INTEGER			NOT NULL ,
+  fact_id_1					BIGINT			NOT NULL ,
+  domain_concept_id_2		INTEGER			NOT NULL ,
+  fact_id_2					BIGINT			NOT NULL ,
   relationship_concept_id	INTEGER			NOT NULL
 )
 ;
@@ -553,47 +569,67 @@ Standardized health system data
 ************************/
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE location
 (
-  location_id					  INTEGER			  NOT NULL ,
-  address_1						  VARCHAR(50)		NULL ,
-  address_2						  VARCHAR(50)		NULL ,
-  city							    VARCHAR(50)		NULL ,
-  state							    VARCHAR(2)		NULL ,
-  zip							      VARCHAR(9)		NULL ,
-  county							  VARCHAR(20)		NULL ,
-  location_source_value VARCHAR(50)		NULL
+  location_id			BIGINT			NOT NULL ,
+  address_1				VARCHAR(50)		NULL ,
+  address_2				VARCHAR(50)		NULL ,
+  city					VARCHAR(50)		NULL ,
+  state					VARCHAR(2)		NULL ,
+  zip					VARCHAR(9)		NULL ,
+  county				VARCHAR(20)		NULL ,
+  country				VARCHAR(100)	NULL ,
+  location_source_value VARCHAR(50)		NULL ,
+  latitude				FLOAT			NULL ,
+  longitude				FLOAT			NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
+CREATE TABLE location_history 
+(
+  location_history_id           BIGINT      	NOT NULL ,
+  location_id			        BIGINT		  	NOT NULL ,
+  relationship_type_concept_id	INTEGER		  	NOT NULL ,  
+  domain_id				        VARCHAR(50) 	NOT NULL ,
+  entity_id				        BIGINT			NOT NULL ,
+  start_date			        DATE			NOT NULL ,
+  end_date				        DATE			NULL
+)
+;
+
+
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE care_site
 (
-  care_site_id						      INTEGER			  NOT NULL ,
-  care_site_name						    VARCHAR(255)  NULL ,
-  place_of_service_concept_id	  INTEGER			  NULL ,
-  location_id						        INTEGER			  NULL ,
-  care_site_source_value			  VARCHAR(50)		NULL ,
-  place_of_service_source_value VARCHAR(50)		NULL
+  care_site_id						BIGINT			NOT NULL ,
+  care_site_name					VARCHAR(255)	NULL ,
+  place_of_service_concept_id	  	INTEGER			NOT NULL ,
+  location_id						BIGINT			NULL ,
+  care_site_source_value			VARCHAR(50)		NULL ,
+  place_of_service_source_value 	VARCHAR(50)		NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON RANDOM
 CREATE TABLE provider
 (
-  provider_id					        INTEGER			  NOT NULL ,
-  provider_name					      VARCHAR(255)	NULL ,
-  NPI							            VARCHAR(20)		NULL ,
-  DEA							            VARCHAR(20)		NULL ,
-  specialty_concept_id			  INTEGER			  NULL ,
-  care_site_id					      INTEGER			  NULL ,
-  year_of_birth					      INTEGER			  NULL ,
-  gender_concept_id				    INTEGER			  NULL ,
-  provider_source_value			  VARCHAR(50)		NULL ,
-  specialty_source_value			VARCHAR(50)		NULL ,
-  specialty_source_concept_id	INTEGER			  NULL ,
-  gender_source_value			    VARCHAR(50)		NULL ,
-  gender_source_concept_id		INTEGER			  NULL
+  provider_id					BIGINT			NOT NULL ,
+  provider_name					VARCHAR(255)	NULL ,
+  NPI							VARCHAR(20)		NULL ,
+  DEA							VARCHAR(20)		NULL ,
+  specialty_concept_id			INTEGER			NOT NULL ,
+  care_site_id					BIGINT			NULL ,
+  year_of_birth					INTEGER			NULL ,
+  gender_concept_id				INTEGER			NOT NULL ,
+  provider_source_value			VARCHAR(50)		NULL ,
+  specialty_source_value		VARCHAR(50)		NULL ,
+  specialty_source_concept_id	INTEGER			NOT NULL ,
+  gender_source_value			VARCHAR(50)		NULL ,
+  gender_source_concept_id		INTEGER			NOT NULL
 )
 ;
 
@@ -608,51 +644,52 @@ Standardized health economics
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE payer_plan_period
 (
-  payer_plan_period_id			    INTEGER			  NOT NULL ,
-  person_id						          INTEGER			  NOT NULL ,
-  payer_plan_period_start_date  DATE			    NOT NULL ,
-  payer_plan_period_end_date		DATE			    NOT NULL ,
-  payer_concept_id              INTEGER       NULL ,
-  payer_source_value				    VARCHAR(50)	  NULL ,
-  payer_source_concept_id       INTEGER       NULL ,
-  plan_concept_id               INTEGER       NULL ,
-  plan_source_value				      VARCHAR(50)	  NULL ,
-  plan_source_concept_id        INTEGER       NULL ,
-  sponsor_concept_id            INTEGER       NULL ,
-  sponsor_source_value          VARCHAR(50)   NULL ,
-  sponsor_source_concept_id     INTEGER       NULL ,
-  family_source_value			      VARCHAR(50)	  NULL ,
-  stop_reason_concept_id        INTEGER       NULL ,
-  stop_reason_source_value      VARCHAR(50)      NULL ,
-  stop_reason_source_concept_id INTEGER       NULL
+  payer_plan_period_id			BIGINT			NOT NULL ,
+  person_id						BIGINT			NOT NULL ,
+  contract_person_id            BIGINT        	NULL ,
+  payer_plan_period_start_date  DATE			NOT NULL ,
+  payer_plan_period_end_date	DATE			NOT NULL ,
+  payer_concept_id              INTEGER       	NOT NULL ,
+  plan_concept_id               INTEGER       	NOT NULL ,
+  contract_concept_id           INTEGER       	NOT NULL ,
+  sponsor_concept_id            INTEGER       	NOT NULL ,
+  stop_reason_concept_id        INTEGER       	NOT NULL ,
+  payer_source_value			VARCHAR(50)	  	NULL ,
+  payer_source_concept_id       INTEGER       	NOT NULL ,
+  plan_source_value				VARCHAR(50)	  	NULL ,
+  plan_source_concept_id        INTEGER       	NOT NULL ,
+  contract_source_value         VARCHAR(50)   	NULL ,
+  contract_source_concept_id    INTEGER       	NOT NULL ,
+  sponsor_source_value          VARCHAR(50)   	NULL ,
+  sponsor_source_concept_id     INTEGER       	NOT NULL ,
+  family_source_value			VARCHAR(50)	  	NULL ,
+  stop_reason_source_value      VARCHAR(50)   	NULL ,
+  stop_reason_source_concept_id INTEGER       	NOT NULL
 )
 ;
 
 
+--HINT DISTRIBUTE ON KEY(person_id)
 CREATE TABLE cost
 (
-  cost_id					          INTEGER	    NOT NULL ,
-  cost_event_id             INTEGER     NOT NULL ,
-  cost_domain_id            VARCHAR(20) NOT NULL ,
-  cost_type_concept_id      INTEGER     NOT NULL ,
-  currency_concept_id			  INTEGER			NULL ,
-  total_charge						  FLOAT			  NULL ,
-  total_cost						    FLOAT			  NULL ,
-  total_paid						    FLOAT			  NULL ,
-  paid_by_payer					    FLOAT			  NULL ,
-  paid_by_patient						FLOAT			  NULL ,
-  paid_patient_copay				FLOAT			  NULL ,
-  paid_patient_coinsurance  FLOAT			  NULL ,
-  paid_patient_deductible		FLOAT			  NULL ,
-  paid_by_primary						FLOAT			  NULL ,
-  paid_ingredient_cost			FLOAT			  NULL ,
-  paid_dispensing_fee				FLOAT			  NULL ,
-  payer_plan_period_id			INTEGER			NULL ,
-  amount_allowed		        FLOAT			  NULL ,
-  revenue_code_concept_id		INTEGER			NULL ,
-  reveue_code_source_value  VARCHAR(50) NULL,
-  drg_concept_id			      INTEGER		  NULL,
-  drg_source_value			    VARCHAR(3)	NULL
+  cost_id						BIGINT	    	NOT NULL ,
+  person_id						BIGINT		  	NOT NULL,
+  cost_event_id					BIGINT      	NOT NULL ,
+  cost_event_field_concept_id	INTEGER			NOT NULL , 
+  cost_concept_id				INTEGER		  	NOT NULL ,
+  cost_type_concept_id		  	INTEGER     	NOT NULL ,
+  currency_concept_id			INTEGER		  	NOT NULL ,
+  cost							FLOAT		    NULL ,
+  incurred_date					DATE		    NOT NULL ,
+  billed_date					DATE		    NULL ,
+  paid_date						DATE		    NULL ,
+  revenue_code_concept_id		INTEGER		  	NOT NULL ,
+  drg_concept_id			    INTEGER		  	NOT NULL ,
+  cost_source_value				VARCHAR(50)		NULL ,
+  cost_source_concept_id	  	INTEGER		  	NOT NULL ,
+  revenue_code_source_value		VARCHAR(50) 	NULL ,
+  drg_source_value			    VARCHAR(3)		NULL ,
+  payer_plan_period_id			BIGINT			NULL
 )
 ;
 
@@ -664,41 +701,16 @@ Standardized derived elements
 ************************/
 
 
---HINT DISTRIBUTE_ON_KEY(subject_id)
-CREATE TABLE cohort
-(
-  cohort_definition_id	INTEGER		NOT NULL ,
-  subject_id						INTEGER		NOT NULL ,
-  cohort_start_date			DATE			NOT NULL ,
-  cohort_end_date				DATE			NOT NULL
-)
-;
-
-
---HINT DISTRIBUTE_ON_KEY(subject_id)
-CREATE TABLE cohort_attribute
-(
-  cohort_definition_id		INTEGER		NOT NULL ,
-  subject_id						  INTEGER		NOT NULL ,
-  cohort_start_date				DATE			NOT NULL ,
-  cohort_end_date				  DATE			NOT NULL ,
-  attribute_definition_id INTEGER		NOT NULL ,
-  value_as_number				  FLOAT			NULL ,
-  value_as_concept_id			INTEGER		NULL
-)
-;
-
-
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE drug_era
 (
-  drug_era_id					INTEGER			NOT NULL ,
-  person_id						INTEGER			NOT NULL ,
+  drug_era_id				BIGINT			NOT NULL ,
+  person_id					BIGINT			NOT NULL ,
   drug_concept_id			INTEGER			NOT NULL ,
-  drug_era_start_date	DATE			  NOT NULL ,
-  drug_era_end_date		DATE			  NOT NULL ,
-  drug_exposure_count	INTEGER			NULL ,
-  gap_days						INTEGER			NULL
+  drug_era_start_datetime	DATETIME2		NOT NULL ,
+  drug_era_end_datetime		DATETIME2		NOT NULL ,
+  drug_exposure_count		INTEGER			NULL ,
+  gap_days					INTEGER			NULL
 )
 ;
 
@@ -706,13 +718,13 @@ CREATE TABLE drug_era
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE dose_era
 (
-  dose_era_id					  INTEGER			NOT NULL ,
-  person_id						  INTEGER			NOT NULL ,
-  drug_concept_id				INTEGER			NOT NULL ,
-  unit_concept_id				INTEGER			NOT NULL ,
-  dose_value						FLOAT			  NOT NULL ,
-  dose_era_start_date		DATE			  NOT NULL ,
-  dose_era_end_date	    DATE			  NOT NULL
+  dose_era_id				BIGINT			NOT NULL ,
+  person_id					BIGINT			NOT NULL ,
+  drug_concept_id			INTEGER			NOT NULL ,
+  unit_concept_id			INTEGER			NOT NULL ,
+  dose_value				FLOAT			NOT NULL ,
+  dose_era_start_datetime	DATETIME2		NOT NULL ,
+  dose_era_end_datetime	    DATETIME2		NOT NULL
 )
 ;
 
@@ -720,11 +732,11 @@ CREATE TABLE dose_era
 --HINT DISTRIBUTE_ON_KEY(person_id)
 CREATE TABLE condition_era
 (
-  condition_era_id				    INTEGER			NOT NULL ,
-  person_id						        INTEGER			NOT NULL ,
-  condition_concept_id			  INTEGER			NOT NULL ,
-  condition_era_start_date		DATE			  NOT NULL ,
-  condition_era_end_date			DATE			  NOT NULL ,
-  condition_occurrence_count	INTEGER			NULL
+  condition_era_id					BIGINT			NOT NULL ,
+  person_id							BIGINT			NOT NULL ,
+  condition_concept_id				INTEGER			NOT NULL ,
+  condition_era_start_datetime		DATETIME2		NOT NULL ,
+  condition_era_end_datetime		DATETIME2		NOT NULL ,
+  condition_occurrence_count		INTEGER			NULL
 )
 ;
diff --git a/Sql Server/OMOP CDM sql server indexes.txt b/Sql Server/OMOP CDM sql server pk indexes.txt
similarity index 86%
rename from Sql Server/OMOP CDM sql server indexes.txt
rename to Sql Server/OMOP CDM sql server pk indexes.txt
index 8c4a798..f61b4c1 100644
--- a/Sql Server/OMOP CDM sql server indexes.txt	
+++ b/Sql Server/OMOP CDM sql server pk indexes.txt	
@@ -17,18 +17,18 @@
 
 /************************
 
- ####### #     # ####### ######      #####  ######  #     #           #######      #####     ###
- #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #           #     #     #  #    # #####  ###### #    # ######  ####
- #     # # # # # #     # #     #    #       #     # # # # #    #    # #                 #     #  ##   # #    # #       #  #  #      #
- #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######       #####      #  # #  # #    # #####    ##   #####   ####
- #     # #     # #     # #          #       #     # #     #    #    #       # ###       #     #  #  # # #    # #        ##   #           #
- #     # #     # #     # #          #     # #     # #     #     #  #  #     # ### #     #     #  #   ## #    # #       #  #  #      #    #
- ####### #     # ####### #           #####  ######  #     #      ##    #####  ###  #####     ### #    # #####  ###### #    # ######  ####
+ ####### #     # ####### ######      #####  ######  #     #            #####        ###      ######  #    #      ##       ###
+ #     # ##   ## #     # #     #    #     # #     # ##   ##    #    # #     #      #   #     #     # #   #      #  #       #  #    # #####  #  ####  ######  ####
+ #     # # # # # #     # #     #    #       #     # # # # #    #    # #           #     #    #     # #  #        ##        #  ##   # #    # # #    # #      #
+ #     # #  #  # #     # ######     #       #     # #  #  #    #    # ######      #     #    ######  ###        ###        #  # #  # #    # # #      #####   ####
+ #     # #     # #     # #          #       #     # #     #    #    # #     # ### #     #    #       #  #      #   # #     #  #  # # #    # # #      #           #
+ #     # #     # #     # #          #     # #     # #     #     #  #  #     # ###  #   #     #       #   #     #    #      #  #   ## #    # # #    # #      #    #
+ ####### #     # ####### #           #####  ######  #     #      ##    #####  ###   ###      #       #    #     ###  #    ### #    # #####  #  ####  ######  ####
 
 
-sql server script to create the required indexes within OMOP common data model, version 5.3
+sql server script to create the required primary keys and indices within the OMOP common data model, version 6.0
 
-last revised: 14-November-2017
+last revised: 30-Aug-2017
 
 author:  Patrick Ryan, Clair Blacketer
 
@@ -77,10 +77,6 @@ ALTER TABLE source_to_concept_map ADD CONSTRAINT xpk_source_to_concept_map PRIMA
 
 ALTER TABLE drug_strength ADD CONSTRAINT xpk_drug_strength PRIMARY KEY NONCLUSTERED (drug_concept_id, ingredient_concept_id);
 
-ALTER TABLE cohort_definition ADD CONSTRAINT xpk_cohort_definition PRIMARY KEY NONCLUSTERED (cohort_definition_id);
-
-ALTER TABLE attribute_definition ADD CONSTRAINT xpk_attribute_definition PRIMARY KEY NONCLUSTERED (attribute_definition_id);
-
 
 /**************************
 
@@ -127,7 +123,7 @@ ALTER TABLE note_nlp ADD CONSTRAINT xpk_note_nlp PRIMARY KEY NONCLUSTERED ( note
 
 ALTER TABLE observation  ADD CONSTRAINT xpk_observation PRIMARY KEY NONCLUSTERED ( observation_id ) ;
 
-
+ALTER TABLE survey_conduct ADD CONSTRAINT xpk_survey PRIMARY KEY NONCLUSTERED ( survey_conduct_id ) ;
 
 
 /************************
@@ -139,6 +135,8 @@ Standardized health system data
 
 ALTER TABLE location ADD CONSTRAINT xpk_location PRIMARY KEY NONCLUSTERED ( location_id ) ;
 
+ALTER TABLE location_history ADD CONSTRAINT xpk_location_history PRIMARY KEY NONCLUSTERED ( location_history_id ) ; 
+
 ALTER TABLE care_site ADD CONSTRAINT xpk_care_site PRIMARY KEY NONCLUSTERED ( care_site_id ) ;
 
 ALTER TABLE provider ADD CONSTRAINT xpk_provider PRIMARY KEY NONCLUSTERED ( provider_id ) ;
@@ -163,10 +161,6 @@ Standardized derived elements
 
 ************************/
 
-ALTER TABLE cohort ADD CONSTRAINT xpk_cohort PRIMARY KEY NONCLUSTERED ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date  ) ;
-
-ALTER TABLE cohort_attribute ADD CONSTRAINT xpk_cohort_attribute PRIMARY KEY NONCLUSTERED ( cohort_definition_id, subject_id, cohort_start_date, cohort_end_date, attribute_definition_id ) ;
-
 ALTER TABLE drug_era ADD CONSTRAINT xpk_drug_era PRIMARY KEY NONCLUSTERED ( drug_era_id ) ;
 
 ALTER TABLE dose_era  ADD CONSTRAINT xpk_dose_era PRIMARY KEY NONCLUSTERED ( dose_era_id ) ;
@@ -223,10 +217,6 @@ CREATE INDEX idx_source_to_concept_map_code ON source_to_concept_map (source_cod
 CREATE CLUSTERED INDEX idx_drug_strength_id_1 ON drug_strength (drug_concept_id ASC);
 CREATE INDEX idx_drug_strength_id_2 ON drug_strength (ingredient_concept_id ASC);
 
-CREATE CLUSTERED INDEX idx_cohort_definition_id ON cohort_definition (cohort_definition_id ASC);
-
-CREATE CLUSTERED INDEX idx_attribute_definition_id ON attribute_definition (attribute_definition_id ASC);
-
 
 /**************************
 
@@ -290,6 +280,8 @@ CREATE CLUSTERED INDEX idx_observation_person_id ON observation (person_id ASC);
 CREATE INDEX idx_observation_concept_id ON observation (observation_concept_id ASC);
 CREATE INDEX idx_observation_visit_id ON observation (visit_occurrence_id ASC);
 
+CREATE CLUSTERED INDEX idx_survey_person_id ON survey_conduct (person_id ASC);
+
 CREATE INDEX idx_fact_relationship_id_1 ON fact_relationship (domain_concept_id_1 ASC);
 CREATE INDEX idx_fact_relationship_id_2 ON fact_relationship (domain_concept_id_2 ASC);
 CREATE INDEX idx_fact_relationship_id_3 ON fact_relationship (relationship_concept_id ASC);
@@ -314,8 +306,7 @@ Standardized health economics
 
 CREATE CLUSTERED INDEX idx_period_person_id ON payer_plan_period (person_id ASC);
 
-
-
+CREATE CLUSTERED INDEX idx_cost_person_id ON cost (person_id ASC);
 
 
 /************************
@@ -325,13 +316,7 @@ Standardized derived elements
 ************************/
 
 
-CREATE INDEX idx_cohort_subject_id ON cohort (subject_id ASC);
-CREATE INDEX idx_cohort_c_definition_id ON cohort (cohort_definition_id ASC);
-
-CREATE INDEX idx_ca_subject_id ON cohort_attribute (subject_id ASC);
-CREATE INDEX idx_ca_definition_id ON cohort_attribute (cohort_definition_id ASC);
-
-CREATE CLUSTERED INDEX idx_drug_era_person_id ON drug_era (person_id ASC);
+REATE CLUSTERED INDEX idx_drug_era_person_id ON drug_era (person_id ASC);
 CREATE INDEX idx_drug_era_concept_id ON drug_era (drug_concept_id ASC);
 
 CREATE CLUSTERED INDEX idx_dose_era_person_id ON dose_era (person_id ASC);
diff --git a/Sql Server/README.md b/Sql Server/README.md
index c3162a7..a1a5673 100644
--- a/Sql Server/README.md	
+++ b/Sql Server/README.md	
@@ -16,3 +16,5 @@ In order to create your instantiation of the Common Data Model, we recommend fol
 5. Execute the script `OMOP CDM sql server constraints.txt` to add the foreign key constraints.
 
 Note: you could also apply the constraints and/or the indexes before loading the data, but this will slow down the insertion of the data considerably.
+
+6. Repeat steps 1-3, executing the script `OMOP CDM Results sql server ddl.txt` to create the results schema