Evidence map›Paper›PMID 41014118›Full record

ArticleHealth information management : journal of the Health Information Management Association of Australia2026

BORN to be validated: Assessing agreement between Ontario's birth registry and CIHI-DAD.

Tavleen Dhinsa, Nicole F Roberts, Qun Miao, Carolina Lavin Venegas, Catherine Ménard, Kaamel Hafizi, Ann E Sprague

Abstract read
In one paragraph

Article in Health information management : journal of the Health Information Management Association of Australia, 2026. 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

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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. The intersection of health information management and clinical registries.Health information management : journal of the Health Information Management Association of Australia · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tavleen DhinsaBetter Outcomes Registry & Network Ontario, Canada.ORCID 0000-0001-6326-8440
Nicole F RobertsBetter Outcomes Registry & Network Ontario, Canada.ORCID 0000-0002-8448-5986
Qun MiaoBetter Outcomes Registry & Network Ontario, Canada.
Carolina Lavin VenegasBetter Outcomes Registry & Network Ontario, Canada.ORCID 0000-0001-8417-9287
Catherine MénardBetter Outcomes Registry & Network Ontario, Canada.
Kaamel HafiziBetter Outcomes Registry & Network Ontario, Canada.
Ann E SpragueBetter Outcomes Registry & Network Ontario, Canada.ORCID 0000-0001-8869-1181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Better Outcomes Registry and Network Ontario Information System (BIS) has captured data on births in Ontario since 2012. Data and information quality is a foundational pillar of Ontario's birth registry.

objectiveTo evaluate data quality and reliability, we compared birth data in the BIS with like data elements in the Canadian Institute for Health Information-Discharge-Abstract-Database (CIHI-DAD) which captures administrative, clinical, and demographic data on all hospital discharges.

methodsWe used unique pregnancy identifiers to deterministically link maternal records in the BIS to the CIHI-DAD in the fiscal years 2016-2017 to 2020-2021. Percent agreement and Cohen Kappa Coefficients (simple or weighted) with 95% confidence intervals (CI) assessed agreement on selected elements in both databases. Sensitivity analyses explored the impact of the COVID-19 pandemic on data entry and quality processes.

resultsThere was excellent percentage agreement (⩾90%) between the two databases for all maternal elements assessed. Fourteen out of the twenty elements assessed indicated substantial (κ = 0.61-0.80) or almost perfect agreement (κ = 0.81-0.99) on Kappa tests. Sensitivity analyses restricting the linked cohort to data entered before (2016/2017-2019/2020) and during (2020/2021) the COVID-19 pandemic demonstrated no significant changes in agreement across all elements.

conclusionOverall, the BIS and CIHI-DAD databases had high agreement on most maternal data elements; however, further examination is necessary to explore discrepancies identified.Implications for health information management practice:As the BIS is newer than the CIHI-DAD and uses a different method of data abstraction, routinely evaluating and enhancing data quality is crucial for providing accurate and valid evidence for health policy, surveillance, and research.

Indexed as

Data AccuracyDatabases, FactualRegistriesCOVID-19FemaleHumansOntarioPregnancyReproducibility of Resultsagreementdata analysisdata linkagedata qualityevaluationhealth information managementhospital information systemsKappa testregistriesvalidation

Identifiers

PMID41014118
PMCPMC12756523

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.