Title
Evaluation of Clinical Text Segmentation to Facilitate Cohort Retrieval.
Abstract
Secondary use of electronic health record (EHR) data is enabled by accurate and complete retrieval of the relevant patient cohort, which requires searching both structured and unstructured data. Clinical text poses difficulties to searching, although chart notes incorporate structure that may facilitate accurate retrieval. We developed rules identifying clinical document sections, which can be indexed in search engines that allow faceted searches, such as Lucene or Essie, an NLM search engine. We developed 22 clinical cohorts and two queries for each cohort, one utilizing section headings and the other searching the whole document. We manually evaluated a subset of retrieved documents to compare query performance. Querying by section had lower recall than whole-document queries (0.83 vs 0.95), higher precision (0.73 vs 0.54), and higher F (0.78 vs 0.69). This evaluation suggests that searching specific sections may improve precision under certain conditions and often with loss of recall.
Year
Venue
Field
2017
AMIA
Search engine,Information retrieval,Computer science,Text segmentation,Document retrieval,Cohort
DocType
Volume
Citations 
Conference
2017
0
PageRank 
References 
Authors
0.34
0
5
Name
Order
Citations
PageRank
Tracy Edinger100.34
Dina Demner Fushman21717147.70
Aaron M. Cohen361.19
Steven Bedrick421820.02
William Hersh52491307.00