---
title: "Preprocessing"
output: rmarkdown::html_vignette
vignette: >
%\VignetteIndexEntry{Preprocessing}
%\VignetteEngine{knitr::rmarkdown}
%\VignetteEncoding{UTF-8}
---
```{r, include = FALSE}
knitr::opts_chunk$set(
collapse = TRUE,
comment = "#>"
)
```
```{r setup}
library(eider)
library(magrittr)
```
Inside each feature JSON, an optional `preprocess` object can be included, which causes the input table to be modified in a particular way before the feature is calculated.
This is primarily useful for data where each row represents some subdivision of a larger entity, and the user wants to calculate features based on the information from those larger entity.
In particular, this is useful for *episodic data*, where each row represents an *episode* within a continuous hospital *stay*.
## Motivation
We begin by making the case for why preprocessing can be required for certain features.
Consider the following data frame.
(This is a heavily simplified version of the example [SMR04](https://publichealthscotland.scot/services/national-data-catalogue/data-dictionary/a-to-z-of-data-dictionary-terms/smr04-summary-of-rules/?Search=S&ID=999&Title=SMR04%20-%20Summary%20of%20Rules) data bundled with the package, which you can obtain using `eider_example('random_smr04_data.csv')`.)
```{r}
input_table <- data.frame(
id = c(1, 1, 1, 1),
admission_date = as.Date(c(
"2015-01-01", "2016-01-01", "2016-01-04", "2017-01-01"
)),
discharge_date = as.Date(c(
"2015-01-05", "2016-01-04", "2016-01-08", "2017-01-08"
)),
cis_marker = c(1, 2, 2, 3),
episode_within_cis = c(1, 1, 2, 1),
diagnosis = c("A", "B", "C", "B")
)
input_table
```
Here, each row is an episode; multiple episodes make up a *continuous inpatient stay* (hence the abbreviation "cis").
The `cis_marker` field is used to label stays, and can thus be used to identify episodes belonging to the same stay.
In this case, the `episode_within_cis` tells us the order of the episodes within a stay; such information is not always present, though.
In this table snippet, there is only one patient: they have had 3 distinct stays; the second of these comprises 2 episodes.
Such information can be tricky to perform filtering on, because the `admission_date` and `discharge_date` pertain to each episode, but we are often interested in stay-level data: for example, when the patient was first admitted to hospital.
Consider the following question: *how many stays has a patient had since 5 January 2016 in which they had a diagnosis of "B"?*
For the patient in this table, the answer is 2: both the 2016 and 2017 stays had a diagnosis of "B", and both _stays_ ended after 5 January 2016.
If we were to naively try to perform this calculation without accounting for the dates, we could write something like [`json_examples/preprocessing1.json`](https://github.com/alan-turing-institute/eider/blob/main/vignettes/json_examples/preprocessing1.json):
```{r comment='', echo=FALSE}
writeLines(readLines("json_examples/preprocessing1.json"))
```
Running this would give:
```{r}
results <- run_pipeline(
data_sources = list(input_table = input_table),
feature_filenames = "json_examples/preprocessing1.json"
)
results$features
```
We got a value of 1, which is incorrect!
What gives?
As it happens, the filter was applied to each episode, and because the first episode of the 2016 stay ended before 5 January, it was not counted in the data.
The second episode of the 2016 stay was also removed because its diagnosis was not "B".
So only the third stay, in 2017, was counted.
## Preprocessing specification
The way `eider` approaches this issue is to allow users to preprocess their data.
This is accomplished by specifying a `preprocess` object in the feature JSON.
In our case, to merge episode dates into stays, we can say that we would like:
* for each unique pair of `id` and `cis_marker`,
* replace the value of the admission date with the earliest of all episodes,
* and replace the discharge date replaced with the latest of all episodes.
In `dplyr` terms, one would write a pipeline like this:
```{r}
processed_table <- input_table %>%
dplyr::group_by(id, cis_marker) %>%
dplyr::mutate(
admission_date = min(admission_date),
discharge_date = max(discharge_date)
) %>%
dplyr::ungroup()
processed_table
```
Notice how the dates for both episodes in stay 2 are now the same, and reflect the overall dates for the stay.
Returning to the `eider` library, this information is (unsurprisingly) specified in JSON.
Including a `preprocess` object in the feature will cause the input table to be modified as above:
```json
{
"preprocess": {
"on": ["id", "cis_marker"],
"retain_min": ["admission_date"],
"retain_max": ["discharge_date"]
},
}
```
The `preprocess` object contains one mandatory key:
* **(array of strings) `"on"`**: the names of the columns by which the data should be grouped for preprocessing
and several optional keys can be provided, corresponding to the operations which should be performed.
All of these keys refer to column names:
* **(array of strings) `"retain_min"`**: retain the minimum value within each group
* **(array of strings) `"retain_max"`**: retain the maximum value within each group
* **(array of strings) `"replace_with_sum"`**: sum the values within each group and replace the original values with the sum
Columns may not be specified in more than one of the above keys (i.e., you cannot preprocess the same column twice).
## Returning to the example
We can now rewrite the feature JSON to include the preprocessing step ([`json_examples/preprocessing2.json`](https://github.com/alan-turing-institute/eider/blob/main/vignettes/json_examples/preprocessing2.json)):
```{r comment='', echo=FALSE}
writeLines(readLines("json_examples/preprocessing2.json"))
```
and rerunning the pipeline gives us the correct value of 2.
Note that although the `preprocess` object is placed after the `filter` object in the JSON, the preprocessing is always done _prior_ to filtering.
The order of the keys in the JSON has no effect whatsoever on the result.
```{r}
results <- run_pipeline(
data_sources = list(input_table = input_table),
feature_filenames = "json_examples/preprocessing2.json"
)
results$features
```
## An example for `replace_with_sum`
To motivate the use of `replace_with_sum`, we can add a column to our previous data frame to denote the length of each episode:
```{r}
input_table_with_sum <- input_table %>%
dplyr::mutate(days = as.numeric(discharge_date - admission_date))
input_table_with_sum
```
Now consider a different question, which is: *how many stays has a patient had which lasted for a week or more?*
To answer this, we need to first sum up the `days` for each stay, and we can then filter based on this sum.
This is accomplished with [`json_examples/preprocessing3.json`](https://github.com/alan-turing-institute/eider/blob/main/vignettes/json_examples/preprocessing3.json):
```{r comment='', echo=FALSE}
writeLines(readLines("json_examples/preprocessing3.json"))
```
```{r}
results <- run_pipeline(
data_sources = list(input_table = input_table_with_sum),
feature_filenames = "json_examples/preprocessing3.json"
)
results$features
```
## See also
The _Gallery_ section contains two examples of preprocessing in action: both [PIS feature 4](examples_pis.html#feature-4-maximum-number-of-items-prescribed-in-a-single-day) and [SMR04 feature 4](examples_smr04.html#feature-4-longest-single-stay-in-hospital) use the `replace_with_sum` preprocessing function.