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德语出院小结的符合临床文档架构(CDA)部分标注:指南制定、标注活动、部分分类

CDA-Compliant Section Annotation of German-Language Discharge Summaries: Guideline Development, Annotation Campaign, Section Classification.

作者信息

Lohr Christina, Luther Stephanie, Matthies Franz, Modersohn Luise, Ammon Danny, Saleh Kutaiba, Henkel Andreas G, Kiehntopf Michael, Hahn Udo

机构信息

Jena University Language & Information Engineering (JULIE) Lab, Friedrich-Schiller-Universität Jena, Jena, Germany.

Data Integration Center, IT Business Division, Jena University Hospital.

出版信息

AMIA Annu Symp Proc. 2018 Dec 5;2018:770-779. eCollection 2018.

PMID:30815119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6371337/
Abstract

We present the outcome of an annotation effort targeting the content-sensitive segmentation of German clinical reports into sections. We recruited an annotation team of up to eight medical students to annotate a clinical text corpus on a sentence-by-sentence basis in four pre-annotation iterations and one final main annotation step. The annotation scheme we came up with adheres to categories developed for clinical documents in the HL7-CDA (Clinical Document Architecture) standard for section headings. Once the scheme became stable, we ran the main annotation campaign on the complete set of roughly 1,000 clinical documents. Due to its reliance on the CDA standard, the annotation scheme allows the integration of legacy and newly produced clinical documents within a common pipeline. We then made direct use of the annotations by training a baseline classifier to automatically identify sections in clinical reports.

摘要

我们展示了一项注释工作的成果,该工作旨在将德语临床报告按内容敏感地分割成各个部分。我们招募了一个最多由八名医学生组成的注释团队,在四个预注释迭代和一个最终主要注释步骤中,逐句注释一个临床文本语料库。我们提出的注释方案遵循了HL7-CDA(临床文档架构)标准中为临床文档章节标题制定的类别。一旦该方案稳定下来,我们就在大约1000份完整的临床文档集上开展了主要注释活动。由于其依赖CDA标准,该注释方案允许在一个通用流程中整合遗留临床文档和新生成的临床文档。然后,我们通过训练一个基线分类器来直接利用这些注释,以自动识别临床报告中的各个部分。

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本文引用的文献

1
Evaluation of Clinical Text Segmentation to Facilitate Cohort Retrieval.用于促进队列检索的临床文本分割评估
AMIA Annu Symp Proc. 2018 Apr 16;2017:660-669. eCollection 2017.
2
Scaling Out and Evaluation of OBSecAn, an Automated Section Annotator for Semi-Structured Clinical Documents, on a Large VA Clinical Corpus.在大型退伍军人事务部临床语料库上对OBSecAn(一种用于半结构化临床文档的自动切片注释工具)进行横向扩展和评估。
AMIA Annu Symp Proc. 2015 Nov 5;2015:1204-13. eCollection 2015.
3
Developing a section labeler for clinical documents.开发一种用于临床文档的章节标注工具。
AMIA Annu Symp Proc. 2014 Nov 14;2014:636-44. eCollection 2014.
4
Automatic segmentation of clinical texts.临床文本的自动分割
Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:5905-8. doi: 10.1109/IEMBS.2009.5334831.
5
Evaluation of a method to identify and categorize section headers in clinical documents.评估一种识别和分类临床文档中标题的方法。
J Am Med Inform Assoc. 2009 Nov-Dec;16(6):806-15. doi: 10.1197/jamia.M3037. Epub 2009 Aug 28.
6
Development and evaluation of a clinical note section header terminology.临床记录部分标题术语的开发与评估
AMIA Annu Symp Proc. 2008 Nov 6;2008:156-60.
7
Automatic section segmentation of medical reports.医学报告的自动章节分割
AMIA Annu Symp Proc. 2003;2003:155-9.