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“Sitting on Pins and Needles”: Characterization of Symptom Descriptions in Clinical Notes”
Patients report their symptoms and subjective experiences in their own words. These expressions may be clinically meaningful yet are difficult to capture using automated methods. We annotated subjective symptom expressions in 750 clinical notes from the Veterans Affairs EHR. Within each document, su...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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American Medical Informatics Association
201
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3845746/ https://www.ncbi.nlm.nih.gov/pubmed/24303238 |
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author | Forbush, Tyler B. Gundlapalli, Adi V. Palmer, Miland N. Shen, Shuying South, Brett R. Divita, Guy Carter, Marjorie Redd, Andrew Butler, Jorie M. Samore, Matthew |
author_facet | Forbush, Tyler B. Gundlapalli, Adi V. Palmer, Miland N. Shen, Shuying South, Brett R. Divita, Guy Carter, Marjorie Redd, Andrew Butler, Jorie M. Samore, Matthew |
author_sort | Forbush, Tyler B. |
collection | PubMed |
description | Patients report their symptoms and subjective experiences in their own words. These expressions may be clinically meaningful yet are difficult to capture using automated methods. We annotated subjective symptom expressions in 750 clinical notes from the Veterans Affairs EHR. Within each document, subjective symptom expressions were compared to mentions of symptoms in clinical terms and to the assigned ICD-9-CM codes for the encounter. A total of 543 subjective symptom expressions were identified, of which 66.5% were categorized as mental/behavioral experiences and 33.5% somatic experiences. Only two subjective expressions were coded using ICD-9-CM. Subjective expressions were restated in semantically related clinical terms in 246 (45.3%) instances. Nearly one third (31%) of subjective expressions were not coded or restated in standard terminology. The results highlight the diversity of symptom descriptions and the opportunities to further develop natural language processing to extract symptom expressions that are unobtainable by other automated methods. |
format | Online Article Text |
id | pubmed-3845746 |
institution | National Center for Biotechnology Information |
language | English |
publishDate |
201 |
publisher |
American Medical Informatics Association
|
record_format | MEDLINE/PubMed |
spelling | pubmed-38457462013-12-03 “Sitting on Pins and Needles”: Characterization of Symptom Descriptions in Clinical Notes” Forbush, Tyler B. Gundlapalli, Adi V. Palmer, Miland N. Shen, Shuying South, Brett R. Divita, Guy Carter, Marjorie Redd, Andrew Butler, Jorie M. Samore, Matthew AMIA Jt Summits Transl Sci Proc Articles Patients report their symptoms and subjective experiences in their own words. These expressions may be clinically meaningful yet are difficult to capture using automated methods. We annotated subjective symptom expressions in 750 clinical notes from the Veterans Affairs EHR. Within each document, subjective symptom expressions were compared to mentions of symptoms in clinical terms and to the assigned ICD-9-CM codes for the encounter. A total of 543 subjective symptom expressions were identified, of which 66.5% were categorized as mental/behavioral experiences and 33.5% somatic experiences. Only two subjective expressions were coded using ICD-9-CM. Subjective expressions were restated in semantically related clinical terms in 246 (45.3%) instances. Nearly one third (31%) of subjective expressions were not coded or restated in standard terminology. The results highlight the diversity of symptom descriptions and the opportunities to further develop natural language processing to extract symptom expressions that are unobtainable by other automated methods. American Medical Informatics Association 2013 -03- 18 /pmc/articles/PMC3845746/ /pubmed/24303238 Text en ©2013 AMIA - All rights reserved. |
spellingShingle | Articles Forbush, Tyler B. Gundlapalli, Adi V. Palmer, Miland N. Shen, Shuying South, Brett R. Divita, Guy Carter, Marjorie Redd, Andrew Butler, Jorie M. Samore, Matthew “Sitting on Pins and Needles”: Characterization of Symptom Descriptions in Clinical Notes” |
title |
“Sitting on Pins and Needles”: Characterization of Symptom Descriptions in Clinical Notes”
|
title_full |
“Sitting on Pins and Needles”: Characterization of Symptom Descriptions in Clinical Notes”
|
title_fullStr |
“Sitting on Pins and Needles”: Characterization of Symptom Descriptions in Clinical Notes”
|
title_full_unstemmed |
“Sitting on Pins and Needles”: Characterization of Symptom Descriptions in Clinical Notes”
|
title_short |
“Sitting on Pins and Needles”: Characterization of Symptom Descriptions in Clinical Notes”
|
title_sort | “sitting on pins and needles”: characterization of symptom descriptions in clinical notes” |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3845746/ https://www.ncbi.nlm.nih.gov/pubmed/24303238 |
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