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Electronic Health Records

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Overview of the 2022 n2c2 shared task on contextualized medication event extraction in clinical notes.

Journal of biomedical informatics
BACKGROUND: An accurate medication history, foundational for providing quality medical care, requires understanding of medication change events documented in clinical notes. However, extracting medication changes without the necessary clinical contex...

Developing an Automated Registry (Autoregistry) of Spine Surgery Using Natural Language Processing and Health System Scale Databases.

Neurosurgery
BACKGROUND AND OBJECTIVES: Clinical registries are critical for modern surgery and underpin outcomes research, device monitoring, and trial development. However, existing approaches to registry construction are labor-intensive, costly, and prone to m...

A novel missing data imputation approach based on clinical conditional Generative Adversarial Networks applied to EHR datasets.

Computers in biology and medicine
The missing data mechanism is a relevant problem in Machine Learning (ML) and biomedical informatics communities. Real-world Electronic Health Record (EHR) datasets comprise several missing values, thus revealing a high level of spatiotemporal sparsi...

Supervised Text Classification System Detects Fontan Patients in Electronic Records With Higher Accuracy Than Codes.

Journal of the American Heart Association
Background The Fontan operation is associated with significant morbidity and premature mortality. Fontan cases cannot always be identified by () codes, making it challenging to create large Fontan patient cohorts. We sought to develop natural langua...

Leveraging Natural Language Processing to Improve Electronic Health Record Suicide Risk Prediction for Veterans Health Administration Users.

The Journal of clinical psychiatry
Suicide risk prediction models frequently rely on structured electronic health record (EHR) data, including patient demographics and health care usage variables. Unstructured EHR data, such as clinical notes, may improve predictive accuracy by allow...

Identifying Young Adults at High Risk for Weight Gain Using Machine Learning.

The Journal of surgical research
INTRODUCTION: Weight gain among young adults continues to increase. Identifying adults at high risk for weight gain and intervening before they gain weight could have a major public health impact. Our objective was to develop and test electronic heal...

Contextualized medication event extraction with striding NER and multi-turn QA.

Journal of biomedical informatics
This paper describes contextualized medication event extraction for automatically identifying medication change events with their contexts from clinical notes. The striding named entity recognition (NER) model extracts medication name spans from an i...

Health system-scale language models are all-purpose prediction engines.

Nature
Physicians make critical time-constrained decisions every day. Clinical predictive models can help physicians and administrators make decisions by forecasting clinical and operational events. Existing structured data-based clinical predictive models ...

Generalizability and portability of natural language processing system to extract individual social risk factors.

International journal of medical informatics
OBJECTIVE: The objective of this study is to validate and report on portability and generalizability of a Natural Language Processing (NLP) method to extract individual social factors from clinical notes, which was originally developed at a different...

Graph-based clinical recommender: Predicting specialists procedure orders using graph representation learning.

Journal of biomedical informatics
OBJECTIVE: To determine whether graph neural network based models of electronic health records can predict specialty consultation care needs for endocrinology and hematology more accurately than the standard of care checklists and other conventional ...