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ICD90CM claims data are insufficient for influenza surveillance

  • Vanderbilt University
  • Department of Veterans Affairs

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

5 Scopus citations

Abstract

Influenza and Influenza like illness are representative of a class of epidemic infectious diseases that have important public health implications. Early detection via Biosurveillance can speed life saving public heath responses. In the United States Biosurveillance is typically conducted using ICD9 coded visit diagnoses and uncoded chief complaint data. To determine the accuracy of ICD9 diagnoses using laboratory confirmed cases as the gold standard. We determined the sensitivity and specificity of ICD9 in detecting laboratory confirmed vs unconfirmed Influenza. ICD9-CM had a low 66.2% Positive Predictive Value (precision) for Influenza and a low 45.6% Sensitivity (recall) for Influenza. ICD9-CM proved insufficient alone for use in biosurveillance.

Original languageEnglish
Title of host publicationMEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics
PublisherIOS Press
Pages964
Number of pages1
Edition1-2
ISBN (Print)9781614992882
DOIs
StatePublished - 2013
Event14th World Congress on Medical and Health Informatics, MEDINFO 2013 - Copenhagen, Denmark
Duration: Aug 20 2013Aug 23 2013

Publication series

NameStudies in Health Technology and Informatics
Number1-2
Volume192
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference14th World Congress on Medical and Health Informatics, MEDINFO 2013
Country/TerritoryDenmark
CityCopenhagen
Period08/20/1308/23/13

Keywords

  • Biosurveillance
  • Health Informatics
  • ICD9-CM
  • Influenza
  • Public Health

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