{"title":"Extracting Complementary and Integrative Health Approaches in Electronic Health Records.","authors":"Huixue Zhou, Greg Silverman, Zhongran Niu, Jenzi Silverman, Roni Evans, Robin Austin, Rui Zhang","doi":"10.1007/s41666-023-00137-2","DOIUrl":null,"url":null,"abstract":"<p><p>Complementary and Integrative Health (CIH) has gained increasing popularity in the past decades. While the evidence bases to support them are growing, there is still a gap in understanding their effects and potential adverse events using real-world data. The overall goal of this study is to represent information pertinent to both psychological and physical CIH approaches (specifically, using examples of music therapy, chiropractic, and aquatic exercise in this study) in an electronic health record (EHR) system. We also aim to evaluate the ability of existing natural language processing (NLP) systems to identify CIH approaches. A total of 300 notes were randomly selected and manually annotated. Annotations were made for <i>status</i>, <i>symptom</i>, and <i>frequency</i> of each approach. This set of annotations was used as a gold standard to evaluate the performance of NLP systems used in this study (specifically BioMedICUS, MetaMap, and cTAKES) for extracting CIH concepts. Venn diagram was used to investigate the consistency of medical records searching by Current Procedural Terminology (CPT) codes and CIH approaches keywords in SQL. Since CPT codes usually do not have specific mentions of CIH approaches, the Venn diagram had less overlap with those found in clinical notes for all three CIH therapies. The three NLP systems achieved 0.41 in average lenient match F1-score in all three CIH approaches, respectively. BioMedICUS achieved the best performance in aquatic exercise with an F1-score of 0.66. This study contributes to the overall representation of CIH in clinical note and lays a foundation for using EHR for clinical research for CIH approaches.</p>","PeriodicalId":36444,"journal":{"name":"Journal of Healthcare Informatics Research","volume":"7 3","pages":"277-290"},"PeriodicalIF":5.9000,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449701/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Healthcare Informatics Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s41666-023-00137-2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"Computer Science","Score":null,"Total":0}
引用次数: 0
Abstract
Complementary and Integrative Health (CIH) has gained increasing popularity in the past decades. While the evidence bases to support them are growing, there is still a gap in understanding their effects and potential adverse events using real-world data. The overall goal of this study is to represent information pertinent to both psychological and physical CIH approaches (specifically, using examples of music therapy, chiropractic, and aquatic exercise in this study) in an electronic health record (EHR) system. We also aim to evaluate the ability of existing natural language processing (NLP) systems to identify CIH approaches. A total of 300 notes were randomly selected and manually annotated. Annotations were made for status, symptom, and frequency of each approach. This set of annotations was used as a gold standard to evaluate the performance of NLP systems used in this study (specifically BioMedICUS, MetaMap, and cTAKES) for extracting CIH concepts. Venn diagram was used to investigate the consistency of medical records searching by Current Procedural Terminology (CPT) codes and CIH approaches keywords in SQL. Since CPT codes usually do not have specific mentions of CIH approaches, the Venn diagram had less overlap with those found in clinical notes for all three CIH therapies. The three NLP systems achieved 0.41 in average lenient match F1-score in all three CIH approaches, respectively. BioMedICUS achieved the best performance in aquatic exercise with an F1-score of 0.66. This study contributes to the overall representation of CIH in clinical note and lays a foundation for using EHR for clinical research for CIH approaches.
期刊介绍:
Journal of Healthcare Informatics Research serves as a publication venue for the innovative technical contributions highlighting analytics, systems, and human factors research in healthcare informatics.Journal of Healthcare Informatics Research is concerned with the application of computer science principles, information science principles, information technology, and communication technology to address problems in healthcare, and everyday wellness. Journal of Healthcare Informatics Research highlights the most cutting-edge technical contributions in computing-oriented healthcare informatics. The journal covers three major tracks: (1) analytics—focuses on data analytics, knowledge discovery, predictive modeling; (2) systems—focuses on building healthcare informatics systems (e.g., architecture, framework, design, engineering, and application); (3) human factors—focuses on understanding users or context, interface design, health behavior, and user studies of healthcare informatics applications. Topics include but are not limited to: · healthcare software architecture, framework, design, and engineering;· electronic health records· medical data mining· predictive modeling· medical information retrieval· medical natural language processing· healthcare information systems· smart health and connected health· social media analytics· mobile healthcare· medical signal processing· human factors in healthcare· usability studies in healthcare· user-interface design for medical devices and healthcare software· health service delivery· health games· security and privacy in healthcare· medical recommender system· healthcare workflow management· disease profiling and personalized treatment· visualization of medical data· intelligent medical devices and sensors· RFID solutions for healthcare· healthcare decision analytics and support systems· epidemiological surveillance systems and intervention modeling· consumer and clinician health information needs, seeking, sharing, and use· semantic Web, linked data, and ontology· collaboration technologies for healthcare· assistive and adaptive ubiquitous computing technologies· statistics and quality of medical data· healthcare delivery in developing countries· health systems modeling and simulation· computer-aided diagnosis