Reputation: 13
I have a cohort of data with multiple person visits and want to group visits with a common ID based on person # and the time of the visit. The condition is if an start is within 24 hours of a the previous exit, then I want those to have the same ID.
Sample of what data looks like:
dat <- data.frame(
Person_ID = c(1,1,1,2,3,3,3,4,4),
Admit_Date_Time = as.POSIXct(c("2017-02-07 15:26:00","2017-04-21 10:20:00",
"2017-04-22 12:12:00", "2017-10-16 01:31:00","2017-01-24 02:41:00","2017- 01-24 05:31:00", "2017-01-28 04:26:00", "2017-12-01 01:31:00","2017-12-01
01:31:00"), format = "%Y-%m-%d %H:%M"),
Discharge_Date_Time = as.POSIXct(c("2017-03-01 11:42:00","2017-04-22
05:56:00",
"2017-04-26 21:01:00",
"2017-10-18 20:11:00",
"2017-01-27 22:15:00",
"2017-01-26 15:35:00",
"2017-01-28 09:25:00",
"2017-12-05 18:33:00",
"2017-12-04 16:41:00"),format = "%Y-%m-%d %H:%M" ),
Visit_ID = c(1:9))
this is what I tried to start:
dat1 <-
dat %>%
arrange(Person_ID, Admit_Date_Time) %>%
group_by(Person_ID) %>%
mutate(Previous_Visit_Interval = difftime(lag(Discharge_Date_Time,
1),Admit_Date_Time, units = "hours")) %>%
mutate(start = c(1,Previous_Visit_Interval[-1] < hours(-24)), run =
cumsum(start))
dat1$ID = as.numeric(as.factor(paste0(dat1$Person_ID,dat1$run)))
Which is almost right, except it does not give the correct ID for visit 7 (person #3). Since there are three visits and the second visit is entirely within the first, and the third starts within 24 hours of the first but not the second.
Upvotes: 1
Views: 456
Reputation: 66415
There's probably a way to shorten this, but here's an approach using tidyr::gather
and spread
. By gathering into long format, we can track the cumulative admissions inside each visit. A new visit is recorded whenever there's a new Person_ID
or that Person_ID
completed a visit (cumulative admissions went to zero) at least 24 hours prior.
library(tidyr)
dat1 <- dat %>%
# Gather into long format with event type in one column, timestamp in another
gather(event, time, Admit_Date_Time:Discharge_Date_Time) %>%
# I want discharges to have an effect up to 24 hours later. Sort using that.
mutate(time_adj = if_else(event == "Discharge_Date_Time",
time + ddays(1),
time)) %>%
arrange(Person_ID, time_adj) %>%
# For each Person_ID, track cumulative admissions. 0 means a visit has completed.
# (b/c we sorted by time_adj, these reflect the 24hr period after discharges.)
group_by(Person_ID) %>%
mutate(admissions = if_else(event == "Admit_Date_Time", 1, -1)) %>%
mutate(admissions_count = cumsum(admissions)) %>%
ungroup() %>%
# Record a new Hosp_ID when either (a) a new Person, or (b) preceded by a
# completed visit (ie admissions_count was zero).
mutate(Hosp_ID_chg = 1 *
(Person_ID != lag(Person_ID, default = 1) | # (a)
lag(admissions_count, default = 1) == 0), # (b)
Hosp_ID = cumsum(Hosp_ID_chg)) %>%
# Spread back into original format
select(-time_adj, -admissions, -admissions_count, -Hosp_ID_chg) %>%
spread(event, time)
Results
> dat1
# A tibble: 9 x 5
Person_ID Visit_ID Hosp_ID Admit_Date_Time Discharge_Date_Time
<dbl> <int> <dbl> <dttm> <dttm>
1 1 1 1 2017-02-07 15:26:00 2017-03-01 11:42:00
2 1 2 2 2017-04-21 10:20:00 2017-04-22 05:56:00
3 1 3 2 2017-04-22 12:12:00 2017-04-26 21:01:00
4 2 4 3 2017-10-16 01:31:00 2017-10-18 20:11:00
5 3 5 4 2017-01-24 02:41:00 2017-01-27 22:15:00
6 3 6 4 2017-01-24 05:31:00 2017-01-26 15:35:00
7 3 7 4 2017-01-28 04:26:00 2017-01-28 09:25:00
8 4 8 5 2017-12-01 01:31:00 2017-12-05 18:33:00
9 4 9 5 2017-12-01 01:31:00 2017-12-04 16:41:00
Upvotes: 1
Reputation: 27732
Here's a data.table approach using an overlap-join
library( data.table )
library( lubridate )
setDT( dat )
setorder( dat, Person_ID, Admit_Date_Time )
#create a 1-day extension after each discharge
dt2 <- dat[, discharge_24h := Discharge_Date_Time %m+% days(1)][]
#now create id
setkey( dat, Admit_Date_Time, discharge_24h )
#create data-table with overlap-join, create groups based on overlapping ranges
dt2 <- setorder(
foverlaps( dat,
dat,
mult = "first",
type = "any",
nomatch = 0L
),
Visit_ID )[, list( Visit_ID = i.Visit_ID,
Hosp_ID = .GRP ),
by = .( Visit_ID )][, Visit_ID := NULL]
#reorder the result
setorder( dt2[ dat, on = "Visit_ID" ][, discharge_24h := NULL], Visit_ID )[]
# Visit_ID Hosp_ID Person_ID Admit_Date_Time Discharge_Date_Time
# 1: 1 1 1 2017-02-07 15:26:00 2017-03-01 11:42:00
# 2: 2 2 1 2017-04-21 10:20:00 2017-04-22 05:56:00
# 3: 3 2 1 2017-04-22 12:12:00 2017-04-26 21:01:00
# 4: 4 3 2 2017-10-16 01:31:00 2017-10-18 20:11:00
# 5: 5 4 3 2017-01-24 02:41:00 2017-01-27 22:15:00
# 6: 6 4 3 2017-01-24 05:31:00 2017-01-26 15:35:00
# 7: 7 4 3 2017-01-28 04:26:00 2017-01-28 09:25:00
# 8: 8 5 4 2017-12-01 01:31:00 2017-12-05 18:33:00
# 9: 9 5 4 2017-12-01 01:31:00 2017-12-04 16:41:00
Upvotes: 0