synthetichealth/synthea

Condition.category for SDoH conditions

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Discussed in #1370

Originally posted by XcrigX October 10, 2023
I am looking at some recent data I generated with Synthea and noticing that a high percentage of Conditions generated seems to be SDOH-related.
These all have Condition.category = encounter-diagnosis.

Primary question:
Should these use a different Condition category (problem-list-item, health-concern, or one of the SDOH profile values) ?

Secondary question:
Is it realistic to have so much of this data? I generated 20k patients, and around 50% of the Conditions generated are not what OMOP/OHDSI consider to be in the SNOMED "condition" domain. I'd agree these factors are important, but it surprised me to see so much of it.

Here is a listing of all the generated condition codes for one sample patient to illustrate the prevalence of these:

224295006	Only received primary school education (finding) **
160903007	Full-time employment (finding) **
1.24171E+14	Chronic intractable migraine without aura
82423001	Chronic pain
196416002	Impacted molars
15777000	Prediabetes
162864005	Body mass index 30+ - obesity (finding)
73595000	Stress (finding) **
160903007	Full-time employment (finding) **
6525002	Dependent drug abuse (disorder) **
55680006	Drug overdose
160903007	Full-time employment (finding) **
73595000	Stress (finding) **
73595000	Stress (finding) **
160903007	Full-time employment (finding) **
314529007	Medication review due (situation)
237602007	Metabolic syndrome X (disorder)
73595000	Stress (finding) **
424393004	Reports of violence in the environment (finding) **
278860009	Chronic low back pain (finding)
1.121E+12	Chronic neck pain (finding)
59621000	Essential hypertension (disorder)
741062008	Not in labor force (finding) **
160903007	Full-time employment (finding) **
314529007	Medication review due (situation)
314529007	Medication review due (situation)
44054006	Diabetes mellitus type 2 (disorder)
55822004	Hyperlipidemia
160904001	Part-time employment (finding) **
73595000	Stress (finding) **
444814009	Viral sinusitis (disorder)
314529007	Medication review due (situation)
302870006	Hypertriglyceridemia (disorder)
160903007	Full-time employment (finding) **
195662009	Acute viral pharyngitis (disorder)
73595000	Stress (finding) **
314529007	Medication review due (situation)
414545008	Ischemic heart disease (disorder)
274531002	Abnormal findings diagnostic imaging heart+coronary circulat (finding)
399261000	History of coronary artery bypass grafting (situation)

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