Abstract
A significant portion of the clinical information content of narrative text documents in the medical record is only mentioned intuitively, but automated information extraction systems typically focus on explicitly mentioned concepts only. To extend the extraction of clinical information to intuitively mentioned diseases, we have developed a natural language processing application based on MMTx and on context analysis algorithms, enhanced with the detection of disease-specific concepts (e.g. medications used only for this disease), and values of some specific biomarkers. This application was developed for the i2b2 obesity challenge, a competition focused on the detection of patients with obesity or common comorbidities.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Meystre, S.M., Haug, P.: Randomized controlled trial of an automated problem list with improved sensitivity. Int. J. Med. Inform. 77(9), 602–612 (2008)
Meystre, S.M., Savova, G.K., Kipper-Schuler, K.C., Hurdle, J.F.: Extracting information from textual documents in the electronic health record: a review of recent research. Yearb Med. Inform., 128–144 (2008)
Pratt, A.W.: Medicine, computers, and linguistics. Advanced Biomedical Engineering 3, 97–140 (1973)
Chi, E., Lyman, M., Sager, N., Friedman, C.: Database of computer-structured narrative: methods of computing complex relations. In: IEEE (ed.) SCAMC 1985, pp. 221–226 (1985)
Friedman, C., Johnson, S.B., Forman, B., Starren, J.: Architectural requirements for a multipurpose natural language processor in the clinical environment. In: Proc. Annu. Symp. Comput. Appl. Med. Care, pp. 347–351 (1995)
Aronson, A.R.: Effective mapping of biomedical text to the UMLS Metathesaurus: the MetaMap program. In: Proc. AMIA Symp., pp. 17–21 (2001)
Pratt, W., Yetisgen-Yildiz, M.: A Study of Biomedical Concept Identification: MetaMap vs. People. In: Proc. AMIA Symp., pp. 529–533 (2003)
Aronson, A.: Query expansion using the UMLS Metathesaurus. In: Proc. AMIA Symp. 1997, pp. 485–489 (1997)
Brennan, P.F., Aronson, A.R.: Towards linking patients and clinical information: detecting UMLS concepts in e-mail. J. Biomed. Inform. 36(4-5), 334–341 (2003)
Shadow, G., McDonald, C.: Extracting structured information from free text pathology reports. In: Proc. AMIA Symp., Washington, DC, pp. 584–588 (2003)
Weeber, M., Klein, H., Aronson, A.R., Mork, J.G., de Jong-van den Berg, L.T., Vos, R.: Text-based discovery in biomedicine: the architecture of the DAD-system. In: Proc. AMIA Symp., pp. 903–907 (2000)
Aronow, D.B., Fangfang, F., Croft, W.B.: Ad hoc classification of radiology reports. J. Am. Med. Inform. Assoc. 6(5), 393–411 (1999)
Chapman, W.W., Bridewell, W., Hanbury, P., Cooper, G.F., Buchanan, B.G.: A simple algorithm for identifying negated findings and diseases in discharge summaries. J. Biomed. Inform., 301–310 (2001)
Zhou, L., Melton, G.B., Parsons, S., Hripcsak, G.: A temporal constraint structure for extracting temporal information from clinical narrative. J. Biomed. Inform., 424–439 (2006)
Bramsen, P., Deshpande, P., Lee, Y.K., Barzilay, R.: Finding temporal order in discharge summaries. In: AMIA Annu. Symp. Proc., pp. 81–85 (2006)
Chapman, W., Chu, D., Dowling, J.N.: ConText: an algorithm for identifying contextual features from clinical text. In: BioNLP 2007: Biological, translational, and clinical language processing. Prague, CZ 2007 (2007)
Uzuner, O., Luo, Y., Szolovits, P.: Evaluating the state-of-the-art in automatic de-identification. J. Am. Med. Inform. Assoc. 14(5), 550–563 (2007)
Uzuner, O., Goldstein, I., Luo, Y., Kohane, I.: Identifying patient smoking status from medical discharge records. J. Am. Med. Inform. Assoc. 15(1), 14–24 (2008)
Meystre, S., Haug, P.J.: Automation of a problem list using natural language processing. BMC Med. Inform. Decis. Mak. 5, 30 (2005)
Meystre, S., Haug, P.J.: Natural language processing to extract medical problems from electronic clinical documents: performance evaluation. J. Biomed. Inform. 39(6), 589–599 (2006)
AHRQ. National Guideline Clearinghouse, http://www.guideline.gov
van Rijsbergen, C.J.: Information retrieval. Butterworth (1979)
Yang, Y.: An evaluation of statistical approaches to text categorization. Information Retrieval 1(1-2), 69–90 (1999)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Meystre, S.M. (2009). Detecting Intuitive Mentions of Diseases in Narrative Clinical Text. In: Combi, C., Shahar, Y., Abu-Hanna, A. (eds) Artificial Intelligence in Medicine. AIME 2009. Lecture Notes in Computer Science(), vol 5651. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02976-9_31
Download citation
DOI: https://doi.org/10.1007/978-3-642-02976-9_31
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-02975-2
Online ISBN: 978-3-642-02976-9
eBook Packages: Computer ScienceComputer Science (R0)