BRICCS Aortic Stenosis Study

Echo Search

Email From Nick

Hi Andy

I fed back to Muntaser today the useful discussion you and I had earlier in the week about the possibility of searching echo data in the CDW. He would very much like us to proceed. In the past, clinical colleagues have run ad hoc searches for his research project but reported that not all cases were being copied from Agfa Pacs into eCris. Is this still an issue, do you know?

What he would like us to do is a monthly routine search, including only ECHO reports from the previous complete month, and run the query around the middle of the following month so everyone will have had their results directly from their own clinician before the research team contact them. The search terms should include “aortic stenosis” but as we discussed looking to exclude any patients where the phrase “no X aortic stenosis” where X is any amount of additional language but only within a single sentence. Initially, we would like this ‘exclusion’ criteria to not actually exclude the patient but to result in a flag showing up in the results, so we can evaluate whether the exclusion criteria would be helpful or result in lots of false negatives.

The result set should include the patient’s age, ethnicity, S number and the result text itself please.

Does this sound feasible? How quickly could we get a sample implementation in place?

Thanks

Nick

Action: Andy Carruthers

Andy is to create a scheduled search to which will return results and pass those values through DAPS. The echo text will be returned along with the DAPS data with an indicator to say whether the search algorithm thinks the search text has been negated. The search view will be amendable by the BRU users.