Causality patterns and machine learning for the extraction of problem-action relations in discharge summaries.

Clinical narrative text includes information related to a patient's medical history such as chronological progression of medical problems and clinical treatments. A chronological view of a patient's history makes clinical audits easier and improves quality of care. In this paper, we propose a clinic...

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Publicado en:International Journal of Medical Informatics Vol. 98; pp. 1 - 13
Autores principales: Seol, Jae-Wook, Yi, Wangjin, Choi, Jinwook, Lee, Kyung Soon
Formato: research Journal Article
Publicado: Elsevier B.V. Feb2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2017
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        atl: Causality patterns and machine learning for the extraction of problem-action relations in discharge summaries.
      aug:
        au:
          Seol, Jae-Wook
          Yi, Wangjin
          Choi, Jinwook
          Lee, Kyung Soon
        affil: Department of Information Convergence Research, Korea Institute of Science and Technology Information 245, Daehak-ro, Yuseong-gu, Daejeon, 34141, Republic of Korea
      sug:
        subj:
          Patient Discharge Standards
          Decision Support Systems, Clinical
          Natural Language Processing
          Semantics
          Narratives
          Information Science
      ab: Clinical narrative text includes information related to a patient's medical history such as chronological progression of medical problems and clinical treatments. A chronological view of a patient's history makes clinical audits easier and improves quality of care. In this paper, we propose a clinical Problem-Action relation extraction method, based on clinical semantic units and event causality patterns, to present a chronological view of a patient's problem and a doctor's action. Based on our observation that a clinical text describes a patient's medical problems and a doctor's treatments in chronological order, a clinical semantic unit is defined as a problem and/or an action relation. Since a clinical event is a basic unit of the problem and action relation, events are extracted from narrative texts, based on the external knowledge resources context features of the conditional random fields. A clinical semantic unit is extracted from each sentence based on time expressions and context structures of events. Then, a clinical semantic unit is classified into a problem and/or action relation based on the event causality patterns of the support vector machines. Experimental results on Korean discharge summaries show 78.8% performance in the F1-measure. This result shows that the proposed method is effectively classifies clinical Problem-Action relations.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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