Skip to content
Open
Changes from all commits
Commits
File filter

Filter by extension

Filter by extension

Conversations
Failed to load comments.
Loading
Jump to
Jump to file
Failed to load files.
Loading
Diff view
Diff view
74 changes: 74 additions & 0 deletions analysis/measures_dm_reg_dataset.py
Original file line number Diff line number Diff line change
@@ -0,0 +1,74 @@
from ehrql import INTERVAL, create_measures, months, case, when
from ehrql.tables.tpp import (
practice_registrations,
patients,
clinical_events,
addresses,
)
from dm_reg_dataset import dm_cod

measures = create_measures()
measures.configure_dummy_data(population_size=100)
measures.configure_disclosure_control(enabled=False)

start_date = "2017-03-31"

# Is patient registered to a GP practice? (Boolean variable)
has_registration = practice_registrations.for_patient_on(
INTERVAL.end_date
).exists_for_patient()

# Select clinical events for measures interval
selected_events = clinical_events.where(
clinical_events.date.is_on_or_between(
INTERVAL.start_date,
INTERVAL.end_date,
)
)

# Select clinical events with a diabetes diagnosis code (occurence - how many patients had a diabetes-coded clinical event during the interval)
dm_occurence = selected_events.where(
selected_events.snomedct_code.is_in(dm_cod)
).exists_for_patient()

# Age band groupings
age = patients.age_on(INTERVAL.start_date)
age_band = case(
when((age >= 0) & (age < 20)).then("0-19"),
when((age >= 20) & (age < 40)).then("20-39"),
when((age >= 40) & (age < 60)).then("40-59"),
when((age >= 60) & (age < 80)).then("60-79"),
when(age >= 80).then("80+"),
when(age.is_null()).then("Missing"),
)

# IMD groupings
imd = addresses.for_patient_on(INTERVAL.start_date).imd_rounded
max_imd = 32844
imd_quintile = case(
when((imd >= 0) & (imd < int(max_imd * 1 / 5))).then("1 (Most Deprived)"),
when(imd < int(max_imd * 2 / 5)).then("2"),
when(imd < int(max_imd * 3 / 5)).then("3"),
when(imd < int(max_imd * 4 / 5)).then("4"),
when(imd <= max_imd).then("5 (Least Deprived)"),
otherwise="Missing",
)

# Defining default denominators (as we are using the same denominator and interval for each measure here)
measures.define_defaults(
denominator=(has_registration & (patients.age_on(INTERVAL.start_date) > 17)),
intervals=months(12).starting_on(start_date),
)

# This measure looks at the number of patients with a diabetes diagnosis code per interval
measures.define_measure(name="dm_occurence", numerator=dm_occurence)

# This measure looks at the number of patients with a diabetes diagnosis code per interval by age band
measures.define_measure(
name="dm_occurence_by_age", numerator=dm_occurence, group_by={"age_band": age_band}
)

# This measure looks at the number of patients with a diabetes diagnosis code per interval by IMD
measures.define_measure(
name="dm_occurence_by_imd", numerator=dm_occurence, group_by={"imd": imd_quintile}
)