我从事医疗保健工作,需要制作一份报告,以显示患者在各个时间点的实验室值。时间点如下:
移植前:
1年= 365天+/- 30天
3个月= 90天+/- 14天
1个月= 30天+/- 7天
移植后:
1天= 24小时+/- 12小时
1周= 7天+/- 1天
1个月= 30天+/- 7天
3个月= 90天+/- 14天
6个月= 180天+/- 30天
1年= 365天+/- 30天
我的数据模型有很多表(SQL Server查询的结果),但是主实验室表如下所示:
+-----------------------+-----------------+------------+-----------+
| Order ID | Episode ID | Transplant Date | Lab Date | Lab Value |
+----------+------------+-----------------+------------+-----------+
| 111 | 222 | 5/2/2018 | 1/22/2018 | 23 |
| 112 | 222 | 5/2/2018 | 1/27/2018 | 15 |
| 113 | 222 | 5/2/2018 | 5/3/2018 | 14 |
| 114 | 222 | 5/2/2018 | 10/19/2018 | 12 |
| 115 | 223 | 1/23/2019 | 1/24/2019 | 20 |
| 116 | 223 | 1/23/2019 | 1/25/2019 | 25 |
| 117 | 223 | 1/23/2019 | 1/31/2019 | 29 |
| 118 | 223 | 1/23/2019 | 4/23/2019 | 30 |
| 119 | 223 | 1/23/2019 | 3/1/2019 | 35 |
| 120 | 224 | 7/19/2019 | 7/19/2018 | 5 |
| 121 | 224 | 7/19/2019 | 7/24/2018 | 13 |
+-----------------------+-----------------+------------+-----------+
[Order ID
是实验室的唯一标识符,Episode ID
是患者的唯一标识符,我们正在寻找相对于Transplant Date
的实验室。
还有另一个病人数据表,看起来像这样:
+------------+----------------+-----------------+
| Episode ID | Patient Name | Transplant Date |
+------------+----------------+-----------------+
| 222 | Alphers, Ralph | 5/2/2018 |
| 223 | Bethe, Hans | 1/23/2019 |
| 224 | Gammow, George | 7/19/2019 |
+------------+----------------+-----------------+
结果数据看起来应与此类似:
+------------+------------+--------------+-------------+------------+-------------+--------------+---------------+-------------+
| Episode ID | 1 year pre | 3 months pre | 1 month pre | 1 day post | 1 week post | 1 month post | 6 months post | 1 year post |
+------------+------------+--------------+-------------+------------+-------------+--------------+---------------+-------------+
| 222 | | 15 | | 14 | | | 12 | |
| 223 | | | | 20 | 29 | 35 | | |
| 224 | 5 | | | | | | | |
+------------+------------+--------------+-------------+------------+-------------+--------------+---------------+-------------+
考虑到处理时间(用户体验)和开发复杂性,是否有最好的方法呢?
现在,这就是我的做法。
首先,我正在使用Power Query(M)创建时间点(例如Table.AddColumn(#"Changed Type", "Minutes to One Year Before Transplant", each Number.Abs(Duration.TotalMinutes(([Lab Date] - DateTime.From(Date.AddYears([Transplant Date], -1))))))
)。然后,我使用DAX查找最接近正确目标日期的记录的天数:
Labs shortest minutes to one year before transplant =
VAR EpisodeID = Patients[Episode ID]
VAR TargetDate = DATEADD(Patients[Transplant Date], 1, MONTH)
VAR WindowDays = 30
RETURN
CALCULATE(
MIN(Labs[Minutes to One Month After Transplant]),
FILTER(Labs, Labs[Episode ID] = EpisodeID),
FILTER(Labs, Labs[Lab Date] >= DATEADD(TargetDate, -WindowDays, DAY)),
FILTER(Labs, Labs[Lab Date] <= DATEADD(TargetDate, WindowDays, DAY))
)
然后,我使用该分钟数作为标识符来获取Order ID
Lab Order ID closest to one year before transplant =
VAR EpisodeID = Patients[Episode ID]
VAR TargetDate = DATEADD(Patients[Transplant Date], 1, MONTH)
VAR WindowDays = 30
VAR DaysFrom = Patients[Labs shortest minutes to one year before transplant]
RETURN
CALCULATE(
MIN(Labs[Order ID]),
FILTER(Labs, Labs[Episode ID] = EpisodeID),
FILTER(Labs, Labs[Lab Date] >= DATEADD(TargetDate, -WindowDays, DAY)),
FILTER(Labs, Labs[Lab Date] <= DATEADD(TargetDate, WindowDays, DAY))
)
最后,我可以使用Order ID
从该实验中获取我想要的任何东西,例如值:
Lab Value closest to one year before transplant =
VAR EpisodeID = Patients[Episode ID]
VAR OrderID = Patients[Lab Order ID closest to one year before transplant]
RETURN
CALCULATE(
MIN(Labs[Value]),
FILTER(Labs, Labs[Episode ID] = EpisodeID),
FILTER(Labs, Labs[Order ID] = OrderID)
)
而且,我需要在3个不同的实验室中执行此操作,这意味着重复此过程大约30次。并且,生成的报告需要一段时间才能进行计算。我可以将大量工作推回SQL Server,但这也许不是最好的主意?
我能想到的最简单的方法是为每个时间段创建计算列,然后以所需的任何度量直接使用它们。例如,对于1年以下的年份:
1 Year Pre = IF('Table'[Lab Date]>='Table'[Transplant Date]-395 && 'Table'[Lab Date]<='Table'[Transplant Date]-335,'Table'[LabValue],BLANK())
3个月前:
3 Months Pre = IF('Table'[Lab Date]>='Table'[Transplant Date]-104 && 'Table'[Lab Date]<='Table'[Transplant Date]-76,'Table'[LabValue],BLANK())
同样,您也可以为其他时间段创建计算列,并使用它们来获得所需的视觉效果。希望这会有所帮助。
您的所有代码都是M,所以我不确定为什么要用SQL标记它。但是这里是[可能不是最优雅的] SQL解决方案:
create table labs (
OrderID int not null,
EpisodeID int not null,
TransplantDate date not null,
LabDate date not null,
LabValue int not null)
insert labs
values
(111, 222, cast('5/2/2018' as date), cast('1/22/2018' as date), 23),
(112, 222, cast('5/2/2018' as date), cast('1/27/2018' as date), 15),
(113, 222, cast('5/2/2018' as date), cast('5/3/2018' as date), 14),
(114, 222, cast('5/2/2018' as date), cast('10/19/2018' as date), 12),
(115, 223, cast('1/23/2019' as date), cast('1/24/2019' as date), 20),
(116, 223, cast('1/23/2019' as date), cast('1/25/2019' as date), 25),
(117, 223, cast('1/23/2019' as date), cast('1/31/2019' as date), 29),
(118, 223, cast('1/23/2019' as date), cast('4/23/2019' as date), 30),
(119, 223, cast('1/23/2019' as date), cast('3/1/2019' as date), 35),
(120, 224, cast('7/19/2019' as date), cast('7/19/2018' as date), 5),
(121, 224, cast('7/19/2019' as date), cast('7/24/2018' as date), 13)
create table patient (
EpisodeID int not null,
PatientName varchar(128) not null,
TransplantDate date not null
)
insert patient
values
(222, 'Alphers, Ralph', cast('5/2/2018' as date)),
(223, 'Bethe, Hans', cast('1/23/2019' as date)),
(224, 'Gammow, George', cast('7/19/2019' as date))
select q.EpisodeID
, min(q.[1YrPre] ) as '1YrPre'
, min(q.[3MoPre] ) as '3MoPre'
, min(q.[1MoPre] ) as '1MoPre'
, min(q.[1DayPost]) as '1DayPost'
, min(q.[1WkPost] ) as '1WkPost'
, min(q.[1MoPost] ) as '1MoPost'
, min(q.[3MoPost] ) as '3MoPost'
, min(q.[6MoPost] ) as '6MoPost'
, min(q.[1YrPost] ) as '1YrPost'
from (
select r.OrderID
, r.EpisodeID
, case when r.[1YrPreCheck] = m.[1YrPreCheck] and m.[1YrPreCheck] <= 30 then r.LabValue end as '1YrPre'
, case when r.[3MoPreCheck] = m.[3MoPreCheck] and m.[3MoPreCheck] <= 14 then r.LabValue end as '3MoPre'
, case when r.[1MoPreCheck] = m.[1MoPreCheck] and m.[1MoPreCheck] <= 7 then r.LabValue end as '1MoPre'
, case when r.[1DayPostCheck] = m.[1DayPostCheck] and m.[1DayPostCheck] <= 1 then r.LabValue end as '1DayPost'
, case when r.[1WkPostCheck] = m.[1WkPostCheck] and m.[1WkPostCheck] <= 1 then r.LabValue end as '1WkPost'
, case when r.[1MoPostCheck] = m.[1MoPostCheck] and m.[1MoPostCheck] <= 7 then r.LabValue end as '1MoPost'
, case when r.[6MoPostCheck] = m.[3MoPostCheck] and m.[3MoPostCheck] <= 14 then r.LabValue end as '3MoPost'
, case when r.[6MoPostCheck] = m.[6MoPostCheck] and m.[6MoPostCheck] <= 30 then r.LabValue end as '6MoPost'
, case when r.[1YrPostCheck] = m.[1YrPostCheck] and m.[1YrPostCheck] <= 30 then r.LabValue end as '1YrPost'
from (
select p.EpisodeID
, min(abs(datediff(day, l.LabDate, dateadd(year, -1, p.TransplantDate)))) as '1YrPreCheck'
, min(abs(datediff(day, l.LabDate, dateadd(month, -3, p.TransplantDate)))) as '3MoPreCheck'
, min(abs(datediff(day, l.LabDate, dateadd(month, -1, p.TransplantDate)))) as '1MoPreCheck'
, min(abs(datediff(day, l.LabDate, dateadd(day, 1, p.TransplantDate)))) as '1DayPostCheck'
, min(abs(datediff(day, l.LabDate, dateadd(day, 7, p.TransplantDate)))) as '1WkPostCheck'
, min(abs(datediff(day, l.LabDate, dateadd(month, 1, p.TransplantDate)))) as '1MoPostCheck'
, min(abs(datediff(day, l.LabDate, dateadd(month, 3, p.TransplantDate)))) as '3MoPostCheck'
, min(abs(datediff(day, l.LabDate, dateadd(month, 6, p.TransplantDate)))) as '6MoPostCheck'
, min(abs(datediff(day, l.LabDate, dateadd(year, 1, p.TransplantDate)))) as '1YrPostCheck'
from labs l
inner join patient p on p.EpisodeID = l.EpisodeID
group by p.EpisodeID
) m
inner join (
select l.OrderID
, p.EpisodeID
, l.LabValue
, abs(datediff(day, l.LabDate, dateadd(year, -1, p.TransplantDate))) as '1YrPreCheck'
, abs(datediff(day, l.LabDate, dateadd(month, -3, p.TransplantDate))) as '3MoPreCheck'
, abs(datediff(day, l.LabDate, dateadd(month, -1, p.TransplantDate))) as '1MoPreCheck'
, abs(datediff(day, l.LabDate, dateadd(day, 1, p.TransplantDate))) as '1DayPostCheck'
, abs(datediff(day, l.LabDate, dateadd(day, 7, p.TransplantDate))) as '1WkPostCheck'
, abs(datediff(day, l.LabDate, dateadd(month, 1, p.TransplantDate))) as '1MoPostCheck'
, abs(datediff(day, l.LabDate, dateadd(month, 3, p.TransplantDate))) as '3MoPostCheck'
, abs(datediff(day, l.LabDate, dateadd(month, 6, p.TransplantDate))) as '6MoPostCheck'
, abs(datediff(day, l.LabDate, dateadd(year, 1, p.TransplantDate))) as '1YrPostCheck'
from labs l
inner join patient p on p.EpisodeID = l.EpisodeID
) r on r.EpisodeID = m.EpisodeID
)q
group by q.EpisodeID