Added a link to the ohdsi wiki
Updated a link to the ohdsi vocabulary specifications on ohdsi.org
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## CONCEPT table
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The Standardized Vocabularies contains records, or Concepts, that uniquely identify each fundamental unit of meaning used to express clinical information in all domain tables of the CDM. Concepts are derived from vocabularies, which represent clinical information across a domain (e.g. conditions, drugs, procedures) through the use of codes and associated descriptions. Some Concepts are designated Standard Concepts, meaning these Concepts can be used as normative expressions of a clinical entity within the OMOP Common Data Model and within standardized analytics. Each Standard Concept belongs to one domain, which defines the location where the Concept would be expected to occur within data tables of the CDM.
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Concepts can represent broad categories (like “Cardiovascular disease”), detailed clinical elements (”Myocardial infarction of the anterolateral wall”) or modifying characteristics and attributes that define Concepts at various levels of detail (severity of a disease, associated morphology, etc.).
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Concepts can represent broad categories (like “Cardiovascular disease”), detailed clinical elements (”Myocardial infarction of the anterolateral wall”) or modifying characteristics and attributes that define Concepts at various levels of detail (severity of a disease, associated morphology, etc.).
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Records in the Standardized Vocabularies tables are derived from national or international vocabularies such as SNOMED-CT, RxNorm, and LOINC, or custom Concepts defined to cover various aspects of observational data analysis. For a detailed description of these vocabularies, their use in the OMOP CDM and their relationships to each other please refer to the [[documentation:vocabulary|Specifications]].
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Records in the Standardized Vocabularies tables are derived from national or international vocabularies such as SNOMED-CT, RxNorm, and LOINC, or custom Concepts defined to cover various aspects of observational data analysis. For a detailed description of these vocabularies, their use in the OMOP CDM and their relationships to each other please refer to the [specifications](http://www.ohdsi.org/web/wiki/doku.php?id=documentation:vocabulary).
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Field|Required|Type|Description
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Field|Required|Type|Description
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-----|--------|----|-----------
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|concept_id|Yes|integer|A unique identifier for each Concept across all domains.|
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|concept_name|Yes|varchar(255)|An unambiguous, meaningful and descriptive name for the Concept.|
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|domain_id|Yes|varchar(20)|A foreign key to the [[documentation:cdm:domain|DOMAIN]] table the Concept belongs to.|
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|vocabulary_id|Yes|varchar(20)|A foreign key to the [[documentation:cdm:vocabulary|VOCABULARY]] table indicating from which source the Concept has been adapted.|
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|concept_class_id|Yes|varchar(20)|The attribute or concept class of the Concept. Examples are “Clinical Drug”, “Ingredient”, “Clinical Finding” etc.|
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|concept_class_id|Yes|varchar(20)|The attribute or concept class of the Concept. Examples are “Clinical Drug”, “Ingredient”, “Clinical Finding” etc.|
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|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.|
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|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.|
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|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.|
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* 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](CONCEPT_ANCESTOR.md) table and can be used to identify Descendants that may appear in the data. See [CONCEPT_ANCESTOR](CONCEPT_ANCESTOR.md) 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.
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* 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.
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* 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 deprecatd if their meaning was deamed ambigous, a duplication of another Conncept, 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 .
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* Concepts without a known instantiated date are assigned valid_start_date of ‘1-Jan-1970’.
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* Concepts that are not invalid are assigned valid_end_date of ‘31-Dec-2099’.
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* Concepts without a known instantiated date are assigned valid_start_date of ‘1-Jan-1970’.
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* Concepts that are not invalid are assigned valid_end_date of ‘31-Dec-2099’.
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* 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](CONCEPT_RELATIONSHIP.md) table indicating their active replacement Concept.
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* 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.
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