Skip to main content

Supporting Computer-interpretable Guidelines’ Modeling by Automatically Classifying Clinical Actions

  • Conference paper
Process Support and Knowledge Representation in Health Care (ProHealth 2013, KR4HC 2013)

Abstract

Modeling computer-interpretable clinical practice guidelines is a complex and tedious task that has been of interest for several attempts to automate parts of this process. When modeling guidelines one of the tasks is to specify common actions in everyday’s practical medicine (e.g., drug prescription, observation) in order to link them with clinical information systems (e.g., an order-entry system). In this paper we compare a rule-based and a machine-learning method to classify activities according to the Clinical Actions Palette used in the Hybrid-Asbru ontology. We use syntactic and semantic features, such as the Semantic Types of the UMLS to classify the activities. Furthermore, we extend our methods by using 2-step classification and combining machine learning and rule-based approaches. Results show that machine learning performs better than the rule-based method on the classification task. They also show that the 2-step classification method improves the categorization of activities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. American Diabetes Association: Standards of medical care in diabetes–2011. Diabetes Care 34(suppl. 1), S11–S61 (2011)

    Google Scholar 

  2. Aronson, A.R., Lang, F.M.: An overview of metamap: historical perspective and recent advances. J. Am. Med. Inform. Assoc. 17, 229–236 (2010)

    Google Scholar 

  3. Bouffier, A., Poibeau, T.: Analyzing the Scope of Conditions in Texts: A Discourse-Based Approach. In: Proceedings of the 11th Conference of the Pacific Association for Computational Linguistics, Sapporo, France (2009)

    Google Scholar 

  4. Chang, C.C., Lin, C.J.: LIBSVM: A library for support vector machines. ACM Transactions on Intelligent Systems and Technology 2, 27:1–27:27 (2011)

    Google Scholar 

  5. Chung, G.Y., Coiera, E.: A study of structured clinical abstracts and the semantic classification of sentences. In: Proc. of the BioNLP Workshop 2007: Biological, Translational, and Clinical Language Processing (BioNLP 2007). Association for Computational Linguistics (ACL), Stroudsburg (2007)

    Google Scholar 

  6. Cunningham, H., Maynard, D., Bontcheva, K., Tablan, V.: GATE: A Framework and Graphical Development Environment for Robust NLP Tools and Applications. In: Proceedings of the 40th Anniversary Meeting of the ACL (ACL 2002) (2002)

    Google Scholar 

  7. Cunningham, H., Maynard, D., Bontcheva, K., Tablan, V., Aswani, N., Roberts, I., Gorrell, G., Funk, A., Roberts, A., Damljanovic, D., Heitz, T., Greenwood, M.A., Saggion, H., Petrak, J., Li, Y., Peters, W.: Text Processing with GATE (Version 6) (2011)

    Google Scholar 

  8. Essaihi, A., Michel, G., Shiffman, R.N.: Comprehensive categorization of guideline recommendations: Creating an action palette for implementers. In: AMIA 2003 Symposium Proceedings, pp. 220–224. AMIA (2003)

    Google Scholar 

  9. Field, M.J., Lohr, K.N. (eds.): Clinical Practice Guidelines: Directions for a New Program. National Academies Press, Institute of Medicine, Washington, DC (1990)

    Google Scholar 

  10. Fuster, V., Rydén, L.E., Cannom, D.S., et al.: ACCF/AHA/HRS Focused Updates Incorporated Into the ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation 123(10), e269–e367 (2011)

    Google Scholar 

  11. Gooch, P.: A modular, open-source information extraction framework for identifying clinical concepts and processes of care in clinical narratives. Ph.D. thesis, Centre for Health Informatics, School of Informatics, City University London (2012)

    Google Scholar 

  12. Hall, M., Frank, E., Holmes, G., Pfahringer, B., Reutemann, P., Witten, I.H.: The weka data mining software: an update. SIGKDD Explor. Newsl. 11(1), 10–18 (2009)

    Article  Google Scholar 

  13. Kaiser, K., Akkaya, C., Miksch, S.: How can information extraction ease formalizing treatment processes in clinical practice guidelines? A method and its evaluation. Artificial Intelligence in Medicine 39(2), 151–163 (2007)

    Article  Google Scholar 

  14. Kaiser, K., Seyfang, A., Miksch, S.: Identifying treatment activities for modelling computer-interpretable clinical practice guidelines. In: Riaño, D., ten Teije, A., Miksch, S., Peleg, M. (eds.) KR4HC 2010. LNCS, vol. 6512, pp. 114–125. Springer, Heidelberg (2011)

    Chapter  Google Scholar 

  15. Kang, N., van Mulligen, E.M., Kors, J.A.: Comparing and combining chunkers of biomedical text. Journal of Biomedical Informatics 44(2), 354–360 (2011)

    Article  Google Scholar 

  16. Khoo, A., Marom, Y., Albrecht, D.: Experiments with sentence classification. In: Proccedings of the 2006 Australasian Language Technology Workshop (ALTW 2006), pp. 18–25 (2006)

    Google Scholar 

  17. Kim, S.N., Martinez, D., Cavedon, L., Yencken, L.: Automatic classification of sentences to support evidence based medicine. BMC Bioinformatics 12(suppl. 2), S5 (2011)

    Google Scholar 

  18. Kipper, K., Korhonen, A., Ryant, N., Palmer, M.A.: A large-scale classification of English verbs. Language Resources and Evaluation 42(1), 21–40 (2008)

    Article  Google Scholar 

  19. Lindberg, D., Humphreys, B.L., McCray, A.T.: The unified medical language system. Methods of Information in Medicine 32(4), 281–291 (1993)

    Google Scholar 

  20. McCray, A.: An upper-level ontology for the biomedical domain. Comp. Funct. Genomics 4(1), 80–84 (2003)

    Article  Google Scholar 

  21. McKnight, L., Srinivasan, P.: Categorization of sentence types in medical abstracts. In: Proc. of the AMIA Annual Symposium, pp. 440–444 (2003)

    Google Scholar 

  22. Pestian, J.P., Matykiewicz, P., Linn-Gust, M., South, B., Uzuner, O., Wiebe, J., Cohen, K.B., Hurdle, J., Brew, C.: Sentiment analysis of suicide notes: A shared task. Biomedical Informatics Insights 5, 3–16 (2012)

    Article  Google Scholar 

  23. Quaglini, S.: Compliance with clinical practice guidelines. In: ten Teije, A., Miksch, S., Lucas, P.J. (eds.) Computer-based Medical Guidelines and Protocols: A Primer and Current Trends, Studies in Health Technology and Informatics, ch. 9, vol. 139, pp. 160–179. IOS Press (2008)

    Google Scholar 

  24. Schadow, G., Russler, D.C., Mead, C.N., McDonald, C.J.: Integrating medical information and knowledge in the HL7 RIM. In: Proceedings of the AMIA Annual Symposium, pp. 764–748 (January 2000)

    Google Scholar 

  25. Shahar, Y., Miksch, S., Johnson, P.: The Asgaard project: A task-specific framework for the application and critiquing of time-oriented clinical guidelines. Artificial Intelligence in Medicine 14, 29–51 (1998)

    Article  Google Scholar 

  26. Song, M., Kim, S., Park, D., Lee, Y.: A multi-classifier based guideline sentence classification system. Healthc. Inform. Res. 17(4), 224–231 (2011)

    Article  Google Scholar 

  27. Young, O., Shahar, Y., Liel, Y., Lunenfeld, E., Bar, G., Shalom, E., Martins, S.B., Vaszar, L.T., Marom, T., Goldstein, M.K.: Runtime application of Hybrid-Asbru clinical guidelines. Journal of Biomedical Informatics 40, 507–526 (2007)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Minard, AL., Kaiser, K. (2013). Supporting Computer-interpretable Guidelines’ Modeling by Automatically Classifying Clinical Actions. In: Riaño, D., Lenz, R., Miksch, S., Peleg, M., Reichert, M., ten Teije, A. (eds) Process Support and Knowledge Representation in Health Care. ProHealth KR4HC 2013 2013. Lecture Notes in Computer Science(), vol 8268. Springer, Cham. https://doi.org/10.1007/978-3-319-03916-9_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-03916-9_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-03915-2

  • Online ISBN: 978-3-319-03916-9

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics