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PheDRS

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Contents

Phenotype Detection Registry System (PheDRS) User Documentation

Overview

The Phenotype Detection Registry System (PheDRS) is a tool at UAB used to assist researchers and clinicians identify populations of interest at UAB matching clinical criteria from both structured data (billing codes, medications, labs) and unstructured documents using Natural Language Processing. The user documentation described here is intended for managers and users of the PheDRS system.

Additional documentation for PheDRS is found in the following locations:

1. Project specific information is found in the appropriate git repo wikis and markdown text

2. UAB specific developer documentation is found in the UAB_BioMedInformatics\PHEDRS Box directory

Installation / Setup

Currently this is very site specific and depends on various backend systems, EHR vendors, etc... UAB specific site setup can be found in the UAB_BioMedInformatics\PHEDRS Box directory


Roles

PheDRS supports the following user roles:

Manager

The manager of a registry. Full read and write access to the registry. Can add new users as registrars or managers to the registry.

Registrar

A user with read and write access to the registry.

Administrator

System administrator responsible for maintaining the entire PheDRS system including all registries.

Viewer

Read only access to the registry.

Inactive

Former registrars no longer active.

De-ID Viewer

Viewer allowed to view de-identified data (18 HIPAA Safe Harbor items removed) data.

Registry Configuration

The registry is configured by the registry manager, often in conjunction with the system administrator.

Registry Property Descriptions and Examples

Registry Configuration: Cvtermprop parameters
CV NAME CV ID Example of cvterm name for TYPE_ID Meaning and Use of VALUE field for this type Example of Value Field
UAB ICD-10-CM Codes 9 Panlobular emphysema If patient has this billing code, assign as candidate to registry UAB COPD Registry ICD-10-CM diagnosis criteria
UAB MS DRG Codes 12 COPD w CC If patient has this DRG code, then add anchor cvterm property to this code DRG Codes COPD Anchor Encounter criteria
COPD w MCC If patient has this DRG code, then add patient to the registry as "accepted" UAB COPD Registry DRG Codes inclusion criteria
PHEDRS Data Loading Criteria 23 Default NLP Pipeline Collection This is the ID# of the default pipeline for displaying documents in this registry. Unenforced Foreign Key to db_id=14 2
Encounter Collection Encounters matching the appended SQL criteria are added to the registry AND (SRC_ADMIT_DT_TM >= (SYSDATE-730)) AND FORMATTED_MEDICAL_RECORD_NBR IN (SELECT FORMATTED_UAB_MRN FROM REGISTRY_PATIENT WHERE REGISTRY_ID=2861)


Encounter Intervention Encounters matching the appended SQL criteria are added to the registry AND candidate is flagged for review AND SRC_ADMIT_DT_TM >= (SYSDATE-30) AND ( (reason_for_visit_txt LIKE '%COPD%') OR (UPPER(reason_for_visit_txt) LIKE '%BRONCHITIS%') OR (UPPER(reason_for_visit_txt) LIKE '%BRONCHIECTASIS%') OR (UPPER(reason_for_visit_txt) LIKE '%EMPHYSEMA%') )
PHEDRS MetaData CV 24 Patient Review Cutoff Date Do not retrieve any data (codes, encounters, documents) from source system before this date 1/1/17
Registry Application Title Use this text here for the name of the registry COPD Registry Control Panel
Display Codes Database Identifier DB_ID permissable to display in "Diagnoses and Drgs" Panel 8
PHEDRS Tab CV 25 REGISTRY_INPATIENT_REVIEW Indicates that this tab should be displayed in this registry. Value indicates display order from LEFT to RIGHT (1 for leftmost tab) 1
Optum UAB APR DRG Codes 2017 26
UAB WH CLN REF Codeset 69 27

Developer Guide for Registry Configuration Properties

Developer Guide for Registry Configuration Properties
CRITERIA NAME EVENT DESCRIPTION Input Patient Registry Status Input Patient Review Status Input Required Registry Patient Cvterm/s Outputput Patient Registry Status Output Patient Review Status Output Change to Registry Patient Cvterm/s Action Description Implementation Notes
Diagnosis (Code_Detection) PATIENT_CODE entry that matches diagnosis criteria in CVTERMPROP NULL NULL NULL CANDIDATE NEVER REVIEWED ANY Add candidate CVTERMs corresponding to codes have a CVTERMPROP set on them of type registry_name (from cv_id 11) with a value containing text "diagnosis criteria"

Back End Workflow / Architecture

Web Service Documentation

RegistryWS

UDAS

Paper References