The Pediatric Emergency Care Applied Research Network Registry: A Multicenter Electronic Health Record Registry of Pediatric Emergency Care.

Background: Electronic health record (EHR)-based registries allow for robust data to be derived directly from the patient clinical record and can provide important information about processes of care delivery and patient health outcomes.

Methods: A data dictionary, and subsequent data model, were developed describing EHR data sources to include all processes of care within the emergency department (ED). ED visit data were deidentified and XML files were created and submitted to a central data coordinating center for inclusion in the registry.

Preparing for International Classification of Diseases, 10th Revision, Clinical Modification implementation: strategies for maintaining an efficient workflow.

The International Classification of Diseases, 10th Revision, is required to be used by the Centers for Medicare and Medicaid Services health care billing data starting in October 2015 in the United States. The International Classification of Diseases, 10th Revision, is an update to the International Classification of Diseases, Ninth Revision, and contains approximately 70,000 codes compared with 14,000 codes. We aimed to discuss how our institution is updating the coding system in a manner that alleviates the possible burden placed on providers including more coding information required and longer load times.

Evaluation and management of sexually transmitted infections in adolescent males presenting to a pediatric emergency department: is the chief complaint diagnostic?

Objectives: The objectives of the study were to (1) describe evaluation and treatment patterns for adolescent males presenting with a concern for sexually transmitted infection (STI) in a pediatric emergency department, (2) assess the rates of STIs in symptomatic males, and (3) determine the utility of urinalysis alone in predicting STIs in adolescent males.

Methods: A retrospective cohort study was conducted of all patients presenting to our pediatric emergency department from January 1, 2007, to December 31, 2007. Inclusion criteria included males, aged 15 to 21 years, with an STI or urinary chief complaint.