Documenting cannabis use in primary care: a descriptive cross-sectional study using electronic medical record data in Alberta, Canada

dc.contributor.authorSoos, Boglarka
dc.contributor.authorGaries, Stephanie
dc.contributor.authorCornect-Benoit, Ashley
dc.contributor.authorMontgomery, Lori
dc.contributor.authorSharpe, Heather
dc.contributor.authorRittenbach, Katherine
dc.contributor.authorManca, Donna
dc.contributor.authorDuerksen, Kimberley
dc.contributor.authorForst, Brian
dc.contributor.authorDrummond, Neil
dc.date.accessioned2023-02-05T01:02:24Z
dc.date.available2023-02-05T01:02:24Z
dc.date.issued2023-02-01
dc.date.updated2023-02-05T01:02:24Z
dc.description.abstractAbstract Objective Documenting cannabis use is important for patient care, but no formal requirements for consistent reporting exist in primary care. The objective of this study was to understand how cannabis use is documented in primary care electronic medical record (EMR) data. Results This was a cross-sectional study using de-identified EMR data from over 398,000 patients and 333 primary care providers in Alberta, Canada. An automated pattern-matching algorithm was developed to identify text and ICD-9 diagnostic codes indicating cannabis use in the EMR. There was a total of 11,724 records indicating cannabis use from 4652 patients, representing approximately 1.2% of the patient sample. Commonly used terms and ICD-9 codes included cannabis, marijuana/marihuana, THC, 304.3 and 305.2. Nabilone was the most frequently prescribed cannabinoid medication. Slightly more males and those with a chronic condition had cannabis use recorded more often. Overall, very few patients have cannabis use recorded in primary care EMR data and this is not captured in a systematic way. We propose several strategies to improve the documentation of cannabis use to facilitate more effective clinical care, research, and surveillance.
dc.identifier.citationBMC Research Notes. 2023 Feb 01;16(1):9
dc.identifier.doihttps://doi.org/10.1186/s13104-023-06274-6
dc.identifier.urihttp://hdl.handle.net/1880/115812
dc.identifier.urihttps://doi.org/10.11575/PRISM/44315
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleDocumenting cannabis use in primary care: a descriptive cross-sectional study using electronic medical record data in Alberta, Canada
dc.typeJournal Article
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