Server (Cells) Design
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In this case new facts are added to the OBSERVATION_FACT table regardless of whether or not the fact's encounter exists. This involves overwriting any matching fields. i.e. if the incoming fact matches a particular stored fact and its update date is greater than the update of the matching fact, then the new fact will overwrite the old fact.
Example:
<observation update_date="2008-05-04T18:13:51.498-04:00" sourcesystem_cd="PFT">
<event_id source="HIVE">100</event_id>
<patient_id source="HIVE">100</patient_id>
<concept_cd>FC30.00620</concept_cd>
<nval_num>10.9</nval_num>
</observation>
<observation update_date="2008-05-04T18:13:51.498-04:00" sourcesystem_cd="PFT">
<event_id source="HIVE">100</event_id>
<patient_id source="HIVE">100</patient_id>
<concept_cd>FC30.00621</concept_cd>
<nval_num>20.2</nval_num>
</observation>
<observation update_date="2008-10-04T18:13:51.498-04:00" sourcesystem_cd="PFT">
<event_id source="HIVE">100</event_id>
<patient_id source="HIVE">100</patient_id>
<concept_cd>FC30.00622</concept_cd>
<nval_num>76.0</nval_num>
</observation>

The rows in the OBSERVATION_FACT table before the update:

ENCOUNTER_NUM

PATIENT_NUM

CONCEPT_CD

NVAL_NUM

UPDATE_DATE

100

100

FC30.00620

10.9

2008-05-04 18:13:51

100

100

FC30.00621

20.2

2008-05-04 18:13:51

100

100

FC30.00622

6.0

2008-05-04 18:13:51



The rows in the OBSERVATION_FACT table after the update:

ENCOUNTER_NUM

PATIENT_NUM

CONCEPT_CD

NVAL_NUM

UPDATE_DATE

100

100

FC30.00620

100.9

2008-05-04 18:13:51

100

100

FC30.00621

6.0

2008-05-04 18:13:51

100

100

FC30.00622

76.0

2008-10-08 18:13:51



Assumption: the record(s) in the update file (new record) has the same primary key as a record(s) in the associated table (existing record).
Primary Key includes:

Description

Column Name

XML tag

Encounter number

ENCOUNTER_NUM

<event_id>

Patient number

PATIENT_NUM

<patient_id>

Concept code

CONCEPT_CD

<concept_cd>

Start date

START_DATE

<start_date>

Modifier code

MODIFIER_CD

<modifier_cd>

Observer code

PROVIDER_ID

<observer_cd>



Append Flag = True
The following conditions will result in the new record replacing the existing record:

new record update date

equal to (=)

 

update date on the existing record

 

new record update date

greater than (>)

 

update date on the existing record

 

new record update date

is not null

AND

update date on the existing record

null

new record update date

null

AND

update date on the existing record

null



The following conditions will result in ignoring the new record and not updating the existing record:

new record update date

less than (<)

 

update date on the existing record

 

new record update date

null

AND

update date on the existing record

is not null


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