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Table 5 Examples of the most frequent data transferred from the CDSIC SDTM to the OMOP CDM

From: Standardizing registry data to the OMOP Common Data Model: experience from three pulmonary hypertension databases

Information transfer required

OMOP CDM solution used

Comments on solution

Additional characteristic of a medical event

• The characteristic of an event recorded as: observation_concept_ID

• The assessment of medical event recorded as: value_as_concept_ID

• Linking of the characteristic and the assessed medical event via FACT_RELATIONSHIP

The characteristic of an event could be its severity or seriousness or status (stable / unstable). Multiple characteristics can be mapped to allow all data to be captured.

For example, a moderate-severity renal function impairment was mapped in the OMOP CDM as:

CONDITION_OCCURRENCE:

4030518 - ‘Renal impairment

OBSERVATION:

Observation_concept_ID = 4022772 - ‘Condition severity

Value_as_concept_ID = 4285732 - ‘Moderate

FACT_RELATIONSHIP:

4030518 - ‘Renal impairment’; 4022772 - ‘Condition severity

Registry enrolment date

• Registry enrolment fact recorded as: observation_concept_ID

• Name of the study recorded as: value_as_string

The following concept_IDs and descriptions can be used:

44807982 - ‘Participant in research study’

4090379 - ‘Patient entered into trial

Date of informed consent

• Informed consent fact recorded as: observation_concept_ID

• Name of the study recorded as: value_as_string

The following concept_IDs and descriptions can be used:

44811375 - ‘Consent given to participate in research study’

4163733 - ‘Patient consented to clinical trial’

Reason for registry discontinuation

• Registry discontinuation fact recorded as: observation_concept_ID

• Reason for discontinuation recorded as: value_as_concept_ID

The following concepts can be used:

44810922 - ‘Participation in research study completed’

44810920 - ‘Withdrawn from research study

40482840 - ‘Completion of clinical trial’

4087907 - ‘Patient withdrawn from trial’

Relationship to <entity> of medical event

• The relationship to an entity was recorded as: observation_concept_ID

• The kind of relationship was recorded as: value_as_concept_ID

• Linking of the kind of relationship and relation to an entity medical event via FACT_RELATIONSHIP

<entity > could include, for example, hospitalization or an adverse event

A new custom concept ‘Relationship to < entity > ‘was created since there was no proper concept among existing ones.

The value_as_concept_ID field could contain answers like:

45878245 - ‘No

45877241 - ‘Unlikely

45877994 - ‘Yes

4162850 - ‘Possible’ or

Specific concepts denoted medical events like:

4322024 - ‘Pulmonary hypertension’

45885208 - ‘Other reason’

Outcome of medical event

• Transferred to the appropriate EVENT table

• Linking of the outcome of medical event and the medical event via FACT_RELATIONSHIP

Outcomes can be stored as events in the OMOP CDM event table or specific concept_ID.

4231813 - ‘Adverse incident outcome categories’ can be used in combination with the value_as_concept_ID field that stores the outcome itself.

Method of measurement

• The measurement recorded as: measurement_concept_id

• The method of taking this measurement recorded as: observation_concept_id

• Linking of the method of measurement and the assessed measurement via FACT_RELATIONSHIP

For example, a mPAP measurement derived from the thermodilution technique was mapped in the OMOP CDM as:

MEASUREMENT to map XP measurement:

Measurement_concept_id = 3028074 - ‘Pulmonary artery Mean blood pressure”

OBSERVATION to map method:

Observation_concept_ID = 4122989 - ‘Thermodilution technique

FACT_RELATIONSHIP to link XP test to its method of measurement:

domain_concept_id_1 = 1147304 - 'Observation' domain_concept_id_2 = 1147330 - 'Measurement' relationship_concept_id = 4152892 - ‘Measurement method

  1. OMOP CDM Observational Medical Outcomes Partnership Common Data Model; XP pulmonary arterial hypertension