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. 2021 Apr 1;150:104452. doi: 10.1016/j.ijmedinf.2021.104452

Table 1.

Estimates of problem list completion rates in the existing literature.

Study Setting Condition(s) studied Method for comparison (‘gold standard’) EHR system used Percentage of diagnoses included in problem list
Wang et al., 2020 [25] 383,404 patients in Partners Healthcare System, USA Asthma, Crohn’s disease, depression, diabetes, epilepsy, hypertension, schizophrenia, ulcerative colitis Algorithm based on ICD-10 diagnoses and prescriptions Epic 72.9−93.5%
(unweighted mean 85.5%)
Wright et al., 2015 [26] 160,341 patients in 10 healthcare organisations in USA, UK and Argentina Diabetes Haemoglobin A1c ⩾ 7.0% Mixture of EHR Systems: Epic (n = 3), Allscripts (n = 2), EMIS (n = 1) and self-developed EHR systems (n = 5) 60.2−99.4% (weighted mean 78.2%)
Wright et al., 2011 [27] 100,000 patients at a single hospital in USA 17 medical conditions Associations with medication and laboratory results N/A 4.7−76.2% (unweighted mean 51.7%)
Polubriaginof et al., 2016 [15] 1472 patients in a single hospital in USA 59 medical conditions Self-reported past medical history using a tablet questionnaire N/A 54.2%
Hoffman et al., 2002 [28] 148 patients attending a general medicine clinic at a university affiliated Veterans Affairs hospital 9 diagnoses relevant to the choice of drug therapy for hypertension Sensitivity and specificity of diagnoses recorded in the problem list of electronic records, with medical charts as the standard for comparison VISTA (Veterans Health Information Systems and Technology Architecture) 42–81% (unweighted mean 62.4%)
Current study 516 inpatients with COVID-19 in a London teaching hospital Any medical condition relevant to ongoing care Manual review of free text medical records Epic 62.3%