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Table 2 Overview of electronic algorithm steps used to interpret chest radiograph reports based on rules- and probability-based strategies

From: Automated identification of pneumonia in chest radiograph reports in critically ill patients

Group (Step)

Determination

Rules

Predicted probability

Group 1 (Step 1)

Negative

‘Blanket Negative’ statement without any pneumonia-related terms

 

Group 1 (Step 2)

Negative

No pneumonia-related terms

 

Group 1 (Step 3)

Possible

High uncertainty pneumonia-related terms, no ‘blanket negative’ statement

 

Group 1 (Step 4)

Positive

Low/No uncertainty pneumonia-equivalent terms, no high uncertainty pneumonia-related terms, no non-pneumonia terms

 

Group 2 (Step 5)

Possible

High uncertainty pneumonia-related terms, no low/no uncertainty pneumonia-equivalent terms, no normal statement

 

Group 2 (Step 6)

Possible

Infiltrate + pneumonia-related terms, no low/no uncertainty pneumonia-equivalent terms

 

Group 2 (Step 7)

Possible

Any pneumonia-related versus terms

 

Group 3 (Step 8)

Positive

Low/no uncertainty pneumonia-equivalent terms, no blanket normal statement

 

Group 3 (Step 9)

Possible

Any uncertainty pneumonia-related terms

 

Group 3 (Step 10)

Possible

Any infiltrate + pneumonia-related terms, no non-pneumonia terms

 

Group 4 (Step 11)

Positive

 

Positive > 70%

Group 4 (Step 12)

Negative

 

Negative >30%, Possible < 30%, Positive < 10%

Group 4 (Step 13)

Possible

 

Possible > 10%, Negative < 10%, Positive < 10%

Group 4 (Step 14)

Possible

 

Possible > 60%, Negative < 40%

Group 4 (Step 15)

Positive

Any pneumonia-equivalent term

 

Group 4 (Step 16)

Possible

 

Possible > 20%, Positive > 10%

Group 4 (Step 17)

Possible

Any uncertainty pneumonia-related terms, no low/no uncertainty pneumonia-equivalent terms

Negative < 30%

Group 4 (Step 18)

Possible

Pneumonia-related terms, no non-pneumonia terms, no blanket normal statement

Negative < 40%

Group 4 (Step 19)

Negative

Non-pneumonia terms

 

Group 4 (Step 20)

Possible

All remaining reports

 
  1. Reports that are assigned an interpretation based on a step are then removed from interpretation in the subsequent steps.