Type Concept

Type concepts determine the provenance of records, for example, whether the source of a condition was an EHR system, insurance claim, registry or others. As another example, in the case of a drug exposure entry using the respective type concept, it can be captured whether this entry should be identified as taken from a prescriptions list vs. a dispensing record vs. patient self-reported exposure, etc.

When added to CDM entries in many clinical data or health economic tables, a differentiation and possible identification of original sources can be accomplished.

The current Type Concept vocabulary replaces a couple of pre-existing vocabularies that allowed to specify the type of provenance of data but also created a lot of duplication:

• Condition Occurrence Type
• Cost Type
• Death Type
• Device Type
• Drug Type
• Episode Type
• Measurement Type
• Note Type
• Observation Period Type
• Observation Type
• Procedure Type
• Specimen Type
• Visit Type

All existing concepts in these vocabularies have been deprecated.

Please review the forum post here for more background.

Valid type concepts can be reviewed in Athena.

Sources

This vocabulary is an OMOP internal vocabulary and was compiled from the previous vocabularies. It will be updated and concepts added depending on community demand.

Concept Code

The concept codes are generated automatically.

Standard Concepts

All concepts are Standard without relationships.

Domains

All concepts are of the domain "Type Concept"

Concept Classes

All concepts are of the class "Type Concept"

Instructions

Type Concepts are meant to be added to the respective _type_concept_id field per table during ETL and are obviously determined by the source of the data. The following tables have their own specific field for this purpose:

• Condition Occurrence
• Cost
• Death
• Device Exposure
• Drug Exposure
• Measurement
• Note
• Observation Period
• Observation
• Procedure
• Specimen
• Visit Occurrence and Visit Detail

The individual Type Concepts are defined as following:

Name	Description
Case Report Form	A CRF (mostly eCRF today), or a clinical trial database that is aggregated from CRFs. The content of the CRF might originate from an EHR, or directly entered from a provider or a patient
Claim	A reimbursement claim issued to a payer (government entity or insurance company). There is no difference if the claim was accepted (adjudicated claim or paid invoice) or an open claim (unadjudicated or invoiced claim)
Claim authorization	A record of authorization for treatment in the US health insurance system. Many treatments have to undergo an authorization process by the payer prior to begin of the treatment.
Claim discharge record
Claim enrolment record	The record of enrolment into a payer (insurance, government) plan for each patient. In the USA, membership in a plan typically lasts one year, and enrolments begin and end in late fall, unless special circumstances apply.
Cost record	A record indicating cost. This could be to the institution (cost of providing service) or to an external payer (price of providing the service)
Death Certificate	An official death certificate
Dental claim	A reimbursement claim from institutions providing dental service
EHR	An Electronic Health (or Medical) Record. These are usually systems supporting hospitals or ambulatory healthcare providers
EHR administration record	A record in the EHR indicating the administration of a service, drug or treatment.
EHR admission note	A structured or unstructured note taken on admission of the patient to a healthcare facility
EHR ancillary report	A record in the EHR generated for purposes of documentation of actions performed by ancillary personnel (occupational therapy, physiotherapy, social services)?
EHR billing record	A record in the EHR created to support the generation of a bill or reimbursement claim
EHR chief complaint	A record in the EHR collected from the patient about the chief complaint or active problems that led to the visit at the healthcare provider
EHR discharge record	A record in the EHR created to support discharge of the patient (discharge instructions given to a person, etc.)
EHR discharge summary	A record in the EHR usually created by the discharging Provider upon discharge of a Person from the Provider's care (when a Person is discharged from inpatient hospitalization, discharged from a physical therapy series, discharged from counseling, etc.)
EHR dispensing record	A record in the EHR indicating the dispensation (preparation and / or hand-over) of a device, drug or treatment
EHR emergency room note	Structured or unstructured note taken during observation of a patient in an Emergency Room
EHR encounter record	A patient encounter is an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient [FHIR]
EHR episode record	An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time [FHIR]
EHR inpatient note	Structured or unstructured note taken during treatment of a hospitalized patient. Typically performed daily by the treating physician, during or after ward rounds.
EHR medication list	List of medications prescribed to a patient. Typically used in an outpatient encounter, on admission to or discharge from a healthcare facility
EHR note	Unspecified note recorded in the EHR
EHR nursing report	Summary of findings by nursing staff during a patient encounter
EHR order	Physician order or request for a service, drug or treatment
EHR outpatient note	Structured or unstructured note taken during an outpatient encounter
EHR Pathology report	Pathology Laboratory Report based on findings derived from examination of a specimen
EHR physical examination	Record of findings obtained during the physical examination of a patient
EHR planned dispensing record	Record describing the planned dispensing of a drug or other treatment to a patient
EHR prescription	Prescription record for a patient (Medication or Device)
EHR prescription issue record	Record describing the issuing of a prescription to a patient
EHR problem list	List of patient problems as well as confirmed patient conditions (e.g. Shortness of Breath & Congestive Heart Failure)
EHR radiology report	Radiology Department Report based on findings derived from the analysis of imaging modalities
EHR referral record	Record containing information about a patient's referral from one healthcare institution to another
External CDM instance	External CDM instance such as an i2b2-instance or another clinical data warehouse, normally a Non-OMOP CDM.
Facility claim	Inpatient claim for providing general care, such as bed, nutrition, cleaning etc.
Facility claim detail	Part of the claim in the US insurance system that contains more detail and the charge
Facility claim header	Part of the claim in the US insurance system that summarizes the most essential information in the claim, including patient information, physician, facility, primary diagnosis inpatient procedure, DRG, overall charge
Geographic isolation record	Information pertaining to a certain geographic area, e.g. for adding socioeconomic determinants
Government report
Health Information Exchange record	Record originally coming from a Health Information Exchange (HIE) network
Health Risk Assessment	A health questionnaire, used to provide individuals with an evaluation of their health risks and quality of life. Often provides a risk score and respective advice
Healthcare professional filled survey	Survey data for a patient created by a healthcare professional. Has similarities with a Case Report Form
Hospital cost	A record of accumulated treatment costs incurred to the hospital
Inpatient claim	Claim from a inpatient facility like a hospital
Inpatient claim detail	Part of the claim in the US insurance system that contains more detail, such as secondary diagnoses, date of each service, procedure and corresponding diagnosis, NDC, attending physician, charge for the service
Inpatient claim header	Part of the claim in the US insurance system that summarizes the most essential information in the claim, including patient information, physician, facility, primary diagnosis inpatient procedure, DRG, overall charge
Lab	Laboratory results, ranging from regular blood investigations to Microbiology results
Mail order record	A prescription dispensing record filled by an online or mail order pharmacy
NLP	Information derived by Natural Language Processing
Outpatient claim
Outpatient claim detail
Outpatient claim header
Patient filled survey	Survey data for a patient created by the patient
Patient or payer paid record	Record of a paid, rather than invoiced, reimbursement claim
Patient reported cost
Patient self-report
Payer system record (paid premium)
Payer system record (primary payer)
Payer system record (secondary payer)
Pharmacy claim	A reimbursement claim issued to a payer from a pharmacy
Pre-qualification time period
Professional claim	A reimbursement claim issued to a payer from a healthcare professional (e.g. physician)
Professional claim detail
Professional claim header
Provider charge list price
Provider financial system
Provider incurred cost record
Randomization record
Reference lab	Laboratory results received from a Reference Lab other than the institutions own laboratory
Registry	Records from a (disease specific) registry, normally receiving data from multiple institutions
Standard algorithm	A record calculated by an algorithm (e.g., era constructor or calculation of BMI) that is standardized for use in the OMOP CDM
Standard algorithm from claims
Standard algorithm from EHR
Survey	A survey in general
Urgent lab	Laboratory results received from a specific laboratory for emergency / urgent services
US Social Security Death Master File	The Death Master File (DMF) is a computer database file made available by the United States Social Security Administration, also known as as the Social Security Death Index (SSDI)
Vision claim	A reimbursement claim issued by an optician
Point of care/express lab	Laboratory results captured from a point of care device