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. 2020 Aug 23;27(3):e100161. doi: 10.1136/bmjhci-2020-100161

Table 1.

Criteria for hypertension definitions in administrative and EMR data

Definition Data source Criteria Codes Validity
Administrative18 Physician claims At least two billing claims within 2 years ICD9 codes: 401–405 Sensitivity: 75% Specificity: 94%
PPV: 81%
NPV: 92%
Discharge Abstract Database One in-patient diagnosis code at any time ICD10 codes: I10-I15
EMR/CPCSSN19 Physician claims table At least two billing claims within 2 years ICD9 codes: 401–405 Sensitivity: 84.9% Specificity: 93.5
PPV: 92.9%
NPV: 86.0%
Problem list/profile table At least one diagnosis code at any time ICD9 codes: 401–405
Prescribed medication table Any occurrence of a specified hypertension medication, except if one of the following co-morbid conditions exists: diabetes mellitus (250), tremor (333.1), migraine (346), myocardial infarction (410, 412), angina or cardiac dysrhythmias (413, 427), heart failure (428), oesophageal varices (456.0, 456.1), calculus of kidney and ureter (592), portal hypertension (572.3) ATC codes:
C02, C03AA03, C03BA04, C03BA08, C03BA11, C03DB01, C03DB02, C03EA01, C07AA06, C07AB03, C07AB04, C07AG02, C07CB03, C08CA01, C08CA02, C08DA01, C09AA01, C09AA02, C09AA03, C09AA07, C09AA08, C09AA09, C09AA10, C09BA02, C09BA03, C09CA02, C09CA03, C09CA04, C09CA07, C09DA01, C09DA02, C09DA04, C09XA02

ATC, Anatomical Therapeutic Chemical (classification); CPCSSN, Canadian Primary Care Sentinel Surveillance Network; EMR, electronic medical record; ICD, International Classification of Diseases; NPV, negative predictive value; PPV, positive predictive value.