Evidence map›Paper›PMID 27539197›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2017

A long journey to short abbreviations: developing an open-source framework for clinical abbreviation recognition and disambiguation (CARD).

Yonghui Wu, Joshua C Denny, S Trent Rosenbloom, Randolph A Miller, Dario A Giuse, Lulu Wang, Carmelo Blanquicett, Ergin Soysal, Jun Xu, Hua Xu

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

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28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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.

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3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

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  7. Clinical Note Structural Knowledge Improves Word Sense Disambiguation.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024
    Article
  8. TheAnnual review of biomedical data science · 2023
    Review
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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yonghui WuSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston.
Joshua C DennyDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee.
S Trent RosenbloomDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Randolph A MillerDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Dario A GiuseDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Lulu WangDepartment of Medicine, Vanderbilt University School of Medicine.
Carmelo BlanquicettDepartment of Medicine, University of Alabama at Birmingham, Birmingham.
Ergin SoysalSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston.
Jun XuSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston.
Hua XuSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston.

Funding

Real-time Disambiguation of Abbreviations in Clinical NotesR01LM010681 · NLM · VANDERBILT UNIVERSITY · PI XU, HUA · 2010 to 2017
$3.1M
Informatics Tools for Pharmacogenomic Discovery using Practice-based DataR01GM103859 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENNY, JOSHUA C., PATHAK, JYOTISHMAN · 2014 to 2017
$2.4M
NIGMS NIH HHS R01 GM103859NLM NIH HHS R01 LM010681
6 · The paper itself

Abstract

objectiveThe goal of this study was to develop a practical framework for recognizing and disambiguating clinical abbreviations, thereby improving current clinical natural language processing (NLP) systems' capability to handle abbreviations in clinical narratives.

methodsWe developed an open-source framework for clinical abbreviation recognition and disambiguation (CARD) that leverages our previously developed methods, including: (1) machine learning based approaches to recognize abbreviations from a clinical corpus, (2) clustering-based semiautomated methods to generate possible senses of abbreviations, and (3) profile-based word sense disambiguation methods for clinical abbreviations. We applied CARD to clinical corpora from Vanderbilt University Medical Center (VUMC) and generated 2 comprehensive sense inventories for abbreviations in discharge summaries and clinic visit notes. Furthermore, we developed a wrapper that integrates CARD with MetaMap, a widely used general clinical NLP system. RESULTS AND

conclusionCARD detected 27 317 and 107 303 distinct abbreviations from discharge summaries and clinic visit notes, respectively. Two sense inventories were constructed for the 1000 most frequent abbreviations in these 2 corpora. Using the sense inventories created from discharge summaries, CARD achieved an F1 score of 0.755 for identifying and disambiguating all abbreviations in a corpus from the VUMC discharge summaries, which is superior to MetaMap and Apache's clinical Text Analysis Knowledge Extraction System (cTAKES). Using additional external corpora, we also demonstrated that the MetaMap-CARD wrapper improved MetaMap's performance in recognizing disorder entities in clinical notes. The CARD framework, 2 sense inventories, and the wrapper for MetaMap are publicly available at https://sbmi.uth.edu/ccb/resources/abbreviation.htm . We believe the CARD framework can be a valuable resource for improving abbreviation identification in clinical NLP systems.

Indexed as

Abbreviations as TopicElectronic Health RecordsMachine LearningNatural Language ProcessingHumansPatient Dischargeclinical abbreviationclinical natural language processingmachine learningsense clustering

Identifiers

PMID27539197
PMCPMC7651947

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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.