Table 2 Examples of “Clinically Nuanced” Language Not Identifiable in Administrative Data
Language from low value care recommendations | Example reasons for exclusion |
|---|---|
• “low-risk patients” • “high-risk patients” • “unless directly indicated by the risk profile of the patient” | Imprecise/unexplained consideration of risk. |
• “must not be used to prevent” • “should not be used as a diagnostic tool” • “should not be used as first-line treatment” | Unable to determine rationale underlying physicians’ decision for use of technology. |
• “asymptomatic patients” • “absence of clinical indications” • “with uncomplicated symptoms” • “unless red flags are present” • “without alarm symptoms” | Qualifying words are vague; did not mention any specific signal or symptom. |