TY - GEN
T1 - Using annotation for computerized support for fast skimming of cardiology electronic health record notes
AU - Dehkordi, Mahshad Koohi H.
AU - Einstein, Andrew J.
AU - Zhou, Shuxin
AU - Elhanan, Gai
AU - Perl, Yehoshua
AU - Keloth, Vipina K.
AU - Geller, James
AU - Liu, Hao
N1 - Publisher Copyright:
© 2023 IEEE.
PY - 2023
Y1 - 2023
N2 - Under the circumstances prevalent in current healthcare, medical professionals such as physicians and nurses need to read large numbers of Electronic Health Record (EHR) notes. This demand fosters a situation in which providers typically do not read a whole note but quickly skim it, to capture its essential content. Consequently, by fast skimming, one may miss a critical medical fact. Annotation highlights important content in EHR notes, and enables healthcare professionals to perform fast skimming, thereby minimizing the risk of missing critical information, which is detrimental to patient care. We designed the Cardiology Interface Terminology (CIT) for the purpose of annotation of cardiology EHRs. We emphasize that by annotation we refer to highlighting important information in the EHR notes for enabling fast skimming rather than just recognizing names of diseases, drugs, etc. from Reference Terminologies as is usually done by existing Named Entity Recognition (NER) systems. The CIT design starts with the cardiology components of SNOMED CT. It is enhanced by mining phrases from cardiology EHRs, as potential CIT concepts, which are of higher granularity than SNOMED concepts. Machine learning (ML), the state of the art technique for mining concepts from EHRs, requires training data. However, there is no training data for designing CIT. In the first stage, we introduce an innovative semi-automatic method for mining concepts from EHRs, to replace costly manual mining. The only manual portion is the review of the automatically mined phrases, before their insertion as CIT concepts. The effectiveness of annotation of cardiology EHRs with CIT was evaluated utilizing proper metrics, and compared to annotation with SNOMED CT. In a future second stage, ML mining techniques will be used for enhancing CIT with extra concepts from EHRs, utilizing the concepts added in the first stage as training data. This work focuses on a novel semi-automated method to design the Cardiology Interface Terminology (CIT) for annotation of cardiology EHRs to support fast skimming of EHR notes. Similar interface terminologies for other medical specialties could be obtained from CIT using Transfer Learning.
AB - Under the circumstances prevalent in current healthcare, medical professionals such as physicians and nurses need to read large numbers of Electronic Health Record (EHR) notes. This demand fosters a situation in which providers typically do not read a whole note but quickly skim it, to capture its essential content. Consequently, by fast skimming, one may miss a critical medical fact. Annotation highlights important content in EHR notes, and enables healthcare professionals to perform fast skimming, thereby minimizing the risk of missing critical information, which is detrimental to patient care. We designed the Cardiology Interface Terminology (CIT) for the purpose of annotation of cardiology EHRs. We emphasize that by annotation we refer to highlighting important information in the EHR notes for enabling fast skimming rather than just recognizing names of diseases, drugs, etc. from Reference Terminologies as is usually done by existing Named Entity Recognition (NER) systems. The CIT design starts with the cardiology components of SNOMED CT. It is enhanced by mining phrases from cardiology EHRs, as potential CIT concepts, which are of higher granularity than SNOMED concepts. Machine learning (ML), the state of the art technique for mining concepts from EHRs, requires training data. However, there is no training data for designing CIT. In the first stage, we introduce an innovative semi-automatic method for mining concepts from EHRs, to replace costly manual mining. The only manual portion is the review of the automatically mined phrases, before their insertion as CIT concepts. The effectiveness of annotation of cardiology EHRs with CIT was evaluated utilizing proper metrics, and compared to annotation with SNOMED CT. In a future second stage, ML mining techniques will be used for enhancing CIT with extra concepts from EHRs, utilizing the concepts added in the first stage as training data. This work focuses on a novel semi-automated method to design the Cardiology Interface Terminology (CIT) for annotation of cardiology EHRs to support fast skimming of EHR notes. Similar interface terminologies for other medical specialties could be obtained from CIT using Transfer Learning.
KW - EHR
KW - annotation
KW - cardiology
KW - fast skimming
UR - http://www.scopus.com/inward/record.url?scp=85184898531&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85184898531&partnerID=8YFLogxK
U2 - 10.1109/BIBM58861.2023.10385289
DO - 10.1109/BIBM58861.2023.10385289
M3 - Conference contribution
AN - SCOPUS:85184898531
T3 - Proceedings - 2023 2023 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2023
SP - 4043
EP - 4050
BT - Proceedings - 2023 2023 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2023
A2 - Jiang, Xingpeng
A2 - Wang, Haiying
A2 - Alhajj, Reda
A2 - Hu, Xiaohua
A2 - Engel, Felix
A2 - Mahmud, Mufti
A2 - Pisanti, Nadia
A2 - Cui, Xuefeng
A2 - Song, Hong
PB - Institute of Electrical and Electronics Engineers Inc.
T2 - 2023 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2023
Y2 - 5 December 2023 through 8 December 2023
ER -