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Table 3 Example of diagnostic codes with the highest and lowest positive predictive value (excerpted from additional file 1)

From: Accuracy of syndrome definitions based on diagnoses in physician claims

Example of diagnostic codes with the HIGHEST positive predictive value (PPV)

Syndrome

ICD-9 code

Diagnostic label

PPV (95% CI)

Fever1

82.8

Tick-borne rickettsiosis not elsewhere classified

1.00 (1.00, 1.00)

 

88.8

Other specified arthropod-borne diseases

1.00 (1.00, 1.00)

Gastrointestinal1

7.1

Giardiasis

1.00 (1.00, 1.00)

 

5.9

Food poisoning not otherwise specified

1.00 (1.00, 1.00)

Neurological1

323.0

Encephalitis in viral disease classified elsewhere

1.00 (1.00, 1.00)

 

784.3

Aphasia

1.00 (1.00, 1.00)

Rash1

53.8

Herpes zoster with unspecified complication

1.00 (1.00, 1.00)

 

695.2

Erythema nodosum

1.00 (1.00, 1.00)

Respiratory1

33.0

Bordetella pertussis

1.00 (1.00, 1.00)

 

462.9

Pharyngitis, acute not otherwise specified

1.00 (1.00, 1.00)

ILI large-group2

487.0

Influenza with pneumonia

1.00 (1.00, 1.00)

 

486.0

Pneumonia, organism not otherwise specified

1.00 (1.00, 1.00)

Example of diagnostic codes with the LOWEST positive predictive value (PPV)

Syndrome

ICD-9 code

Diagnostic label

PPV (95% CI)

Fever1

88.0

Bartonellosis

0.00 (0.00, 0.00)

 

78.2

Sweating fever

0.00 (0.00, 0.00)

Gastrointestinal1

555.0

Regional enteritis, small intestine

0.00 (0.00, 0.00)

 

1.1

Cholera due to Vibrio cholerae El Tor

0.00 (0.00, 0.00)

Neurological1

323.2

Encephalitis in protozoal disease classified elsewhere

0.00 (0.00, 0.00)

 

53.0

Herpes zoster with meningitis

0.00 (0.00, 0.00)

Rash1

51.0

Cowpox

0.00 (0.00, 0.00)

 

55.8

Measles complications not otherwise specified

0.00 (0.00, 0.00)

Respiratory1

20.4

Secondary pneumonic plague

0.00 (0.00, 0.00)

 

79.8

Hantavirus infection

0.00 (0.00, 0.00)

ILI large-group2

490.0

Bronchitis not otherwise specified

0.00 (0.00, 0.00)

 

465.8

Acute upper respiratory infection, other multiple sites

0.36 (0.08, 0.65)

  1. 1 Syndrome case definitions developed and published by the US Centers for Disease Control and Prevention (CDC) in 2003, and used by the US Department of Defense's Electronic Surveillance System for Early Notification of Community-based Epidemics (ESSENCE).
  2. 2 Syndrome case definition developed in the context of the US Department of Defense's Electronic Surveillance System for Early Notification of Community-based Epidemics (ESSENCE).