Evidence map›Paper›PMID 22230095›Full record

ArticleBMC family practice2012

Coding of procedures documented by general practitioners in Swedish primary care-an explorative study using two procedure coding systems.

Anna Vikström, Maria Hägglund, Mikael Nyström, Lars-Erik Strender, Sabine Koch, Per Hjerpe, Ulf Lindblad, Gunnar H Nilsson

Abstract read
In one paragraph

Article in BMC family practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Anna VikströmDepartment of Neurobiology, Care Sciences and Society, Center for Family and Community Medicine, Karolinska Institutet, SE-141 83 Huddinge, Sweden. anna.vikstrom@sll.se
Maria Hägglund
Mikael Nyström
Lars-Erik Strender
Sabine Koch
Per Hjerpe
Ulf Lindblad
Gunnar H Nilsson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProcedures documented by general practitioners in primary care have not been studied in relation to procedure coding systems. We aimed to describe procedures documented by Swedish general practitioners in electronic patient records and to compare them to the Swedish Classification of Health Interventions (KVÅ) and SNOMED CT.

methodsProcedures in 200 record entries were identified, coded, assessed in relation to two procedure coding systems and analysed.

results417 procedures found in the 200 electronic patient record entries were coded with 36 different Classification of Health Interventions categories and 148 different SNOMED CT concepts. 22.8% of the procedures could not be coded with any Classification of Health Interventions category and 4.3% could not be coded with any SNOMED CT concept. 206 procedure-concept/category pairs were assessed as a complete match in SNOMED CT compared to 10 in the Classification of Health Interventions.

conclusionsProcedures documented by general practitioners were present in nearly all electronic patient record entries. Almost all procedures could be coded using SNOMED CT.Classification of Health Interventions covered the procedures to a lesser extent and with a much lower degree of concordance. SNOMED CT is a more flexible terminology system that can be used for different purposes for procedure coding in primary care.

Indexed as

DocumentationPhysicians, FamilyClinical CodingHumansSweden

Identifiers

PMID22230095
PMCPMC3276441

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