Table 5. Proportion of notes generated by various services for patients with symptoms noted either on self-report and/or in the text of the EMR.
| Clinical Specialty* | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| PSY | PMR | GI | PC | HEM | NEURO | CV | EDPT | SURG | ENDO | Total | |
| Chest pain | |||||||||||
| TP(%) | 5 | 18 | 3 | 29 | 6 | 4 | 25 | 3 | 4 | 3 | 100 |
| FN(%) | 2 | 4 | 5 | 29 | 2 | 8 | 24 | 1 | 8 | 17 | 100 |
| TN(%) | 6 | 8 | 9 | 39 | 3 | 6 | 5 | 2 | 14 | 9 | 100 |
| FP(%) | 23 | 1 | 0 | 24 | 18 | 5 | 16 | 2 | 7 | 3 | 100 |
| Dyspnea | |||||||||||
| TP(%) | 2 | 2 | 2 | 29 | 6 | 5 | 41 | 4 | 4 | 6 | 100 |
| FN(%) | 12 | 6 | 8 | 23 | 3 | 13 | 13 | 2 | 3 | 17 | 100 |
| TN(%) | 7 | 7 | 5 | 42 | 1 | 9 | 6 | 3 | 15 | 4 | 100 |
| FP(%) | 1 | 4 | 2 | 46 | 2 | 1 | 27 | 5 | 4 | 8 | 100 |
| Cough | |||||||||||
| TP(%) | 3 | 3 | 6 | 35 | 8 | 3 | 31 | 6 | 1 | 4 | 100 |
| FN(%) | 7 | 21 | 3 | 31 | 2 | 12 | 19 | 1 | 1 | 3 | 100 |
| TN(%) | 8 | 10 | 5 | 37 | 3 | 8 | 12 | 2 | 8 | 7 | 100 |
| FP(%) | 8 | 3 | 1 | 21 | 35 | 3 | 18 | 4 | 7 | 1 | 100 |
*
Legend: PSY - psychology/psychiatry; PMR - physical medicine & rehabilitation; GI - gastroenterology; PC - primary care; HEM - hematology; NEURO - neurology; CV - cardiovascular; EDPT - emergency medicine; SURG - surgery; ENDO - endocrinology. TP - true positives (patient reported symptom and it was documented); FN - false negatives (patient reported symptom but not documented); TN - true negatives (patient did not report a symptom and no documentation found); FP - false positives (patient did not report a symptom but the symptom was found in documentation). The percentages highlighted in bold indicate the top 2 services with highest proportion of notes for discordant results.