Evidence map›Paper›PMID 33795682›Full record

ArticleNature communications2021

Ontology-driven weak supervision for clinical entity classification in electronic health records.

Jason A Fries, Ethan Steinberg, Saelig Khattar, Scott L Fleming, Jose Posada, Alison Callahan, Nigam H Shah

Abstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

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  10. Transformer models in biomedicine.BMC medical informatics and decision making · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jason A FriesCenter for Biomedical Informatics Research, Stanford University, Stanford, CA, USA. jason-fries@stanford.edu.ORCID 0000-0001-9316-5768
Ethan SteinbergCenter for Biomedical Informatics Research, Stanford University, Stanford, CA, USA.
Saelig KhattarDepartment of Computer Science, Stanford University, Stanford, CA, USA.
Scott L FlemingCenter for Biomedical Informatics Research, Stanford University, Stanford, CA, USA.ORCID 0000-0002-6047-7877
Jose PosadaCenter for Biomedical Informatics Research, Stanford University, Stanford, CA, USA.ORCID 0000-0003-3864-0241
Alison CallahanCenter for Biomedical Informatics Research, Stanford University, Stanford, CA, USA.ORCID 0000-0001-5163-380X
Nigam H ShahCenter for Biomedical Informatics Research, Stanford University, Stanford, CA, USA.ORCID 0000-0001-9385-7158

Funding

Methods for generalized ontology terms enrichment analysisR01LM011369 · NLM · STANFORD UNIVERSITY · PI SHAH, NIGAM H · 2013 to 2020
$5.0M
NLM NIH HHS R01 LM011369
6 · The paper itself

Abstract

In the electronic health record, using clinical notes to identify entities such as disorders and their temporality (e.g. the order of an event relative to a time index) can inform many important analyses. However, creating training data for clinical entity tasks is time consuming and sharing labeled data is challenging due to privacy concerns. The information needs of the COVID-19 pandemic highlight the need for agile methods of training machine learning models for clinical notes. We present Trove, a framework for weakly supervised entity classification using medical ontologies and expert-generated rules. Our approach, unlike hand-labeled notes, is easy to share and modify, while offering performance comparable to learning from manually labeled training data. In this work, we validate our framework on six benchmark tasks and demonstrate Trove's ability to analyze the records of patients visiting the emergency department at Stanford Health Care for COVID-19 presenting symptoms and risk factors.

Indexed as

COVID-19Expert SystemsMachine LearningData CurationDatasets as TopicElectronic Health RecordsHumansNatural Language ProcessingSARS-CoV-2

Identifiers

PMID33795682
PMCPMC8016863

What OpenQuestion holds

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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.