Evidence map›Paper›PMID 39475821›Full record

ArticleJournal of medical Internet research2024

Question Answering for Electronic Health Records: Scoping Review of Datasets and Models.

Jayetri Bardhan, Kirk Roberts, Daisy Zhe Wang

Abstract readScoping Review
In one paragraph

Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

3 authors.

Jayetri BardhanDepartment of Computer and Information Science and Engineering, University of Florida, Gainesville, FL, United States.ORCID 0000-0002-1797-4173
Kirk RobertsSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.ORCID 0000-0001-6525-5213
Daisy Zhe WangDepartment of Computer and Information Science and Engineering, University of Florida, Gainesville, FL, United States.ORCID 0009-0003-8234-5482

Funding

Semi-structured Information Retrieval in Clinical Text for Cohort IdentificationR01LM011934 · NLM · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI HERSH, WILLIAM R, LIU, HONGFANG · 2014 to 2025
$5.1M
Fine-Grained Spatial Information Extraction For Radiology ReportsR21EB029575 · NIBIB · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ROBERTS, KIRK EDWARD · 2020 to 2022
$892k
Natural Language Question Understanding for Electronic Health RecordsR00LM012104 · NLM · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ROBERTS, KIRK EDWARD · 2016 to 2018
$747k
NIBIB NIH HHS R21 EB029575NLM NIH HHS R00 LM012104NLM NIH HHS R01 LM011934
6 · The paper itself

Abstract

backgroundQuestion answering (QA) systems for patient-related data can assist both clinicians and patients. They can, for example, assist clinicians in decision-making and enable patients to have a better understanding of their medical history. Substantial amounts of patient data are stored in electronic health records (EHRs), making EHR QA an important research area. Because of the differences in data format and modality, this differs greatly from other medical QA tasks that use medical websites or scientific papers to retrieve answers, making it critical to research EHR QA.

objectiveThis study aims to provide a methodological review of existing works on QA for EHRs. The objectives of this study were to identify the existing EHR QA datasets and analyze them, study the state-of-the-art methodologies used in this task, compare the different evaluation metrics used by these state-of-the-art models, and finally elicit the various challenges and the ongoing issues in EHR QA.

methodsWe searched for articles from January 1, 2005, to September 30, 2023, in 4 digital sources, including Google Scholar, ACL Anthology, ACM Digital Library, and PubMed, to collect relevant publications on EHR QA. Our systematic screening process followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A total of 4111 papers were identified for our study, and after screening based on our inclusion criteria, we obtained 47 papers for further study. The selected studies were then classified into 2 non-mutually exclusive categories depending on their scope: "EHR QA datasets" and "EHR QA models."

resultsA systematic screening process obtained 47 papers on EHR QA for final review. Out of the 47 papers, 53% (n=25) were about EHR QA datasets, and 79% (n=37) papers were about EHR QA models. It was observed that QA on EHRs is relatively new and unexplored. Most of the works are fairly recent. In addition, it was observed that emrQA is by far the most popular EHR QA dataset, both in terms of citations and usage in other papers. We have classified the EHR QA datasets based on their modality, and we have inferred that Medical Information Mart for Intensive Care (MIMIC-III) and the National Natural Language Processing Clinical Challenges datasets (ie, n2c2 datasets) are the most popular EHR databases and corpuses used in EHR QA. Furthermore, we identified the different models used in EHR QA along with the evaluation metrics used for these models.

conclusionsEHR QA research faces multiple challenges, such as the limited availability of clinical annotations, concept normalization in EHR QA, and challenges faced in generating realistic EHR QA datasets. There are still many gaps in research that motivate further work. This study will assist future researchers in focusing on areas of EHR QA that have possible future research directions.

Indexed as

Electronic Health RecordsDatasets as TopicHumansEHRelectronic health recordelectronic medical recordsEMRknowledge graphmedical question answeringrelational database

Identifiers

PMID39475821
PMCPMC11561445

What OpenQuestion holds

Textmetadata
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.