Is it being used the way it was approved
Claims tell you what was billed. Why the drug was chosen, and what happened before it was stopped, exists only in the clinician's own sentences.
Why it stays invisible
Real-world evidence needs two things: how many patients, and what happened to them. Claims data gives you the first and not the second.
Stopped for a side effect, tried another drug that did nothing, endoscopic grade was such-and-such — all of it sits in free text a clinician wrote. It does not reduce to a code, so it disappears from standardized datasets.
What we have actually found
Every number below came out of a live analysis session, and the session it came from is noted with it.
Fexuclue prescribed beyond the approved eight weeks: 47 instances across 21 patients. The longest ran 185 days.
Session 87abbbbcOf 89 chart patients on the same drug, 85 were absent from claims.
Session e02c4876Side-effect narratives were found at the term as written: 108 of 108 recall with prefix matching, zero false positives.
SPEC §7.3 search accuracy measurement
What you receive
One question, one document. Nobody rewrites it afterwards.
- The question as you asked it
- The patient count and the record excerpts behind it
- What was matched, on which spelling, against which denominator
- What this number cannot say — small cells, false positives removed
- The questions we could not answer
Where the records were issued
This is not data obtained through a partnership. Each record was issued to the patient, by the hospital, at the patient's own request.
The 25 most requested. Records have come from 127 hospitals in all.
Common questions
- Can you analyze data that is not coded?
- What gets lost in the coding is the part we sell. We leave the text alone and search at the level of how it was written.
- Can we get patient-level data?
- No. What leaves is the count, a few supporting excerpts, and how we counted.
- Can we try it on our own product first?
- Ask in the meeting and we run it there. That session becomes the document.
- Can the result support scientific or regulatory work?
- The output states the counting rule, the denominator and the limits. What you do with it is your call — we do not file or handle review on your behalf.











