Table 2.
Natural Language Processing Codebook
| Process measure and definition | Keywords |
|---|---|
| Clarifying code status: conversations with patients or family members about preferences for cardiopulmonary resuscitation and intubation. Includes limitations on life-sustaining treatment and clarification, by the patient or family, of full code status. Does not include presumed full code status or if obtained from other sources (i.e., review of records, according to team). | Included in original codebook for patients with advanced cancer: dnr, dnrdni, dni, do not resuscitate, do-not-resuscitate, do not intubate, do-not-intubate, chest compressions, no defibrillation, no endotracheal intubation, no mechanical intubation, shocks, cmo, comfort measures, life sustaining treatments, full code confirmed, would like to be full code, full code per patient, MOLST, DNR/DNI/LLST/Comfort Measures, dnr/dni |
| Added for patients with life-threatening trauma: code reversal, ok to intubate, no compressions, full code d/w, full code discussed, full code verified, would like to be full code, wishes to be full code, would like to remain full code, wishes to remain full code, wish to be full code, remaining full code | |
| GOC discussions: conversations with patients or family members about the patient's goals, values, or priorities for treatment and outcomes. Includes statements that conversation occurred as well as listing specific goals. | Included in original codebook for patients with advanced cancer: GOC, goals for care, goals of treatment, goals for treatment, treatment goals, family discussion, family discussions, patient goals, patient's goals |
| Added for patients with life-threatening trauma: ongoing discussions, ongoing discussion, wish, wished, met w/family, met with family, family meeting, discussion with family, per family, d/w family, family mtg, #GOCa |
Process measures and definition adapted from Lilley et al.4
Hashtags were frequently used to designate different sections of clinician notes.