| Comparative Analysis of the VA/Kaiser and NLM CORE Problem Subsets: An Empirical Study Based on Problem Frequency. | |
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MedLine Citation:
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PMID: 22195218 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The problem list is a critical component of the electronic medical record, with implications for clinical care, provider communication, clinical decision support, quality measurement and research. However, many of its benefits depend on the use of coded terminologies. Two standard terminologies (ICD-9 and SNOMED-CT) are available for problem documentation, and two SNOMED-CT subsets (VA/KP and CORE) are available for SNOMED-CT users. We set out to examine these subsets, characterize their overlap and measure their coverage. We applied the subsets to a random sample of 100,000 records from Brigham and Women's Hospital to determine the proportion of problems covered. Though CORE is smaller (5,814 terms vs. 17,761 terms for VA/KP), 94.8% of coded problem entries from BWH were in the CORE subset, while only 84.0% of entries had matches in VA/KP (p<0.001). Though both subsets had reasonable coverage, CORE was superior in our sample, and had fewer clinically significant gaps. |
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Authors:
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Adam Wright; Joshua Feblowitz; Allison B McCoy; Dean F Sittig |
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Publication Detail:
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Type: Journal Article Date: 2011-10-22 |
Journal Detail:
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Title: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium Volume: 2011 ISSN: 1942-597X ISO Abbreviation: AMIA Annu Symp Proc Publication Date: 2011 |
Date Detail:
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Created Date: 2011-12-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101209213 Medline TA: AMIA Annu Symp Proc Country: United States |
Other Details:
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Languages: eng Pagination: 1532-40 Citation Subset: IM |
Affiliation:
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Brigham and Women's Hospital, Boston, MA; |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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