Evidence map›Paper›PMID 35308981›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2021

Toward Understanding Clinical Context of Medication Change Events in Clinical Narratives.

Diwakar Mahajan, Jennifer J Liang, Ching-Huei Tsou

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. AI-Based Automation for Medication Reconciliation: Scoping Review.Journal of medical Internet research · 2026
    Article
  3. Article
  4. VIEWER: an extensible visual analytics framework for enhancing mental healthcare.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
  5. Review
  6. Cross- & multi-lingual medication detection: a transformer-based analysis.BMC medical informatics and decision making · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Clinical natural language processing for secondary uses.Journal of biomedical informatics · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Capturing Individual-level Social Determinants from Clinical Text.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023
    Article
  17. Article
  18. 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.

Diwakar MahajanIBM T.J. Watson Research Center, Yorktown Heights, NY.
Jennifer J LiangIBM T.J. Watson Research Center, Yorktown Heights, NY.
Ching-Huei TsouIBM T.J. Watson Research Center, Yorktown Heights, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Understanding medication events in clinical narratives is essential to achieving a complete picture of a patient's medication history. While prior research has explored identification of medication changes in clinical notes, due to the longitudinal and narrative nature of clinical documentation, extraction of medication change alone without the necessary clinical context is insufficient for use in real-world applications, such as medication timeline generation and medication reconciliation. Here, we present a framework to capture multi-dimensional context of medication changes documented in clinical notes. We define specific contextual aspects pertinent to medication change events (i.e. Action, Negation, Temporality, Certainty, and Actor), describe the annotation process and challenges encountered while creating the dataset, and explore models based on state-of-the-art transformers to automate the task. The resulting dataset, Contextualized Medication Event Dataset (CMED), consisting of 9,013 medications annotated over 500 clinical notes, will be released to the community as a shared task in 2021-2022.

Indexed as

DocumentationMedication ReconciliationHumansNarration

Identifiers

PMID35308981
PMCPMC8861744

What OpenQuestion holds

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Registered trials

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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.