Importing a PDO - the algorithms examined in detail

This is work in progress.

The context of this discussion is what happens to a PDO file when you ask the CRC loader to process the file using one of i2b2's web services. There are so many things happening here that throwing some light on the detail is important to understanding the process, and - by reflection - on how to format a PDO suitable for importing in the first place.

A lot of this detail can be gleaned from a careful reading of the CRC documentation, particularly those parts of the CRC Design and CRC Messaging pdf's covering the import use cases. But understanding is not easy. The details have been augmented by code reading the CRC loader.

The PDO (Patient Data Object)

The outline structure of a PDO matches the star-schema of the data mart and is given in the following:

<?xml version="1.0" encoding="UTF-8"?>
<pdo:patient_data xmlns:pdo="http://www.i2b2.org/xsd/hive/pdo/1.1/pdo">

   <!-- patient identifier set -->
   <pdo:pid_set>
      <!-- Identifies a patient in a source system -->
      <pid>... details  here ...</pid>
   </pdo:pid_set>
   
   <!-- event identifier set -->
   <pdo:eid_set>
      <!-- Identifies an event/occurrence/visit in a source system -->
      <eid>... details  here ...</eid>
   </pdo:eid_set>
   
   <pdo:patient_set>
      <!-- Basic patient details -->
      <patient>... details  here ...</patient>
   </pdo:patient_set>
   
   <pdo:event_set>
      <!-- Basic event details -->
      <event>... details  here ...</event>
   </pdo:event_set>
   
   <pdo:concept_set>
      <!-- Basic details of one concept -->
      <concept>... details  here ...</concept>
   </pdo:concept_set>

   <pdo:observer_set>
      <!-- Basic observer/provider details -->
      <observer>... details  here ...</observer>
   </pdo:observer_set>
     
   <pdo:observation_set>
      <!-- A single fact concerning one patient -->
      <observation>... details  here ...</observation>
   </pdo:observation_set> 
    
</pdo:patient_data>

Order of Processing

The loader processes the PDO in the order displayed in the above XML skeleton; ie:

1. pid_set
2. eid_set
3. patient_set
4. event_set
5. concept_set
6. observer_set
7. observation_set

Detailed processing will be reviewed later. For the moment, there are two observations I think need to be made:

• I believe that processing the pid_set and eid_set first in the work flow allows the loader to be in control in assigning i2b2 internal identifiers to patients and to events. I've made one pass at code reading this, and feel reasonably confident. That is: there is no need for i2b2 internal id's to somehow be manufactured and placed in the PDO beforehand. The source and source identifiers (eg: BRICCS participant id and/or s-number) can be used as patient identifiers and the loader will take care of assigning internal ids and mapping them to the external source ids. This is a big gain: the process is transactional, it is database independent and there are no problems with concurrency (multiple processes doing the same thing at the same time). However, although we know what a participant is, we are still somewhat in the dark concerning events: what is an event in terms of a source system?

• All seven sets or some subset of the seven can be supplied. Even if all seven were supplied, the loader message itself (the web service message that triggers the load process) contains control data which can specify which sets of those present should be processed. The processing will always be done in the above order, even if it has gaps, but see the next section for dependencies.

Dependencies

Target	Must already have been processed
pid_set, eid_set, observer_set, concept_set	None
patient_set	pid_set
event_set	eid_set
observation_set	pid_set, eid_set, event_set, patient_set

One thing to note in the above is the relative independence of the concept_set: it depends upon nothing, and nothing depends upon it. What role does the concept_set play - or can play - in a PDO upload is an interesting question. From the dependencies above, it seems you could use the upload facility just to upload concepts to the concept dimension: a PDO with nothing but concepts in it!