An Evolving Ecosystem for Natural Language Processing in Department of Veterans Affairs.

In an ideal clinical Natural Language Processing (NLP) ecosystem, researchers and developers would be able to collaborate with others, undertake validation of NLP systems, components, and related resources, and disseminate them. We captured requirements and formative evaluation data from the Veteran...

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Publicado en:Journal of Medical Systems Vol. 41; no. 2; pp. 1 - 10
Autores principales: Garvin, Jennifer, Kalsy, Megha, Brandt, Cynthia, Luther, Stephen, Divita, Guy, Coronado, Gregory, Redd, Doug, Christensen, Carrie, Hill, Brent, Kelly, Natalie, Treitler, Qing
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: An Evolving Ecosystem for Natural Language Processing in Department of Veterans Affairs.
      aug:
        au:
          Garvin, Jennifer
          Kalsy, Megha
          Brandt, Cynthia
          Luther, Stephen
          Divita, Guy
          Coronado, Gregory
          Redd, Doug
          Christensen, Carrie
          Hill, Brent
          Kelly, Natalie
          Treitler, Qing
        affil: James A Haley Veterans Hospital , 13000 Bruce B. Downs Blvd Tampa USA
      sug:
        subj:
          United States Department of Veterans Affairs
          Natural Language Processing
          Systems Design
          Human
          Semi-Structured Interview
          Coding
          Convenience Sample
          kappa Statistic
          Funding Source
      ab: In an ideal clinical Natural Language Processing (NLP) ecosystem, researchers and developers would be able to collaborate with others, undertake validation of NLP systems, components, and related resources, and disseminate them. We captured requirements and formative evaluation data from the Veterans Affairs (VA) Clinical NLP Ecosystem stakeholders using semi-structured interviews and meeting discussions. We developed a coding rubric to code interviews. We assessed inter-coder reliability using percent agreement and the kappa statistic. We undertook 15 interviews and held two workshop discussions. The main areas of requirements related to; design and functionality, resources, and information. Stakeholders also confirmed the vision of the second generation of the Ecosystem and recommendations included; adding mechanisms to better understand terms, measuring collaboration to demonstrate value, and datasets/tools to navigate spelling errors with consumer language, among others. Stakeholders also recommended capability to: communicate with developers working on the next version of the VA electronic health record (VistA Evolution), provide a mechanism to automatically monitor download of tools and to automatically provide a summary of the downloads to Ecosystem contributors and funders. After three rounds of coding and discussion, we determined the percent agreement of two coders to be 97.2% and the kappa to be 0.7851. The vision of the VA Clinical NLP Ecosystem met stakeholder needs. Interviews and discussion provided key requirements that inform the design of the VA Clinical NLP Ecosystem.
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      ougenre: Article
    language: English
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