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. Author manuscript; available in PMC: 2019 Sep 1.
Published in final edited form as: Med Care. 2018 Sep;56(9):e54–e60. doi: 10.1097/MLR.0000000000000831

TABLE A1.

Review of 12 False-positive Radiology Reports Where IDEAL-X in Controlled Vocabulary Mode Identified a Venous Thromboembolism When None was Present on Manual Review

Frequency False-positive Reason Example
6* Description of radiology study limitations “respiratory motion limits evaluation for pulmonary embolism,” “small emboli in the segmental and subsegmental arteries can be missed”
3* Description of superficial vein “superficial venous thrombosis of the left basilic vein”
1* Recommendation for additional testing “nuclear study can be performed as clinically indicated for evaluation of pulmonary emboli”
1 Contradictory/ambiguous descriptions “findings can be seen with … sequela of chronic pulmonary embolism, although there is no direct evidence of chronic pulmonary embolism”
1 Radiology report syntax typo “1. no pulmonary embolism” (no space between “1.”+“no”)
*

Ten false-positives could be averted in the future by adding these learned terminology to existing controlled vocabulary in IDEAL-X.