Evidence map›Paper›PMID 34350426›Full record

ArticleProceedings of the ACM Conference on Health, Inference, and Learning2020

Deidentification of free-text medical records using pre-trained bidirectional transformers.

Alistair E W Johnson, Lucas Bulgarelli, Tom J Pollard

Abstract read
In one paragraph

Article in Proceedings of the ACM Conference on Health, Inference, and Learning, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Transformer models in biomedicine.BMC medical informatics and decision making · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Deidentification of free-text medical records using pre-trained bidirectional transformers.Proceedings of the ACM Conference on Health, Inference, and Learning · 2020
    Article
  16. Benchmarking Modern Named Entity Recognition Techniques for Free-text Health Record Deidentification.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science
    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.

Alistair E W JohnsonMassachusetts Institute of Technology, Cambridge, MA, USA.
Lucas BulgarelliMassachusetts Institute of Technology, Cambridge, MA, USA.
Tom J PollardMassachusetts Institute of Technology, Cambridge, MA, USA.

Funding

Research Resource for Complex Physiologic SignalsR01EB030362 · NIBIB · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GOLDBERGER, ARY LOUIS · 2020 to 2025
$5.8M
Research Resource for Complex Physiologic SignalsR01GM104987 · NIGMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GOLDBERGER, ARY LOUIS, MARK, ROGER GREENWOOD · 2012 to 2019
$5.8M
Critical Care Informatics: Ethical considerations around the use and sharing of health-related dataR01EB017205 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI CELI, LEO ANTHONY G, MARK, ROGER GREENWOOD · 2014 to 2021
$3.8M
NIBIB NIH HHS R01 EB017205NIBIB NIH HHS R01 EB030362NIGMS NIH HHS R01 GM104987
6 · The paper itself

Abstract

The ability of caregivers and investigators to share patient data is fundamental to many areas of clinical practice and biomedical research. Prior to sharing, it is often necessary to remove identifiers such as names, contact details, and dates in order to protect patient privacy. Deidentification, the process of removing identifiers, is challenging, however. High-quality annotated data for developing models is scarce; many target identifiers are highly heterogenous (for example, there are uncountable variations of patient names); and in practice anything less than perfect sensitivity may be considered a failure. As a result, patient data is often withheld when sharing would be beneficial, and identifiable patient data is often divulged when a deidentified version would suffice. In recent years, advances in machine learning methods have led to rapid performance improvements in natural language processing tasks, in particular with the advent of large-scale pretrained language models. In this paper we develop and evaluate an approach for deidentification of clinical notes based on a bidirectional transformer model. We propose human interpretable evaluation measures and demonstrate state of the art performance against modern baseline models. Finally, we highlight current challenges in deidentification, including the absence of clear annotation guidelines, lack of portability of models, and paucity of training data. Code to develop our model is open source, allowing for broad reuse.

Indexed as

deidentificationelectronic health recordsHIPAAnamed entity recognitionnatural language processingneural networksPHI

Identifiers

PMID34350426
PMCPMC8330601

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.