Title
Section classification in clinical notes using supervised hidden markov model
Abstract
As more and more information is available in the Electronic Health Record in the form of free-text narrative, there is a need for automated tools, which can process and understand such texts. One first step towards the automated processing of clinical texts is to determine the document-level structure of a patient note, i.e., identifying the different sections and mapping them to known section types automatically. This paper considers section mapping as a sequence-labeling problem to 15 possible known section types. Our method relies on a Hidden Markov Model (HMM) trained on a corpus of 9,679 clinical notes from NewYork-Presbyterian Hospital. We compare our method to a state-of-the-art baseline, which ignores the sequential aspect of the sections and considers each section independently of the others in a note. Experiments show that our method outperforms the baseline significantly, yielding 93% accuracy in identifying sections individually and 70% accuracy in identifying all the sections in a note, compared to 70% and 19% for the baseline method respectively.
Year
DOI
Venue
2010
10.1145/1882992.1883105
IHI
Keywords
Field
DocType
section classification,supervised hidden markov model,possible known section type,section mapping,automated processing,different section,clinical note,state-of-the-art baseline,patient note,known section type,automated tool,hidden markov model,natural language processing,discourse analysis
Computer science,Narrative,Discourse analysis,Natural language processing,Medical record,Artificial intelligence,Hidden Markov model,Patient Note,Machine learning
Conference
Citations 
PageRank 
References 
15
0.80
20
Authors
3
Name
Order
Citations
PageRank
Ying Li122242.33
Sharon Lipsky Gorman2153.17
Noémie Elhadad328920.78