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Displaying results 1 - 8 of 41
  • Tuning a Chief Complaint Text Parser for Use in DoD ESSENCE

    Content Type: Abstract

    An expanded ambulatory health record, the Comprehensive Ambulatory Patient Encounter Record (CAPER) will provide multiple types of data for use in DoD ESSENCE. A new type of data not previously available is the Reason for Visit (ROV), a free-text… read more
    … type of data not previously available is the Reason for Visit (ROV), a free-text field analogous to the Chief Complaint (CC). Intake personnel ask patients why they have come to the … type of data not previously available is the reason for visit (ROV), a free- text field analogous to the CC. Intake …
  • A Term-based Approach to Asyndromic Determination of Significant Case Clusters

    Content Type: Abstract

    Biosurveillance systems commonly depend on free-text chief complaints (CC)s for timely situational awareness. However, diagnosis codes may not be available soon enough and may have uncertain value because they are assigned for billing purposes… read more
    … systems commonly depend on free-text chief complaints (CC)s for timely situational awareness. However, diagnosis … [1]. While effective for finding case clusters whose CC terms are classifiable into syndromes, TOA … complaints from a health facility with emergent or urgent care capability. 8 views Submitted by rmathes on Mon, …
  • Evaluating a standard influenza-like illness syndrome definition across multiple sites in the distribute project: The ‘ILI-s’ Pilot

    Content Type: Abstract

    The Distribute project began in 2006 as a distributed, syndromic surveillance demonstration project that networked state and local health departments to share aggregate emergency department-based influenza-like illness (ILI) syndrome… read more
    … departments for their own surveillance needs. Originally, sites were asked to send whatever syndrome definition they … to send their broader, higher count syndrome. In 2008, sites were asked to send both a broad syndrome, and a narrow … illness syndrome definition across multiple sites in the distribute project: The ‘ILI-s’ Pilot DR …
  • Use of Syndromic Data to Determine Oral Health Visit Burden on Emergency Departments

    Content Type: Abstract

    Concern over oral health-related ED visits stems from the increasing number of unemployed and uninsured, the cost burden of these visits, and the unavailability of indicated dental care in EDs [1]. Of particular interest to NC state public health… read more
    … Concern over oral health-related ED visits stems from the increasing number of unemployed and … these visits, and the unavailability of indicated dental care in EDs [1]. Of particular interest to NC state public … Calculations were sought in terms of the Medicaid-covered visit rate relative to the Medicaid-eligible population by …
  • Time of Arrival Analysis in NC DETECT to Find Clusters of Interest from Unclassified Patient Visit Records

    Content Type: Abstract

    TOA identifies clusters of patients arriving to a hospital ED within a short temporal interval. Past implementations have been restricted to records of patients with a specific type of complaint. The Florida Department of Health uses TOA at the… read more
    … if TOA could be used for identifying clusters of ED visits not filtered by any syndrome or sub-syndrome. In other words, can TOA detect a cluster of ED visits relating to a public health event, even if symptoms … The initial goal is to identify clusters of related ED visits whose keywords, signs and/or symptoms are NOT all …
  • Finding Time-of-Arrival Clusters of Exposure-Related Visits to Emergency Departments in Contiguous Hospital Groups

    Content Type: Abstract

    Time-of-arrival (TOA) surveillance methodology consists of identifying clusters of patients arriving to a hospital emergency department (ED) with similar complaints within a short temporal interval. TOA monitoring of ED visit data is currently… read more
    … within a short temporal interval. TOA monitoring of ED visit data is currently conducted by the Florida Department … for approximately 44% of the statewide general/acute care hospital beds and 32% of all emergency department visits statewide. We present findings from TOA monitoring in …
  • Comparison of Aberration Detection Algorithms for Biosurveillance Systems

    Content Type: Abstract

    Use of robust and broadly applicable statistical alerting methods is essential for a public health Biosurveillance system. We compared several algorithms related to the Early Aberration Reporting System C2 (adaptive control chart) method for… read more
    … effects and the total daily volume of facility visits. Adjustment for the total visit volume allows monitoring of surrogate rates instead of … to compare different ways of adjusting for total facility visits and background day-of-week effects. 5 views Submitted …
  • The Development of Virtual Data for Syndromic Surveillance Exercises

    Content Type: Abstract

    On 27 April 2005, a simulated bioterrorist event—the aerosolized release of Francisella tularensis in the men’s room of luxury box seats at a sports stadium—was used to exercise the disease surveillance capability of the National Capital Region (NCR… read more
    … essential to develop methods to generate virtual health care records that met specific requirements and represented both ‘normal’ endemic visits (the background) as well as outbreak-specific records … essential to develop methods to generate virtual health care records that met specific requirements and represented …