Table 3.
Impact of individual note sections on overall relevance of the document. OR, odds ratio, calculated by multivariable ordinate logistic regression. CCP, core clinical problems. The document count represents the total documents matched for all 10 core clinical problems, such that a single document could be counted up to 10 times.
| Section | Document count for all CCPs | Adjusted OR | p | ||
|---|---|---|---|---|---|
|
| |||||
| Primary | Relevant | Irrelevant | |||
| Chief complaint | 89 | 33 | 60 | 3.42 (2.51–4.67) | 0.000 |
| History of present illness | 186 | 181 | 470 | 2.00 (1.77–2.25) | 0.000 |
| Past medical history | 66 | 52 | 181 | 0.86 (0.70–1.07) | 0.176 |
| Personal and social history | 15 | 22 | 113 | 1.28 (0.73–2.22) | 0.387 |
| Family medical history | 49 | 41 | 140 | 0.91 (0.61–1.36) | 0.649 |
| Medications | 15 | 8 | 46 | 0.83 (0.48–1.43) | 0.497 |
| Review of systems | 92 | 127 | 594 | 0.72 (0.65–0.80) | 0.000 |
| Physical examination | 170 | 208 | 897 | 1.61 (1.41–1.85) | 0.000 |
| Laboratory data | 67 | 39 | 83 | 0.95 (0.75–1.20) | 0.668 |
| Problem lists | 21 | 14 | 21 | 1.52 (1.04–2.24) | 0.033 |
| Assessment and plan | 216 | 200 | 469 | 1.93 (1.75–2.13) | 0.000 |
| Total unique documents | 986 | 925 | 3074 | ||