Toward a Learning Health-care System -- Knowledge Delivery at the Point of Care Empowered by Big Data and NLP.

The concept of optimizing health care by understanding and generating knowledge from previous evidence, ie, the Learning Health-care System (LHS), has gained momentum and now has national prominence. Meanwhile, the rapid adoption of electronic health records (EHRs) enables the data collection requir...

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Publicado en:Biomedical Informatics Insights Vol. 8; pp. 13 - 23
Autores principales: Kaggal, Vinod C., Komandur Elayavilli, Ravikumar, Mehrabi, Saeed, Pankratz, Joshua J., Sunghwan Sohn, Yanshan Wang, Dingcheng Li, Rastegar, Majid Mojarad, Murphy, Sean P., Ross, Jason L., Chaudhry, Rajeev, Buntrock, James D., Hongfang Liu
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. 2016 Supp1
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Toward a Learning Health-care System -- Knowledge Delivery at the Point of Care Empowered by Big Data and NLP.
      aug:
        au:
          Kaggal, Vinod C.
          Komandur Elayavilli, Ravikumar
          Mehrabi, Saeed
          Pankratz, Joshua J.
          Sunghwan Sohn
          Yanshan Wang
          Dingcheng Li
          Rastegar, Majid Mojarad
          Murphy, Sean P.
          Ross, Jason L.
          Chaudhry, Rajeev
          Buntrock, James D.
          Hongfang Liu
        affil: Division of Information Management and Analytics, Mayo Clinic, Rochester, MN, USA
      sug:
        subj:
          Natural Language Processing
          Data Analytics
          Electronic Health Records
          Time
          Health
          Data Collection
          Sensitivity and Specificity
          Data Mining
          Study Design
          Record Review
          Data Analysis
          Case Studies
          Narratives
          Scales
      ab: The concept of optimizing health care by understanding and generating knowledge from previous evidence, ie, the Learning Health-care System (LHS), has gained momentum and now has national prominence. Meanwhile, the rapid adoption of electronic health records (EHRs) enables the data collection required to form the basis for facilitating LHS. A prerequisite for using EHR data within the LHS is an infrastructure that enables access to EHR data longitudinally for health-care analytics and real time for knowledge delivery. Additionally, significant clinical information is embedded in the free text, making natural language processing (NLP) an essential component in implementing an LHS. Herein, we share our institutional implementation of a big data-empowered clinical NLP infrastructure, which not only enables health-care analytics but also has real-time NLP processing capability. The infrastructure has been utilized for multiple institutional projects including the MayoExpertAdvisor, an individualized care recommendation solution for clinical care. We compared the advantages of big data over two other environments. Big data infrastructure significantly outperformed other infrastructure in terms of computing speed, demonstrating its value in making the LHS a possibility in the near future.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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