Semantic annotation of clinical events for generating a problem list.

TitleSemantic annotation of clinical events for generating a problem list.
Publication TypeJournal Article
Year of Publication2013
AuthorsMowery, DL, Jordan, P, Wiebe, J, Harkema, H, Dowling, J, Chapman, WW
JournalAMIA Annu Symp Proc
Volume2013
Pagination1032-41
Date Published2013
ISSN1942-597X
KeywordsElectronic Health Records, Humans, Information Storage and Retrieval, Natural Language Processing, Pilot Projects, Semantics
Abstract

We present a pilot study of an annotation schema representing problems and their attributes, along with their relationship to temporal modifiers. We evaluated the ability for humans to annotate clinical reports using the schema and assessed the contribution of semantic annotations in determining the status of a problem mention as active, inactive, proposed, resolved, negated, or other. Our hypothesis is that the schema captures semantic information useful for generating an accurate problem list. Clinical named entities such as reference events, time points, time durations, aspectual phase, ordering words and their relationships including modifications and ordering relations can be annotated by humans with low to moderate recall. Once identified, most attributes can be annotated with low to moderate agreement. Some attributes - Experiencer, Existence, and Certainty - are more informative than other attributes - Intermittency and Generalized/Conditional - for predicting a problem mention's status. Support vector machine outperformed Naïve Bayes and Decision Tree for predicting a problem's status.

Alternate JournalAMIA Annu Symp Proc
PubMed ID24551392
PubMed Central IDPMC3900128
Grant List5T15LM007059 / LM / NLM NIH HHS / United States
R01LM009427 / LM / NLM NIH HHS / United States
T15 LM007059 / LM / NLM NIH HHS / United States