Development of a cardiac-centered frailty ontology.

Journal: Journal of biomedical semantics
PMID: 30658684

Abstract

BACKGROUND: A Cardiac-centered Frailty Ontology can be an important foundation for using NLP to assess patient frailty. Frailty is an important consideration when making patient treatment decisions, particularly in older adults, those with a cardiac diagnosis, or when major surgery is a consideration. Clinicians often report patient's frailty in progress notes and other documentation. Frailty is recorded in many different ways in patient records and many different validated frailty-measuring instruments are available, with little consistency across instruments. We specifically explored concepts relevant to decisions regarding cardiac interventions. We based our work on text found in a large corpus of clinical notes from the Department of Veterans Affairs (VA) national Electronic Health Record (EHR) database.

Authors

  • Kristina Doing-Harris
    Westminster College, Salt Lake City, UT.
  • Bruce E Bray
    Department of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
  • Anne Thackeray
    Physical Therapy and Athletic Training Department, University of Utah, Salt Lake City, UT, USA.
  • Rashmee U Shah
    Division of Cardiovascular Medicine, University of Utah School of Medicine, Salt Lake City.
  • Yijun Shao
    Veterans Affairs Medical Center, Washington, DC; George Washington University, Washington, DC.
  • Yan Cheng
    The First Clinical Medical College of Shaanxi University of Chinese Medicine, Xianyang, China.
  • Qing Zeng-Treitler
    Veterans Affairs Medical Center, Washington, DC; George Washington University, Washington, DC.
  • Jennifer H Garvin
    IDEAS Center SLC VA Healthcare System, 500 Foothill Drive, Salt Lake City, UT, 84148, USA. jennifer.garvin@va.gov.
  • Charlene Weir
    VA Salt Lake City Health Care, Salt Lake City, Utah; Department of Biomedical Informatics, University of Utah, Salt Lake City, UT.

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