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documentation:next_cdm:single_cost

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Single Cost Table

Requester: Jennifer Durea

Proposal to consolidate all current cost tables (Procedure_Cost, Drug_Cost, Device_Cost, Visit_Cost) in V5.0 into one single table. The table could be connected to any of the Domain tables (Procedure_Occurrence, Condition_Occurrence, Drug_Exposure, Device_Exposure, Observation, Measurement).

FieldRequiredTypeDescription
cost_idYesintegerA unique identifier for each COST record.
cost_event_idYesintegerA foreign key identifier to the Domain table record for which cost data are recorded.
cost_domain_idYesstring(20)The name of the Domain the cost_even_id record refers to.
currency_concept_idNointegerA concept representing the 3-letter code used to delineate international currencies, such as USD for US Dollar.
chargeNofloatAmount charged by the provider.
paid_copayNofloatThe amount paid by the Person as a fixed contribution to the expenses. Copay does not contribute to the out of pocket expenses.
paid_coinsuranceNofloatThe amount paid by the Person as a joint assumption of risk. Typically, this is a percentage of the expenses defined by the Payer Plan after the Person's deductible is exceeded.
paid_toward_deductibleNofloatThe amount paid by the Person that is counted toward the deductible defined by the Payer Plan.
paid_by_payerNofloatThe amount paid by the Payer. If there is more than one Payer, several DRUG_COST records indicate that fact.
paid_by_coordination_benefitsNofloatThe amount paid by a secondary Payer through the coordination of benefits.
total_out_of_pocketNofloatThe total amount paid by the Person as a share of the expenses.
total_paidNofloatThe total amount paid for the expenses of drug exposure.
ingredient_costNofloatThe portion of the drug expenses due to the cost charged by the manufacturer for the drug, typically a percentage of the Average Wholesale Price.
dispensing_feeNofloatThe portion of the drug expenses due to the dispensing fee charged by the pharmacy, typically a fixed amount.
costNofloatWas “average whole sale price” – now generic cost field.
payer_plan_period_idNointegerA foreign key to the PAYER_PLAN_PERIOD table, where the details of the Payer, Plan and Family are stored.
amount_allowedNofloatThe contracted amount agreed between the payer and provider.
revenue_code_concept_idNointegerA foreign key referring to a Standard Concept ID in the Standardized Vocabularies for Revenue codes.
revenue_code_source_valueNostring(50)The source code for the Revenue code as it appears in the source data, stored here for reference.
documentation/next_cdm/single_cost.1445793682.txt.gz · Last modified: 2015/10/25 17:21 by cgreich