Title
2018 n2c2 shared task on adverse drug events and medication extraction in electronic health records.
Abstract
Objective: This article summarizes the preparation, organization, evaluation, and results of Track 2 of the 2018 National NLP Clinical Challenges shared task. Track 2 focused on extraction of adverse drug events (ADEs) from clinical records and evaluated 3 tasks: concept extraction, relation classification, and end-to-end systems. We perform an analysis of the results to identify the state of the art in these tasks, learn from it, and build on it. Materials and Methods: For all tasks, teams were given raw text of narrative discharge summaries, and in all the tasks, participants proposed deep learning-based methods with hand-designed features. In the concept extraction task, participants used sequence labelling models (bidirectional long short-term memory being the most popular), whereas in the relation classification task, they also experimented with instance-based classifiers (namely support vector machines and rules). Ensemble methods were also popular. Results: A total of 28 teams participated in task 1, with 21 teams in tasks 2 and 3. The best performing systems set a high performance bar with F1 scores of 0.9418 for concept extraction, 0.9630 for relation classification, and 0.8905 for end-to-end. However, the results were much lower for concepts and relations of Reasons and ADEs. These were often missed because local context is insufficient to identify them. Conclusions: This challenge shows that clinical concept extraction and relation classification systems have a high performance for many concept types, but significant improvement is still required for ADEs and Reasons. Incorporating the larger context or outside knowledge will likely improve the performance of future systems.
Year
DOI
Venue
2020
10.1093/jamia/ocz166
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
Field
DocType
Volume
Knowledge management,Medical emergency,Drug,Medicine
Journal
27
Issue
ISSN
Citations 
1
1067-5027
2
PageRank 
References 
Authors
0.37
0
5
Name
Order
Citations
PageRank
Sam Henry1134.45
Kevin Buchan250.73
Michele Filannino31049.45
Amber Stubbs41159.57
Özlem Uzuner565.86