Table II.
Keywords and rules to identify data elements in NAEPP guidelines
| Data Element | Keywords | Rules |
|---|---|---|
| Asthma symptoms | 1) wheez*, cough*, dyspnea*, tachypnea*, sob, short* of breath*, increased breath, (chest/ throat) … (tight*/squeeze*/stuck/congestion), chest … pain/discomfort, respiratory … (distress/illness/difficult*/rate), (short*/heavy/rapid/difficult/labor/hard/struggle/worsen/loud/raspy/retraction) … breath*, (asthma*/allerg*/respiratory/daytime) … symptoms, chest pain/discomfort 2) night*, nighttime, nocturnal, evening*, tonight, wake*, woke, get* up, sleep*, slept, awoke, awak*, morning 3) day*, yesterday, noon, week*, today |
I. Nighttime symptom: combination of keyword 1 and 2 II. Daytime symptom: combination of keyword 1 and 3, or keyword 1 with absence of keywords 2 |
| Activity limitation | 1) exertional/normal activity, exercise/activity tolerance, miss/leave/left/day off/restricts/trouble… work/school 2) limit*, athletic*, impacts, difficult*, trouble*, problems, impar*, decreas*, stop*, down, able, can, inhaler, restrict, normal, active, participat*, play 3) basketball, hockey, softball, gym, run*, walk*, soccer, football, ski*, dance*, jump*, swim*, play*, active*, exercise*, performs, performance, daily living, exert |
I. Keyword 1 only II. Combination of keyword 2 and 3 III. Combination of keyword 3 and asthma symptom keyword 1 |
| Medication compliance | 1) adherent, adherence, discontinued, (he/she/they/patient/they) … not initiate/using/taking/tries/been doing/, has been … taking/off/utilizing/missed/forgot/stopped, asthma…well controlled, he/she/they/patient/they … trouble/difficulty remembering, has been … inconsistent/consistent, adhering, compliance, deny regular use, nonadherence, noncompliance 2) medication*, medicine, dose*, med, dosing, dosage, dose, inhaled corticosteroid, controller, ICS, puff*, inhaler* medication |
I. Combination of keyword 1 and 2 II. Combination of keyword 1 and maintenance medications |
| Inhaler technique | 1) observ*, reassess*, review*, demonstrat*, check*, educat*, teach*, taught, explain*, reinforce*, discuss*, instruction, constraints, how to use 2) inhaler, MDI, neb, nebulizer, optichamber, spacer 3) techniques, administrations, dosing, guidance 4) asthma/rescue/daily/preventive/control medication, ICS, list of maintenance & rescue medications |
I. Combination of keyword 1 and 2 II. Combination of keyword 1, 3, and 4 |
| Allergy/irritant | 1) worsen, trigger*, cause, flare, occur, exacerbate, irritant, associated with, problem when, aggravate, induced, manifest 2) smoke, airborne, allergens*, activit*, cold air, common cold, cold weather, cold … URI, mold, cat, rabbit, hay, air quality/pollutant, influenza, vaccine, immunization, pets, exposure 3) trees, grass, dogs, dust, mite, elm, oak, weed 4) (as/is a/ be a) trigger, symptoms … with exercise, symptoms/ flare of asthma … (with/by/when/cause) |
I. Combination of keyword 1 and 2 II. Combination of keyword 3 and “allergy” III. Keyword 4 only |
| Smoking | smok*, tobacco, cigarette*, nonsmoker*
(exclusion indicator: smoke detector, fire, trigger) |
Smoking keywords (disregard if appears with exclusion indicators) |
| Rescue medications | Short-acting beta-agonist (SABAs) (exclusion indicator: topical, nasal, ointment, eye, drop, ophthalm*) |
medications belong to this (disregard if appears with exclusion indicators) |
| Maintenance medication | Asthma maintenance medications (exclusion indicator: topical, nasal, ointment, eye, drop, ophthalm*) |
medications belong to this (disregard if appears with exclusion indicators) |
denotes any characters to handle spelling variations and some potential misspells