Table 1

Criteria for assessing the coverage and accuracy of a clinical database

Level 1Level 2Level 3Level 4
*For example, timing of physiological measures or distinguishing primary from secondary diagnoses.
A. Extent to which the eligible population is representative of the countryNo evidence or unlikely to be representativeSome evidence eligible population is representativeGood evidence eligible population is representativeTotal population of country included
Specify country:
B. Completeness of recruitment of eligible populationFew (<80%) or unknownSome (80–89%)Most (90–97%)All or almost all (>97%)
State when and how completeness was determined:
C. Variables included in the database
  • identifier

  • admin info

  • condition or intervention

  • identifier

  • admin info

  • condition or intervention

  • short term or long term outcome

  • identifier

  • admin info

  • condition

  • intervention

  • short term or long term outcome

  • major known confounders

  • identifier

  • admin info

  • condition

  • intervention

  • short term outcome

  • major known confounders

  • long term outcome

D. Completeness of data (percentage variables at least 95% complete)Few (<50%) or unknownSome (50–79%)Most (80–97%)All or almost all (>97%)
State when completeness was last determined:
E. Form in which continuous data (excluding dates) are collected (percentage collected as raw data)Few (<70%) or unknownSome (70–89%)Most (90–97%)All or almost all (>97%) or no continuous data collected
F. Use of explicit definitions for variablesNoneSome (<50%)Most (50–97%)All or almost all (>97%)
G. Use of explicit rules for deciding how variables are recorded*NoneSome (<50%)Most (50–97%)All or almost all (>97%)
H. Reliability of coding of conditions and interventionsNot testedPoorFairGood
State when and how it was most recently tested:
I. Independence of observations of primary outcomeOutcome not included or independence unknownObserver neither independent nor blinded to interventionIndependent observer not blinded to interventionIndependent observer blinded to intervention or not necessary as objective outcome (e.g. death or lab test)
J. Extent to which data are validatedNo validationRange or consistency checksRange and consistency checksRange and consistency checks plus external validation using alternative source
State when and how it was last determined: