diff --git a/StandardizedClinicalDataTables/VISIT_OCCURRENCE.md b/StandardizedClinicalDataTables/VISIT_OCCURRENCE.md index 9cebae1..c523eed 100644 --- a/StandardizedClinicalDataTables/VISIT_OCCURRENCE.md +++ b/StandardizedClinicalDataTables/VISIT_OCCURRENCE.md @@ -26,12 +26,23 @@ No.|Convention Description :--------|:------------------------------------ | 1 | A Visit Occurrence is recorded for each engagement of a patient with the healthcare system. It reflects the constellation of such engagement, not an actual concrete healthcare institution.| | 2 | Valid Visit Concepts belong to the 'Visit' domain.| -| 3 | Standard Visit Concepts are defined hierarchically, rolling up into 12 top concepts: Note that there is a combined ER and Inpatient Visit because it is close to impossible to separate the two in many EHR system.| +| 3 | Standard Visit Concepts are defined hierarchically, rolling up into 12 top concepts: +* 581478 "Ambulance Visit" +* 38004193 "Case Management Visit" +* 262 "Emergency Room and Inpatient Visit" +* 9203 "Emergency Room Visit" +* 581476 "Home Visit" +* 38004311 "Inpatient Hospice" +* 9201 "Inpatient Visit" +* 32036 "Laboratory Visit" +* 42898160 "Non-hospital institution Visit +* 9202 "Outpatient Visit" +Note that there is a combined "ER and Inpatient Visit" because it is close to impossible to separate the two in many EHR system. | | 4 | Handling of death: Visits are not used to indicate a patient's death. If the source data contains death information in a visit context the date should be derived (admission or discharge) and placed into the death_datetime field of the PERSON table. For details, see [there](https://github.com/OHDSI/CommonDataModel/wiki/VISIT_OCCURRENCE/_edit).| | 5 | Source Concepts from a number of vocabularies are mapped into Standard Visit Concepts. Visit Concepts form a hierarchy. Therefore, the most detailed Visit Concept should be picked or mapped to during ETL. It is no longer necessary to infer a top Concept from the hierarchy. | | 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 | The discharge disposition (discharge_to_concept_id) should be filled with Visit concept. Death is no longer captured here. In addition to the Standard Visit Concepts the special concept 44814693 "Absent without leave" and 4021968 "Patient self-discharge against medical advice" can be used. | -| 11 | The preceding_visit_id can be used to link a visit immediately preceding the current visit. Note this is not symmetrical, and there is no such thing as a "following_visit_id". | -| 12 | Visit end dates are mandatory. If end dates are not provided in the source there are three ways in which to derive them:
([THEMIS issue #13](https://github.com/OHDSI/Themis/issues/13)).| +| 10 | The preceding_visit_id can be used to link a visit immediately preceding the current visit. Note this is not symmetrical, and there is no such thing as a "following_visit_id". | +| 11 | Visit end dates are mandatory. If end dates are not provided in the source there are three ways in which to derive them:
([THEMIS issue #13](https://github.com/OHDSI/Themis/issues/13)).|