Literature DB >> 24556644

Cue-based assertion classification for Swedish clinical text--developing a lexicon for pyConTextSwe.

Sumithra Velupillai1, Maria Skeppstedt2, Maria Kvist3, Danielle Mowery4, Brian E Chapman5, Hercules Dalianis6, Wendy W Chapman7.   

Abstract

OBJECTIVE: The ability of a cue-based system to accurately assert whether a disorder is affirmed, negated, or uncertain is dependent, in part, on its cue lexicon. In this paper, we continue our study of porting an assertion system (pyConTextNLP) from English to Swedish (pyConTextSwe) by creating an optimized assertion lexicon for clinical Swedish. METHODS AND MATERIAL: We integrated cues from four external lexicons, along with generated inflections and combinations. We used subsets of a clinical corpus in Swedish. We applied four assertion classes (definite existence, probable existence, probable negated existence and definite negated existence) and two binary classes (existence yes/no and uncertainty yes/no) to pyConTextSwe. We compared pyConTextSwe's performance with and without the added cues on a development set, and improved the lexicon further after an error analysis. On a separate evaluation set, we calculated the system's final performance.
RESULTS: Following integration steps, we added 454 cues to pyConTextSwe. The optimized lexicon developed after an error analysis resulted in statistically significant improvements on the development set (83% F-score, overall). The system's final F-scores on an evaluation set were 81% (overall). For the individual assertion classes, F-score results were 88% (definite existence), 81% (probable existence), 55% (probable negated existence), and 63% (definite negated existence). For the binary classifications existence yes/no and uncertainty yes/no, final system performance was 97%/87% and 78%/86% F-score, respectively.
CONCLUSIONS: We have successfully ported pyConTextNLP to Swedish (pyConTextSwe). We have created an extensive and useful assertion lexicon for Swedish clinical text, which could form a valuable resource for similar studies, and which is publicly available.
Copyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Assertion classification; Clinical text mining; Dictionaries; Electronic health records; Information extraction; Medical Language Processing

Mesh:

Year:  2014        PMID: 24556644      PMCID: PMC4104142          DOI: 10.1016/j.artmed.2014.01.001

Source DB:  PubMed          Journal:  Artif Intell Med        ISSN: 0933-3657            Impact factor:   5.326


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Review 5.  Clinical Natural Language Processing in languages other than English: opportunities and challenges.

Authors:  Aurélie Névéol; Hercules Dalianis; Sumithra Velupillai; Guergana Savova; Pierre Zweigenbaum
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