Ren Zhiyun, Peng Bo, Schleyer Titus K, Ning Xia
Department of Biomedical Informatics, The Ohio State University, 1800 Cannon Drive, Columbus, OH 43210, USA.
Department of Computer Science and Engineering, The Ohio State University, 281 W Lane Ave, Columbus, OH 43210, USA.
J Biomed Inform. 2021 Jan;113:103635. doi: 10.1016/j.jbi.2020.103635. Epub 2020 Dec 9.
With increasing and extensive use of electronic health records (EHR), clinicians are often challenged in retrieving relevant patient information efficiently and effectively to arrive at a diagnosis. While using the search function built into an EHR can be more useful than browsing in a voluminous patient record, it is cumbersome and repetitive to search for the same or similar information on similar patients. To address this challenge, there is a critical need to build effective recommender systems that can recommend search terms to clinicians accurately. In this study, we developed a hybrid collaborative filtering model to recommend search terms for a specific patient to a clinician. The model draws on information from patients' clinical encounters and the searches that were performed during them. To generate recommendations, the model uses search terms which are (1) frequently co-occurring with the ICD codes recorded for the patient and (2) highly relevant to the most recent search terms. In one variation of the model (Hybrid Collaborative Filtering Method for Healthcare, or HCFMH), we use only the most recent ICD codes assigned to the patient, and in the other (Co-occurrence Pattern based HCFMH, or cpHCFMH), all ICD codes. We have conducted comprehensive experiments to evaluate the proposed model. These experiments demonstrate that our model outperforms state-of-the-art baseline methods for top-N search term recommendation on different data sets.
随着电子健康记录(EHR)的使用日益广泛,临床医生在高效且有效地检索相关患者信息以做出诊断方面常常面临挑战。虽然使用电子健康记录中内置的搜索功能可能比在大量的患者记录中浏览更有用,但在相似患者中搜索相同或相似信息既繁琐又重复。为应对这一挑战,迫切需要构建有效的推荐系统,能够向临床医生准确推荐搜索词。在本研究中,我们开发了一种混合协作过滤模型,向临床医生为特定患者推荐搜索词。该模型利用患者临床诊疗过程中的信息以及在此期间执行的搜索。为生成推荐,该模型使用以下搜索词:(1)与为患者记录的ICD编码经常同时出现的;(2)与最新搜索词高度相关的。在该模型的一种变体(医疗保健混合协作过滤方法,或HCFMH)中,我们仅使用分配给患者的最新ICD编码,而在另一种变体(基于共现模式的HCFMH,或cpHCFMH)中,则使用所有ICD编码。我们进行了全面的实验来评估所提出的模型。这些实验表明,在不同数据集上进行前N个搜索词推荐时,我们的模型优于最先进的基线方法。