Evidence map›Paper›PMID 32814201›Full record

ArticleJournal of biomedical informatics2020

A corpus-driven standardization framework for encoding clinical problems with HL7 FHIR.

Kevin J Peterson, Guoqian Jiang, Hongfang Liu

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
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  3. Review
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  6. Review
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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

3 authors.

Kevin J PetersonDepartment of Information Technology, Mayo Clinic, Rochester, MN 55905, United States; Bioinformatics and Computational Biology Program, University of Minnesota, Minneapolis, MN 55455, United States. Electronic address: peterson.kevin@mayo.edu.
Guoqian JiangDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, United States; Bioinformatics and Computational Biology Program, University of Minnesota, Minneapolis, MN 55455, United States. Electronic address: jiang.guoqian@mayo.edu.
Hongfang LiuDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, United States; Bioinformatics and Computational Biology Program, University of Minnesota, Minneapolis, MN 55455, United States. Electronic address: liu.hongfang@mayo.edu.

Funding

Open Health Natural Language Processing CollaboratoryU01TR002062 · NCATS · MAYO CLINIC ROCHESTER · PI JIANG, XIAOQIAN, LIU, HONGFANG · 2017 to 2021
$7.6M
NCATS NIH HHS U01 TR002062
6 · The paper itself

Abstract

Free-text problem descriptions are brief explanations of patient diagnoses and issues, commonly found in problem lists and other prominent areas of the medical record. These compact representations often express complex and nuanced medical conditions, making their semantics challenging to fully capture and standardize. In this study, we describe a framework for transforming free-text problem descriptions into standardized Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR) models. This approach leverages a combination of domain-specific dependency parsers, Bidirectional Encoder Representations from Transformers (BERT) natural language models, and cui2vec Unified Medical Language System (UMLS) concept vectors to align extracted concepts from free-text problem descriptions into structured FHIR models. A neural network classification model is used to classify thirteen relationship types between concepts, facilitating mapping to the FHIR Condition resource. We use data programming, a weak supervision approach, to eliminate the need for a manually annotated training corpus. Shapley values, a mechanism to quantify contribution, are used to interpret the impact of model features. We found that our methods identified the focus concept, or primary clinical concern of the problem description, with an F

Indexed as

Electronic Health RecordsHealth Level SevenHumansReference StandardsSoftwareUnified Medical Language SystemDeep Learning (D000077321)Health Information Interoperability (D000073892)Natural Language Processing (D009323)Semantics (D012660)Systematized Nomenclature of Medicine (D039061)

Identifiers

PMID32814201
PMCPMC7701983

What OpenQuestion holds

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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.