Evidence map›Paper›PMID 31730484›Full record

ArticleBMC medical informatics and decision making2019

EXTraction of EMR numerical data: an efficient and generalizable tool to EXTEND clinical research.

Tianrun Cai, Luwan Zhang, Nicole Yang, Kanako K Kumamaru, Frank J Rybicki, Tianxi Cai, Katherine P Liao

Open access · goldAbstract 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 10% of its field
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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Extracting laboratory test information from paper-based reports.BMC medical informatics and decision making · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

7 authors at 4 institutions in 3 countries.

Tianrun CaiDivision of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA, 6016BB, 60 Fenwood Road, Boston, 02115, USA. tcai1@bwh.harvard.edu.ORCID 0000-0001-5772-7460
Luwan ZhangHarvard Medical School, Boston, MA, USA.
Nicole YangDivision of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA, 6016BB, 60 Fenwood Road, Boston, 02115, USA.
Kanako K KumamaruDepartment of Radiology, School of Medicine, Juntendo University, Tokyo, Japan.
Frank J RybickiDepartment of Radiology, University of Ottawa, Ottawa, Canada.
Tianxi CaiHarvard Medical School, Boston, MA, USA.
Katherine P LiaoDivision of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA, 6016BB, 60 Fenwood Road, Boston, 02115, USA.
Brigham and Women's Hospital · USHarvard University · USJuntendo University · JPUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic medical records (EMR) contain numerical data important for clinical outcomes research, such as vital signs and cardiac ejection fractions (EF), which tend to be embedded in narrative clinical notes. In current practice, this data is often manually extracted for use in research studies. However, due to the large volume of notes in datasets, manually extracting numerical data often becomes infeasible. The objective of this study is to develop and validate a natural language processing (NLP) tool that can efficiently extract numerical clinical data from narrative notes.

resultsTo validate the accuracy of the tool EXTraction of EMR Numerical Data (EXTEND), we developed a reference standard by manually extracting vital signs from 285 notes, EF values from 300 notes, glycated hemoglobin (HbA1C), and serum creatinine from 890 notes. For each parameter of interest, we calculated the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and F

conclusionsEXTEND is an efficient, flexible tool that uses knowledge-based rules to extract clinical numerical parameters with high accuracy. By increasing dictionary terms and developing new rules, the usage of EXTEND can easily be expanded to extract additional numerical data important in clinical outcomes research.

Indexed as

Electronic Health RecordsInformation Storage and RetrievalNatural Language ProcessingAlgorithmsCreatinineGlycated HemoglobinHumansSensitivity and SpecificityStroke VolumeVital SignsCreatinineGlycated Hemoglobinhemoglobin A1c protein, humanBig dataData extractionData miningEMRNatural language processingNumerical data

Identifiers

PMID31730484
PMCPMC6858776
OpenAlexW2986924890

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.