Identifying social determinants of health from clinical narratives: A study of performance, documentation ratio, and potential bias.

Journal: Journal of biomedical informatics
PMID:

Abstract

OBJECTIVE: To develop a natural language processing (NLP) package to extract social determinants of health (SDoH) from clinical narratives, examine the bias among race and gender groups, test the generalizability of extracting SDoH for different disease groups, and examine population-level extraction ratio.

Authors

  • Zehao Yu
    Department of Health Outcomes and Biomedical Informatics.
  • Cheng Peng
    School of Electrical and Mechanical Engineering, Hefei Technology College, Hefei, China.
  • Xi Yang
    Department of Health Outcomes and Biomedical Informatics.
  • Chong Dang
    Department of Health Outcomes and Biomedical Informatics.
  • Prakash Adekkanattu
    Information Technologies and Services.
  • Braja Gopal Patra
    Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
  • Yifan Peng
    Department of Population Health Sciences, Weill Cornell Medicine, New York, USA.
  • Jyotishman Pathak
    Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
  • Debbie L Wilson
    Department of Pharmaceutical Outcomes & Policy, College of Pharmacy, University of Florida, Gainesville, FL, United States of America.
  • Ching-Yuan Chang
    Department of Pharmaceutical Outcomes & Policy, College of Pharmacy, University of Florida, Gainesville, FL 32611, USA.
  • Wei-Hsuan Lo-Ciganic
    *Center for Pharmaceutical Policy and Prescribing, University of Pittsburgh, Pittsburgh, PA †Department of Pharmacy, Practice and Science, College of Pharmacy, University of Arizona, Tucson, AZ Departments of ‡Health Policy and Management, Graduate School of Public Health §Pharmacy and Therapeutics, School of Pharmacy, University of Pittsburgh ∥Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System Departments of ¶Biostatistics, Graduate School of Public Health #Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA **Department of Pharmacy, School of Pharmacy, University of Washington, Seattle, WA.
  • Thomas J George
    Division of Hematology & Oncology, Department of Medicine, College of Medicine.
  • William R Hogan
    Department of Health Outcomes and Biomedical Informatics.
  • Yi Guo
    Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
  • Jiang Bian
    Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, United States of America.
  • Yonghui Wu
    Department of Health Outcomes and Biomedical Informatics.