Dx accuracy for CAP

Ross Koppel rkoppel at SAS.UPENN.EDU
Sun Nov 24 16:14:02 UTC 2013

Harold, I've called for this many times....but I've never seen it in
practice. And it would not take a heck of a lot of space in even the
most highly structured parts of an EHR. Note that doubt might also be
relevant vis a vis your review of a progress note or Dx from a kid who
has been a doctor for 2 days (July)

Ross Koppel, Ph.D. FACMI
Sociology Dept and Sch. of Medicine
University of Pennsylvania, Phila, PA 19104-6299
215 576 8221 C: 215 518 0134

On 11/23/2013 8:49 PM, Harold Lehmann wrote:
> Wouldn't it be great it, in our electronic health records, we could
> indicate trust or certainty or other concerns about individual data, let
> alone the diagnosis? We spend so much time thinking about each datum, yet
> we don't have a place to record our conclusions about the datum. ("The lab
> reports a high Sodium, but I think it's a lab error". . ."The record says,
> 'murmur,' but it's an intern's exam". . ."The doctor reports 'vertigo,'
> but I don't know if that's her judgement or the patient's report" . .
> ."There's an indication of penicillin allergy, but I couldn't track down
> the source nor verify it with the patient". . . )
> Harold

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