Use of Structured and Unstructured Data to Identify Contraceptive Use in Women Veterans.
Contraceptive use among women Veterans may not be adequately captured using administrative and pharmacy codes. Clinical progress notes may provide a useful alternative. The objectives of this study were to validate the use of administrative and pharmacy codes to identify contraceptive use in Veteran...
| Publicado en: | Perspectives in Health Information Management pp. 1 - 16 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Health Information Management Association
Summer2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=90380739&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 90380739 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15594122 2QEL jtl: Perspectives in Health Information Management issn: 15594122 maglogo: N pubinfo: dt: Summer2013 pid: 6825 pub: American Health Information Management Association place: Chicago, Illinois artinfo: ui: 90380739 90380739 104232159 90380739 ppf: 1 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Use of Structured and Unstructured Data to Identify Contraceptive Use in Women Veterans. aug: au: Womack, Julie A. Scotch, Matthew Leung, Sylvia N. Skanderson, Melissa Bathulapalli, Harini Haskell, Sally G. Brandt, Cynthia A. affil: Assistant Professor, Yale School of Nursing, New Haven, CT. sug: subj: Contraception Utilization Veterans Electronic Health Records Coding Self Report Documentation Methods Pharmacy Service Comparative Studies Prospective Studies Sensitivity and Specificity Surveys Predictive Value of Tests Questionnaires Data Analysis Software Sample Size Adult Female Human Funding Source Adult: 19-44 years Female ab: Contraceptive use among women Veterans may not be adequately captured using administrative and pharmacy codes. Clinical progress notes may provide a useful alternative. The objectives of this study were to validate the use of administrative and pharmacy codes to identify contraceptive use in Veterans Health Administration data, and to determine the feasibility and validity of identifying contraceptive use in clinical progress notes. The study included women Veterans who participated in the Women Veterans Cohort Study, enrolled in the Veterans Affairs Connecticut Health Care System, completed a baseline survey, and had clinical progress notes from one year prior to survey completion. Contraceptive ICD-9-CM codes, V-codes, CPT codes, and pharmacy codes were identified. Progress notes were annotated to identify contraceptive use. Self-reported contraceptive use was identified from a baseline survey of health habits and healthcare practices and utilization. Sensitivity, specificity, and positive predictive value were calculated comparing administrative and pharmacy contraceptive codes and progress note-based contraceptive information to self-report survey data. Results showed that administrative and pharmacy codes were specific but not sensitive for identifying contraceptive use. For example, oral contraceptive pill codes were highly specific (1.00) but not sensitive (0.41). Data from clinical progress notes demonstrated greater sensitivity and comparable specificity. For example, for oral contraceptive pills, progress notes were both specific (0.85) and sensitive (0.73). Results suggest that the best approach for identifying contraceptive use, through either administrative codes or progress notes, depends on the research question. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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