A tale of three subspecialties: Diagnosis recording patterns are internally consistent but Specialty-Dependent.

ABSTRACT:

Background

Structured diagnosis (DX) are crucial for secondary use of electronic health record (EHR) data. However, they are often suboptimally recorded. Our previous work showed initial evidence of variable DX recording patterns in oncology charts even after biopsy records are available.

Objective

We verified this finding's internal and external validity. We hypothesized that this recording pattern would be preserved in a larger cohort of patients for the same disease. We also hypothesized that this effect would vary across subspecialties.

Methods

We extracted DX data from EHRs of patients treated for brain, lung, and pancreatic neoplasms, identified through clinician-led chart reviews. We used statistical methods (i.e., binomial and mixed model regressions) to test

SUBMITTER: Diaz-Garelli JF 

PROVIDER: S-EPMC6951969 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature