Mini-Sentinel Distributed Query Tool Summary Table Descriptions
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1 Mini-Sentinel Distributed Query Tool Summary Table Descriptions Version 1.1 April 2011 CONTACT: Mini-Sentinel Operations Center Harvard Pilgrim Health Care Institute
2 Table of Contents 1. Query Tool Overview 3 2. Summary Table Overview 3 3. Definitions 3 4. Description of Tables 5 I. Enrollment Summary Table 5 II. ICD-9 Diagnosis Summary Table (3 digit) 6 III. ICD-9 Diagnosis Summary Table (4 digit) 8 IV. ICD-9 Diagnosis Summary Table (5 digit) 9 V. HCPCS Summary Table 10 VI. ICD-9 Procedure Summary Table (3 digit) 11 VII. ICD-9 Procedure Summary Table (4 digit) 12 VIII. Generic Drug Name Summary Table 13 IX. Drug Class Summary Table 14 Developed by the Mini-Sentinel Operations Center. 2
3 1. Query Tool Overview The Mini-Sentinel Distributed Query Tool is designed to facilitate distributed querying within the Mini-Sentinel network. The Mini-Sentinel Distributed Query Tool currently supports simple and rapid menu-driven querying of pre-populated summary tables; additional querying capabilities are planned. This document describes the structure of the summary tables that are currently supported by the query tool. The query tool is based on the PopMedNet TM a software application ( Each data partner must install the Mini-Sentinel Distributed Query Tool software, establish a network connection using the Mini-Sentinel Distributed Query Tool secure web-based portal, and use the application to respond to queries sent by FDA staff or the Mini-Sentinel Operations Center. Details of the system are available from the Mini- Sentinel Operations Center and at 2. Summary Table Overview The query tool currently supports distributed querying of 9 summary tables that represent prevalence counts of enrollment, diagnoses, procedures, and drug utilization. The tables are described below. The summary tables are created through distributed SAS code written by the Mini-Sentinel Operations Center and executed against the Mini- Sentinel Distributed Database held by each data partner. Each data partner is responsible for maintaining the summary tables behind their firewalls and responding to distributed queries using the Mini-Sentinel Distributed Query Tool software. 3. Definitions This section provides high-level concepts used in creating the summary tables. Details of each summary table are in the next section. Please contact the Mini-Sentinel Operations Center to discuss specific questions about definitions. Age Group: The system uses the following age groups: 0-1, 2-4, 5-9, 10-14, 15-18, 19-21, 22-44, 45-64, 65-74, and 75+. Age is defined as the age as of the date of first utilization. For the enrollment table, age is defined as age at initial cohort eligibility during the period (e.g., age as of the start of coverage). Sex: Member: The system uses the following categories for sex: male, female, and unknown. Any individual not captured in male or female is categorized as unknown. A member is defined as a person who is cared for by the institution. For utilization counts a member is a person who received care. For enrollment, a member is a covered individual at any time during the period in question. A member is a health insurance concept referring to an individual for whom the insurer has some responsibility for Developed by the Mini-Sentinel Operations Center. 3
4 reimbursement of their medical coverage during a defined period. Non insurer-based settings such as medical group practices should use a definition appropriate to their setting and document the definition. Developed by the Mini-Sentinel Operations Center. 4
5 4. Description of Summary Tables Each of the 9 summary tables available via the Mini-Sentinel Distributed Query Tool is described below. I. Enrollment Summary Table The enrollment table provides a count of unique individuals who are members/patients during the period. The count is stratified by age group, sex, year, drug coverage status and medical coverage status. The counts in the enrollment table should be appropriate for use as denominators to calculate crude prevalence rates and should be defined to allow such calculations. Table name, variables, and permissible values for the Enrollment table: Enrollment Year: 4 digit year (character format) DrugCov: Y, N, U (character format) MedCov: Y, N, U (character format) Table 1. Sample of the enrollment table Developed by the Mini-Sentinel Operations Center. 5
6 II. ICD-9 Diagnosis Summary Table (3 digit) The 3 digit ICD-9 diagnosis table provides a count of unique individuals who had a diagnosis during the period and a count of events experienced within each stratum. The counts are stratified by setting of visit (inpatient, outpatient, emergency department), age group, sex, year, and 3 digit ICD-9 code. Members are categorized into visit setting by the encounter type: inpatient includes acute inpatient hospital stay and non-acute institutional stays; emergency department includes emergency department encounters; outpatient includes ambulatory visit, telephone encounters, encounters and other outpatient encounters. The number of members or events can be calculated for each subgroup. Table name, variables, and permissible values for the 3-digit ICD-9 Diagnosis table: ICD9_Diagnosis Code_: 3 digit code XXX (character format) DXname: 72 digit character format Setting: IP, ED, AV (character format) Events: Numeric value Developed by the Mini-Sentinel Operations Center. 6
7 Table 2. Sample of the 3-digit diagnosis table Developed by the Mini-Sentinel Operations Center. 7
8 III. ICD-9 Diagnosis Summary Table (4 digit) The 4 digit ICD-9 diagnosis table provides a count of unique individuals who had a diagnosis during the period and a count of events experienced within each stratum. The counts are stratified by setting of visit as described above (3-digit diagnosis summary tables). Table name, variables, and permissible values for the 4 digit ICD-9 Diagnosis table: ICD9_Diagnosis_4_digit Code_: 4 digit code XXXX (character format) DXname: 72 digit character format Setting: IP, ED, AV (character format) Events: Numeric value Table 3. Sample of the 4-digit diagnosis table Developed by the Mini-Sentinel Operations Center. 8
9 IV. ICD-9 Diagnosis Summary Table (5 digit) The 5 digit ICD-9 diagnosis table provides a count of unique individuals who had a diagnosis during the period and a count of events experienced within each stratum. The counts are stratified by setting of visit as described above (3-digit diagnosis summary tables). Table name, variables, and permissible values for the 5 digit ICD-9 Diagnosis table: ICD9_Diagnosis_5_digit Code_: 5 digit code XXXXX (character format) DXname: 72 digit character format Setting: IP, ED, AV (character format) Events: Numeric value Table 4. Sample of the 5-digit diagnosis table Developed by the Mini-Sentinel Operations Center. 9
10 V. HCPCS Summary Table The HCPCS table provides a count of unique individuals who had a procedure during the time period and a count of events experienced within each stratum. The counts are stratified by setting of visit (as defined above), age group, sex, year, and HCPCS code. Members are categorized into visit setting as described above. Table name, variables, and permissible values for the HCPCS Procedure table: HCPCS Code: 5 digit code XXXXX (character format) PXname: 72 digit character format Setting: IP, ED, AV (character format) Events: Numeric value Table 5. Sample of the HCPCS procedure code table Developed by the Mini-Sentinel Operations Center. 10
11 VI. ICD-9 Procedure Summary Table (3 digit) The ICD-9 3 digit procedure table provides a count of unique individuals who had an ICD-9 coded procedure during the period and a count of events in each stratum. The counts are stratified by setting of visit (as defined above), age group, sex, year, and 3 digit ICD-9 procedure code (format XXX). Members are categorized into visit setting as described above. Table name, variables, and permissible values for the ICD-9 Procedure table: ICD9_Procedure Setting: IP, ED, AV (character format) Code: 3 digit code XXX (character format) PXname: 72 digit character format Events: Numeric value Table 6. Sample of the ICD-9 3 digit procedure code table Developed by the Mini-Sentinel Operations Center. 11
12 VII. ICD-9 Procedure Summary Table (4 digit) The ICD-9 4 digit procedure table provides a count of unique individuals who had an ICD-9 coded procedure during the period and a count of events experienced within each stratum. The counts are stratified by setting of visit (as defined above), age group, sex, year, and 4 digit ICD-9 procedure code (format XXXX). Members are categorized into visit setting as described above. Table name, variables, and permissible values for the ICD-9 (4 digit) Procedure table: ICD9_Procedure_4_digit Setting: IP, ED, AV (character format) Code: 4 digit code XXXX (character format) PXname: 72 digit character format Events: Numeric value Table 7. Sample of the ICD-9 4 digit procedure code table Developed by the Mini-Sentinel Operations Center. 12
13 VIII. Generic Drug Name Summary Table The generic drug name table provides a count of unique individuals who had a drug dispensing during the period, a count of dispensings received by all of these members, and total days supplied by strata. The counts are stratified by generic drug name, age group, sex, quarter-year and year. The generic drug name is standardized using a look-up table provided by the Mini-Sentinel Operations Center. Table name, variables, and permissible values for the Drug Generic Name table: Generic_name GenericName: 30 digit character format Events: Numeric value DaysSupply: Numeric value Table 8. Sample of the generic name summary table Developed by the Mini-Sentinel Operations Center. 13
14 IX. Drug Class Summary Table The drug class table provides a count of unique individuals who had a drug dispensing during the period and a count of dispensings received by all of these members by strata. Additionally, a count of total days supply (sum of days supply for all members by strata) is included. The counts are stratified by drug class, age group, sex, quarter-year and year. The drug class is standardized using a look-up table provided by the Mini- Sentinel Operations Center. Table name, variables, and permissible values for the Drug Class table: Drug_class DrugClass: 30 digit character format Dispensings: Numeric value DaysSupply: Numeric value Table 9. Sample of the drug class summary table Developed by the Mini-Sentinel Operations Center. 14
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