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Merge pull request #354 from tuva-health/add-hcc-suspecting
Add HCC Suspecting mart
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,52 @@ | ||
| {{ config( | ||
| enabled = var('hcc_suspecting_enabled',var('claims_enabled',var('clinical_enabled',var('tuva_marts_enabled',False)))) | ||
| ) | ||
| }} | ||
|
|
||
| with hcc_history_suspects as ( | ||
|
|
||
| select distinct | ||
| patient_id | ||
| , data_source | ||
| , hcc_code | ||
| , hcc_description | ||
| , 'Prior coding history' as reason | ||
| , icd_10_cm_code | ||
| || case | ||
| when last_billed is not null then ' last billed on ' || last_billed | ||
| when last_billed is null and last_recorded is not null then ' last recorded on ' || last_recorded | ||
| else ' (missing recorded and billing dates) ' | ||
| end as contributing_factor | ||
| from {{ ref('hcc_suspecting__int_patient_hcc_history') }} | ||
| where current_year_billed = false | ||
|
|
||
| ) | ||
|
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||
| , unioned as ( | ||
|
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| select * from hcc_history_suspects | ||
|
|
||
| ) | ||
|
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||
| , add_data_types as ( | ||
|
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| select | ||
| cast(patient_id as {{ dbt.type_string() }}) as patient_id | ||
| , cast(data_source as {{ dbt.type_string() }}) as data_source | ||
| , cast(hcc_code as {{ dbt.type_string() }}) as hcc_code | ||
| , cast(hcc_description as {{ dbt.type_string() }}) as hcc_description | ||
| , cast(reason as {{ dbt.type_string() }}) as reason | ||
| , cast(contributing_factor as {{ dbt.type_string() }}) as contributing_factor | ||
| from unioned | ||
|
|
||
| ) | ||
|
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| select | ||
| patient_id | ||
| , data_source | ||
| , hcc_code | ||
| , hcc_description | ||
| , reason | ||
| , contributing_factor | ||
| , '{{ var('tuva_last_run')}}' as tuva_last_run | ||
| from add_data_types |
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,61 @@ | ||
| {{ config( | ||
| enabled = var('hcc_suspecting_enabled',var('claims_enabled',var('clinical_enabled',var('tuva_marts_enabled',False)))) | ||
| ) | ||
| }} | ||
|
|
||
| with patients as ( | ||
|
|
||
| select | ||
| patient_id | ||
| , sex | ||
| , birth_date | ||
| , floor({{ datediff('birth_date', 'current_date', 'hour') }} / 8766.0) as age | ||
| from {{ ref('hcc_suspecting__stg_core__patient') }} | ||
| where death_date is null | ||
|
|
||
| ) | ||
|
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| , suspecting_list as ( | ||
|
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| select | ||
| patient_id | ||
| , count(*) as gaps | ||
| from {{ ref('hcc_suspecting__list') }} | ||
| group by patient_id | ||
|
|
||
| ) | ||
|
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| , joined as ( | ||
|
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| select | ||
| patients.patient_id | ||
| , patients.sex | ||
| , patients.birth_date | ||
| , patients.age | ||
| , suspecting_list.gaps | ||
| from patients | ||
| inner join suspecting_list | ||
| on patients.patient_id = suspecting_list.patient_id | ||
|
|
||
| ) | ||
|
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||
| , add_data_types as ( | ||
|
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||
| select | ||
| cast(patient_id as {{ dbt.type_string() }}) as patient_id | ||
| , cast(sex as {{ dbt.type_string() }}) as patient_sex | ||
| , cast(birth_date as date) as patient_birth_date | ||
| , cast(age as integer) as patient_age | ||
| , cast(gaps as integer) as suspecting_gaps | ||
| from joined | ||
|
|
||
| ) | ||
|
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| select | ||
| patient_id | ||
| , patient_sex | ||
| , patient_birth_date | ||
| , patient_age | ||
| , suspecting_gaps | ||
| , '{{ var('tuva_last_run')}}' as tuva_last_run | ||
| from add_data_types |
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,159 @@ | ||
| version: 2 | ||
|
|
||
| models: | ||
| ## Final | ||
| - name: hcc_suspecting__list | ||
| config: | ||
| schema: | | ||
| {%- if var('tuva_schema_prefix',None) != None -%}{{var('tuva_schema_prefix')}}_hcc_suspecting{% else %}hcc_suspecting{%- endif -%} | ||
| alias: list | ||
| tags: hcc_suspecting | ||
| materialized: table | ||
| description: > | ||
| This final model displays the list of suspecting conditions per patient | ||
| with the reason and contributing factors. | ||
| columns: | ||
| - name: patient_id | ||
| description: Unique ID for the patient. | ||
| - name: hcc_code | ||
| description: > | ||
| HCC code from the latest CMS HCC model available in the mart. | ||
| meta: | ||
| terminology: https://github.com/tuva-health/the_tuva_project/blob/main/seeds/value_sets/cms_hcc/cms_hcc__icd_10_cm_mappings.csv | ||
| - name: hcc_description | ||
| description: > | ||
| HCC description from the latest CMS HCC model available in the mart. | ||
| - name: reason | ||
| description: Standardized reason for the suspecting condition. | ||
| - name: contributing_factor | ||
| description: > | ||
| Description of the contributing factor(s) for the suspecting condition. | ||
| - name: tuva_last_run | ||
| description: The date the model was run. | ||
|
|
||
| - name: hcc_suspecting__summary | ||
| config: | ||
| schema: | | ||
| {%- if var('tuva_schema_prefix',None) != None -%}{{var('tuva_schema_prefix')}}_hcc_suspecting{% else %}hcc_suspecting{%- endif -%} | ||
| alias: summary | ||
| tags: hcc_suspecting | ||
| materialized: table | ||
| description: > | ||
| This final model displays a rollup of suspecting conditions per patient. | ||
| columns: | ||
| - name: patient_id | ||
| description: Unique ID for the patient. | ||
| - name: patient_sex | ||
| description: The gender of the patient. | ||
| meta: | ||
| terminology: https://github.com/tuva-health/the_tuva_project/blob/main/seeds/terminology/terminology__gender.csv | ||
| - name: patient_birth_date | ||
| description: The birth date of the patient. | ||
| - name: patient_age | ||
| description: The patient's current age. | ||
| - name: suspecting_gaps | ||
| description: Count of suspecting conditions. | ||
| - name: tuva_last_run | ||
| description: The date the model was run. | ||
|
|
||
| ## Intermediate | ||
| - name: hcc_suspecting__int_all_conditions | ||
| config: | ||
| schema: | | ||
| {%- if var('tuva_schema_prefix',None) != None -%}{{var('tuva_schema_prefix')}}_hcc_suspecting{% else %}hcc_suspecting{%- endif -%} | ||
| alias: _int_all_conditions | ||
| tags: hcc_suspecting | ||
| materialized: table | ||
| description: All historical conditions mapped to HCCs. | ||
| columns: | ||
| - name: patient_id | ||
| description: Unique ID for the patient. | ||
| - name: recorded_date | ||
| description: Date in which the condition was recorded. | ||
| - name: condition_type | ||
| description: The type of condition. | ||
| - name: icd_10_cm_code | ||
| description: The ICD-10-CM condition code. | ||
| - name: hcc_code | ||
| description: > | ||
| HCC code from the latest CMS HCC model available in the mart. | ||
| - name: hcc_description | ||
| description: > | ||
| HCC description from the latest CMS HCC model available in the mart. | ||
| - name: tuva_last_run | ||
| description: The date the model was run. | ||
|
|
||
| - name: hcc_suspecting__int_patient_hcc_history | ||
| config: | ||
| schema: | | ||
| {%- if var('tuva_schema_prefix',None) != None -%}{{var('tuva_schema_prefix')}}_hcc_suspecting{% else %}hcc_suspecting{%- endif -%} | ||
| alias: _int_patient_hcc_history | ||
| tags: hcc_suspecting | ||
| materialized: table | ||
| description: > | ||
| This intermediate model displays the full history of a patient's recorded HCCs | ||
| with a flag for recorded during the current year. | ||
| columns: | ||
| - name: patient_id | ||
| description: Unique ID for the patient. | ||
| - name: recorded_date | ||
| description: Date in which the ICD-10-CM condition was recorded. | ||
| - name: condition_type | ||
| description: The type of condition. | ||
| - name: icd_10_cm_code | ||
| description: The ICD-10-CM condition code. | ||
| meta: | ||
| terminology: https://github.com/tuva-health/the_tuva_project/blob/main/seeds/value_sets/cms_hcc/cms_hcc__icd_10_cm_mappings.csv | ||
| - name: hcc_code | ||
| description: > | ||
| HCC code from the latest CMS HCC model available in the mart. | ||
| meta: | ||
| terminology: https://github.com/tuva-health/the_tuva_project/blob/main/seeds/value_sets/cms_hcc/cms_hcc__icd_10_cm_mappings.csv | ||
| - name: hcc_description | ||
| description: > | ||
| HCC description from the latest CMS HCC model available in the mart. | ||
| - name: first_recorded | ||
| description: Date the HCC was first recorded in the patient's record. | ||
| - name: last_recorded | ||
| description: Date the HCC was last recorded in the patient's record. | ||
| - name: last_billed | ||
| description: > | ||
| Date the HCC was last billed in the patient's record (where | ||
| condition_type <> 'problem'). | ||
| - name: current_year_billed | ||
| description: > | ||
| Flag indicating that the ICD-10-CM code mapped to the HCC was billed | ||
| during the payment year. | ||
| - name: tuva_last_run | ||
| description: The date the model was run. | ||
|
|
||
| ## Staging | ||
| - name: hcc_suspecting__stg_core__condition | ||
| config: | ||
| schema: | | ||
| {%- if var('tuva_schema_prefix',None) != None -%}{{var('tuva_schema_prefix')}}_hcc_suspecting{% else %}hcc_suspecting{%- endif -%} | ||
| alias: _stg_condition | ||
| tags: hcc_suspecting | ||
| materialized: ephemeral | ||
| description: Staging conditions from core. | ||
| columns: | ||
| - name: claim_id | ||
| - name: patient_id | ||
| - name: recorded_date | ||
| - name: condition_type | ||
| - name: code_type | ||
| - name: code | ||
|
|
||
| - name: hcc_suspecting__stg_core__patient | ||
| config: | ||
| schema: | | ||
| {%- if var('tuva_schema_prefix',None) != None -%}{{var('tuva_schema_prefix')}}_hcc_suspecting{% else %}hcc_suspecting{%- endif -%} | ||
| alias: _stg_patient | ||
| tags: hcc_suspecting | ||
| materialized: ephemeral | ||
| description: Staging patients from core. | ||
| columns: | ||
| - name: patient_id | ||
| - name: sex | ||
| - name: birth_date | ||
| - name: death_date |
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