在电子健康记录数据中评估基于ICD-10的出生日期代理
Sara Burns1, Ariel Mueller2, Matthew Smith2
1Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.
Pharmacoepidemiology and drug safety
|January 8, 2025
概括
一种新方法使用患者第一个ICD-10-CM出生代码的日期作为儿科真实世界数据 (RWD) 研究中出生日期的代理,改善研究的年龄细粒度.
科学领域:
- 医疗信息学 医疗信息学
- 儿科研究 儿科研究
- 数据 隐私 数据 隐私 数据
背景情况:
- 医疗保险可移植性和问责法案 (HIPAA) 隐私规则经常掩盖患者的出生日期.
- 现实世界数据 (RWD) 中年龄颗粒度有限,阻碍了儿科研究.
- 电子健康记录 (EHR) 数据是临床见解的宝贵来源.
研究的目的:
- 使用EHR数据评估患者出生日期的代理.
- 为了解决由于RWD的掩盖出生日期导致的儿科研究中的挑战.
- 评估使用ICD-10-CM出生代码作为出生日期代理的可行性.
主要方法:
- 来自Mass General Brigham (MGB) 的EHR数据的回顾性队列研究.
- 评估疾病国际分类第十版临床修改 (ICD-10-CM) 出生代码 (Z37*,Z38*) 作为代理.
- 评估了其他替代代码,如婴儿相关代码和临床活动日期.
主要成果:
- 包括82,398名患者中的58,047名 (70.4%) 具有ICD-10-CM出生代码.
- 出生的真实日期和代理日期之间的平均差异为0.3天 (SD 15.0天).
- 99.9%的代理发生在真实出生日期后的30天内.
结论:
- 第一个ICD-10-CM出生代码的日期可以作为患者出生日期的可靠代理.
- 这种方法提高了儿科RWD研究中的年龄细粒度.
- 便于在儿科临床研究中进行更强大的分析.
更多相关视频
相关概念视频
Purpose of Health Records II
962
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
962
Methods of Documentation VII: EMR
824
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
824
Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
Methods of Documentation V: CBE
877
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
877
Actuarial Approach
61
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
61
Health Information Technology and Healthcare Information System
799
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
799


