Evidence map›Paper›PMID 30537974›Full record

ArticleBMC medical informatics and decision making2018

EHR phenotyping via jointly embedding medical concepts and words into a unified vector space.

Tian Bai, Ashis Kumar Chanda, Brian L Egleston, Slobodan Vucetic

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
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  9. MedCV: An Interactive Visualization System for Patient Cohort Identification from Medical Claim Data.Proceedings of the ... ACM International Conference on Information & Knowledge Management. ACM International Conference on Information and Knowledge Management · 2022
    Article
  10. Article
  11. Improving medical term embeddings using UMLS Metathesaurus.BMC medical informatics and decision making · 2022
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  13. Article
  14. Review
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  17. Medical Concept Representation Learning from Multi-source Data.IJCAI : proceedings of the conference · 2019
    Article
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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.

Tian BaiDepartment of Computer & Information Sciences, Temple University, Philadelphia, PA, USA.
Ashis Kumar ChandaDepartment of Computer & Information Sciences, Temple University, Philadelphia, PA, USA.
Brian L EglestonFox Chase Cancer Center, Temple University, Philadelphia, PA, USA.
Slobodan VuceticDepartment of Computer & Information Sciences, Temple University, Philadelphia, PA, USA. vucetic@temple.edu.

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
Deep learning for representation of codes used for SEER-Medicare claims researchR21CA202130 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI EGLESTON, BRIAN L, VUCETIC, SLOBODAN · 2016 to 2017
$398k
NCI NIH HHS P30 CA006927NCI NIH HHS R21 CA202130
6 · The paper itself

Abstract

backgroundThere has been an increasing interest in learning low-dimensional vector representations of medical concepts from Electronic Health Records (EHRs). Vector representations of medical concepts facilitate exploratory analysis and predictive modeling of EHR data to gain insights about the patterns of care and health outcomes. EHRs contain structured data such as diagnostic codes and laboratory tests, as well as unstructured free text data in form of clinical notes, which provide more detail about condition and treatment of patients.

methodsIn this work, we propose a method that jointly learns vector representations of medical concepts and words. This is achieved by a novel learning scheme based on the word2vec model. Our model learns those relationships by integrating clinical notes and sets of accompanying medical codes and by defining joint contexts for each observed word and medical code.

resultsIn our experiments, we learned joint representations using MIMIC-III data. Using the learned representations of words and medical codes, we evaluated phenotypes for 6 diseases discovered by our and baseline method. The experimental results show that for each of the 6 diseases our method finds highly relevant words. We also show that our representations can be very useful when predicting the reason for the next visit.

conclusionsThe jointly learned representations of medical concepts and words capture not only similarity between codes or words themselves, but also similarity between codes and words. They can be used to extract phenotypes of different diseases. The representations learned by the joint model are also useful for construction of patient features.

Indexed as

Electronic Health RecordsMachine LearningNatural Language ProcessingClinical CodingHumansPhenotypeTerminology as TopicVocabularyDistributed representationElectronic health recordsHealthcareNatural language processing

Identifiers

PMID30537974
PMCPMC6290514

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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.