Title
Mining FDA drug labels for medical conditions.
Abstract
Cincinnati Children's Hospital Medical Center (CCHMC) has built the initial Natural Language Processing (NLP) component to extract medications with their corresponding medical conditions (Indications, Contraindications, Overdosage, and Adverse Reactions) as triples of medication-related information ([(1) drug name]-[(2) medical condition]-[(3) LOINC section header]) for an intelligent database system, in order to improve patient safety and the quality of health care. The Food and Drug Administration's (FDA) drug labels are used to demonstrate the feasibility of building the triples as an intelligent database system task.This paper discusses a hybrid NLP system, called AutoMCExtractor, to collect medical conditions (including disease/disorder and sign/symptom) from drug labels published by the FDA. Altogether, 6,611 medical conditions in a manually-annotated gold standard were used for the system evaluation. The pre-processing step extracted the plain text from XML file and detected eight related LOINC sections (e.g. Adverse Reactions, Warnings and Precautions) for medical condition extraction. Conditional Random Fields (CRF) classifiers, trained on token, linguistic, and semantic features, were then used for medical condition extraction. Lastly, dictionary-based post-processing corrected boundary-detection errors of the CRF step. We evaluated the AutoMCExtractor on manually-annotated FDA drug labels and report the results on both token and span levels.Precision, recall, and F-measure were 0.90, 0.81, and 0.85, respectively, for the span level exact match; for the token-level evaluation, precision, recall, and F-measure were 0.92, 0.73, and 0.82, respectively.The results demonstrate that (1) medical conditions can be extracted from FDA drug labels with high performance; and (2) it is feasible to develop a framework for an intelligent database system.
Year
DOI
Venue
2013
10.1186/1472-6947-13-53
BMC Med. Inf. & Decision Making
Keywords
Field
DocType
data mining,health informatics,natural language processing
Health care,Data mining,Patient safety,Information extraction,Intelligent database,LOINC,Health informatics,Drug,Medicine,Drug administration
Journal
Volume
Issue
ISSN
13
1
1472-6947
Citations 
PageRank 
References 
14
0.63
13
Authors
9
Name
Order
Citations
PageRank
Qi Li1140.63
Louise Deleger223420.13
Todd Lingren311412.78
Haijun Zhai4627.40
Megan Kaiser5927.44
Laura Stoutenborough6826.09
Anil G Jegga741724.88
Kevin Bretonnel Cohen830218.50
Imre Solti933723.36