Evidence map›Paper›PMID 30944012›Full record

ArticleBMC medical informatics and decision making2019

Complexities, variations, and errors of numbering within clinical notes: the potential impact on information extraction and cohort-identification.

David A Hanauer, Qiaozhu Mei, V G Vinod Vydiswaran, Karandeep Singh, Zach Landis-Lewis, Chunhua Weng

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. A case study in applying artificial intelligence-based named entity recognition to develop an automated ophthalmic disease registry.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Article
  4. Review
  5. Article
  6. Observational
  7. 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

6 authors.

David A HanauerDepartment of Pediatrics, University of Michigan, Ann Arbor, MI, 48109, USA. hanauer@umich.edu.
Qiaozhu MeiSchool of Information, University of Michigan, Ann Arbor, MI, 48109, USA.
V G Vinod VydiswaranSchool of Information, University of Michigan, Ann Arbor, MI, 48109, USA.
Karandeep SinghDepartment of Learning Health Sciences, University of Michigan, Ann Arbor, MI, 48109, USA.
Zach Landis-LewisDepartment of Learning Health Sciences, University of Michigan, Ann Arbor, MI, 48109, USA.
Chunhua WengDepartment of Biomedical Informatics, Columbia University, New York, NY, 10032, USA.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Bridging the Semantic Gap Between Research Eligibility Criteria and Clinical DataR01LM009886 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WENG, CHUNHUA · 2009 to 2020
$5.3M
NCATS NIH HHS UL1 TR001873NLM NIH HHS R01 LM009886
6 · The paper itself

Abstract

backgroundNumbers and numerical concepts appear frequently in free text clinical notes from electronic health records. Knowledge of the frequent lexical variations of these numerical concepts, and their accurate identification, is important for many information extraction tasks. This paper describes an analysis of the variation in how numbers and numerical concepts are represented in clinical notes.

methodsWe used an inverted index of approximately 100 million notes to obtain the frequency of various permutations of numbers and numerical concepts, including the use of Roman numerals, numbers spelled as English words, and invalid dates, among others. Overall, twelve types of lexical variants were analyzed.

resultsWe found substantial variation in how these concepts were represented in the notes, including multiple data quality issues. We also demonstrate that not considering these variations could have substantial real-world implications for cohort identification tasks, with one case missing > 80% of potential patients.

conclusionsNumbering within clinical notes can be variable, and not taking these variations into account could result in missing or inaccurate information for natural language processing and information retrieval tasks.

Indexed as

Electronic Health RecordsInformation Storage and RetrievalNatural Language ProcessingClinical CodingInformation retrievalLexical variationNatural language processing

Identifiers

PMID30944012
PMCPMC6448181

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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.