A clinical perspective on the relevance of research domain criteria in electronic health records.

Journal: The American journal of psychiatry
Published Date: Apr 1, 2015

Abstract

OBJECTIVE: The limitations of the DSM nosology for capturing dimensionality and overlap in psychiatric syndromes, and its poor correspondence to underlying neurobiology, have been well established. The Research Domain Criteria (RDoC), a proposed dimensional model of psychopathology, may offer new insights into psychiatric illness. For psychiatric clinicians, however, because tools for capturing these domains in clinical practice have not yet been established, the relevance and means of transition from the categorical system of DSM-5 to the dimensional models of RDoC remains unclear. The authors explored a method of extracting these dimensions from existing electronic health record (EHR) notes.

Authors

  • Thomas H McCoy
    Center for Quantitative Health, Department of Psychiatry and Department of Medicine, Massachusetts General Hospital, Boston, MA. Electronic address: thmccoy@partners.org.
  • Victor M Castro
  • Hannah R Rosenfield
  • Andrew Cagan
  • Isaac S Kohane
    Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. Isaac_Kohane@hms.harvard.edu.
  • Roy H Perlis
    Center for Quantitative Health, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

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