Forms or Free-Text? Measuring Advance Care Planning Activity Using Electronic Health Records.

ABSTRACT: Advance care planning (ACP) discussions seek to guide future serious illness care. These discussions may be recorded in the electronic health record by documentation in clinical notes, structured forms and directives, and physician orders. Yet, most studies of ACP prevalence have only examined structured electronic health record elements and ignored data existing in notes. We sought to investigate the relative comprehensiveness and accuracy of ACP documentation from structured and unstructured electronic health record data sources. We evaluated structured and unstructured ACP documentation present in the electronic health records of 435 patients with cancer drawn from three separate healthcare systems. We extracted structured ACP documentation by manually annotating written documents and f

SUBMITTER: Zupanc SN 

PROVIDER: S-EPMC10592170 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature