Xie Tianyi, Zhen Yi, Tavakoli Maryam, Hundley Gregory, Ge Yaorong
University of North Carolina at Charlotte, Charlotte, NC, USA.
AMIA Jt Summits Transl Sci Proc. 2020 May 30;2020:703-709. eCollection 2020.
This study presents a novel workflow for identifying and analyzing blood pressure readings in clinical narratives using a Convolution Neural Network. The network performs three tasks: identifying blood pressure readings, determining the exactness of the readings, and then classifying the readings into three classes: general, treatment, and suggestion. The system can be easily set up and deployed by people who are not experts in clinical Natural Language Processing. The validation results on an independent test set show the first two of the three tasks achieve a precision, recall, and F-measure over or close to 95%, and the third task achieves an overall accuracy of 85.4%. The study demonstrates that the proposed workflow is effective for extracting blood pressure data in clinical notes. The workflow is general and can be easily adapted to analyze other clinical concepts for phenotyping tasks.
本研究提出了一种使用卷积神经网络在临床叙述中识别和分析血压读数的新颖工作流程。该网络执行三项任务:识别血压读数、确定读数的准确性,然后将读数分为三类:一般、治疗和建议。该系统可以由非临床自然语言处理专家的人员轻松设置和部署。在独立测试集上的验证结果表明,三项任务中的前两项的精确率、召回率和F值超过或接近95%,第三项任务的总体准确率为85.4%。该研究表明,所提出的工作流程对于在临床记录中提取血压数据是有效的。该工作流程具有通用性,可以轻松地进行调整以分析用于表型分析任务的其他临床概念。