Meta-generalis: A novel method for structuring information from radiology reports.

Abstract:

BACKGROUND:A structured report for imaging exams aims at increasing the precision in information retrieval and communication between physicians. However, it is more concise than free text and may limit specialists' descriptions of important findings not covered by pre-defined structures. A computational ontological structure derived from free texts designed by specialists may be a solution for this problem. Therefore, the goal of our study was to develop a methodology for structuring information in radiology reports covering specifications required for the Brazilian Portuguese language, including the terminology to be used. METHODS:We gathered 1,701 radiological reports of magnetic resonance imaging (MRI) studies of the lumbosacral spine from three different institutions. Techniques of text mining and ontological conceptualization of lexical units extracted were used to structure information. Ten radiologists, specialists in lumbosacral MRI, evaluated the textual superstructure and terminology extracted using an electronic questionnaire. RESULTS:The established methodology consists of six steps: 1) collection of radiology reports of a specific MRI examination; 2) textual decomposition; 3) normalization of lexical units; 4) identification of textual superstructures; 5) conceptualization of candidate-terms; and 6) evaluation of superstructures and extracted terminology by experts using an electronic questionnaire. Three different textual superstructures were identified, with terminological variations in the names of their textual categories. The number of candidate-terms conceptualized was 4,183, yielding 727 concepts. There were a total of 13,963 relationships between candidate-terms and concepts and 789 relationships among concepts. CONCLUSIONS:The proposed methodology allowed structuring information in a more intuitive and practical way. Indications of three textual superstructures, extraction of lexicon units and the normalization and ontologically conceptualization were achieved while maintaining references to their respective categories and free text radiology reports.

journal_name

Appl Clin Inform

authors

Barbosa F,Traina AJ,Muglia VF

doi

10.4338/ACI-2016-03-RA-0037

subject

Has Abstract

pub_date

2016-08-24 00:00:00

pages

803-16

issue

3

issn

1869-0327

pii

2016-03-RA-0037

journal_volume

7

pub_type

杂志文章
  • Developing Mobile Clinical Decision Support for Nursing Home Staff Assessment of Urinary Tract Infection using Goal-Directed Design.

    abstract:BACKGROUND:Unique characteristics of nursing homes (NHs) contribute to high rates of inappropriate antibiotic use for asymptomatic bacteriuria (ASB), a benign condition. A mobile clinical decision support system (CDSS) may support NH staff in differentiating urinary tract infections (UTI) from ASB and reducing antibiot...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2016-12-RA-0209

    authors: Jones W,Drake C,Mack D,Reeder B,Trautner B,Wald H

    更新日期:2017-06-20 00:00:00

  • Promoting Quality Face-to-Face Communication during Ophthalmology Encounters in the Electronic Health Record Era.

    abstract:OBJECTIVE:To evaluate informatics-enabled quality improvement (QI) strategies for promoting time spent on face-to-face communication between ophthalmologists and patients. METHODS:This prospective study involved deploying QI strategies during implementation of an enterprise-wide vendor electronic health record (EHR) i...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1701255

    authors: Baxter SL,Gali HE,Chiang MF,Hribar MR,Ohno-Machado L,El-Kareh R,Huang AE,Chen HE,Camp AS,Kikkawa DO,Korn BS,Lee JE,Longhurst CA,Millen M

    更新日期:2020-01-01 00:00:00

  • Pan-European Data Harmonization for Biobanks in ADOPT BBMRI-ERIC.

    abstract:BACKGROUND:High-quality clinical data and biological specimens are key for medical research and personalized medicine. The Biobanking and Biomolecular Resources Research Infrastructure-European Research Infrastructure Consortium (BBMRI-ERIC) aims to facilitate access to such biological resources. The accompanying ADOPT...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0039-1695793

    authors: Mate S,Kampf M,Rödle W,Kraus S,Proynova R,Silander K,Ebert L,Lablans M,Schüttler C,Knell C,Eklund N,Hummel M,Holub P,Prokosch HU

    更新日期:2019-08-01 00:00:00

  • Physician specialty and variations in adoption of electronic health records.

    abstract:OBJECTIVE:Efforts to promote adoption of electronic health records (EHRs) have focused on primary care physicians, who are now expected to exchange data electronically with other providers, including specialists. However, the variation of EHR adoption among specialists is underexplored. METHODS:We conducted a retrospe...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2013-02-RA-0015

    authors: Grinspan ZM,Banerjee S,Kaushal R,Kern LM

    更新日期:2013-05-22 00:00:00

  • The effects of natural language processing on cross-institutional portability of influenza case detection for disease surveillance.

    abstract:OBJECTIVES:This study evaluates the accuracy and portability of a natural language processing (NLP) tool for extracting clinical findings of influenza from clinical notes across two large healthcare systems. Effectiveness is evaluated on how well NLP supports downstream influenza case-detection for disease surveillance...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2016-12-RA-0211

    authors: Ferraro JP,Ye Y,Gesteland PH,Haug PJ,Tsui FR,Cooper GF,Van Bree R,Ginter T,Nowalk AJ,Wagner M

    更新日期:2017-05-31 00:00:00

  • Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes.

    abstract:BACKGROUND:Homecare is an important and effective way of managing chronic illnesses using skilled nursing care in the home. Unlike hospitals and ambulatory settings, clinicians visit patients at home at different times, independent of each other. Twenty-nine percent of 10,000 homecare agencies in the United States have...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2013-12-RA-0106

    authors: Sockolow PS,Bowles KH,Adelsberger MC,Chittams JL,Liao C

    更新日期:2014-04-30 00:00:00

  • Towards Implementation of OMOP in a German University Hospital Consortium.

    abstract:BACKGROUND:In 2015, the German Federal Ministry of Education and Research initiated a large data integration and data sharing research initiative to improve the reuse of data from patient care and translational research. The Observational Medical Outcomes Partnership (OMOP) common data model and the Observational Healt...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0037-1617452

    authors: Maier C,Lang L,Storf H,Vormstein P,Bieber R,Bernarding J,Herrmann T,Haverkamp C,Horki P,Laufer J,Berger F,Höning G,Fritsch HW,Schüttler J,Ganslandt T,Prokosch HU,Sedlmayr M

    更新日期:2018-01-01 00:00:00

  • Copy-and-Paste in Medical Student Notes: Extent, Temporal Trends, and Relationship to Scholastic Performance.

    abstract:BACKGROUND:Medical students may observe and subsequently perpetuate redundancy in clinical documentation, but the degree of redundancy in student notes and whether there is an association with scholastic performance are unknown. OBJECTIVES:This study sought to quantify redundancy, defined generally as the proportion o...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0039-1692402

    authors: Monahan K,Ye C,Gould E,Xu M,Huang S,Spickard A 3rd,Rosenbloom ST,Coco J,Fabbri D,Miller B

    更新日期:2019-05-01 00:00:00

  • Use, Perceived Usability, and Barriers to Implementation of a Patient Safety Dashboard Integrated within a Vendor EHR.

    abstract:BACKGROUND:Preventable adverse events continue to be a threat to hospitalized patients. Clinical decision support in the form of dashboards may improve compliance with evidence-based safety practices. However, limited research describes providers' experiences with dashboards integrated into vendor electronic health rec...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0039-3402756

    authors: Bersani K,Fuller TE,Garabedian P,Espares J,Mlaver E,Businger A,Chang F,Boxer RB,Schnock KO,Rozenblum R,Dykes PC,Dalal AK,Benneyan JC,Lehmann LS,Gershanik EF,Bates DW,Schnipper JL

    更新日期:2020-01-01 00:00:00

  • The Effects of Medication Alerts on Prescriber Response in a Pediatric Hospital.

    abstract:OBJECTIVE:More than 70% of hospitals in the United States have electronic health records (EHRs). Clinical decision support (CDS) presents clinicians with electronic alerts during the course of patient care; however, alert fatigue can influence a provider's response to any EHR alert. The primary goal was to evaluate the...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2016-10-RA-0168

    authors: Dexheimer JW,Kirkendall ES,Kouril M,Hagedorn PA,Minich T,Duan LL,Mahdi M,Szczesniak R,Spooner SA

    更新日期:2017-05-10 00:00:00

  • Clinician Perceptions of a Computerized Decision Support System for Pediatric Type 2 Diabetes Screening.

    abstract:OBJECTIVE:With the increasing prevalence of type 2 diabetes (T2D) in youth, primary care providers must identify patients at high risk and implement evidence-based screening promptly. Clinical decision support systems (CDSSs) provide clinicians with personalized reminders according to best evidence. One example is the ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1710024

    authors: El Mikati HK,Yazel-Smith L,Grout RW,Downs SM,Carroll AE,Hannon TS

    更新日期:2020-03-01 00:00:00

  • A Review of Predictive Analytics Solutions for Sepsis Patients.

    abstract:BACKGROUND:Early detection and efficient management of sepsis are important for improving health care quality, effectiveness, and costs. Due to its high cost and prevalence, sepsis is a major focus area across institutions and many studies have emerged over the past years with different models or novel machine learning...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1710525

    authors: Teng AK,Wilcox AB

    更新日期:2020-05-01 00:00:00

  • A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017.

    abstract:BACKGROUND:Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-c...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0038-1669458

    authors: Haux R,Ammenwerth E,Koch S,Lehmann CU,Park HA,Saranto K,Wong CP

    更新日期:2018-07-01 00:00:00

  • Code Status Reconciliation to Improve Identification and Documentation of Code Status in Electronic Health Records.

    abstract:BACKGROUND:Code status (CS) of a patient (part of their end-of-life wishes) can be critical information in healthcare delivery, which can change over time, especially at transitions of care. Although electronic health record (EHR) tools exist for medication reconciliation across transitions of care, much less attention...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2016-08-RA-0133

    authors: Jain VG,Greco PJ,Kaelber DC

    更新日期:2017-03-08 00:00:00

  • Using Visual Analytics to Determine the Utilization of Preoperative Anesthesia Assessments.

    abstract:BACKGROUND:Preoperative assessments are a required and essential element of anesthetic care, yet little is known about the utilization of these documents by clinicians who are not part of the anesthesia care team. As part of perioperative workflow restructuring, we implemented a data visualization technique of electron...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2015-02-CR-0022

    authors: Wanderer JP,Gruss CL,Ehrenfeld JM

    更新日期:2015-10-21 00:00:00

  • Electronic Health Records in Danish Home Care and Nursing Homes: Inadequate Documentation of Care, Medication, and Consent.

    abstract:BACKGROUND: Electronic health records (EHRs) are used in long-term care to document the patients' condition, medication, and care, thereby supporting communication among caregivers and counteracting adverse drug events. However, the use of EHRs in long-term care has lagged behind EHR use in hospitals. In addition, most...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1721013

    authors: Hertzum M

    更新日期:2021-01-01 00:00:00

  • Health informatics for pediatric disaster preparedness planning.

    abstract:OBJECTIVE:1. To conduct a review of the role of informatics in pediatric disaster preparedness using all medical databases. 2. To provide recommendations to improve pediatric disaster preparedness by the application of informatics. METHODS:A literature search was conducted using MEDLINE, CINHL and the Cochrane Library...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2009-12-R-0019

    authors: Burke RV,Ryutov T,Neches R,Upperman JS

    更新日期:2010-08-04 00:00:00

  • Health information technology knowledge and skills needed by HIT employers.

    abstract:OBJECTIVE:To evaluate the health information technology (HIT) workforce knowledge and skills needed by HIT employers. METHODS:Statewide face-to-face and online focus groups of identified HIT employer groups in Austin, Brownsville, College Station, Dallas, El Paso, Houston, Lubbock, San Antonio, and webinars for rural ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2012-09-RA-0035

    authors: Fenton SH,Gongora-Ferraez MJ,Joost E

    更新日期:2012-12-05 00:00:00

  • Clinician preferences for verbal communication compared to EHR documentation in the ICU.

    abstract:BACKGROUND:Effective communication is essential to safe and efficient patient care. Additionally, many health information technology (HIT) developments, innovations, and standards aim to implement processes to improve data quality and integrity of electronic health records (EHR) for the purpose of clinical information ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2011-02-RA-0011

    authors: Collins SA,Bakken S,Vawdrey DK,Coiera E,Currie L

    更新日期:2011-06-08 00:00:00

  • Legal and regulatory considerations associated with use of patient-generated health data from social media and mobile health (mHealth) devices.

    abstract::Patient-generated health data are coming into broader use across the health care spectrum and hold great promise as a means to improve care and health outcomes. At the same time, rapid evolution in the social media and mobile health (mHealth) market has promoted an environment in which creation and transmission of per...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章,评审

    doi:10.4338/ACI-2014-09-R-0082

    authors: Petersen C,DeMuro P

    更新日期:2015-01-14 00:00:00

  • Measures of user experience in a streptococcal pharyngitis and pneumonia clinical decision support tools.

    abstract:OBJECTIVE:To understand clinician adoption of CDS tools as this may provide important insights for the implementation and dissemination of future CDS tools. MATERIALS AND METHODS:Clinicians (n=168) at a large academic center were randomized into intervention and control arms to assess the impact of strep and pneumonia...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章,随机对照试验

    doi:10.4338/ACI-2014-04-RA-0043

    authors: Mann D,Knaus M,McCullagh L,Sofianou A,Rosen L,McGinn T,Kannry J

    更新日期:2014-09-17 00:00:00

  • An electronic alert for HIV screening in the emergency department increases screening but not the diagnosis of HIV.

    abstract:OBJECTIVE:Based on US. Centers for Disease Control and Prevention recommendations, New York State enacted legislation in 2010 requiring healthcare providers to offer non-targeted human immunodeficiency virus (HIV) testing to all patients aged 13-64. Three New York City adult emergency departments implemented an electro...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2013-09-RA-0075

    authors: Schnall R,Liu N,Sperling J,Green R,Clark S,Vawdrey D

    更新日期:2014-03-26 00:00:00

  • Clinical Decision Support System with Renal Dose Adjustment Did Not Improve Subsequent Renal and Hepatic Function among Inpatients: The Japan Adverse Drug Event Study.

    abstract:BACKGROUND:Medication dose adjustment is crucial for patients with renal dysfunction (RD). The assessment of renal function is generally mandatory; however, the renal function may change during the hospital stay and the manual assessment is sometimes challenging. OBJECTIVE:We developed the clinical decision support sy...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1721056

    authors: Wada R,Takeuchi J,Nakamura T,Sonoyama T,Kosaka S,Matsumoto C,Sakuma M,Ohta Y,Morimoto T

    更新日期:2020-10-01 00:00:00

  • Clinical Decision Support for Worker Health: A Five-Site Qualitative Needs Assessment in Primary Care Settings.

    abstract:BACKGROUND:Although patients who work and have related health issues are usually first seen in primary care, providers in these settings do not routinely ask questions about work. Guidelines to help manage such patients are rarely used in primary care. Electronic health record (EHR) systems with worker health clinical ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1715895

    authors: Ash JS,Chase D,Baron S,Filios MS,Shiffman RN,Marovich S,Wiesen J,Luensman GB

    更新日期:2020-08-01 00:00:00

  • Empowering Caseworkers to Better Serve the Most Vulnerable with a Cloud-Based Care Management Solution.

    abstract:BACKGROUND:Care-management tools are typically utilized for chronic disease management. Sonoma County government agencies employed advanced health information technologies, artificial intelligence (AI), and interagency process improvements to help transform health and health care for socially disadvantaged groups and o...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1715894

    authors: Snowdon JL,Robinson B,Staats C,Wolsey K,Sands-Lincoln M,Strasheim T,Brotman D,Keating K,Schnitter E,Jackson G,Kassler W

    更新日期:2020-08-01 00:00:00

  • Health IT Usability Focus Section: Adapting EHR-Based Medication Instructions to Comply with Plain Language Guidance-A Randomized Experiment.

    abstract::Objective Patient instructions are generally written by clinicians. However, clinician-centered language is challenging for patients to understand; in the case of pediatric medication instructions, consequences can be serious. Using examples of clinician-written medication instructions from an electronic health record...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2017-06-RA-0111

    authors: Ancker JS,Send A,Hafeez B,Osorio SN,Abramson E

    更新日期:2017-10-01 00:00:00

  • The Impact of a Health IT Changeover on Medical Imaging Department Work Processes and Turnaround Times: A mixed method study.

    abstract:OBJECTIVES:To assess the impact of introducing a new Picture Archiving and Communication System (PACS) and Radiology Information System (RIS) on: (i) Medical Imaging work processes; and (ii) turnaround times (TATs) for x-ray and CT scan orders initiated in the Emergency Department (ED). METHODS:We employed a mixed met...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2015-01-RA-0014

    authors: Georgiou A,Prgomet M,Lymer S,Hordern A,Ridley L,Westbrook J

    更新日期:2015-07-08 00:00:00

  • Evaluation of a Korean version of a tool for assessing the incorporation of human factors into a medication-related decision support system: the I-MeDeSA.

    abstract:OBJECTIVE:The Instrument for Evaluating Human-Factor Principles in Medication-Related Decision Support Alerts (I-MeDeSA) was developed recently in the US with a view towards improving considerations of human-factor principles when designing alerts for clinical decision support (CDS) systems. This study evaluated the ge...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2014-01-RA-0005

    authors: Cho I,Lee J,Han H,Phansalkar S,Bates DW

    更新日期:2014-06-18 00:00:00

  • Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic.

    abstract:BACKGROUND: Relaxation of laws and regulations around privacy and billing during the COVID-19 pandemic provide expanded opportunities to use telehealth to provide patient care at a distance. Many health systems have transitioned to providing outpatient care via telehealth; however, there is an opportunity to utilize te...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1713635

    authors: Hron JD,Parsons CR,Williams LA,Harper MB,Bourgeois FC

    更新日期:2020-05-01 00:00:00

  • Impact of Electronic Physician Order-Set on Antibiotic Ordering Time in Septic Patients in the Emergency Department.

    abstract:BACKGROUND:Sepsis is a serious medical condition that can lead to organ dysfunction and death. Research shows that each hour delay in antibiotic administration increases mortality. The Surviving Sepsis Campaign Bundles created standards to assist in the timely treatment of patients with suspected sepsis to improve outc...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0038-1676040

    authors: Fargo EL,D'Amico F,Pickering A,Fowler K,Campbell R,Baumgartner M

    更新日期:2018-10-01 00:00:00