Evaluation of clinical named entity recognition methods for Serbian electronic health records.

Background and Objectives: The importance of clinical natural language processing (NLP) has increased with the adoption of electronic health records (EHRs). One of the critical tasks in clinical NLP is named entity recognition (NER). Clinical NER in the Serbian language is a severely under-researche...

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Published in:International Journal of Medical Informatics Vol. 164
Main Authors: Kaplar, Aleksandar, Stošović, Milan, Kaplar, Aleksandra, Brković, Voin, Naumović, Radomir, Kovačević, Aleksandar
Format: research Journal Article
Published: Elsevier B.V. Aug2022
Online Access:View this record in EBSCOhost
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      jtl: International Journal of Medical Informatics
      issn: 13865056
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      dt: Aug2022
      vid: 164
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      pub: Elsevier B.V.
      place: New York, New York
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        157393407
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        157393407
        10.1016/j.ijmedinf.2022.104805
        NLM35653828
        157393407
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        atl: Evaluation of clinical named entity recognition methods for Serbian electronic health records.
      aug:
        au:
          Kaplar, Aleksandar
          Stošović, Milan
          Kaplar, Aleksandra
          Brković, Voin
          Naumović, Radomir
          Kovačević, Aleksandar
        affil: Faculty of Technical Sciences, University of Novi Sad, Novi Sad, Serbia
      sug:
        subj:
          Natural Language Processing
          Serbia
          Human
      ab: Background and Objectives: The importance of clinical natural language processing (NLP) has increased with the adoption of electronic health records (EHRs). One of the critical tasks in clinical NLP is named entity recognition (NER). Clinical NER in the Serbian language is a severely under-researched area. The few approaches that have been proposed so far are based on rules or machine-learning models with hand-crafted features, while current state-of-the-art models have not been explored. The objective of this paper is to assess the performance of state-of-the-art NER methods on clinical narratives in the Serbian language.Materials and Methods: We designed an experimental setup for a comprehensive evaluation of state-of-the-art NER models. The gold standard corpus we used for the evaluation is comprised of discharge summaries from the Clinic for Nephrology at the University Clinical Center of Serbia. The following models were evaluated: conditional random fields (CRF), multilingual transformers (BERT Multilingual and XLM RoBERTa), and long short-term memory (LSTM) recurrent neural networks, and their ensembles. In addition, we investigated the necessity of the pretraining task of transformer based models and the use of pretrained word embeddings with LSTM model.Results: Our results show that individually CRF had the best precision, the pretrained BERT Multilingual model had the best recall values, and the LSTM model had the best F1 score. The best performance was achieved by combining the existing models in a majority voting ensemble with an F1 score of 0.892. The presented results are similar to the inter annotator agreement on our gold standard corpus and are comparable to existing state-of-the-art results for clinical NER reported in literature.Conclusion: Existing state-of-the-art models can provide viable results for clinical named entity recognition when applied to languages with the complexity of the Serbian language without major modifications.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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