Update of CMS Place of Service

[hardhouse]

No description provided.

[mik-ohdsi]

Looks good to me.

[Alexdavv]

All good, except this new concept is missing its "Is a" relationship. We have a very limited number of top-level dogs in this Domain. And this is not the case.

[hardhouse]

on what codes do you need to make 'Is a'?

[mik-ohdsi]

Hi @Alexdavv and @hardhouse : as a matter of fact, CMS has just released a new version... there is one new addition and a name update. I also identified the best suitable hierarchically higher concept for the '58' code. The telehealth ones do not have a hierarchy...
The update list should now look like this:

Mode	Code	Description	start date	end date	"Is a" relationship to concept ID
U	02	Telehealth outside Patient's Home	01.01.2022
I	10	Telehealth at Patient's Home	01.01.2022
I	58	Non-residential Opioid Treatment Facility	01.01.2020		38004207

I will attach an updated Excel spreadsheet to the Jira task!

[Alexdavv]

name update

With the same semantics, right?

The telehealth ones

Hmm. Not sure we even need these 2 being Standard. They both are definitely the subtypes of Telehealth, but the additional context doesn't make a lot of sense in OMOP:

• "outside Patient's Home" doesn't really tell you whether it's in- or out-patient.
• "at Patient's Home" sounds like a subtype of Home Visit, but in fact, it's not - nobody comes to the patient Home to provide the medical services.

I'd suggest make them non-Standard and map over to the Telehealth.
@cgreich What do you think?

do not have a hierarchy...

It's pretty much like that for many service-like vocabularies. What we did in this case is building the Frankenstein out of many source vocabularies within the specific Domain. And the hierarchy we build reflects the way we expect this stuff to work in cohorts rather than how it's represented in the sources.

[mik-ohdsi]

map over to the Telehealth.
unfortunately, one of them is already that Telehealth concept, now renamed to "Telehealth provided other than in patient's home", so they made it more specific and stole our nice Standard parent one... I suggest to make them both standard and leave them as they are.

[Alexdavv]

they made it more specific and stole our nice Standard parent one

Then we need a new universal one for Telehealth in the Visit vocabulary.

I suggest to make them both standard and leave them as they are

Both as the top-level dogs? We have a very limited number of them. These 2 don't deserve it.
And what ETL would do if they don't know whether the telehealth session happened at home or not?

[cgreich]

The two telehealth concepts are VERY similar. But if we want to keep them I would agree with @Alexdavv and make them children to a common "Telehealth" one.