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documentation:cdm:drug_strength [2014/11/15 13:18]
cgreich created
documentation:cdm:drug_strength [2017/09/25 14:59] (current)
clairblacketer
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 ===== DRUG_STRENGTH table ===== ===== DRUG_STRENGTH table =====
 +**THIS IS OUTDATED. All documentation is now on the [[https://​github.com/​OHDSI/​CommonDataModel/​wiki|github wiki]]. Please refer there or to the [[projects:​workgroups:​cdm-wg|CDM working group]] for more information**
  
 +This table had the field denominator_value added with version 5.0.1 (5-Apr-2016) of the OMOP CDM.
 +----
 The DRUG_STRENGTH table contains structured content about the amount or concentration and associated units of a specific ingredient contained within a particular drug product. This table is supplemental information to support standardized analysis of drug utilization. ​ The DRUG_STRENGTH table contains structured content about the amount or concentration and associated units of a specific ingredient contained within a particular drug product. This table is supplemental information to support standardized analysis of drug utilization. ​
  
 ^Field^Required^Type^Description^ ^Field^Required^Type^Description^
-|drug_concept_id|Yes|integer|A foreign key to the Concept in the CONCEPT tablerepresenting the identifier for Branded Drug or Clinical Drug Concept.|+|drug_concept_id|Yes|integer|A foreign key to the Concept in the CONCEPT table representing the identifier for Branded Drug or Clinical Drug Concept.|
 |ingredient_concept_id|Yes|integer|A foreign key to the Concept in the CONCEPT table, representing the identifier for drug Ingredient Concept contained within the drug product.| |ingredient_concept_id|Yes|integer|A foreign key to the Concept in the CONCEPT table, representing the identifier for drug Ingredient Concept contained within the drug product.|
-|amount_value|No|float|The numeric value associated with the amount of active ingredient contained within the product| +|amount_value|No|float|The numeric value associated with the amount of active ingredient contained within the product.
-|amount_unit_concept_id|No|integer|The Unit corresponding ​to the numeric value of the amount of the active ingredient ​contained within the product.| +|amount_unit_concept_id|No|integer|A foreign key to the Concept in the CONCEPT table representing the identifier for the Unit for the absolute ​amount of active ingredient.| 
-|numerator_value|No|float|The numeric value associated with the concentration of the active ingredient contained ​within ​the product| +|numerator_value|No|float|The numeric value associated with the concentration of the active ingredient contained ​in the product| 
-|numerator_unit_concept_id|No|integer|The numerator unit corresponding ​to the numeric value of the concentration of the active ingredient ​contained within the product.| +|numerator_unit_concept_id|No|integer|A foreign key to the Concept in the CONCEPT table representing the identifier for the numerator Unit for the concentration of active ingredient.| 
-|denominator_unit_concept_id|No|integer|The denominator unit corresponding ​to the numeric value of the concentration of the active ingredient ​contained within the product.| +|denominator_value (V5.0.1)|No|float|The amount of total liquid (or other divisible ​product, such as ointment, gel, spray, etc.).| 
-|valid_start_date|Yes|Date|The date when the Concept was first recorded. The default value is 1-Jan-1970.| +|denominator_unit_concept_id|No|integer|A foreign key to the Concept in the CONCEPT table representing the identifier for the denominator Unit for the concentration of active ingredient.| 
-|valid_end_date|Yes|Date|The date when the concept became invalid because it was deleted or superseded (updated) by a new Concept. The default value is 31-Dec-2099.|+|valid_start_date|Yes|date|The date when the Concept was first recorded. The default value is 1-Jan-1970.| 
 +|valid_end_date|Yes|date|The date when the concept became invalid because it was deleted or superseded (updated) by a new Concept. The default value is 31-Dec-2099.|
 |invalid_reason|No|varchar(1)|Reason the concept was invalidated. Possible values are '​D'​ (deleted), '​U'​ (replaced with an update) or NULL when valid_end_date has the default value.| |invalid_reason|No|varchar(1)|Reason the concept was invalidated. Possible values are '​D'​ (deleted), '​U'​ (replaced with an update) or NULL when valid_end_date has the default value.|
  
 ==== Conventions ==== ==== Conventions ====
  
-  * A clinical ​drug concept which contains multiple active ​ingredients ​will result in one drug strength record ​for each active ingredient. +  * The DRUG_STRENGTH table contains information for each active (non-deprecated) standard ​drug concept
-  * , in situations when the ingredient is contained within ​solid formulation+  * A drug which contains multiple active ​Ingredients ​will result in multiple DRUG_STRENGTH records, ​one for each active ingredient. 
-  * , in situations when the ingredient ​is contained ​within ​a non-solid formulation+  * Ingredient strength information is provided either as absolute amount (usually for solid formulations) or as concentration (usually for liquid formulations). 
 +  * If the absolute amount is provided (for example'​Acetaminophen 5 MG Tablet'​) the amount_value and amount_unit_concept_id are used to define this content (in this case 5 and '​MG'​). 
 +  * If the concentration is provided (for example '​Acetaminophen 48 MG/ML Oral Solution'​) the numerator_value in combination with the numerator_unit_concept_id and denominator_unit_concept_id are used to define this content (in this case 48, '​MG'​ and '​ML'​).  
 +  * In case of Quantified Clinical or Branded Drugs the denominator_value contains the total amount of the solution (not the amount of the ingredient). In all other drug concept classes the denominator amount ​is NULL because the concentration is always normalized to the unit of the denominator. So, product containing 960 mg in 20 mL is provided as 48 mg/mL in the Clinical Drug and Clinical Drug Component, while as a Quantified Clinical Drug it is written as 960 mg/20 mL
 +  * If the strength is provided in % (volume or mass-percent are not distinguished) it is stored in the numerator_value/​numerator_unit_concept_id field combinationwith both the denominator_value and denominator_unit_concept_id set to NULL. If it is a Quantified Drug the total amount of drug is provided ​in the denominator_value/​denominator_unit_concept_id pair. E.g., the 30 G Isoconazole 2% Topical Cream is provided as 2% / in Clinical Drug and Clinical Drug Component, and as 2% /30 G. 
 +  * Sometimes, one Ingredient is listed with different units within ​the same drug. This is very rare, and usually this happens if there are more than one Precise Ingredient. For example, '​Penicillin G, Benzathine 150000 UNT/ML / Penicillin G, Procaine 150000 MEQ/ML Injectable Suspension'​ contains Penicillin G in two different forms. 
 +  * Sometimes, different ingredients in liquid drugs are listed with different units in the denominator_unit_concept_id. This is usually the case if the ingredients are liquids themselves (concentration provided as mL/mL) or solid substances (mg/mg). In these cases, the general assumptions is made that the density of the drug is that of water, and one can assume 1 g = 1 mL. 
 +  * All Drug vocabularies containing Standard Concepts have entries in the DRUG_STRENGTH table. ​
documentation/cdm/drug_strength.1416057480.txt.gz · Last modified: 2014/11/15 13:18 by cgreich