Validating Reported Cause of Death Using a Population-Based Integrated Electronic Health Record

摘要

1. Objective: To validate reported underlying cause of death using an electronic medical record (EMR) in a fully integrated payer/provider system. 2. Material and methods: The individual-level underlying cause of death was obtained from the Israeli Ministry of Health for deaths during 2009-2012 for 82,298 Clalit Health Service Members. A final cohort was constructed of 37,723 members whose death occurred within a hospital and had continuous membership prior to death. The correlation between the reported cause of death and supporting documentation of the disease in the EMR was calculated for each year by the top ten reported causes of death (malignancies, heart disease, cerebrovascular disease, diabetes, kidney disease, septicemia, accidents, chronic lower respiratory disease, dementia, and pneumonia and influenza).