AMIA Annu Symp Proc - Capture of osteoporosis and fracture information in an electronic medical record database from primary care.

Tópicos

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Resumo

In a large database of EMR records, we explore: 1) completeness in capture of bone mineral density (BMD) T-scores required for diagnosis of osteoporosis; 2) concordance of BMD exam information with other osteoporosis information; and 3) evidence of osteoporosis screening among fracture patients. To explore completeness of exam capture, BMD exams in the EMR were related to a provincial billing database. To explore concordance of information and screening rates, 7500 EMR records were reviewed for osteoporosis and fracture details. Results show that 98% of exams billed to the province for EMR patients were found in the EMR. However, documented osteoporosis was substantiated with BMD results only 55.8% of the time. Of 151 charts for fragility fracture patients, 1 in 4 contained no evidence of osteoporosis investigation. In summary, while EMR information about osteoporosis is of variable quality, EMR records shed light on osteoporosis management indicators and completely capture BMD results.

Resumo Limpo

larg databas emr record explor complet captur bone miner densiti bmd tscore requir diagnosi osteoporosi concord bmd exam inform osteoporosi inform evid osteoporosi screen among fractur patient explor complet exam captur bmd exam emr relat provinci bill databas explor concord inform screen rate emr record review osteoporosi fractur detail result show exam bill provinc emr patient found emr howev document osteoporosi substanti bmd result time chart fragil fractur patient contain evid osteoporosi investig summari emr inform osteoporosi variabl qualiti emr record shed light osteoporosi manag indic complet captur bmd result

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