Identifying Emergency Department Symptom-Based Diagnoses with the Unified Medical Language System.

ABSTRACT:

Introduction

Many patients who are discharged from the emergency department (ED) with a symptom-based discharge diagnosis (SBD) have post-discharge challenges related to lack of a definitive discharge diagnosis and follow-up plan. There is no well-defined method for identifying patients with a SBD without individual chart review. We describe a method for automated identification of SBDs from ICD-10 codes using the Unified Medical Language System (UMLS) Metathesaurus.

Methods

We mapped discharge diagnosis, with use of ICD-10 codes from a one-month period of ED discharges at an urban, academic ED to UMLS concepts and semantic types. Two physician reviewers independently manually identified all discharge diagnoses consistent with SBDs. We calculated inter-rater reliability for

SUBMITTER: Slovis BH 

PROVIDER: S-EPMC6860381 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature