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AIW OMOP ETL is a Protempa query results handler for loading data and
abstractions into OMOP.
CREATE SCHEMA OMOP;
CREATE TABLE OMOP.concept (
concept_id INTEGER NOT NULL ,
concept_name VARCHAR(255) NOT NULL ,
domain_id VARCHAR(20) NOT NULL ,
vocabulary_id VARCHAR(20) NOT NULL ,
concept_class_id VARCHAR(20) NOT NULL ,
standard_concept VARCHAR(1) NULL ,
concept_code VARCHAR(50) NOT NULL ,
valid_start_date DATE NOT NULL ,
valid_end_date DATE NOT NULL ,
invalid_reason VARCHAR(1) NULL
)
;
CREATE TABLE OMOP.vocabulary (
vocabulary_id VARCHAR(20) NOT NULL,
vocabulary_name VARCHAR(255) NOT NULL,
vocabulary_reference VARCHAR(255) NOT NULL,
vocabulary_version VARCHAR(255) NULL,
vocabulary_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.domain (
domain_id VARCHAR(20) NOT NULL,
domain_name VARCHAR(255) NOT NULL,
domain_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.concept_class (
concept_class_id VARCHAR(20) NOT NULL,
concept_class_name VARCHAR(255) NOT NULL,
concept_class_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.concept_relationship (
concept_id_1 INTEGER NOT NULL,
concept_id_2 INTEGER NOT NULL,
relationship_id VARCHAR(20) NOT NULL,
valid_start_date DATE NOT NULL,
valid_end_date DATE NOT NULL,
invalid_reason VARCHAR(1) NULL
)
;
CREATE TABLE OMOP.relationship (
relationship_id VARCHAR(20) NOT NULL,
relationship_name VARCHAR(255) NOT NULL,
is_hierarchical VARCHAR(1) NOT NULL,
defines_ancestry VARCHAR(1) NOT NULL,
reverse_relationship_id VARCHAR(20) NOT NULL,
relationship_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.concept_synonym (
concept_id INTEGER NOT NULL,
concept_synonym_name VARCHAR(1000) NOT NULL,
language_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.concept_ancestor (
ancestor_concept_id INTEGER NOT NULL,
descendant_concept_id INTEGER NOT NULL,
min_levels_of_separation INTEGER NOT NULL,
max_levels_of_separation INTEGER NOT NULL
)
;
CREATE TABLE OMOP.source_to_concept_map (
source_code VARCHAR(50) NOT NULL,
source_concept_id INTEGER NOT NULL,
source_vocabulary_id VARCHAR(20) NOT NULL,
source_code_description VARCHAR(255) NULL,
target_concept_id INTEGER NOT NULL,
target_vocabulary_id VARCHAR(20) NOT NULL,
valid_start_date DATE NOT NULL,
valid_end_date DATE NOT NULL,
invalid_reason VARCHAR(1) NULL
)
;
CREATE TABLE OMOP.drug_strength (
drug_concept_id INTEGER NOT NULL,
ingredient_concept_id INTEGER NOT NULL,
amount_value FLOAT NULL,
amount_unit_concept_id INTEGER NULL,
numerator_value FLOAT NULL,
numerator_unit_concept_id INTEGER NULL,
denominator_value FLOAT NULL,
denominator_unit_concept_id INTEGER NULL,
box_size INTEGER NULL,
valid_start_date DATE NOT NULL,
valid_end_date DATE NOT NULL,
invalid_reason VARCHAR(1) NULL
)
;
CREATE TABLE OMOP.cdm_source
(
cdm_source_name VARCHAR(255) NOT NULL ,
cdm_source_abbreviation VARCHAR(25) NULL ,
cdm_holder VARCHAR(255) NULL ,
source_description CLOB NULL ,
source_documentation_reference VARCHAR(255) NULL ,
cdm_etl_reference VARCHAR(255) NULL ,
source_release_date DATE NULL ,
cdm_release_date DATE NULL ,
cdm_version VARCHAR(10) NULL ,
vocabulary_version VARCHAR(20) NULL
)
;
CREATE TABLE OMOP.metadata
(
metadata_concept_id INTEGER NOT NULL ,
metadata_type_concept_id INTEGER NOT NULL ,
name VARCHAR(250) NOT NULL ,
value_as_string CLOB NULL ,
value_as_concept_id INTEGER NULL ,
metadata_date DATE NULL ,
metadata_datetime TIMESTAMP NULL
)
;
INSERT INTO OMOP.metadata (metadata_concept_id, metadata_type_concept_id, name, value_as_string, value_as_concept_id, metadata_date, metadata_datetime) --Added cdm version record
VALUES (0,0,'CDM Version', '6.0',0,NULL,NULL)
;
CREATE TABLE OMOP.person
(
person_id NUMBER(19) NOT NULL ,
gender_concept_id INTEGER NOT NULL ,
year_of_birth INTEGER NOT NULL ,
month_of_birth INTEGER NULL,
day_of_birth INTEGER NULL,
birth_datetime TIMESTAMP NULL,
death_datetime TIMESTAMP NULL,
race_concept_id INTEGER NOT NULL,
ethnicity_concept_id INTEGER NOT NULL,
location_id NUMBER(19) NULL,
provider_id NUMBER(19) NULL,
care_site_id NUMBER(19) NULL,
person_source_value VARCHAR(50) NULL,
gender_source_value VARCHAR(50) NULL,
gender_source_concept_id INTEGER NOT NULL,
race_source_value VARCHAR(50) NULL,
race_source_concept_id INTEGER NOT NULL,
ethnicity_source_value VARCHAR(50) NULL,
ethnicity_source_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.observation_period
(
observation_period_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
observation_period_start_date DATE NOT NULL ,
observation_period_end_date DATE NOT NULL ,
period_type_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.specimen
(
specimen_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
specimen_concept_id INTEGER NOT NULL ,
specimen_type_concept_id INTEGER NOT NULL ,
specimen_date DATE NULL ,
specimen_datetime TIMESTAMP NOT NULL ,
quantity FLOAT NULL ,
unit_concept_id INTEGER NULL ,
anatomic_site_concept_id INTEGER NOT NULL ,
disease_status_concept_id INTEGER NOT NULL ,
specimen_source_id VARCHAR(50) NULL ,
specimen_source_value VARCHAR(50) NULL ,
unit_source_value VARCHAR(50) NULL ,
anatomic_site_source_value VARCHAR(50) NULL ,
disease_status_source_value VARCHAR(50) NULL
)
;
CREATE TABLE OMOP.visit_occurrence
(
visit_occurrence_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
visit_concept_id INTEGER NOT NULL ,
visit_start_date DATE NULL ,
visit_start_datetime TIMESTAMP NOT NULL ,
visit_end_date DATE NULL ,
visit_end_datetime TIMESTAMP NOT NULL ,
visit_type_concept_id INTEGER NOT NULL ,
provider_id NUMBER(19) NULL,
care_site_id NUMBER(19) NULL,
visit_source_value VARCHAR(50) NULL,
visit_source_concept_id INTEGER NOT NULL ,
admitted_from_concept_id INTEGER NOT NULL ,
admitted_from_source_value VARCHAR(50) NULL ,
discharge_to_source_value VARCHAR(50) NULL ,
discharge_to_concept_id INTEGER NOT NULL ,
preceding_visit_occurrence_id NUMBER(19) NULL
)
;
CREATE TABLE OMOP.visit_detail
(
visit_detail_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
visit_detail_concept_id INTEGER NOT NULL ,
visit_detail_start_date DATE NULL ,
visit_detail_start_datetime TIMESTAMP NOT NULL ,
visit_detail_end_date DATE NULL ,
visit_detail_end_datetime TIMESTAMP NOT NULL ,
visit_detail_type_concept_id INTEGER NOT NULL ,
provider_id NUMBER(19) NULL ,
care_site_id NUMBER(19) NULL ,
discharge_to_concept_id INTEGER NOT NULL ,
admitted_from_concept_id INTEGER NOT NULL ,
admitted_from_source_value VARCHAR(50) NULL ,
visit_detail_source_value VARCHAR(50) NULL ,
visit_detail_source_concept_id INTEGER NOT NULL ,
discharge_to_source_value VARCHAR(50) NULL ,
preceding_visit_detail_id NUMBER(19) NULL ,
visit_detail_parent_id NUMBER(19) NULL ,
visit_occurrence_id NUMBER(19) NOT NULL
)
;
CREATE TABLE OMOP.procedure_occurrence
(
procedure_occurrence_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
procedure_concept_id INTEGER NOT NULL ,
procedure_date DATE NULL ,
procedure_datetime TIMESTAMP NOT NULL ,
procedure_type_concept_id INTEGER NOT NULL ,
modifier_concept_id INTEGER NOT NULL ,
quantity INTEGER NULL ,
provider_id NUMBER(19) NULL ,
visit_occurrence_id NUMBER(19) NULL ,
visit_detail_id NUMBER(19) NULL ,
procedure_source_value VARCHAR(50) NULL ,
procedure_source_concept_id INTEGER NOT NULL ,
modifier_source_value VARCHAR(50) NULL
)
;
CREATE TABLE OMOP.drug_exposure
(
drug_exposure_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
drug_concept_id INTEGER NOT NULL ,
drug_exposure_start_date DATE NULL ,
drug_exposure_start_datetime TIMESTAMP NOT NULL ,
drug_exposure_end_date DATE NULL ,
drug_exposure_end_datetime TIMESTAMP NOT NULL ,
verbatim_end_date DATE NULL ,
drug_type_concept_id INTEGER NOT NULL ,
stop_reason VARCHAR(20) NULL ,
refills INTEGER NULL ,
quantity FLOAT NULL ,
days_supply INTEGER NULL ,
sig CLOB NULL ,
route_concept_id INTEGER NOT NULL ,
lot_number VARCHAR(50) NULL ,
provider_id NUMBER(19) NULL ,
visit_occurrence_id NUMBER(19) NULL ,
visit_detail_id NUMBER(19) NULL ,
drug_source_value VARCHAR(50) NULL ,
drug_source_concept_id INTEGER NOT NULL ,
route_source_value VARCHAR(50) NULL ,
dose_unit_source_value VARCHAR(50) NULL
)
;
CREATE TABLE OMOP.device_exposure
(
device_exposure_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
device_concept_id INTEGER NOT NULL ,
device_exposure_start_date DATE NULL ,
device_exposure_start_datetime TIMESTAMP NOT NULL ,
device_exposure_end_date DATE NULL ,
device_exposure_end_datetime TIMESTAMP NULL ,
device_type_concept_id INTEGER NOT NULL ,
unique_device_id VARCHAR(50) NULL ,
quantity INTEGER NULL ,
provider_id NUMBER(19) NULL ,
visit_occurrence_id NUMBER(19) NULL ,
visit_detail_id NUMBER(19) NULL ,
device_source_value VARCHAR(100) NULL ,
device_source_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.condition_occurrence
(
condition_occurrence_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
condition_concept_id INTEGER NOT NULL ,
condition_start_date DATE NULL ,
condition_start_datetime TIMESTAMP NOT NULL ,
condition_end_date DATE NULL ,
condition_end_datetime TIMESTAMP NULL ,
condition_type_concept_id INTEGER NOT NULL ,
condition_status_concept_id INTEGER NOT NULL ,
stop_reason VARCHAR(20) NULL ,
provider_id NUMBER(19) NULL ,
visit_occurrence_id NUMBER(19) NULL ,
visit_detail_id NUMBER(19) NULL ,
condition_source_value VARCHAR(50) NULL ,
condition_source_concept_id INTEGER NOT NULL ,
condition_status_source_value VARCHAR(50) NULL
)
;
CREATE TABLE OMOP.measurement
(
measurement_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
measurement_concept_id INTEGER NOT NULL ,
measurement_date DATE NULL ,
measurement_datetime TIMESTAMP NOT NULL ,
measurement_time VARCHAR(10) NULL,
measurement_type_concept_id INTEGER NOT NULL ,
operator_concept_id INTEGER NULL ,
value_as_number FLOAT NULL ,
value_as_concept_id INTEGER NULL ,
unit_concept_id INTEGER NULL ,
range_low FLOAT NULL ,
range_high FLOAT NULL ,
provider_id NUMBER(19) NULL ,
visit_occurrence_id NUMBER(19) NULL ,
visit_detail_id NUMBER(19) NULL ,
measurement_source_value VARCHAR(50) NULL ,
measurement_source_concept_id INTEGER NOT NULL ,
unit_source_value VARCHAR(50) NULL ,
value_source_value VARCHAR(50) NULL
)
;
CREATE TABLE OMOP.note
(
note_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
note_event_id NUMBER(19) NULL ,
note_event_field_concept_id INTEGER NOT NULL ,
note_date DATE NULL ,
note_datetime TIMESTAMP NOT NULL ,
note_type_concept_id INTEGER NOT NULL ,
note_class_concept_id INTEGER NOT NULL ,
note_title VARCHAR(250) NULL ,
note_text CLOB NULL ,
encoding_concept_id INTEGER NOT NULL ,
language_concept_id INTEGER NOT NULL ,
provider_id NUMBER(19) NULL ,
visit_occurrence_id NUMBER(19) NULL ,
visit_detail_id NUMBER(19) NULL ,
note_source_value VARCHAR(50) NULL
)
;
CREATE TABLE OMOP.note_nlp
(
note_nlp_id NUMBER(19) NOT NULL ,
note_id NUMBER(19) NOT NULL ,
section_concept_id INTEGER NOT NULL ,
snippet VARCHAR(250) NULL ,
"offset" VARCHAR(250) NULL ,
lexical_variant VARCHAR(250) NOT NULL ,
note_nlp_concept_id INTEGER NOT NULL ,
nlp_system VARCHAR(250) NULL ,
nlp_date DATE NOT NULL ,
nlp_datetime TIMESTAMP NULL ,
term_exists VARCHAR(1) NULL ,
term_temporal VARCHAR(50) NULL ,
term_modifiers VARCHAR(2000) NULL ,
note_nlp_source_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.observation
(
observation_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
observation_concept_id INTEGER NOT NULL ,
observation_date DATE NULL ,
observation_datetime TIMESTAMP NOT NULL ,
observation_type_concept_id INTEGER NOT NULL ,
value_as_number FLOAT NULL ,
value_as_string VARCHAR(60) NULL ,
value_as_concept_id INTEGER NULL ,
qualifier_concept_id INTEGER NULL ,
unit_concept_id INTEGER NULL ,
provider_id NUMBER(19) NULL ,
visit_occurrence_id NUMBER(19) NULL ,
visit_detail_id NUMBER(19) NULL ,
observation_source_value VARCHAR(50) NULL ,
observation_source_concept_id INTEGER NOT NULL ,
unit_source_value VARCHAR(50) NULL ,
qualifier_source_value VARCHAR(50) NULL ,
observation_event_id NUMBER(19) NULL ,
obs_event_field_concept_id INTEGER NOT NULL ,
value_as_datetime TIMESTAMP NULL
)
;
CREATE TABLE OMOP.survey_conduct --Table added
(
survey_conduct_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
survey_concept_id INTEGER NOT NULL ,
survey_start_date DATE NULL ,
survey_start_datetime TIMESTAMP NULL ,
survey_end_date DATE NULL ,
survey_end_datetime TIMESTAMP NOT NULL ,
provider_id NUMBER(19) NULL ,
assisted_concept_id INTEGER NOT NULL ,
respondent_type_concept_id INTEGER NOT NULL ,
timing_concept_id INTEGER NOT NULL ,
collection_method_concept_id INTEGER NOT NULL ,
assisted_source_value VARCHAR(50) NULL ,
respondent_type_source_value VARCHAR(100) NULL ,
timing_source_value VARCHAR(100) NULL ,
collection_method_source_value VARCHAR(100) NULL ,
survey_source_value VARCHAR(100) NULL ,
survey_source_concept_id INTEGER NOT NULL ,
survey_source_identifier VARCHAR(100) NULL ,
validated_survey_concept_id INTEGER NOT NULL ,
validated_survey_source_value VARCHAR(100) NULL ,
survey_version_number VARCHAR(20) NULL ,
visit_occurrence_id NUMBER(19) NULL ,
visit_detail_id NUMBER(19) NULL ,
response_visit_occurrence_id NUMBER(19) NULL
)
;
CREATE TABLE OMOP.fact_relationship
(
domain_concept_id_1 INTEGER NOT NULL ,
fact_id_1 NUMBER(19) NOT NULL ,
domain_concept_id_2 INTEGER NOT NULL ,
fact_id_2 NUMBER(19) NOT NULL ,
relationship_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.location
(
location_id NUMBER(19) NOT NULL ,
address_1 VARCHAR(50) NULL ,
address_2 VARCHAR(50) NULL ,
city VARCHAR(50) NULL ,
state VARCHAR(2) NULL ,
zip VARCHAR(9) NULL ,
county VARCHAR(20) NULL ,
country VARCHAR(100) NULL ,
location_source_value VARCHAR(50) NULL ,
latitude FLOAT NULL ,
longitude FLOAT NULL
)
;
CREATE TABLE OMOP.location_history --Table added
(
location_history_id NUMBER(19) NOT NULL ,
location_id NUMBER(19) NOT NULL ,
relationship_type_concept_id INTEGER NOT NULL ,
domain_id VARCHAR(50) NOT NULL ,
entity_id NUMBER(19) NOT NULL ,
start_date DATE NOT NULL ,
end_date DATE NULL
)
;
CREATE TABLE OMOP.care_site
(
care_site_id NUMBER(19) NOT NULL ,
care_site_name VARCHAR(255) NULL ,
place_of_service_concept_id INTEGER NOT NULL ,
location_id NUMBER(19) NULL ,
care_site_source_value VARCHAR(50) NULL ,
place_of_service_source_value VARCHAR(50) NULL
)
;
CREATE TABLE OMOP.provider
(
provider_id NUMBER(19) NOT NULL ,
provider_name VARCHAR(255) NULL ,
NPI VARCHAR(20) NULL ,
DEA VARCHAR(20) NULL ,
specialty_concept_id INTEGER NOT NULL ,
care_site_id NUMBER(19) NULL ,
year_of_birth INTEGER NULL ,
gender_concept_id INTEGER NULL ,
provider_source_value VARCHAR(50) NULL ,
specialty_source_value VARCHAR(50) NULL ,
specialty_source_concept_id INTEGER NOT NULL ,
gender_source_value VARCHAR(50) NULL ,
gender_source_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.payer_plan_period
(
payer_plan_period_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
contract_person_id NUMBER(19) NULL ,
payer_plan_period_start_date DATE NOT NULL ,
payer_plan_period_end_date DATE NOT NULL ,
payer_concept_id INTEGER NOT NULL ,
plan_concept_id INTEGER NOT NULL ,
contract_concept_id INTEGER NOT NULL ,
sponsor_concept_id INTEGER NOT NULL ,
stop_reason_concept_id INTEGER NOT NULL ,
payer_source_value VARCHAR(50) NULL ,
payer_source_concept_id INTEGER NOT NULL ,
plan_source_value VARCHAR(50) NULL ,
plan_source_concept_id INTEGER NOT NULL ,
contract_source_value VARCHAR(50) NULL ,
contract_source_concept_id INTEGER NOT NULL ,
sponsor_source_value VARCHAR(50) NULL ,
sponsor_source_concept_id INTEGER NOT NULL ,
family_source_value VARCHAR(50) NULL ,
stop_reason_source_value VARCHAR(50) NULL ,
stop_reason_source_concept_id INTEGER NOT NULL
)
;
CREATE TABLE OMOP.cost
(
cost_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL,
cost_event_id NUMBER(19) NOT NULL ,
cost_event_field_concept_id INTEGER NOT NULL ,
cost_concept_id INTEGER NOT NULL ,
cost_type_concept_id INTEGER NOT NULL ,
currency_concept_id INTEGER NOT NULL ,
cost FLOAT NULL ,
incurred_date DATE NOT NULL ,
billed_date DATE NULL ,
paid_date DATE NULL ,
revenue_code_concept_id INTEGER NOT NULL ,
drg_concept_id INTEGER NOT NULL ,
cost_source_value VARCHAR(50) NULL ,
cost_source_concept_id INTEGER NOT NULL ,
revenue_code_source_value VARCHAR(50) NULL ,
drg_source_value VARCHAR(3) NULL ,
payer_plan_period_id NUMBER(19) NULL
)
;
CREATE TABLE OMOP.drug_era
(
drug_era_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
drug_concept_id INTEGER NOT NULL ,
drug_era_start_datetime TIMESTAMP NOT NULL ,
drug_era_end_datetime TIMESTAMP NOT NULL ,
drug_exposure_count INTEGER NULL ,
gap_days INTEGER NULL
)
;
CREATE TABLE OMOP.dose_era
(
dose_era_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
drug_concept_id INTEGER NOT NULL ,
unit_concept_id INTEGER NOT NULL ,
dose_value FLOAT NOT NULL ,
dose_era_start_datetime TIMESTAMP NOT NULL ,
dose_era_end_datetime TIMESTAMP NOT NULL
)
;
CREATE TABLE OMOP.condition_era
(
condition_era_id NUMBER(19) NOT NULL ,
person_id NUMBER(19) NOT NULL ,
condition_concept_id INTEGER NOT NULL ,
condition_era_start_datetime TIMESTAMP NOT NULL ,
condition_era_end_datetime TIMESTAMP NOT NULL ,
condition_occurrence_count INTEGER NULL
)
;
CREATE TABLE OMOP.death
(
person_id NUMBER(19) NOT NULL ,
death_date DATE NOT NULL ,
death_datetime TIMESTAMP NOT NULL ,
death_type_concept_id INTEGER NOT NULL ,
cause_concept_id INTEGER NOT NULL ,
cause_source_value VARCHAR(50) NOT NULL ,
cause_source_concept_id INTEGER NOT NULL
);
CREATE TABLE OMOP.name
(
person_id NUMBER(19) NOT NULL ,
first_name VARCHAR(50) NOT NULL ,
middle_name VARCHAR(50) NULL ,
last_name VARCHAR(50) NOT NULL ,
suffix VARCHAR(50) NULL ,
prefix VARCHAR(50) NULL
);
CREATE TABLE OMOP.email
(
person_id NUMBER(19) NOT NULL ,
email VARCHAR(50) NULL ,
email_type VARCHAR(50) NULL
);
CREATE TABLE OMOP.phone_number
(
person_id NUMBER(19) NOT NULL ,
phone_number VARCHAR(50) NULL ,
phone_type VARCHAR(50) NULL
);
CREATE TABLE OMOP.address
(
person_id NUMBER(19) NOT NULL ,
location_id NUMBER(19) NOT NULL
);
CREATE TABLE OMOP.mrn
(
person_id NUMBER(19) NOT NULL ,
health_system VARCHAR(50) NULL ,
mrn VARCHAR(50) NOT NULL
);