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docs.R
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docs.R
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################################################################################
### a collection of docs for APCD data-organization
### version controlled by git
################################################################################
## columns selected for medical claim value sets.
mc.col.out <- c(
"medical_claim_service_line_id",
"submitter_id",
"product_code",
"internal_member_id",
"first_service_dt",
"last_service_dt",
"admission_dt",
"discharge_dt",
"place_of_service_code",
"type_of_bill_code",
"type_of_setting_id",
"quantity",
"charge_amt",
"paid_amt" ,
"copay_amt",
"coinsurance_amt",
"deductible_amt",
"prepaid_amt",
"claim_status_code",
"procedure_code",
"procedure_modifier_code_1",
"procedure_modifier_code_2",
"procedure_modifier_code_3",
"procedure_modifier_code_4",
"revenue_code",
"diagnosis_code",
"icd_procedure_code",
"discharge_status_code",
"orphaned_adjustment_flag",
"denied_claim_flag",
"medical_claim_header_id",
"rendering_provider_id",
"billing_provider_id",
"icd_version",
NULL
)
## columns selected for pharmacy claim value sets.
pc.col.out <- c(
'pharmacy_claim_service_line_id',
'LINE_COUNTER',
'INTERNAL_MEMBER_ID',
'prescription_filled_dt',
'NATIONAL_DRUG_CODE',
'DRUG_NAME',
'REFILL_NUMBER',
'QUANTITY',
'DAYS_SUPPLY',
'THIRTY_DAY_EQUIVALENT',
'CLAIM_STATUS_CODE',
'DENIED_CLAIM_FLAG',
'PHARMACY_PROVIDER_ID',
'PRSCRBING_PROVIDER_ID',
NULL
)
### Taxo detail information matrix
taxo_info <- rbind(data.table('taxo' = '207Q00000X', 'spec1' = 'FP', 'reference' = 'CMS08',
'description' = 'Allopathic & Osteopathic Physicians/Family Medicine'),
data.table('taxo' = '207QA0000X', 'spec1' = 'FP', 'reference' = 'CMS08',
'description' = 'Allopathic & Osteopathic Physicians/Family Medicine, Adolescent Medicine'),
data.table('taxo' = '207QA0505X', 'spec1' = 'FP', 'reference' = 'CMS08',
'description' = 'Allopathic & Osteopathic Physicians/Family Medicine, Adult Medicine'),
data.table('taxo' = '207QG0300X', 'spec1' = 'FP', 'reference' = 'CMS08',
'description' = 'Allopathic & Osteopathic Physicians/Family Medicine, Geriatric Medicine'),
data.table('taxo' = '208D00000X', 'spec1' = 'GP', 'reference' = 'CMS01',
'description' = 'Allopathic & Osteopathic Physicians/General Practice'),
data.table('taxo' = '207R00000X', 'spec1' = 'IM', 'reference' = 'CMS11',
'description' = 'Allopathic & Osteopathic Physicians/Internal Medicine'),
data.table('taxo' = '207RA0000X', 'spec1' = 'IM', 'reference' = 'CMS11',
'description' = 'Allopathic & Osteopathic Physicians/Internal Medicine, Adolescent Medicine'),
data.table('taxo' = '207RG0300X', 'spec1' = 'IM', 'reference' = 'CMS11',
'description' = 'Allopathic & Osteopathic Physicians/Internal Medicine, Geriatric Medicine'),
data.table('taxo' = '208000000X', 'spec1' = 'PedM', 'reference' = 'CMS37',
'description' = 'Allopathic & Osteopathic Physicians/Pediatrics'),
data.table('taxo' = '2080A0000X', 'spec1' = 'PedM', 'reference' = 'CMS37',
'description' = 'Allopathic & Osteopathic Physicians/Pediatrics, Adolescent Medicine'),
data.table('taxo' = '363L00000X', 'spec1' = 'NP', 'reference' = 'CMS50',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner'),
data.table('taxo' = '363LA2200X', 'spec1' = 'NP', 'reference' = 'CMS50',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner, Adult Health'),
data.table('taxo' = '363LC1500X', 'spec1' = 'NP', 'reference' = 'CMS50',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner, Community Health'),
data.table('taxo' = '363LF0000X', 'spec1' = 'NP', 'reference' = 'CMS50',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner, Family'),
data.table('taxo' = '363LG0600X', 'spec1' = 'NP', 'reference' = 'CMS50',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner, Gerontology'),
data.table('taxo' = '363LP0200X', 'spec1' = 'NP', 'reference' = 'CMS50',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner, Pediatrics'),
data.table('taxo' = '363LP2300X', 'spec1' = 'NP', 'reference' = 'CMS50',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner, Primary Care'),
data.table('taxo' = '364S00000X', 'spec1' = 'CCNS', 'reference' = 'CMS89',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist'),
data.table('taxo' = '364SA2200X', 'spec1' = 'CCNS', 'reference' = 'CMS89',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist, Adult Health'),
data.table('taxo' = '364SC1501X', 'spec1' = 'CCNS', 'reference' = 'CMS89',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist, Community Health/Public Health'),
data.table('taxo' = '364SF0001X', 'spec1' = 'CCNS', 'reference' = 'CMS89',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist, Family Health'),
data.table('taxo' = '364SG0600X', 'spec1' = 'CCNS', 'reference' = 'CMS89',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist, Gerontology'),
data.table('taxo' = '364SP0200X', 'spec1' = 'CCNS', 'reference' = 'CMS89',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist, Pediatrics'),
data.table('taxo' = '363A00000X', 'spec1' = 'PA', 'reference' = 'CMS97',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Physician Assistant'),
data.table('taxo' = '363AM0700X', 'spec1' = 'PA', 'reference' = 'CMS97',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Physician Assistant, Medical'),
data.table('taxo' = '207V00000X', 'spec1' = 'OBGYN', 'reference' = 'CMS16',
'description' = 'Allopathic & Osteopathic Physicians/Obstetrics & Gynecology'),
data.table('taxo' = '207VG0400X', 'spec1' = 'OBGYN', 'reference' = 'CMS16',
'description' = 'Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Gynecology'),
data.table('taxo' = '207VX0000X', 'spec1' = 'OBGYN', 'reference' = 'CMS16',
'description' = 'Allopathic & Osteopathic Physicians/Obstetrics & Gynecology, Obstetrics'),
data.table('taxo' = '363LX0001X', 'spec1' = 'OBGYN', 'reference' = 'sup',
'description' = 'Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner, Obstetrics & Gynecology'),
data.table('taxo' = '363LW0102X', 'spec1' = 'OBGYN', 'reference' = 'sup',
'description' = "Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner, Women's Health"),
data.table('taxo' = '364SW0102X', 'spec1' = 'OBGYN', 'reference' = 'sup',
'description' = "Physician Assistants & Advanced Practice Nursing Providers/Clinical Nurse Specialist, Women's Health"),
NULL # placeholder for comments
)
taxo_info[spec1 %in% c('FP',
'GP',
'IM',
'PedM',
'NP',
'CCNS',
'PA'),
spec0 := 'PCP'][spec1 %in% c('OBGYN'),
spec0 := 'OBGYN']