Evidence map›Paper›PMID 37416449›Full record

ArticleJAMIA open2023

A certified de-identification system for all clinical text documents for information extraction at scale.

Lakshmi Radhakrishnan, Gundolf Schenk, Kathleen Muenzen, Boris Oskotsky, Habibeh Ashouri Choshali, Thomas Plunkett, Sharat Israni, Atul J Butte

Abstract read
In one paragraph

Article in JAMIA open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Capturing Patients' Lived Experiences with Chronic Pain through Motivational Interviewing and Information Extraction.Proceedings of the ... Workshop on Patient-Oriented Language Processing · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

8 authors.

Lakshmi RadhakrishnanAcademic Research Services, Information Technology, University of California, San Francisco, San Francisco, California, USA.
Gundolf SchenkBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-1240-9949
Kathleen MuenzenBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, California, USA.
Boris OskotskyBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, California, USA.
Habibeh Ashouri ChoshaliBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, California, USA.
Thomas PlunkettArcherHall LLC, Sacramento, California, USA.
Sharat IsraniBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, California, USA.
Atul J ButteBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Clinical notes are a veritable treasure trove of information on a patient's disease progression, medical history, and treatment plans, yet are locked in secured databases accessible for research only after extensive ethics review. Removing personally identifying and protected health information (PII/PHI) from the records can reduce the need for additional Institutional Review Boards (IRB) reviews. In this project, our goals were to: (1) develop a robust and scalable clinical text de-identification pipeline that is compliant with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule for de-identification standards and (2) share routinely updated de-identified clinical notes with researchers. Materials and Methods: Building on our open-source de-identification software called Philter, we added features to: (1) make the algorithm and the de-identified data HIPAA compliant, which also implies type 2 error-free redaction, as certified via external audit; (2) reduce over-redaction errors; and (3) normalize and shift date PHI. We also established a streamlined de-identification pipeline using MongoDB to automatically extract clinical notes and provide truly de-identified notes to researchers with periodic monthly refreshes at our institution. Results: To the best of our knowledge, the Philter V1.0 pipeline is currently the

Indexed as

clinical note textde-identificationPhilterunstructured data

Identifiers

PMID37416449
PMCPMC10320112

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.