title: Capture of osteoporosis and fracture information in an electronic medical record database from primary care.
abstract: In a large database of EMR records, we explore: 1) completeness in capture of bone mineral density (BMD) T-scores required for diagnosis of osteoporosis; 2) concordance of BMD exam information with other osteoporosis information; and 3) evidence of osteoporosis screening among fracture patients. To explore completeness of exam capture, BMD exams in the EMR were related to a provincial billing database. To explore concordance of information and screening rates, 7500 EMR records were reviewed for osteoporosis and fracture details. Results show that 98% of exams billed to the province for EMR patients were found in the EMR. However, documented osteoporosis was substantiated with BMD results only 55.8% of the time. Of 151 charts for fragility fracture patients, 1 in 4 contained no evidence of osteoporosis investigation. In summary, while EMR information about osteoporosis is of variable quality, EMR records shed light on osteoporosis management indicators and completely capture BMD results.
authors.affiliation: University of Toronto, Toronto, ON, Canada.
authors.forename: Sonya
authors.initials: S
authors.lastname: Allin
authors.affiliation: University of Toronto, Toronto, ON, Canada.
authors.forename: Sarah
authors.initials: S
authors.lastname: Munce
authors.affiliation: University of Toronto, Toronto, ON, Canada ; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.
authors.forename: Susan
authors.initials: S
authors.lastname: Jaglal
authors.affiliation: University of Toronto, Toronto, ON, Canada ; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.
authors.forename: Debra
authors.initials: D
authors.lastname: Butt
authors.affiliation: Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Young
authors.affiliation: University of Toronto, Toronto, ON, Canada ; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.
authors.forename: Karen
authors.initials: K
authors.lastname: Tu
mesh_terms: D015519:Bone Density; D016208:Databases, Factual; D057286:Electronic Health Records; D050723:Fractures, Bone / Q000517:prevention & control; D006801:Humans; D007344:Insurance Claim Reporting; D009313:National Health Programs; D009864:Ontario; D010024:Osteoporosis / Q000175:diagnosis; D011320:Primary Health Care