Title
Finding 'Evidence of Absence' in Medical Notes: Using NLP for Clinical Inferencing.
Abstract
Extracting evidence of the absence of a target of interest from medical text can be useful in clinical inferencing. The purpose of our study was to develop a natural language processing (NLP) pipelineto identify the presence of indwelling urinary catheters from electronic medical notes to aid in detection of catheter-associated urinary tract infections (CAUTI). Finding clear evidence that a patient does not have an indwelling urinary catheter is useful in making a determination regarding CAUTI. We developed a lexicon of seven core concepts to infer the absence of a urinary catheter. Of the 990,391 concepts extractedby NLP from a large corpus of 744,285 electronic medical notes from 5589 hospitalized patients, 63,516 were labeled as evidence of absence. Human review revealed three primary causes for false negatives. The lexicon and NLP pipeline were refined using this information, resulting in outputs with an acceptable false positive rate of 11%.
Year
DOI
Venue
2016
10.3233/978-1-61499-664-4-79
Studies in Health Technology and Informatics
Keywords
Field
DocType
Information extraction,NLP,indwelling urinary catheter
Information extraction,Artificial intelligence,Natural language processing,Evidence of absence,Indwelling urinary catheter,Medicine
Conference
Volume
ISSN
Citations 
226
0926-9630
0
PageRank 
References 
Authors
0.34
0
8
Name
Order
Citations
PageRank
Marjorie Carter185.52
Guy Divita213824.59
Andrew Redd3116.59
Michael Rubin4122.27
Matthew H. Samore514326.07
kalpana gupta600.68
Barbara W. Trautner732.06
Adi Gundlapalli84714.74