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Comparative Study
. 1998 Jan;21(1):24-34.
doi: 10.1097/00004479-199801000-00004.

Validation of claims diagnoses and self-reported conditions compared with medical records for selected chronic diseases

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Comparative Study

Validation of claims diagnoses and self-reported conditions compared with medical records for selected chronic diseases

J B Fowles et al. J Ambul Care Manage. 1998 Jan.

Abstract

This article assesses the validity of ambulatory administrative and encounter data and patient self-reported information compared with information contained in the ambulatory medical record for 17 chronic diseases. Using a sample of 213 adults (18 to 64 years old) and seniors (65 years and older) enrolled in a health maintenance organization and receiving care at multispecialty group practice in Minneapolis, Minnesota, sensitivity and specificity for claims and self-report were calculated for each chronic condition using the medical record as the criterion standard. The analysis was performed first by blinded review and then repeated with an unblinded review.

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