AMIA Annu Symp Proc - Location bias of identifiers in clinical narratives.

Tópicos

{ record(1888) medic(1808) patient(1693) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ model(3404) distribut(989) bayesian(671) }
{ model(2220) cell(1177) simul(1124) }
{ imag(1057) registr(996) error(939) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(1119) effect(1106) posit(819) }
{ can(981) present(881) function(850) }
{ decis(3086) make(1611) patient(1517) }
{ data(1737) use(1416) pattern(1282) }
{ studi(1410) differ(1259) use(1210) }
{ system(1050) medic(1026) inform(1018) }
{ health(3367) inform(1360) care(1135) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ detect(2391) sensit(1101) algorithm(908) }
{ imag(1947) propos(1133) code(1026) }
{ sequenc(1873) structur(1644) protein(1328) }
{ network(2748) neural(1063) input(814) }
{ take(945) account(800) differ(722) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ featur(1941) imag(1645) propos(1176) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ state(1844) use(1261) util(961) }
{ activ(1138) subject(705) human(624) }
{ analysi(2126) use(1163) compon(1037) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ learn(2355) train(1041) set(1003) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

Scrubbing identifying information from narrative clinical documents is a critical first step to preparing the data for secondary use purposes, such as translational research. Evidence suggests that the differential distribution of protected health information (PHI) in clinical documents could be used as additional features to improve the performance of automated de-identification algorithms or toolkits. However, there has been little investigation into the extent to which such phenomena transpires in practice. To empirically assess this issue, we identified the location of PHI in 140,000 clinical notes from an electronic health record system and characterized the distribution as a function of location in a document. In addition, we calculated the 'word proximity' of nearby PHI elements to determine their co-occurrence rates. The PHI elements were found to have non-random distribution patterns. Location within a document and proximity between PHI elements might therefore be used to help de-identification systems better label PHI.

Resumo Limpo

scrub identifi inform narrat clinic document critic first step prepar data secondari use purpos translat research evid suggest differenti distribut protect health inform phi clinic document use addit featur improv perform autom deidentif algorithm toolkit howev littl investig extent phenomena transpir practic empir assess issu identifi locat phi clinic note electron health record system character distribut function locat document addit calcul word proxim nearbi phi element determin cooccurr rate phi element found nonrandom distribut pattern locat within document proxim phi element might therefor use help deidentif system better label phi

Resumos Similares

Appl Clin Inform - Rapid implementation of inpatient electronic physician documentation at an academic hospital. ( 0,743220038705109 )
J Biomed Inform - A classification of errors in lay comprehension of medical documents. ( 0,699825658084619 )
Int J Med Inform - The effects of an electronic medical record on the completeness of documentation in the anesthesia record. ( 0,673534682972013 )
AMIA Annu Symp Proc - Validation and enhancement of a computable medication indication resource (MEDI) using a large practice-based dataset. ( 0,666078295289778 )
AMIA Annu Symp Proc - Corpus-Based Problem Selection for EHR Note Summarization. ( 0,658807845868412 )
J Am Med Inform Assoc - Clinical decision support with automated text processing for cervical cancer screening. ( 0,658539437288545 )
Med Decis Making - Natural language processing improves identification of colorectal cancer testing in the electronic medical record. ( 0,651276446591217 )
AMIA Annu Symp Proc - Lexical concept distribution reflects clinical practice. ( 0,650514935500497 )
Int J Med Inform - The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care. ( 0,64967002931602 )
J Biomed Inform - Extracting important information from Chinese Operation Notes with natural language processing methods. ( 0,649184230603968 )
AMIA Annu Symp Proc - Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician. ( 0,645624657155848 )
AMIA Annu Symp Proc - Extending the HL7/LOINC Document Ontology Settings of Care. ( 0,638819779775085 )
Int J Med Inform - Structured electronic operative reporting: comparison with dictation in kidney cancer surgery. ( 0,636387816853874 )
Appl Clin Inform - An analysis of free-text alcohol use documentation in the electronic health record: early findings and implications. ( 0,635208943101528 )
J Am Med Inform Assoc - Data from clinical notes: a perspective on the tension between structure and flexible documentation. ( 0,633086082364187 )
J Am Med Inform Assoc - Identifying phenotypic signatures of neuropsychiatric disorders from electronic medical records. ( 0,629086811835753 )
J Am Med Inform Assoc - Electronic medical record use in pediatric primary care. ( 0,628558247170038 )
J Am Med Inform Assoc - Meaningful measurement: developing a measurement system to improve blood pressure control in patients with chronic kidney disease. ( 0,626434259137316 )
J Am Med Inform Assoc - HARVEST, a longitudinal patient record summarizer. ( 0,626071043515598 )
Methods Inf Med - Modeling problem-oriented clinical notes. ( 0,624757018195671 )
AMIA Annu Symp Proc - Information Requirements for Health Information Exchange Supported Communication between Emergency Departments and Poison Control Centers. ( 0,6242365420317 )
J Am Med Inform Assoc - Development and evaluation of an ensemble resource linking medications to their indications. ( 0,61896459447518 )
J Am Med Inform Assoc - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. ( 0,618437587604549 )
J Am Med Inform Assoc - Automating the medication regimen complexity index. ( 0,617917342048635 )
Health Informatics J - Clinical Document Architecture integration system to support patient referral and reply letters. ( 0,61449409781924 )
Comput. Biol. Med. - Informatics can identify systemic sclerosis (SSc) patients at risk for scleroderma renal crisis. ( 0,614214702019063 )
J Am Med Inform Assoc - Electronic medical records and physician stress in primary care: results from the MEMO Study. ( 0,613543852304144 )
J Med Syst - An assessment of patient safety in acupuncture process under EMR support. ( 0,613067918527199 )
BMC Med Inform Decis Mak - Beyond the threshold: real-time use of evidence in practice. ( 0,612192757550729 )
AMIA Annu Symp Proc - The physical attractiveness of electronic physician notes. ( 0,611963729308337 )
AMIA Annu Symp Proc - You can lead a horse to water: physicians' responses to clinical reminders. ( 0,608942209345078 )
J Am Med Inform Assoc - Clinical documentation: composition or synthesis? ( 0,608032954590808 )
Int J Med Inform - Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation. ( 0,60691309086099 )
J Am Med Inform Assoc - Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. ( 0,604185302672329 )
AMIA Annu Symp Proc - Using language models to identify relevant new information in inpatient clinical notes. ( 0,60358534520598 )
BMC Med Inform Decis Mak - Improved de-identification of physician notes through integrative modeling of both public and private medical text. ( 0,603040259490729 )
AMIA Annu Symp Proc - Capture of osteoporosis and fracture information in an electronic medical record database from primary care. ( 0,601755505988786 )
J Am Med Inform Assoc - Design and evaluation of a wireless electronic health records system for field care in mass casualty settings. ( 0,600438558904165 )
AMIA Annu Symp Proc - Analysis of medication and indication occurrences in clinical notes. ( 0,597663886553204 )
J Biomed Inform - Predicting treatment process steps from events. ( 0,594145823227984 )
J. Med. Internet Res. - Use of an electronic patient portal among the chronically ill: an observational study. ( 0,593712817499016 )
Int J Med Inform - The electronic locum record for general practitioners: outcome of an evaluation study in the Netherlands. ( 0,591763692176463 )
AMIA Annu Symp Proc - Using natural language processing on the free text of clinical documents to screen for evidence of homelessness among US veterans. ( 0,590961710841056 )
J Am Med Inform Assoc - Transforming consumer health informatics through a patient work framework: connecting patients to context. ( 0,587701933908644 )
Appl Clin Inform - Determining primary care physician information needs to inform ambulatory visit note display. ( 0,586007362683196 )
J Am Med Inform Assoc - Use of electronic medical records differs by specialty and office settings. ( 0,585504776008798 )
J Am Med Inform Assoc - Patient access to medical records and healthcare outcomes: a systematic review. ( 0,583309681008976 )
BMC Med Inform Decis Mak - SciReader enables reading of medical content with instantaneous definitions. ( 0,583308786916047 )
BMC Med Inform Decis Mak - Impact of a computerized system for evidence-based diabetes care on completeness of records: a before-after study. ( 0,582593604300126 )
Perspect Health Inf Manag - Lessons learned from implementation of voice recognition for documentation in the military electronic health record system. ( 0,582537124813561 )
J Med Syst - Design and implementation of web-based discharge summary note based on service-oriented architecture. ( 0,582325136073108 )
AMIA Annu Symp Proc - Prevalence and Clinical Significance of Discrepancies within Three Computerized Pre-Admission Medication Lists. ( 0,58230764951944 )
Telemed J E Health - Data integrity module for data quality assurance within an e-health system in sub-Saharan Africa. ( 0,576776771188434 )
Comput. Biol. Med. - Clinicians' evaluation of computer-assisted medication summarization of electronic medical records. ( 0,576556684505447 )
J Am Med Inform Assoc - Presence of key findings in the medical record prior to a documented high-risk diagnosis. ( 0,575996222564847 )
J Biomed Inform - Development of a clinician reputation metric to identify appropriate problem-medication pairs in a crowdsourced knowledge base. ( 0,575969415042283 )
J Med Syst - An approach to medical knowledge sharing in a hospital information system using MCLink. ( 0,57511921755138 )
Appl Clin Inform - A pilot trial of a computerized renal template note to improve resident knowledge and documentation of kidney disease. ( 0,572975335587948 )
Methods Inf Med - A generic method to monitor completeness and speed of medical documentation processes. ( 0,570030091417744 )
Int J Med Inform - Separate may not be equal: a preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers. ( 0,570015675646623 )
Artif Intell Med - Automated interviews on clinical case reports to elicit directed acyclic graphs. ( 0,569831790894251 )
J Biomed Inform - Effects of time constraints on clinician-computer interaction: a study on information synthesis from EHR clinical notes. ( 0,568396167012848 )
J Am Med Inform Assoc - A framework for assessing patient crossover and health information exchange value. ( 0,567990865319865 )
Int J Med Inform - The peace of paper: patient lists as work tools. ( 0,565954831048544 )
AMIA Annu Symp Proc - Investigating Resuscitation Code Assignment in the Intensive Care Unit using Structured and Unstructured Data. ( 0,56546416550876 )
Comput Methods Programs Biomed - Comparison of documentation time between an electronic and a paper-based record system by optometrists at an eye hospital in south India: a time-motion study. ( 0,565047259997987 )
Perspect Health Inf Manag - Workflow and electronic health records in small medical practices. ( 0,564351693562458 )
J Med Syst - RBAC-Matrix-based EMR right management system to improve HIPAA compliance. ( 0,56418768032716 )
J Biomed Inform - Using an ensemble system to improve concept extraction from clinical records. ( 0,563944724753012 )
J Am Med Inform Assoc - Evaluating the state of the art in coreference resolution for electronic medical records. ( 0,562964202591321 )
Int J Med Inform - Physician and patient willingness to pay for electronic cardiovascular disease management. ( 0,562581397873228 )
AMIA Annu Symp Proc - Use of simulated physician handoffs to study cross-cover chart biopsy in the electronic medical record. ( 0,561305073496743 )
Int J Med Inform - Views on health information sharing and privacy from primary care practices using electronic medical records. ( 0,560670217223296 )
Res Synth Methods - Methods for documenting systematic review searches: a discussion of common issues. ( 0,560589168165988 )
Appl Clin Inform - Development and validation of a computer-based algorithm to identify foreign-born patients with HIV infection from the electronic medical record. ( 0,560278683844457 )
AMIA Annu Symp Proc - Comparing content coverage in medical curriculum to trainee-authored clinical notes. ( 0,559761854124889 )
AMIA Annu Symp Proc - A qualitative analysis of EHR clinical document synthesis by clinicians. ( 0,557984744596478 )
J Am Med Inform Assoc - Data quality assessment in healthcare: a 365-day chart review of inpatients' health records at a Nigerian tertiary hospital. ( 0,557164990194688 )
J Am Med Inform Assoc - Correlating electronic health record concepts with healthcare process events. ( 0,55568215104228 )
Telemed J E Health - Electronic and remote prescribing: administrative, regulatory, technical, and clinical standards and guidelines, April 2013. ( 0,553808363699668 )
J Am Med Inform Assoc - A taste of individualized medicine: physicians' reactions to automated genetic interpretations. ( 0,553032713023891 )
Int J Med Inform - The MITRE Identification Scrubber Toolkit: design, training, and assessment. ( 0,550748236570311 )
J Med Syst - Operational problems of Haniwa net as a form of social capital: interdependence between human networks of physicians and information networks. ( 0,549166065734557 )
Methods Inf Med - Survey on medical records and EHR in Asia-Pacific region: languages, purposes, IDs and regulations. ( 0,549059635518991 )
Appl Clin Inform - What do physicians read (and ignore) in electronic progress notes? ( 0,546594394499949 )
J. Med. Internet Res. - Parent satisfaction with the electronic medical record in an academic pediatric rheumatology practice. ( 0,54597572492478 )
J Med Syst - A physician order category-based clinical guideline comparison system. ( 0,545932693280812 )
Int J Med Inform - Using electronic medical records to determine the diagnosis of clinical depression. ( 0,545790947386026 )
J Med Syst - Electronic hand-drafting and picture management system. ( 0,544701725464949 )
J Am Med Inform Assoc - Exploiting time in electronic health record correlations. ( 0,543709058049971 )
J Med Syst - Cloud based emergency health care information service in India. ( 0,542580959404479 )
Int J Med Inform - Description and comparison of documentation of nursing assessment between paper-based and electronic systems in Australian aged care homes. ( 0,541424511568118 )
J Am Med Inform Assoc - PASTE: patient-centered SMS text tagging in a medication management system. ( 0,540415845157191 )
Methods Inf Med - Subword-based semantic retrieval of clinical and bibliographic documents. ( 0,537914353639919 )
AMIA Annu Symp Proc - Learning to identify treatment relations in clinical text. ( 0,537670055972145 )
Artif Intell Med - Statistical parsing of varieties of clinical Finnish. ( 0,536880001080686 )
AMIA Annu Symp Proc - Modeling drug exposure data in electronic medical records: an application to warfarin. ( 0,53665631459995 )
AMIA Annu Symp Proc - Data model for personalized patient health guidelines: an exploratory study. ( 0,536289014021502 )
J Am Med Inform Assoc - Predicting biomedical document access as a function of past use. ( 0,535238173673979 )
J Am Med Inform Assoc - Electronic health records improve clinical note quality. ( 0,534589548408731 )