Assessing electronic health record phenotypes against gold-standard diagnostic criteria for diabetes mellitus.

ABSTRACT:

Objective

We assessed the sensitivity and specificity of 8 electronic health record (EHR)-based phenotypes for diabetes mellitus against gold-standard American Diabetes Association (ADA) diagnostic criteria via chart review by clinical experts.

Materials and methods

We identified EHR-based diabetes phenotype definitions that were developed for various purposes by a variety of users, including academic medical centers, Medicare, the New York City Health Department, and pharmacy benefit managers. We applied these definitions to a sample of 173 503 patients with records in the Duke Health System Enterprise Data Warehouse and at least 1 visit over a 5-year period (2007-2011). Of these patients, 22 679 (13%) met the criteria of 1 or more of the selected diabetes phenotype definit

SUBMITTER: Spratt SE 

PROVIDER: S-EPMC6080723 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature