Toward Vocabulary Control for Chief Complaint

Authors

  • Stephanie W. Haas PhD,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Debbie Travers RN, PhD,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Judith E. Tintinalli MD, MS,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Daniel Pollock MD, MS,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Anna Waller ScD,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Edward Barthell MD, MS,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Catharine Burt EdD,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Wendy Chapman PhD,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Kevin Coonan MD,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Donald Kamens MD,

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • James McClay MD, MS

    1. From the School of Information and Library Science (SWH), School of Nursing (DT), Department of Emergency Medicine (DT, JET, AW), University of North Carolina at Chapel Hill, Chapel Hill, NC; the Centers for Disease Control and Prevention (DP), Atlanta, GA; the Department of Emergency Medicine, Medical College of Wisconsin, and Infinity HealthCare, Inc. (EB), Milwaukee, WI; the Division of Health Care Statistics, National Center for Health Statistics (CB), Hyattsville, MD; the Department of Biomedical Informatics, University of Pittsburgh (WC), Pittsburgh, PA; the Department of Biomedical Informatics, University of Utah (KC), Salt Lake City, UT; the Department of Emergency Medicine, St. Vincent’s Medical Center (DK), Jacksonville, FL; and the Department of Emergency Medicine, University of Nebraska (JM), Lincoln, NE.
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  • Other members of the Chief Complaint Symposium Group are listed in Appendix A.

  • Funding for the conference was made possible in part by Grant 1 R13 LM008906-1 from the National Library of Medicine/The National Institutes of Health, with additional support provided by the School of Information and Library Science, University of North Carolina at Chapel Hill; The Injury Prevention Research Center at the University of North Carolina; the Department of Emergency Medicine at the University of North Carolina; and the north Carolina Disease Event Tracking and Epidemiology Collection Tool (NCDETECT) of the North Carolina Division of Public Health.

Judith E. Tintinalli, MD, MS; e-mail: jet@med.unc.edu.

Abstract

The chief complaint (CC) is the data element that documents the patient’s reason for visiting the emergency department (ED). The need for a CC vocabulary has been acknowledged at national meetings and in multiple publications, but to our knowledge no groups have specifically focused on the requirements and development plans for a CC vocabulary.

The national consensus meeting “Towards Vocabulary Control for Chief Complaint” was convened to identify the potential uses for ED CC and to develop the framework for CC vocabulary control. The 10-point consensus recommendations for action were 1) begin to develop a controlled vocabulary for CC, 2) obtain funding, 3) establish an infrastructure, 4) work with standards organizations, 5) address CC vocabulary characteristics for all user communities, 6) create a collection of CC for research, 7) identify the best candidate vocabulary for ED CCs, 8) conduct vocabulary validation studies, 9) establish beta test sites, and 10) plan publicity and marketing for the vocabulary.

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