以前我詢問過有關此查詢的信息,但現在問的問題與以前的問題完全不同。如果需要,請參閱here以解決上一個問題。計算動態日期範圍
下面這段代碼,應該計算數量的人,就應該使用以下信息:
獲取一個長住,並給每個範圍內的得分,< - 這個工程
易損度評分,< - 這個工程
共患得分,< - 這個工程
ER訪問得分。 < - 這不起作用
我會用我自己爲例:
說我來到急診室2013年6月18日並獲得住進了醫院。出院後我將有一段時間的住院時間,根據@T1
的病例報告得分,敏銳度也計算在那裏。
在第二個查詢,我應該得到的我在過去6個月多少次來到急診室基礎上,2013年6月18日日計數。這是給我最大悲痛的一點,也是我整個查詢失敗的地步。對我來說很棘手的是,每次有人進來時,他們都會得到一個訪問ID,但是這個人只有一個MRN作爲他們的唯一標識符。所以我必須根據每次訪問的日期來計算在過去180天內有人進來的次數。例如:
2013年6月18日MCP
涉及到ER和被承認
2013年6月20日MCP
會放電
長度= 2
視力= 3
ER訪問MCP
6-18-2013(不計算此項)6-01-2013(算了),5-15-2013(算了)2-19-2013(算了)1-01- 2013(不算這個)ER訪問量= 3而不是5
重要的是要指出,一個人的訪問得分,而不是人本身,這是由於ER訪問的日期範圍限制。因此,我可以在6月18日的訪問中獲得一個分數,並在7月30日的訪問中獲得不同的分數。
到目前爲止,我已經給出了完整的查詢,以便我可以評估從開始到結束的邏輯。我正在使用SQL Server 2008。
LOS和急性IP記分查詢
-- VARIABLE DECLARATION AND INITIALIZATION
SET ANSI_NULLS OFF
GO
DECLARE @SD DATETIME
DECLARE @ED DATETIME
-- QUERY ONE THAT GETS THE SCORING FOR THE LOS AND ACUITY --########--]
-- THESE ARE PATIENT ADMIT DATES
SET @SD = '2013-01-01'
SET @ED = '2013-01-31'
-- @T1 --------------------------------------------------------------]
-- TABLE DECLARATION WHERE ALL RESULTS WILL GET DEPOSITED OF THE FIRST
-- QUERY WILL GET DEPOSITED. THIS TABLE WILL GET USED IN CONJUNCTION
-- WITH TWO OTHER TABLES IN ORDER TO COMPUTE THE FINAL
DECLARE @T1 TABLE (
ENCOUNTER_ID VARCHAR(200)
, MRN VARCHAR(200)
, [PT AGE] VARCHAR(200)
, [PT NAME] VARCHAR(500)
, [DAYS STAY] VARCHAR(200)
, [LACE DAYS SCORE] INT
, [ACUTE ADMIT SCORE] VARCHAR(100)
, ARRIVAL DATETIME
)
----------------------------------------------------------------------]
-- @T1 RECORD INSERTIONS #############################################]
INSERT INTO @T1
SELECT
A.PT_NO
, A.MED_REC_NO
, A.PT_AGE
, A.PT_NAME
, A.DAYS_STAY
, A.LACE_DAYS_SCORE
, A.ACUTE_ADMIT_LACE_SCORE
, A.ADM_DATE
--####################################################################]
-- DAYS STAY, ACUTE ADMIT AND RELATED SCORING -------------------------
FROM
(SELECT PT_NO
, Med_Rec_No
, Pt_Age
, Pt_Name
, Days_Stay
, CASE
WHEN Days_Stay < 1 THEN 0
WHEN Days_Stay = 1 THEN 1
WHEN Days_Stay = 2 THEN 2
WHEN Days_Stay = 3 THEN 3
WHEN Days_Stay BETWEEN 4 AND 6 THEN 4
WHEN Days_Stay BETWEEN 7 AND 13 THEN 5
WHEN Days_Stay >= 14 THEN 6
END AS LACE_DAYS_SCORE
, CASE
WHEN PLM_PT_ACCT_TYPE = 'I' THEN 3
ELSE 0
END AS ACUTE_ADMIT_LACE_SCORE
, ADM_DATE
FROM SMSDSS.BMH_PLM_PTACCT_V
WHERE DSCH_DATE BETWEEN @SD AND @ED
AND Plm_Pt_Acct_Type = 'I'
)A
--SELECT * FROM @T1
的上述結果應該是這樣的:
ENCOUNTER_ID| MRN | AGE | PT NAME | DAYS STAY | LACE DAYS STAY |ACUTE SCR | ARRIVAL
123456789 | 123 | 65 | MCP | 5 | 4 | 3 | 6/18/2013
的ER數查詢作爲固定by @JoaoLeal:
-- ER VISITS QUERY
DECLARE @CNT TABLE (
MRN VARCHAR(100)
, VISIT_ID VARCHAR(100)
, VISIT_DATE DATETIME
, VISIT_COUNT INT
)
INSERT INTO @CNT
SELECT
A.MRN
, A.VISIT_ID
, A.VISIT_DATE
, COUNT(B.VISIT_ID) AS VISIT_COUNT
FROM
(SELECT MED_REC_NO AS MRN, VST_START_DTIME AS VISIT_DATE, PT_NO AS VISIT_ID
FROM smsdss.BMH_PLM_PtAcct_V
WHERE
((
PLM_PT_ACCT_TYPE = 'I'
AND ADM_SOURCE NOT IN
('RA',
'RP'
)
)
OR PT_TYPE = 'E')
AND vst_start_dtime BETWEEN @SD AND @ED)A
LEFT JOIN
(SELECT MED_REC_NO AS MRN, VST_START_DTIME AS VISIT_DATE, PT_NO AS VISIT_ID
FROM smsdss.BMH_PLM_PtAcct_V
WHERE
((
PLM_PT_ACCT_TYPE = 'I'
AND ADM_SOURCE NOT IN
('RA',
'RP'
)
)
OR PT_TYPE = 'E')
AND vst_start_dtime BETWEEN @SD AND @ED)B
ON A.MRN = B.MRN
AND A.VISIT_DATE > B.VISIT_DATE AND A.VISIT_DATE-180 <B.VISIT_DATE
GROUP BY A.MRN, A.VISIT_ID, A.VISIT_DATE
ORDER BY A.MRN
--SELECT * FROM @CNT
所需的輸出是這樣的:
MRN | Visit_ID | Visit_Date | Visit_Count
123 | 12345678 | 6/18/2013 | 1
聯合發病率查詢
-- CO MORBIDITY QUERY
DECLARE @CM TABLE (
ENCOUNTER_ID VARCHAR(200)
, [MRN CM] VARCHAR(200)
, NAME VARCHAR(500)
, [CC GRP ONE SCORE] VARCHAR(20)
, [CC GRP TWO SCORE] VARCHAR(20)
, [CC GRP THREE SCORE] VARCHAR(20)
, [CC GRP FOUR SCORE] VARCHAR(20)
, [CC GRP FIVE SCORE] VARCHAR(20)
, [CC LACE SCORE] INT
)
--#####################################################################
INSERT INTO @CM
SELECT
C.PT_NO
, C.MED_REC_NO
, C.PT_NAME
, C.PRIN_DX_CD_1
, C.PRIN_DX_CD_2
, C.PRIN_DX_CD_3
, C.PRIN_DX_CD_4
, C.PRIN_DX_CD_5
, CASE
WHEN (C.PRIN_DX_CD_1+C.PRIN_DX_CD_2+C.PRIN_DX_CD_3+C.PRIN_DX_CD_4+C.PRIN_DX_CD_5) = 0 THEN 0
WHEN (C.PRIN_DX_CD_1+C.PRIN_DX_CD_2+C.PRIN_DX_CD_3+C.PRIN_DX_CD_4+C.PRIN_DX_CD_5) = 1 THEN 1
WHEN (C.PRIN_DX_CD_1+C.PRIN_DX_CD_2+C.PRIN_DX_CD_3+C.PRIN_DX_CD_4+C.PRIN_DX_CD_5) = 2 THEN 2
WHEN (C.PRIN_DX_CD_1+C.PRIN_DX_CD_2+C.PRIN_DX_CD_3+C.PRIN_DX_CD_4+C.PRIN_DX_CD_5) = 3 THEN 3
WHEN (C.PRIN_DX_CD_1+C.PRIN_DX_CD_2+C.PRIN_DX_CD_3+C.PRIN_DX_CD_4+C.PRIN_DX_CD_5) = 4 THEN 4
WHEN (C.PRIN_DX_CD_1+C.PRIN_DX_CD_2+C.PRIN_DX_CD_3+C.PRIN_DX_CD_4+C.PRIN_DX_CD_5) = 5 THEN 5
WHEN (C.PRIN_DX_CD_1+C.PRIN_DX_CD_2+C.PRIN_DX_CD_3+C.PRIN_DX_CD_4+C.PRIN_DX_CD_5) >= 6 THEN 6
END AS CC_LACE_SCORE
FROM (
SELECT distinct PT_NO
, MED_REC_NO
, PT_NAME
, CASE
WHEN PRIN_DX_CD IN (
List of Codes
)
THEN 1
ELSE 0
END AS PRIN_DX_CD_1
, CASE
WHEN PRIN_DX_CD IN (
List of Codes
)
THEN 2
ELSE 0
END AS PRIN_DX_CD_2
, CASE
WHEN PRIN_DX_CD IN (
List of Codes
)
THEN 3
ELSE 0
END AS PRIN_DX_CD_3
, CASE
WHEN PRIN_DX_CD IN (
List of Codes
)
THEN 4
ELSE 0
END AS PRIN_DX_CD_4
, CASE
WHEN PRIN_DX_CD IN (
List of Codes
)
THEN 6
ELSE 0
END AS PRIN_DX_CD_5
FROM smsdss.BMH_PLM_PtAcct_V
WHERE dsch_Date BETWEEN @SD AND @ED
)C
GROUP BY C.PT_NO
, C.MED_REC_NO
, C.PT_NAME
, C.PRIN_DX_CD_1
, C.PRIN_DX_CD_2
, C.PRIN_DX_CD_3
, C.PRIN_DX_CD_4
, C.PRIN_DX_CD_5
ORDER BY (C.PRIN_DX_CD_1+C.PRIN_DX_CD_2+C.PRIN_DX_CD_3+C.PRIN_DX_CD_4+C.PRIN_DX_CD_5)
--SELECT * FROM @CM
所需的輸出是這樣的:
Visit_ID | MRN | Name | Grp 1 | Grp 2 | Grp 3 | Grp 4 | Grp 5 | Total
1234567 | 123 | MCP | 0 | 2 | 3 | 4 | 0 | 6
說得乾脆:
DECLARE @LACE_MSTR TABLE (
MRN VARCHAR(200)
,ENCOUNTER VARCHAR(200)
, AGE VARCHAR(30)
, NAME VARCHAR (500)
, [LACE DAYS SCORE] INT
, [LACE ACUTE IP SCORE] INT
, [LACE ER SCORE] INT
, [LACE COMORBID SCORE] INT
)
INSERT INTO @LACE_MSTR
SELECT
Q1.MRN
, Q1.ENCOUNTER_ID
, Q1.[PT AGE]
, Q1.[PT NAME]
, Q1.[LACE DAYS SCORE]
, Q1.[ACUTE ADMIT SCORE]
, CASE
WHEN Q1.[MRN COUNT] IS NULL THEN 0
WHEN Q1.[MRN COUNT] = 1 THEN 1
WHEN Q1.[MRN COUNT] = 2 THEN 2
WHEN Q1.[MRN COUNT] = 3 THEN 3
WHEN Q1.[MRN COUNT] >= 4 THEN 4
ELSE 0
END AS [LACE ER SCORE]
, Q1.[CC LACE SCORE]
FROM
(
SELECT
DISTINCT T1.ENCOUNTER_ID
, T1.MRN
, T1.[PT AGE]
, T1.[PT NAME]
, T1.[LACE DAYS SCORE]
, T1.[ACUTE ADMIT SCORE]
, CNT.[MRN COUNT]
, CM.[CC LACE SCORE]
FROM
@T1 T1
LEFT OUTER JOIN @CNT CNT
ON T1.MRN = CNT.MRN
JOIN @CM CM
ON CM.ENCOUNTER_ID = T1.ENCOUNTER_ID
)Q1
SELECT DISTINCT ENCOUNTER
, MRN
, AGE
, NAME
, [LACE DAYS SCORE]
, [LACE ACUTE IP SCORE]
, [LACE ER SCORE]
, [LACE COMORBID SCORE]
, [LACE DAYS SCORE]+[LACE ACUTE IP SCORE]+[LACE ER SCORE]+[LACE COMORBID SCORE] AS [TOTAL LACE]
FROM @LACE_MSTR
GROUP BY ENCOUNTER
, MRN
, AGE
, NAME
, [LACE DAYS SCORE]
, [LACE ACUTE IP SCORE]
, [LACE ER SCORE]
, [LACE COMORBID SCORE]
此查詢做了一個連接上的@CM ON @T1
表遭遇數和MRN對ER訪問次數和T1表。對於一些非常奇怪的原因,當我做最後加入類似@CM on @T1
通過MRN,我會得到多個記錄單個遭遇數:
ENCOUNTER | MRN | CM SCORE
12345 | 99999 | 9
12345 | 99999 | 11
'我都數不過來,多少次做了一些一個進來,在過去的180天。例如:ER訪問MCP 6-18-2013(不計算此)6-01-2013(數一數),5-15-2013(數數)2-19-2013(數數)1-01 -2013(不計算這個)ER訪問量= 3而不是5'你意識到2013年1月1日是在6/18/13的180天內,是嗎?你的巨大代碼塊也是一個巨大的痛苦閱讀。 –
我注意到的一件事是您在@ t1查詢中針對DSCH_DATE使用日期過濾器,而在其他地方使用vst_start_dtime和vst_end_dtime。顯然這些領域是相關的,但你確定這個邏輯是正確的嗎? –
@KyleHale我會再次通過邏輯,這個查詢是在我身邊的痛苦。這原本是三個不同的查詢,我想加入所有的一起,經過大量的欺騙之後,我做了一些我不應該做的改變。 –