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Table 3 Concordance between the MedicineInsight diagnostic algorithms and EHR reviews for five chronic conditions, stratified by EHR software

From: Validity of algorithms for identifying five chronic conditions in MedicineInsight, an Australian national general practice database

  

EHR+

Algorithm+

(True positive)

EHR–

Algorithm+

(False positive)

EHR+

Algorithm-

(False negative)

EHR-

Algorithm-

(True negative)

Sensitivity

(95 % CI)

Specificity

(95 % CI)

PPV

(95 %CI)

NPV

(95 % CI)

Best Practice

Anxiety

49

1

13

112

0.79 (0.77–0.81)

0.99 (0.97–1.00)

0.98 (0.95–0.99)

0.90 (0.87–0.92)

Asthma

47

1

9

118

0.84 (0.67–0.93)

0.99 (0.96–1.00)

0.98 (0.84–1.00)

0.93 (0.90–0.95)

Depression

55

1

6

113

0.90 (0.85–0.94)

0.99 (0.95–1.00)

0.98 (0.90–1.00)

0.95 (0.91–0.97)

Osteoporosis

25

0

1

149

0.96 (0.89–0.99)

1.00 (1.00–1.00)

1.00 (0.98–1.00)

0.99 (0.98–1.00)

Type 2 diabetes

37

2

3

133

0.92 (0.84–0.97)

0.99 (0.98–0.99)

0.95 (0.91–0.97)

0.98 (0.94–0.99)

Medical Director

Anxiety

90

6

11

193

0.89 (0.81–0.94)

0.97 (0.95–0.98)

0.94 (0.89–0.97)

0.95 (0.88–0.98)

Asthma

51

0

1

248

0.98 (0.93–1.00)

1.00 (1.00–1.00)

1.00 (0.93–1.00)

1.00 (0.99–1.00)

Depression

94

6

13

187

0.88 (0.85–0.91)

0.97 (0.95–0.98)

0.94 (0.91–0.96)

0.94 (0.91–0.95)

Osteoporosis

23

2

2

273

0.92 (0.80–0.97)

0.99 (0.98–1.00)

0.92 (0.80–0.97)

0.99 (0.98–1.00)

Type 2 diabetes

26

0

5

269

0.84 (0.66–0.95)

1.00 (1.00–1.00)

1.00 (0.87–1.00)

0.98 (0.97–0.99)