Domain Concordance Results, PEDSnet Database (2025-07)

Results vary greatly by site and domain.<br><br> Thirteen threshold violations were flagged in this data cycle: 1. A low concordance between two cohorts. For this check, only 64.2% of patients with evidence of Type 1 Diabetes Diagnosis also have evidence of Insulin Drug Exposure. This is less than the minimum expected value of 70%. <br> Codesets: [Cohort 1](https://pedsnet.org/metadata/handle/20.500.14642/1060), [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/1076) 2. A low concordance between two cohorts. For this check, only 39.1% of patients with evidence of Positive Influenza Lab Test also have evidence of Influenza Diagnosis. This is less than the minimum expected value of 65%. <br> Codesets: [Cohort 1](https://pedsnet.org/metadata/handle/20.500.14642/1077), [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/1066) 3. A low concordance between two cohorts. For this check, only 67.9% of patients with evidence of Fracture Diagnosis also have evidence of Imaging Procedure. This is less than the minimum expected value of 70%. <br> Codesets: [Cohort 1](https://pedsnet.org/metadata/handle/20.500.14642/1065), [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/1080) 4. A low concordance between two cohorts. For this check, only 37.5% of patients with evidence of Leukemia Diagnosis also have evidence of Oncology Specialist. This is less than the minimum expected value of 70%. <br> Codesets: [Cohort 1](https://pedsnet.org/metadata/handle/20.500.14642/654), [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/1079) 5. A low concordance between two cohorts. For this check, only 0% of patients with evidence of Positive Influenza Lab Test also have evidence of Influenza Diagnosis. This is less than the minimum expected value of 65%. <br> Codesets: [Cohort 1](https://pedsnet.org/metadata/handle/20.500.14642/1077), [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/1066) 6. A low concordance between two cohorts. For this check, only 0% of patients with evidence of RSV Positive Lab Test also have evidence of RSV Diagnosis. This is less than the minimum expected value of 65%. <br> Codesets: [Cohort 1](https://github.com/PEDSnet/pedsnet_ndq/blob/main/specs/lab_rsv) , [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/505) 7. A low concordance between two cohorts. For this check, only 14% of patients with evidence of Fracture Diagnosis also have evidence of Imaging Procedure. This is less than the minimum expected value of 70%. <br> Codesets: [Cohort 1](https://pedsnet.org/metadata/handle/20.500.14642/1065), [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/1080) 8. A low concordance between two cohorts. For this check, only 0% of patients with evidence of Leukemia Diagnosis also have evidence of Oncology Specialist. This is less than the minimum expected value of 70%. <br> Codesets: [Cohort 1](https://pedsnet.org/metadata/handle/20.500.14642/654), [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/1079) 9. A low concordance between two cohorts. For this check, only 68.6% of patients with evidence of Outpatient Visits also have evidence of Outpatient Condition Headers. This is less than the minimum expected value of 75%. 10. A low concordance between two cohorts. For this check, only 64% of patients with evidence of Leukemia Diagnosis also have evidence of Oncology Specialist. This is less than the minimum expected value of 70%. <br> Codesets: [Cohort 1](https://pedsnet.org/metadata/handle/20.500.14642/654), [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/1079) 11. A low concordance between two cohorts. For this check, only 52.2% of patients with evidence of ED Visits also have evidence of ED Condition Headers. This is less than the minimum expected value of 75%. 12. A low concordance between two cohorts. For this check, only 67.2% of patients with evidence of Fracture Diagnosis also have evidence of Imaging Procedure. This is less than the minimum expected value of 70%. <br> Codesets: [Cohort 1](https://pedsnet.org/metadata/handle/20.500.14642/1065), [Cohort 2](https://pedsnet.org/metadata/handle/20.500.14642/1080) 13. A low concordance between two cohorts. For this check, only 64.6% of patients with evidence of Outpatient Visits also have evidence of Outpatient Condition Headers. This is less than the minimum expected value of 75%.