HERON: Big Hill release adds home medications, other medication orders, and expands UHC data

The Big Hill release adds support for home medications and expands UHC coverage. Previously, we only had medications that are dispensed by the hospital pharmacy; now, you'll be able to see

  • medications that the patient reports taking at home (so called "historical medications"), as well as
  • all other orders, which includes prescriptions, inpatient medication orders, and discharge medication orders.
  • data for an additional 100K patients

The UHC data, although primarily administrative, provides a new view on a patient's interaction at the hospital. New UHC concepts include:

  • ICU length of stay: Search on time spent in ICU.
  • Admission and Discharge status concepts: Search where patients came from prior to admission or went to upon discharge.
  • Readmission concept: Helps you search for patients readmitted after discharge to their home, allowing specification to a desired number of days.
  • Clinical Classification Software (CCS) ICD-9: These codes provided by AHRQ collapse ICD-9 diagnosis and procedure codes into a smaller number of categories useful in analyzing data. See AHRQ ​web site.
  • All Patient Refined Diagnosis Related Groups (APR DRGs): DRG codes expanded to include 4 subclasses in severity of illness and mortality subgroups for each code. See ​web site.
  • Major Diagnostic Categories (MDCs): Search these diagnosis categories created by combining ICD-9 diagnosis codes into 25 MDCs. These codes, which are used primarily for administrative and billing purposes, provide another view on patient data.
  • Comorbidity: Search 29 comorbidity categories.

Currently the UHC data is limited to a 1-year time period (Nov. 2010-Nov. 2011). Look for additional years in future releases. This data is limited to hospital encounters and lacks clinic data.

HERON Big Hill Contents Summary

This month, our tour of ​rivers and lakes in Kansas honors lake Big Hill.

The HERON repository contains approximately 630 million real observations from the hospital, clinics, and research systems:

Observation Patients Source Go-Live Snapshot Issues
Demographics 18.0M 1.90M
KUH Billing (​O2 via SMS) 1980s Feb 2012 various*
UKP Billing 2000 Feb 2012
9.5K 9.5K Frontiers participant registry Jun 2009 Feb 2012
183K 183k Social Security Death Index 1962 Feb 2012
Diagnoses (IDC9) 18.7M 602K
KUH/O2/Epic Nov 2007 Feb 2012 various*
UKP Billing 2000 Feb 2012
Medications 78.1M 245K
KUH/O2/Epic Nov 2007 Feb 2012 various*
Nursing Observations 463M ?
KUH/O2/Epic Nov 2007 Feb 2012 various*
Lab Results 72.6M 257K
KUH/O2/Epic 2003 Feb 2012 various*
Procedures (CPT) 9.6M 542K
UKP Billing 2000 Feb 2012
Specimens 27.8K 2.80K
KUMC Biospecimen Repository ? Jan 2012
Cancer Cases 9.1M 62.8K
KUH Cancer Registry 1950s Jan 2012 labels*
​Hospital Quality Metrics .97M 19.7K
University HealthSystem Consortium (UHC) N/A Nov 2011 #997
All 630M

Beta Disclaimer

We are providing this early access to obtain feedback from you, the research community. While we are actively working on validating the data loaded into the system with hospital and clinic technical staff, there may be problems with our translation of data from our source systems (HospitalEpicSource and ClinicIdxSource) into HERON.

Please email us at heron-admin@kumc.edu if you discover information you believe may be erroneous.

We are actively working on enhancing the types of data included. Stay tuned to our roadmap to track progress toward upcoming releases.

Various Issues Still Apply

Keep in mind the issues noted in the original HERON beta notice, including:

Enhancements and Problems/Defects/Issues Addressed in this Release

No results

Outstanding Problems/Defects/Issues

Comments

No comments.