Evidence map›Paper›PMID 18999284›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2008

Content and structure of clinical problem lists: a corpus analysis.

Tielman T Van Vleck, Adam Wilcox, Peter D Stetson, Stephen B Johnson, Noémie Elhadad

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Overview of Physical Activity Counseling in Primary Care.Korean journal of family medicine · 2021
    Article
  4. Article
  5. Characterizing outpatient problem list completeness and duplications in the electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  6. Automating the Transformation of Free-Text Clinical Problems into SNOMED CT Expressions.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2020
    Article
  7. Article
  8. Efficient Active Learning for Electronic Medical Record De-identification.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2019
    Article
  9. Impact of problem-based charting on the utilization and accuracy of the electronic problem list.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  10. Generalized Extraction and Classification of Span-Level Clinical Phrases.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018
    Article
  11. The Sublanguage of Clinical Problem Lists: A Corpus Analysis.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018
    Article
  12. Automated methods for the summarization of electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2015
    Review
  13. De-identification of clinical narratives through writing complexity measures.International journal of medical informatics · 2014
    Article
  14. Article
  15. Using SNOMED-CT to encode summary level data - a corpus analysis.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2012
    Article
  16. Detecting pregnancy use of non-hormonal category X medications in electronic medical records.Journal of the American Medical Informatics Association : JAMIA · 2011
    Article
  17. Article
  18. Corpus-Based Problem Selection for EHR Note Summarization.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2010
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tielman T Van VleckDepartment of Biomedical Informatics, Columbia University, New York, NY, USA.
Adam Wilcox
Peter D Stetson
Stephen B Johnson
Noémie Elhadad

Funding

Training in Biomedical Informatics at Columbia UniversityT15LM007079 · NLM · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI NOEMIE ELHADAD, GEORGE M HRIPCSAK · 1992 to 2026
$28.9M
A Biomedical Natural Language Processing ResourceR01LM008635 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FRIEDMAN, CAROL · 2005 to 2008
$2.1M
Capturing and linking genomic and clinical informationR01LM007659 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FRIEDMAN, CAROL · 2003 to 2006
$1.9M
Automated Detection of Medical ErrorsK22LM008805 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI STETSON, PETER D · 2005 to 2007
$405k
NLM NIH HHS K22 LM008805NLM NIH HHS K22-LM008805NLM NIH HHS N01-LM07079NLM NIH HHS R01 LM007659NLM NIH HHS R01 LM008635NLM NIH HHS T15 LM007079
6 · The paper itself

Abstract

In the interest of designing an automated high-level, longitudinal clinical summary of a patient record, we analyze traditional ways in which medical problems pertaining to the patient are summarized in the electronic health record. The patient problem list has become a commonly used proxy for a summary of patient history and automated methods have been proposed to generate it. However, little research has been conducted on how to structure the problem list in a manner most effective for supporting clinical care. This study analyzes the structure and content of the Past Medical History (PMH) sections of a large corpus of clinical notes, as a proxy for problem lists. Findings show that when listing patients history, physicians convey several semantic types of information, not only problems. Furthermore, they often group related concepts in a single line of the PMH. In contrast, traditional problem lists allow only a simple enumeration of coded terms. Content analysis goes on to reiterate the value of more complex representations as well as provide valuable data and guidelines for automated generation of a clinical summary.

Indexed as

Natural Language ProcessingAlgorithmsArtificial IntelligenceClinical ProtocolsInformation Storage and RetrievalMedical History TakingMedical Records, Problem-OrientedMedical Records Systems, ComputerizedNew YorkPattern Recognition, AutomatedSubject Headings

Identifiers

PMID18999284
PMCPMC2655994

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.