Abstract
Free-text or natural language documents make up an increasing part of the computerized medical record. While they do provide accessible clinical information to health care personnel, they fail to support processes that require clinical data coded according to a shared lexicon and data structure. We have developed a natural language parser that converts free-text admitting diagnoses into a coded form. This application has proven acceptably accurate in the experimental laboratory to warrant a test in the target clinical environment. Here we describe an approach to moving this research application into a production environment where it can contribute to the efforts of the Health Information Services Department. This transition is essential if the products of natural language understanding research are to contribute to patient care in a routine and sustainable way.
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- Friedman C., Alderson P. O., Austin J. H., Cimino J. J., Johnson S. B. A general natural-language text processor for clinical radiology. J Am Med Inform Assoc. 1994 Mar-Apr;1(2):161–174. doi: 10.1136/jamia.1994.95236146. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gundersen M. L., Haug P. J., Pryor T. A., van Bree R., Koehler S., Bauer K., Clemons B. Development and evaluation of a computerized admission diagnoses encoding system. Comput Biomed Res. 1996 Oct;29(5):351–372. doi: 10.1006/cbmr.1996.0026. [DOI] [PubMed] [Google Scholar]
- Haug P. J., Koehler S., Lau L. M., Wang P., Rocha R., Huff S. M. Experience with a mixed semantic/syntactic parser. Proc Annu Symp Comput Appl Med Care. 1995:284–288. [PMC free article] [PubMed] [Google Scholar]
- Haug P., Koehler S., Lau L. M., Wang P., Rocha R., Huff S. A natural language understanding system combining syntactic and semantic techniques. Proc Annu Symp Comput Appl Med Care. 1994:247–251. [PMC free article] [PubMed] [Google Scholar]
- Hripcsak G., Friedman C., Alderson P. O., DuMouchel W., Johnson S. B., Clayton P. D. Unlocking clinical data from narrative reports: a study of natural language processing. Ann Intern Med. 1995 May 1;122(9):681–688. doi: 10.7326/0003-4819-122-9-199505010-00007. [DOI] [PubMed] [Google Scholar]
- Sager N., Lyman M., Bucknall C., Nhan N., Tick L. J. Natural language processing and the representation of clinical data. J Am Med Inform Assoc. 1994 Mar-Apr;1(2):142–160. doi: 10.1136/jamia.1994.95236145. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zingmond D., Lenert L. A. Monitoring free-text data using medical language processing. Comput Biomed Res. 1993 Oct;26(5):467–481. doi: 10.1006/cbmr.1993.1033. [DOI] [PubMed] [Google Scholar]