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Research ArticleOriginal Research

Purposeful Incorporation of Patient Narratives in the Medical Record in the Netherlands

Hilde Luijks, Kees van Boven, Tim olde Hartman, Annemarie Uijen, Chris van Weel and Henk Schers
The Journal of the American Board of Family Medicine July 2021, 34 (4) 709-723; DOI: https://doi.org/10.3122/jabfm.2021.04.200609
Hilde Luijks
the Department of Primary and Community Care (117-ELG), Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
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Kees van Boven
the Department of Primary and Community Care (117-ELG), Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
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Tim olde Hartman
the Department of Primary and Community Care (117-ELG), Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
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Annemarie Uijen
the Department of Primary and Community Care (117-ELG), Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
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Chris van Weel
the Department of Primary and Community Care (117-ELG), Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
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Henk Schers
the Department of Primary and Community Care (117-ELG), Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
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    Figure 1.

    Episodes of Care registration as an example of the evolution of a diagnosis.

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    Figure 2.

    Influence of registered variables on the probability of the end diagnosis. The total number of patient-years was 278,126 in the 2005–2019 dataset. Socioeconomic status was known for 36% (n = 1576) of patients with an Episode of Care of pneumonia. Abbreviation: RFE, Reason for Encounter.

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    Figure 3.

    Age distribution of episodes starting with a reason for encounter of ‘cough’. The total number of patient-years was 278,126 in the 2005–2019 dataset.

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    Figure 4.

    Prevalence of Episodes of Care ‘pneumonia’ among different age categories. Abbreviation: SES, socioeconomic status.

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    Appendix 2:
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    Appendix 2:
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    Appendix 2:

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    Table 1.

    Final Diagnosis of New Episodes Presented with the Reasons for Encounter of ‘Cough’

    ICPC CodeEpisode Label (Final Diagnosis) †% Final Diagnosis
    R05Cough‡30.7
    R74Acute upper respiratory infection28.5
    R78Acute bronchitis/bronchiolitis14.2
    R77Acute laryngitis/tracheitis6.8
    R81Pneumonia6.4
    R80Influenza2.6
    R75Acute/chronic sinusitis2.3
    H71Acute otitis media/myringitis1.1
    R96Asthma1.0
    A77Viral disease, other/NOS0.5
    • ICPC, International Classification of Primary Care.

    • * Cough is coded as R05 in the 2005–2019 FaMe-Net dataset.

    • ↵† Total number of patient-years: 278,126.

    • ↵‡ Number of episodes starting with ‘cough’: 27,287.

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    Table 2.

    The Commonest Presented Symptoms (Top 10 of Reasons for Encounter) at the Start of an Episode of Pneumonia*

    ICPC CodeRFE at the Start of Pneumonia Episode†% Pneumonia Episodes With This Start RFE‡
    R05Cough43
    A03Fever27
    R02Dyspnea16
    R81Pneumonia7
    A04Weakness/tiredness3
    A05Feeling ill3
    R74Acute upper respiratory infection2
    R01Pain respiratory system2
    L04Chest symptom/complaint1
    R80Influenza1
    Other symptoms14
    • ICPC, International Classification of Primary Care; RFE; reasons for encounter.

    • ↵* Pneumonia is coded as R81 in the 2005–2019 FaMe-Net dataset.

    • ↵† Number of new episodes of pneumonia: 3988.

    • ↵‡ Percentages cumulate to more than 100 since multiple RFEs can be recorded.

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The Journal of the American Board of Family     Medicine: 34 (4)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 4
July/August 2021
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Purposeful Incorporation of Patient Narratives in the Medical Record in the Netherlands
Hilde Luijks, Kees van Boven, Tim olde Hartman, Annemarie Uijen, Chris van Weel, Henk Schers
The Journal of the American Board of Family Medicine Jul 2021, 34 (4) 709-723; DOI: 10.3122/jabfm.2021.04.200609

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Purposeful Incorporation of Patient Narratives in the Medical Record in the Netherlands
Hilde Luijks, Kees van Boven, Tim olde Hartman, Annemarie Uijen, Chris van Weel, Henk Schers
The Journal of the American Board of Family Medicine Jul 2021, 34 (4) 709-723; DOI: 10.3122/jabfm.2021.04.200609
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    • Appendix 1: FaMe-Net: Inception of the World's Oldest PBRN within the Dutch Health care Context
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Keywords

  • Comorbidity
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