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Single Cost Table

  • Requester: Duryea family, Outcomes Insights, Inc.
  • Discussion: here and here.

Proposal

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).

Instead of generating additional cost tables, each tied to a specific domain, perhaps we create a single, unified cost table to capture costs for all domains. visit_cost and device_cost share identical columns for tracking costs.

Cost Table

The Cost Table will house all cost information from source data. Any information reporting money or currency amounts will be stored in this table.

The defined fields in the Cost Table below are variables found in almost all U.S.-based claims data sources, which is a common cost data source for researchers. Variables from survey data containing cost information were also added to the Cost Table. Descriptions on how to use these variables are detailed in the table below.

For ETL purposes, if there is cost information in the source data that requires a new variable in the Cost Table, it is advised that the ETL add a new variable in to the Cost Table to house that data. However, that new variable will not be used or considered in development of OHDSI tools, since this variable is considered a custom field that is user-defined.

FieldRequiredTypeDescription
cost_idYesintegerA unique identifier for each COST record.
cost_event_idYesintegerA foreign key identifier to the event (e.g. Measurement, Procedure, Visit, Drug Exposure, etc) record for which cost data are recorded.
cost_domain_idYesstring(20)The concept representing the domain of the cost event, from which the corresponding table can be inferred.
currency_concept_idNointegerA concept representing the 3-letter code used to delineate international currencies, such as USD for US Dollar.
total_chargedNofloatThe total amount charged by the provider of the good/service (e.g. hospital, physician pharmacy, dme provider) billed to a payer. This information is usually provided in claims data.
total_costNofloatCost of service/device/drug incurred by provider/pharmacy. This field is more commonly used in survey data. Use case: The resulting amount after the hospital charges are multiplied by the cost-to-charge ratio. This data is currently available in NIS.
paid_copayNofloatThe amount paid by the Person as a fixed contribution to the expenses. Copay does 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.
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.

Use Cases

Find use cases here.

documentation/next_cdm/single_cost.1455048109.txt.gz · Last modified: 2016/02/09 20:01 by jenniferduryea