Evidence map›Paper›PMID 33694142›Full record

ArticleApplied clinical informatics2021

Extracting Medical Information from Paper COVID-19 Assessment Forms.

Colin G White-Dzuro, Jacob D Schultz, Cheng Ye, Joseph R Coco, Janet M Myers, Claude Shackelford, S Trent Rosenbloom, Daniel Fabbri

Open access · bronzeAbstract read
In one paragraph

Article in Applied clinical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Colin G White-DzuroVanderbilt University School of Medicine, Nashville, Tennessee, United States.
Jacob D Schultz *Vanderbilt University School of Medicine, Nashville, Tennessee, United States.
Cheng YeDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Joseph R CocoDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Janet M MyersDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Claude ShackelfordDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
S Trent RosenbloomVanderbilt University School of Medicine, Nashville, Tennessee, United States.
Daniel FabbriDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Vanderbilt University Medical Center · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study examines the validity of optical mark recognition, a novel user interface, and crowdsourced data validation to rapidly digitize and extract data from paper COVID-19 assessment forms at a large medical center.

methodsAn optical mark recognition/optical character recognition (OMR/OCR) system was developed to identify fields that were selected on 2,814 paper assessment forms, each with 141 fields which were used to assess potential COVID-19 infections. A novel user interface (UI) displayed mirrored forms showing the scanned assessment forms with OMR results superimposed on the left and an editable web form on the right to improve ease of data validation. Crowdsourced participants validated the results of the OMR system. Overall error rate and time taken to validate were calculated. A subset of forms was validated by multiple participants to calculate agreement between participants.

resultsThe OMR/OCR tools correctly extracted data from scanned forms fields with an average accuracy of 70% and median accuracy of 78% when the OMR/OCR results were compared with the results from crowd validation. Scanned forms were crowd-validated at a mean rate of 157 seconds per document and a volume of approximately 108 documents per day. A randomly selected subset of documents was reviewed by multiple participants, producing an interobserver agreement of 97% for documents when narrative-text fields were included and 98% when only Boolean and multiple-choice fields were considered.

conclusionDue to the COVID-19 pandemic, it may be challenging for health care workers wearing personal protective equipment to interact with electronic health records. The combination of OMR/OCR technology, a novel UI, and crowdsourcing data-validation processes allowed for the efficient extraction of a large volume of paper medical documents produced during the COVID-19 pandemic.

Indexed as

Health Information ExchangeInformation Storage and RetrievalCOVID-19CrowdsourcingHumansPhysiciansUser-Computer Interface

Identifiers

PMID33694142
PMCPMC7946598
OpenAlexW3135895435

What OpenQuestion holds

Textmetadata
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.