Document Detail


Automatically detecting medications and the reason for their prescription in clinical narrative text documents.
MedLine Citation:
PMID:  20841823     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An important proportion of the information about the medications a patient is taking is mentioned only in narrative text in the electronic health record. Automated information extraction can make this information accessible for decision support, research, or any other automated processing. In the context of the "i2b2 medication extraction challenge," we have developed a new NLP application called Textractor to automatically extract medications and details about them (e.g., dosage, frequency, reason for their prescription). This application and its evaluation with part of the reference standard for this "challenge" are presented here, along with an analysis of the development of this reference standard. During this evaluation, Textractor reached a system-level overall F<inf>1</inf>-measure, the reference metric for this challenge, of about 77% for exact matches. The best performance was measured with medication routes (F<inf>1</inf>-measure 86.4%), and the worst with prescription reasons (F<inf>1</inf>-measure 29%). These results are consistent with the agreement observed between human annotators when developing the reference standard, and with other published research.
Authors:
Stéphane M Meystre; Julien Thibault; Shuying Shen; John F Hurdle; Brett R South
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Studies in health technology and informatics     Volume:  160     ISSN:  0926-9630     ISO Abbreviation:  Stud Health Technol Inform     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-15     Completed Date:  2011-04-15     Revised Date:  2011-12-21    
Medline Journal Info:
Nlm Unique ID:  9214582     Medline TA:  Stud Health Technol Inform     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  944-8     Citation Subset:  T    
Affiliation:
Department of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA. stephane.meystre@hsc.utah.edu
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MeSH Terms
Descriptor/Qualifier:
Drug Prescriptions*
Electronic Health Records / standards
Humans
Information Storage and Retrieval / methods*
Natural Language Processing
Vocabulary, Controlled
Grant Support
ID/Acronym/Agency:
R21 LM009967-01/LM/NLM NIH HHS; R21 LM009967-01S1/LM/NLM NIH HHS; R21 LM009967-02/LM/NLM NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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