TY - GEN
T1 - Registration in practice
T2 - 2nd International Workshop on Formal Biomedical Knowledge Representation, KR-MED 2006, Collocated with the 4th International Conference on Formal Ontology in Information Systems, FOIS 2006
AU - De Keizer, Nicolette
AU - Cornet, Ronald
AU - Bakhshi-Raiez, Ferishta
AU - De Jonge, Evert
PY - 2006
Y1 - 2006
N2 - Reusability of patient data for clinical research or quality assessment relies on structured, coded data. Terminological systems (TS) are meant to support this. It is hardly known how compositional TS-based registration affects the correctness and specificity of information, as compared to free-text registration. In this observational study free-text reasons for admission (RfA) in intensive care were compared to RfAs that were composed using a compositional TS. Both RfAs were registered in the Patient Data Management System by clinicians during care practice. Analysis showed that only 11% of the concepts matched exactly, 79% of the concepts matched partially and 10% of the concepts did not match. TS-based registration results in more details for almost half of the partial matches and in less details for the other half. This study demonstrates that the quality of TS-based registration is influences by the terminological system's content, its interface, and the registration practice of the users.
AB - Reusability of patient data for clinical research or quality assessment relies on structured, coded data. Terminological systems (TS) are meant to support this. It is hardly known how compositional TS-based registration affects the correctness and specificity of information, as compared to free-text registration. In this observational study free-text reasons for admission (RfA) in intensive care were compared to RfAs that were composed using a compositional TS. Both RfAs were registered in the Patient Data Management System by clinicians during care practice. Analysis showed that only 11% of the concepts matched exactly, 79% of the concepts matched partially and 10% of the concepts did not match. TS-based registration results in more details for almost half of the partial matches and in less details for the other half. This study demonstrates that the quality of TS-based registration is influences by the terminological system's content, its interface, and the registration practice of the users.
KW - Evaluation
KW - Information storage and retrieval
KW - Medical records
KW - Terminological system
UR - http://www.scopus.com/inward/record.url?scp=84872927301&partnerID=8YFLogxK
M3 - Conference contribution
VL - 222
T3 - CEUR Workshop Proceedings
SP - 3
EP - 9
BT - Comparing free-text and compositional terminological-system-based registration of ICU reasons for admission
Y2 - 8 November 2006 through 8 November 2006
ER -