Adaptation of an NLP system to a new healthcare environment to identify social determinants of health.


Journal

Journal of biomedical informatics
ISSN: 1532-0480
Titre abrégé: J Biomed Inform
Pays: United States
ID NLM: 100970413

Informations de publication

Date de publication:
08 2021
Historique:
received: 22 02 2021
revised: 16 06 2021
accepted: 21 06 2021
pubmed: 27 6 2021
medline: 14 8 2021
entrez: 26 6 2021
Statut: ppublish

Résumé

Social determinants of health (SDoH) are increasingly important factors for population health, healthcare outcomes, and care delivery. However, many of these factors are not reliably captured within structured electronic health record (EHR) data. In this work, we evaluated and adapted a previously published NLP tool to include additional social risk factors for deployment at Vanderbilt University Medical Center in an Acute Myocardial Infarction cohort. We developed a transformation of the SDoH outputs of the tool into the OMOP common data model (CDM) for re-use across many potential use cases, yielding performance measures across 8 SDoH classes of precision 0.83 recall 0.74 and F-measure of 0.78.

Identifiants

pubmed: 34174396
pii: S1532-0464(21)00180-5
doi: 10.1016/j.jbi.2021.103851
pmc: PMC8386129
mid: NIHMS1720934
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

103851

Subventions

Organisme : NHLBI NIH HHS
ID : K08 HL136850
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL130828
Pays : United States
Organisme : NLM NIH HHS
ID : T32 LM012204
Pays : United States

Informations de copyright

Published by Elsevier Inc.

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Auteurs

Ruth M Reeves (RM)

Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States; Geriatric Research Education and Clinical Care Center, Tennessee Valley Healthcare System VA, Nashville, TN, United States. Electronic address: ruth.reeves@vumc.org.

Lee Christensen (L)

Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States.

Jeremiah R Brown (JR)

Department of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.

Michael Conway (M)

Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States.

Maxwell Levis (M)

Department of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.

Glenn T Gobbel (GT)

Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States; Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Geriatric Research Education and Clinical Care Center, Tennessee Valley Healthcare System VA, Nashville, TN, United States.

Rashmee U Shah (RU)

Division of Cardiovascular Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States.

Christine Goodrich (C)

Department of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.

Iben Ricket (I)

Department of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.

Freneka Minter (F)

Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States.

Andrew Bohm (A)

Department of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.

Bruce E Bray (BE)

Division of Cardiovascular Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States; Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States.

Michael E Matheny (ME)

Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States; Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, United States; Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Geriatric Research Education and Clinical Care Center, Tennessee Valley Healthcare System VA, Nashville, TN, United States.

Wendy Chapman (W)

Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States; Centre for Clinical and Public Health Informatics, University of Melbourne, Melbourne, Australia.

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