Criteria used to identify health outcomes of interest from electronic medical records using an electronic data extraction process.

Outcome	Criteria extracted from outpatient records of EMR using electronic data extraction process
Cardiovascular disease	ICD-9 410: Acute myocardial infarction
	ICD-9 411: Other acute and subacute forms of ischemic heart disease
	ICD-9 412: Old myocardial infarction
	ICD-9 414: Other forms of chronic ischemic heart disease
	Evidence of treatment with statin drugs
Type II diabetes	ICD-9 250: Diabetes mellitus
	ICD-9 362: Diabetic retinopathy
	ICD-9 366.41: Diabetic cataract
	Hemoglobin A1C > 6.0
	Evidence of treatment with antidiabetic drugs (insulin, sulfonylureas, biguanides)
Hypertension	ICD-9 401: Essential hypertension
	2 outpatient visits with hypertension as the diagnosis
	Evidence of treatment with antihypertensive drugs
Metabolic syndrome	ICD-9 277.7: Metabolic syndrome 3 of 5 criteria1 below: Triglycerides ≥ 150 mg/dL HDL-cholesterol: Men < 40 mg/dL; Women < 50 mg/dL Systolic blood pressure ≥ 130 mm Hg or Diastolic blood pressure ≥ 85 mm Hg Glucose ≥ 110 mg/dL BMI > 30 kg/m2

¹The ATP III criteria for metabolic syndrome were used with the exception of the waist circumference criteria because waist circumference was less available for this sample.