Investigate Telemedicine (telephone) visits #9
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Jul 7, 2023
telemedicine visit valueset initial import #9 added more outpatient valusets from CMS165v11 AdultOutpatientEncounters valueset.py split *encounter* inclusion and exclusion into sets valueset.py split *rx medications* inclusion and exclusion steward: CMS165v11 AdvancedIllnessandFrailtyExclusionECQM inpatient now includes both acute and NON acute inpatient encounters. define_enc_observation are now exclusion criteria define_enc_edvisit are now exclusion criteria define_enc_icu are now exclusion criteria milestone: Encounter inclusion/exclusion criteria valusets from CMS165v11 and other sources, most commonly referencing NQF#0018 define_pregnancy: do not exclude pregnant patients define_esrd.sql end stage renal disease (exclude) define_frailty.sql frailty by device/dx/encounter (exclude) define_advanced_illness.sql very sick patients (exclude) organization: updating paths to prepare for valueset subdir moved VSAC files to "valueset" dir count low/high blood pressure from core__observation_vital_sign https://github.com/smart-on-fhir/cumulus-library/blob/f630f01ee2ad74ce90348213a80840a123f9c203/cumulus_library/studies/core/observation_vital_signs.sql#L18 using US CORE Profile tested against Cerner data. -- http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel -- --85354-9 Blood pressure panel with all children optional -- 8480-6 Systolic blood pressure -- 8462-4 Diastolic blood pressure performance improvements for buildings tables/counts. Athena is struggling to index this much data, so we build tables in steps. fixed table_bp.sql to join "observation_ref", much better SQL speed. count.py updated to ouput counts for htn__count_bp count.py now count by number of PATIENT (instead of encounters) table_bp.sql added race and ethnicity htn__dx defined (refactored from counts sql file) added support or htn__count_rx (optional) updated README.md * _htn__count_bp_month_ : BP (blood pressure) measures * _htn__count_dx_month_ : HTN diagnosis codes * _htn__count_rx_month_ : HTN blood pressure control meds scaled back what we count.py updated counts views. procedure and medication are optional and by default commented out. removed "order by cnt desc", will address in more detail later. smart-on-fhir/cumulus-library#71
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how is a telephone encounter linked to a valid blood pressure reading?
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