{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T21:08:38Z","timestamp":1786482518964,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,2,6]],"date-time":"2018-02-06T00:00:00Z","timestamp":1517875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["CK000203"],"award-info":[{"award-number":["CK000203"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2018,3]]},"abstract":"Summary<\/jats:title>In Maryland, Lyme disease (LD<\/jats:styled-content>) is a reportable disease and all laboratories and healthcare providers are required to report to the local health department. Given the volume of LD<\/jats:styled-content> reports and effort required for investigation, surveillance for LD<\/jats:styled-content> is burdensome and subject to underreporting. We explored the utility of International Classification of Diseases, 9th Revision, Clinical Modification (administrative) codes for use with LD<\/jats:styled-content> surveillance. We aimed to collect the administrative codes for a 10% sample of 2009 LD<\/jats:styled-content> reports (n<\/jats:italic>\u00a0=\u00a0474) from 292 facilities stratified by case classification (confirmed, probable, suspected and not a case). Sixty\u2010three per cent (n<\/jats:italic>\u00a0=\u00a0184) of facilities responded to the survey, and 341 different administrative codes were obtained for 91% (n<\/jats:italic>\u00a0=\u00a0430) of sampled reports. The administrative code for Lyme disease (088.81) was the most commonly reported code (133\/430 patients) among sampled reports; while it was used for 62 of 151 (41%) confirmed cases, it was also used for 48 of 192 (25%) not a case reports (sensitivity 41% and specificity 73%). A combination of nine codes was developed with sensitivity of 74% and specificity of 37% when compared to not a case reports. We conclude that the administrative code for LD<\/jats:styled-content> alone has low ability to identify LD<\/jats:styled-content> cases in Maryland. Grouping certain codes improved sensitivity, but our results indicate that administrative codes alone are not a viable surveillance alternative for a disease with complex manifestations such as LD<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/zph.12446","type":"journal-article","created":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T04:36:43Z","timestamp":1517978203000},"page":"254-259","source":"Crossref","is-referenced-by-count":16,"title":["Exploring an alternative approach to Lyme disease surveillance in Maryland"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4352-0685","authenticated-orcid":false,"given":"H.","family":"Rutz","sequence":"first","affiliation":[{"name":"Emerging Infections Program Maryland Department of Health Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Hogan","sequence":"additional","affiliation":[{"name":"Emerging Infections Program Maryland Department of Health Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Hook","sequence":"additional","affiliation":[{"name":"Division of Vector\u2010Borne Diseases Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2853-5165","authenticated-orcid":false,"given":"A.","family":"Hinckley","sequence":"additional","affiliation":[{"name":"Division of Vector\u2010Borne Diseases Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Emerging Infections Program Maryland Department of Health Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,6]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"CDC(2008).Lyme disease 2008 case definition. Retrieved fromhttp:\/\/wwwn.cdc.gov\/NNDSS\/script\/casedef.aspx?CondYrID=751&DatePub=2008-01-01"},{"key":"e_1_2_8_3_1","unstructured":"CDC(2016).Reported cases of Lyme disease cases by state or locality 2005\u20132015. Retrieved fromhttp:\/\/www.cdc.gov\/lyme\/stats\/tables.html"},{"key":"e_1_2_8_4_1","unstructured":"COMAR(2015).Reportable diseases conditions outbreaks and unusual manifestations; submitting clinical materials. Retrieved fromhttp:\/\/www.dsd.state.md.us\/comar\/getfile.aspx?file=10.06.01.03.htm"},{"key":"e_1_2_8_5_1","first-page":"964","article-title":"ICD90CM claims data are insufficient for influenza surveillance","volume":"192","author":"Elkin P.","year":"2013","journal-title":"Medinfo"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.3243"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1136\/amiajnl-2012-000948","article-title":"Using administrative medical claims data to supplement state disease registry systems for reporting zoonotic infections","volume":"20","author":"Jones S.","year":"2013","journal-title":"Journal of the American Medical Informatics Association"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2012-001558"},{"key":"e_1_2_8_9_1","first-page":"1","article-title":"Assessment of administrative claims data for public health reporting in Salmonella in Tennessee","author":"Marder E.","year":"2014","journal-title":"Journal of the American Medical Informatics Association"},{"key":"e_1_2_8_10_1","unstructured":"Maryland Department of Health(2016).Lyme disease in Maryland by jurisdiction 2000\u20132015. Retrieved fromhttp:\/\/phpa.health.maryland.gov\/OIDEOR\/CZVBD\/Shared%20Documents\/2000-2015%20LymeDisease.pdf"},{"key":"e_1_2_8_11_1","first-page":"505","article-title":"ICD9 codes cannot reliably identify hemorrhagic transformation of ischemic stroke","volume":"6","author":"Mullen M.","year":"2013","journal-title":"Circulation: Cardiovascular Quality and Outcomes"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0056269"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/zph.12275"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq285"}],"container-title":["Zoonoses and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fzph.12446","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/zph.12446","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T19:54:50Z","timestamp":1694634890000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/zph.12446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,6]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/zph.12446"],"URL":"https:\/\/doi.org\/10.1111\/zph.12446","archive":["Portico"],"relation":{},"ISSN":["1863-1959","1863-2378"],"issn-type":[{"value":"1863-1959","type":"print"},{"value":"1863-2378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,6]]}}}