{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T11:58:35Z","timestamp":1773921515688,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,10,16]],"date-time":"2014-10-16T00:00:00Z","timestamp":1413417600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To guide budgetary and policy\u2010level decisions, the U.S. Department of Veterans Affairs (VA) produces quarterly reports that count the number of Iraq and Afghanistan veterans with International Classification of Diseases, 9<jats:sup>th<\/jats:sup> Revision, Clinical Modification (ICD\u20109\u2010CM) codes for posttraumatic stress disorder (PTSD; 309.81) in their electronic medical record administrative data. We explored the accuracy of VA administrative data (i.e., diagnostic codes used for billing purposes), by comparing it to chart review evidence of PTSD (i.e., medical progress notes and all other clinical documentation contained in the entire VA medical record). We reviewed VA electronic medical records for a nationwide sample of 1,000 Iraq and Afghanistan veterans with at least one ICD\u20109\u2010CM code for PTSD in their VA administrative data. Among veterans sampled, 99.9% had 2 or more ICD\u20109\u2010CM codes for PTSD. Reviewing all VA electronic medical record notes for these 1,000 veterans for the full course of their VA health care history revealed that PTSD was diagnosed by a mental health provider for 89.6%, refuted for 5.6%, and PTSD was never evaluated by a mental health provider for 4.8%. VA treatment notes for the 12 months preceding chart review showed that 661 veterans sampled received a VA PTSD diagnosis during that 12\u2010month timeframe, and of these 555 were diagnosed by a mental health provider (83.9%). Thus, the presence of an ICD\u20109\u2010CM code for PTSD approximated diagnoses by VA mental health providers across time points (89.6% for entire treatment history and 83.9% for 12 months prior to chart review). Administrative data offer large\u2010scale means to track diagnoses and treatment utilization; however, their limitations are many, including the inability to detect false\u2010negatives.<\/jats:p>","DOI":"10.1002\/jts.21961","type":"journal-article","created":{"date-parts":[[2014,10,16]],"date-time":"2014-10-16T17:17:57Z","timestamp":1413479877000},"page":"626-629","source":"Crossref","is-referenced-by-count":29,"title":["PTSD Diagnoses Among Iraq and Afghanistan Veterans: Comparison of Administrative Data to Chart Review"],"prefix":"10.1002","volume":"27","author":[{"given":"Kelly K.","family":"McCarron","sequence":"first","affiliation":[{"name":"War Related Illness and Injury Study Center Veterans Affairs Medical Center  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Reinhard","sequence":"additional","affiliation":[{"name":"War Related Illness and Injury Study Center Veterans Affairs Medical Center  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharine J.","family":"Bloeser","sequence":"additional","affiliation":[{"name":"War Related Illness and Injury Study Center Veterans Affairs Medical Center  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare M.","family":"Mahan","sequence":"additional","affiliation":[{"name":"Office of Public Health Veterans Health Administration  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han K.","family":"Kang","sequence":"additional","affiliation":[{"name":"Institute for Clinical Research Veterans Affairs Medical Center  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,10,16]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2004.09.0122"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1930"},{"key":"e_1_2_5_4_1","unstructured":"Epidemiology Program Post\u2010Deployment Health Group Office of Public Health Veterans Health Administration Department of Veterans Affairs. (2013a).Analysis of VA health care utilization among Operation Enduring Freedom Operation Iraqi Freedom and Operation New Dawn Veterans from 1st Qtr FY 2002 through 2nd Qtr FY 2013.Washington DC:Author. Retrieved fromhttp:\/\/www.publichealth.va.gov\/docs\/epidemiology\/healthcare\u2010utilization\u2010report\u2010fy2013\u2010qtr2.pdf"},{"key":"e_1_2_5_5_1","unstructured":"Epidemiology Program Post\u2010Deployment Health Group Office of Public Health Veterans Health Administration Department of Veterans Affairs. (2013b).Report on VA facility specific Operation Enduring Freedom Operation Iraqi Freedom and Operation New Dawn Veterans coded with potential PTSD from 1st Qtr FY 2002 through 2nd Qtr FY 2013.Washington DC:Author. Retrieved fromhttp:\/\/www.publichealth.va.gov\/docs\/epidemiology\/ptsd\u2010report\u2010fy2013\u2010qtr2.pdf"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1062860609346347"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2009.08.0116"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.9.1023"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102036.2007.03572.x"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2004.11.001"},{"key":"e_1_2_5_11_1","unstructured":"National Center for Health Statistics. (2010).International classification of diseases 9th revision clinical modification. 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