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Table 2 Flagged cases for each syndrome from Whitehorse General Hospital ED-Tracker records, Oct. 1, 2018 – Apr. 30, 2019

From: Development and validation of an automated emergency department-based syndromic surveillance system to enhance public health surveillance in Yukon: a lower-resourced and remote setting

Flagged visits by separate fields

Flagged visits by combined fields

Field

# Hits

PPV (CI)

# Hits

PPV (CI)

Field(s)

# Hits

PPV (CI)

# Hits

PPV (CI)

Gastrointestinal

Gastrointestinal

Pre-validation

Post-Validation

Pre-validation

Post-Validation

CN

1579

0.23

(0.18–0.27)

746

0.44

(0.38–0.49)

CN

1579

0.23

(0.18–0.27)

746

0.44

(0.38–0.49)

CC

866

0.35

(0.30–0.40)

295

0.40

(0.31–0.48)

CN/CC

1644

0.22

(0.18–0.26)

759

0.45

(0.39–0.50)

DD

485

0.51

(0.45–0.57)

236

0.87

(0.82–0.91)

CN/CC/DD

601

0.49

(0.43–0.54)

316

0.79

(0.74–0.84)

Respiratory

Respiratory

Pre-validation

Post-Validation

Pre-validation

Post-Validation

CN

639

0.75

(0.71–0.78)

625

0.75

(0.71–0.78)

CN

639

0.75

(0.71–0.78)

625

0.75

(0.71–0.78)

CC

19

0.21

(0–0.59)

19

0.21

(−0.19–0.59)

CN/CC

662

0.74

(0.70–0.77)

647

0.74

(0.70–0.77)

DD

76

0.92

(0.86–0.98)

76

0.92

(0.86–0.98)

CN/CC/DD

548

0.84

(0.81–0.87)

542

0.84

(0.81–0.87)

ILI

ILI

Pre-validation

Post-Validation

Pre-validation

Post-Validation

CN

361

0.86

(0.82–0.90)

356

0.87

(0.83–0.91)

CN

361

0.86

(0.82–0.90)

356

0.87

(0.83–0.91)

CC

0

–

0

–

CN/CC

380

0.85

(0.81–0.89)

375

0.86

(0.82–0.90)

DD

141

0.96

(0.92–0.99)

141

0.96

(0.92–0.99)

CN/CC/DD

482

0.87

(0.84–0.90)

477

0.88

(0.85–0.91)

Rash

Rash

Pre-validation

Post-Validation

Pre-validation

Post-Validation

CN

9

0.56

0.12–0.97)

9

0.56

(0.12–0.97)

CN

9

0.56

(0.12–0.97)

5

0.56

(0.12–0.97)

CC

0

–

0

0 (0)

CN/CC

56

0.57

(0.40–0.73)

56

0.57

(0.40–0.73)

DD

10

0.90

(0.70–1.00)

10

0.90

(0.70–1.09)

CN/CC/DD

64

0.63

(0.47–0.77)

64

0.63

(0.47–0.77)

Neurological

Neurological

Pre-validation

Post-Validation

Pre-validation

Post-Validation

CN

201

0.35

(0.24–0.45)

193

0.35

(0.24–0.46)

CN

201

0.35

(0.24–0.45)

193

0.35

(0.24–0.46)

CC

0

–

0

–

CN/CC

167

0.54

(0.44–0.64)

160

0.56

(0.45–0.65)

DD

2

1.00

(1.00–1.00)

2

1.00

(1.00–1.00)

CN/CC/DD

6

0.83

(0.51–1.00)

19

0.89

(0.75–1.03)

Mumps

Mumps

Pre-validation

Post-Validation

Pre-validation

Post-Validation

CN

43

0.37

(0.14–0.60)

40

0.40

(0.16–0.63)

CN

43

0.37

(0.14–0.60)

40

0.40

(0.16–0.63)

DD

17

0.94

(0.83–1.00)

17

0.94

(0.83–1.05)

CN/DD

57

0.51

(0.33–0.68)

17

0.94

(0.83–1.05)

  1. Abbreviations: CN clinical notes; CC chief complaint; DD discharge diagnosis; PPV positive predictive value; CI confidence interval calculated using a 95% confidence level
  2. Data Source: Meditech ED Tracker
  3. Note: Subject who meet case definition were those whose ED visit was assessed to be related to the disease/condition of interest. Combined field may include OR statements and/or AND statements using information in the CN, CC, DD field. Post-validation results refer to application of NLP algorithms after improvements to the algorithms were made during the initial validation phase