- Title Information
- Title
- Examining the use, contents, and quality of free-text tobacco use documentation in the electronic health record
- Name:
Personal
- Name Part
- Chen, Elizabeth S.
- Role
- Role Term:
Text (marcrelator)
- author
- Name:
Personal
- Name Part
- Carter, Elizabeth W.
- Role
- Role Term:
Text (marcrelator)
- author
- Name:
Personal
- Name Part
- Sarkar, Indra Neil
- Role
- Role Term:
Text (marcrelator)
- author
- Name:
Personal
- Name Part
- Winden, Tamara J.
- Role
- Role Term:
Text (marcrelator)
- author
- Name:
Personal
- Name Part
- Melton, Genevieve B.
- Role
- Role Term:
Text (marcrelator)
- author
- Type of Resource
- text
- Genre (aat)
- papers (documents)
- Origin Information
- Date Created
(keyDate="yes", encoding="w3cdtf")
- 2014
- Language
- Language Term:
Code (ISO639-2B)
- eng
- Note
(displayLabel="Source")
- Electronic Health Record
- Note
(displayLabel="Method")
- Model
- Note
(displayLabel="Method")
- Data Quality
- Abstract
- Recent initiatives have emphasized the potential role of Electronic Health Record (EHR) systems for improving tobacco use assessment and cessation. In support of these efforts, the goal of the present study was to examine tobacco use documentation in the EHR with an emphasis on free-text. Three coding schemes were developed and applied to analyze 525 tobacco use entries, including structured fields and a free-text comment field, from the social history module of an EHR system to characterize: (1) potential reasons for using free-text, (2) contents within the free-text, and (3) data quality issues. Free-text was most commonly used due to limitations for describing tobacco use amount (23.2%), frequency (26.9%), and start or quit dates (28.2%) as well as secondhand smoke exposure (17.9%) using a variety of words and phrases. The collective results provide insights for informing system enhancements, user training, natural language processing, and standards for tobacco use documentation.
- Note:
funding
- This research was supported in part by the National Library of Medicine of the National Institutes of Health under award number R01LM011364
- Note
- Paper presented at the 2014 AMIA Annual Symposium
- Subject (Local)
- Topic
- Tobacco use
- Related Item:
Host
(displayLabel="Published in")
- Title Information
- Title
- AMIA Annual Symposium Proceedings
- Origin Information
- Date Created
- 2014 Nov 14
- Date Created
(keyDate="yes", encoding="w3cdtf")
- 2014-11-14
- Physical Description
- Extent
- p. 366-374
- Identifier:
PubMed ID
- PMID: 25954340
- Identifier:
PubMed Central PMCID
- PMC4419995
- Access Condition:
use and reproduction
(href="https://creativecommons.org/licenses/by-nc/4.0/")
- This work is licensed under a
Creative Commons Attribution-NonCommercial 4.0 International License
- Access Condition:
logo
(href="https://i.creativecommons.org/l/by-nc/4.0/88x31.png")