Cai Peng, Cao Feng, Ni Yuan, Shen Weijia, Zheng Tao
IBM China Research Lab, China.
Stud Health Technol Inform. 2013;192:988.
The system of electronic medical records (EMR) has been widely used in physician practice. In China, physicians have the time pressure to provide care to many patients in a short period. Improving practice efficiency is a promising direction to mitigate this predicament. During the encounter, ordering lab test is one of the most frequent actions in EMR system. In this paper, our motivation is to save physician's time by providing lab test ordering list to facilitate physician practice. To this end, we developed weight based multi-label classification framework to learn to order lab test for the current encounter according to the historical EMR. Particularly, we propose to learn the physician-specific lab test ordering pattern as different physicians may have different practice behavior on the same population. Experimental results on the real data set demonstrate that physician-specific models can outperform the baseline.
电子病历(EMR)系统已在医生实践中广泛使用。在中国,医生面临着在短时间内为众多患者提供治疗的时间压力。提高实践效率是缓解这一困境的一个有前景的方向。在诊疗过程中,开具实验室检查单是电子病历系统中最常见的操作之一。在本文中,我们的动机是通过提供实验室检查单列表来节省医生时间,以促进医生的诊疗实践。为此,我们开发了基于权重的多标签分类框架,以便根据历史电子病历为当前诊疗过程学习开具实验室检查单。特别地,我们建议学习医生特定的实验室检查单开具模式,因为不同医生在相同人群上可能有不同的诊疗行为。在真实数据集上的实验结果表明,医生特定模型的性能优于基线。