Comparing ascertainment of chronic condition status with problem lists versus encounter diagnoses from electronic health records.

ABSTRACT:

Objective

To assess and compare electronic health record (EHR) documentation of chronic disease in problem lists and encounter diagnosis records among Community Health Center (CHC) patients.

Materials and methods

We assessed patient EHR data in a large clinical research network during 2012-2019. We included CHCs who provided outpatient, older adult primary care to patients age ≥45 years, with ≥2 office visits during the study. Our study sample included 1 180 290 patients from 545 CHCs across 22 states. We used diagnosis codes from 39 Chronic Condition Warehouse algorithms to identify chronic conditions from encounter diagnoses only and compared against problem list records. We measured correspondence including agreement, kappa, prevalence index, bias index, and prevalence-ad

SUBMITTER: Voss RW 

PROVIDER: S-EPMC9006679 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature