Evidence map›Paper›PMID 21697292›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Automated concept-level information extraction to reduce the need for custom software and rules development.

Leonard W D'Avolio, Thien M Nguyen, Sergey Goryachev, Louis D Fiore

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Translational NLP: A New Paradigm and General Principles for Natural Language Processing Research.Proceedings of the conference. Association for Computational Linguistics. North American Chapter. Meeting · 2021
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  7. NLPReViz: an interactive tool for natural language processing on clinical text.Journal of the American Medical Informatics Association : JAMIA · 2018
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  10. Automating the generation of lexical patterns for processing free text in clinical documents.Journal of the American Medical Informatics Association : JAMIA · 2015
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  15. Electronic health records-driven phenotyping: challenges, recent advances, and perspectives.Journal of the American Medical Informatics Association : JAMIA · 2013
    Article
  16. Pharmacovigilance using clinical notes.Clinical pharmacology and therapeutics · 2013
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  17. Article
  18. Learning signals of adverse drug-drug interactions from the unstructured text of electronic health records.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2013
    Article
  19. Article
  20. 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

4 authors.

Leonard W D'AvolioMassachusetts Veterans Epidemiology Research and Information Center Cooperative Studies Coordinating Center, VA Boston Healthcare System, Jamaica Plain, Massachusetts 02130, USA. leonard.davolio@va.gov
Thien M Nguyen
Sergey Goryachev
Louis D Fiore

Funding

HSRD VA HIR 09-007
6 · The paper itself

Abstract

objectiveDespite at least 40 years of promising empirical performance, very few clinical natural language processing (NLP) or information extraction systems currently contribute to medical science or care. The authors address this gap by reducing the need for custom software and rules development with a graphical user interface-driven, highly generalizable approach to concept-level retrieval. MATERIALS AND

methodsA 'learn by example' approach combines features derived from open-source NLP pipelines with open-source machine learning classifiers to automatically and iteratively evaluate top-performing configurations. The Fourth i2b2/VA Shared Task Challenge's concept extraction task provided the data sets and metrics used to evaluate performance.

resultsTop F-measure scores for each of the tasks were medical problems (0.83), treatments (0.82), and tests (0.83). Recall lagged precision in all experiments. Precision was near or above 0.90 in all tasks. Discussion With no customization for the tasks and less than 5 min of end-user time to configure and launch each experiment, the average F-measure was 0.83, one point behind the mean F-measure of the 22 entrants in the competition. Strong precision scores indicate the potential of applying the approach for more specific clinical information extraction tasks. There was not one best configuration, supporting an iterative approach to model creation.

conclusionAcceptable levels of performance can be achieved using fully automated and generalizable approaches to concept-level information extraction. The described implementation and related documentation is available for download.

Indexed as

Data MiningDecision Support Systems, ClinicalElectronic Health RecordsNatural Language ProcessingUser-Computer InterfaceAlgorithmsHumans

Identifiers

PMID21697292
PMCPMC3168318

What OpenQuestion holds

Textmetadata
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Registered trials

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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.