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J Am Med Inform Assoc 4:484-500 doi:10.1136/jamia.1997.0040484
  • Original Investigation

Evaluating the Coverage of Controlled Health Data Terminologies: Report on the Results of the NLM/AHCPR Large Scale Vocabulary Test

No. of Terms Categ. Chosen % of Terms Categ. Chosen Exact Meaning Found (%) Related Concept Found (%) No Related Concept Found (%)
A. DATA TASK (required)
A1. Record or display data abt indivs 22879 56 59 39 2
A2. Extract or summarize data abt grps 1436 35 61 37 1
A3. Retrieve info from knowledge bases 4861 12 56 43 1
A4. Build multi-purpose vocabulary dbs 15163 37 51 48 2
A5. Link natural lang to controlled vocab 19062 46 57 42 1
A6. Other 2 0 50 50 0
B. GENERAL PURPOSE OF TASK (required)
B1. Direct patient care 30487 74 59 40 1
B2. Decision support 16080 39 56 43 1
B3. Clinical research 15875 39 62 37 1
B4. Public health surveill or intervent 3239 8 50 49 2
B5. Outcomes, health service research 11266 27 59 39 1
B6. Development of guidelines, pathways 695 17 57 41 2
B7. Enhancement of health database 11371 28 57 40 2
B8. Other 124 0 61 36 2
C. CARE SETTING OR FACILITY (required if applicable)
C1. Ambulatory care office/clinic 23181 56 60 39 1
C2. Inpatient care facility 23401 57 58 40 2
C3. Long term care facility 7857 19 53 46 1
C4. Home care 3829 9 46 52 2
C5. Free-standing clinical laboratory 4151 10 48 51 1
C6. Free-standing pharmacy 2720 7 41 57 1
C7. Other 3168 8 30 69 1
D. SPECIFIC TYPE OF CARE OR SPECIALITY (required, if applicable)
D1. Anesthesiology 163 0 54 45 1
D2. Dentistry 1347 3 59 40 2
D3. Diagnostic Imaging 7898 19 55 44 1
D4. Emergency Medicine 8007 19 61 38 1
D5. Family Practice 6827 17 62 38 1
D6. Internal Medicine 17252 42 65 34 1
D7. Intensive Care/Critical Care 7820 19 63 36 0
D8. Neurology 1096 3 65 34 1
D9. Nursing 6745 16 63 35 3
D10. Obstetrics/Gynecology 2187 5 58 41 1
D11. Opthalmology 3618 9 71 28 1
D12. Orthopedics 460 1 59 40 2
D13. Pathology 1261 3 55 45 1
D14. Pediatrics 1544 4 64 34 2
D15. Pharmacology 1601 4 49 51 0
D16. Pharmacy 190 8 55 45 0
D17. Psychiatry/Clinical Psychology 3680 9 66 33 1
D18. Social Work 868 2 68 31 1
D19. Surgery 10731 26 57 42 1
D20. Urology 604 1 59 38 3
D21. Veterinary Medicine 2075 5 45 53 1
D22. Other 3115 8 37 62 1
E. SPECIFIC SEGMENT OF PATIENT RECORD FOR WHICH CONTROLLED TERMINOLOGY IS SOUGHT (required, if applicable)
E1. Chief Complaint 9792 24 55 44 1
E2. Problem list 19065 46 64 35 1
E3. Discharge summary 9880 24 60 39 1
E4. Medications 671 2 30 66 4
E5. Diagnoses 15392 37 60 39 1
E6. Patient history 8982 22 46 53 1
E7. Physical Examination 7023 17 55 44 1
E8. Review of systems 2299 6 47 52 1
E9. Laboratory tests 3267 8 59 40 2
E10. Procedures 12409 30 56 43 1
E11. Progress notes 5666 14 51 46 2
E12. Immunizations 6 0 50 50 0
E13. Family history 455 1 64 31 5
E14. Assessment 2927 7 63 33 4
E15. Flowsheet 885 2 59 40 1
E16. Plan 3928 10 52 46 2
E17. Intake and output 675 2 66 34 0
E18. Environmental exposures 118 0 34 47 19
E19. Demographic data 768 2 29 67 3
E20. Functional status 185 0 44 44 12
E21. Consult/referral 1904 5 45 54 1
E22. Patient education/teaching record 571 1 20 75 5
E23. Other 3 0 100 0 0

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