Evidence map›Paper›PMID 33091829›Full record

ArticleInternational journal of medical informatics2020

Automatic classification of scanned electronic health record documents.

Heath Goodrum, Kirk Roberts, Elmer V Bernstam

Abstract read
In one paragraph

Article in International journal of medical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Article
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  4. Review
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  8. The incremental design of a machine learning framework for medical records processing.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  9. Article
  10. Big Data Research on Severe Asthma.Tuberculosis and respiratory diseases · 2024
    Article
  11. Article
  12. Extracting laboratory test information from paper-based reports.BMC medical informatics and decision making · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Closing the loop: automatically identifying abnormal imaging results in scanned documents.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  18. Article
  19. 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

3 authors.

Heath GoodrumSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, TX, United States.
Kirk RobertsSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, TX, United States.
Elmer V BernstamSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, TX, United States; Division of General Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, United States. Electronic address: Elmer.V.Bernstam@uth.tmc.edu.

Funding

Convalescent Plasma to Limit Coronavirus Associated ComplicationsUL1TR003167 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KARP, DANIEL D, MCPHERSON, DAVID D · 2019 to 2023
$45.3M
Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
Harnessing the power of CTSA-CDRN data networks: Using social determinants of health, frailty and functional status to identify at-risk patients and improve risk adjustmentU01TR002393 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI SHIREMAN, PAULA K · 2018 to 2021
$3.1M
Patient Medical History Representation, Extraction, and Inference from EHR DataR01LM011829 · NLM · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI TAO, CUI · 2014 to 2018
$1.7M
Fine-Grained Spatial Information Extraction For Radiology ReportsR21EB029575 · NIBIB · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ROBERTS, KIRK EDWARD · 2020 to 2022
$892k
NCATS NIH HHS U01 TR002393NCATS NIH HHS UL1 TR000371NCATS NIH HHS UL1 TR003167NIBIB NIH HHS R21 EB029575NLM NIH HHS R01 LM011829
6 · The paper itself

Abstract

objectivesElectronic Health Records (EHRs) contain scanned documents from a variety of sources such as identification cards, radiology reports, clinical correspondence, and many other document types. We describe the distribution of scanned documents at one health institution and describe the design and evaluation of a system to categorize documents into clinically relevant and non-clinically relevant categories as well as further sub-classifications. Our objective is to demonstrate that text classification systems can accurately classify scanned documents.

methodsWe extracted text using Optical Character Recognition (OCR). We then created and evaluated multiple text classification machine learning models, including both "bag of words" and deep learning approaches. We evaluated the system on three different levels of classification using both the entire document as input, as well as the individual pages of the document. Finally, we compared the effects of different text processing methods.

resultsA deep learning model using ClinicalBERT performed best. This model distinguished between clinically-relevant documents and not clinically-relevant documents with an accuracy of 0.973; between intermediate sub-classifications with an accuracy of 0.949; and between individual classes with an accuracy of 0.913. DISCUSSION: Within the EHR, some document categories such as "external medical records" may contain hundreds of scanned pages without clear document boundaries. Without further sub-classification, clinicians must view every page or risk missing clinically-relevant information. Machine learning can automatically classify these scanned documents to reduce clinician burden.

conclusionUsing machine learning applied to OCR-extracted text has the potential to accurately identify clinically-relevant scanned content within EHRs.

Indexed as

Electronic Health RecordsMachine LearningHumansNatural Language ProcessingClassificationElectronic health recordsMachine learningOptical character recognitionPatient safetyScanned documents

Identifiers

PMID33091829
PMCPMC7731898

What OpenQuestion holds

Textmetadata
LicenceTDM
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.