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Clinical and financial outcomes analysis with existing hospital patient records

Published: 24 August 2003 Publication History

Abstract

Existing patient records are a valuable resource for automated outcomes analysis and knowledge discovery. However, key clinical data in these records is typically recorded in unstructured form as free text and images, and most structured clinical information is poorly organized. Time-consuming interpretation and analysis is required to convert these records into structured clinical data. Thus, only a tiny fraction of this resource is utilized. We present REMIND, a Bayesian Framework for Reliable Extraction and Meaningful Inference from Nonstructured Data. REMIND integrates and blends the structured and unstructured clinical data in patient records to automatically created high-quality structured clinical data. This structuring allows existing patient records to be mined for quality assurance, regulatory compliance, and to relate financial and clinical factors. We demonstrate REMIND on two medical applications: (a) Extract "recurrence", the key outcome for measuring treatment effectiveness, for colon cancer patients (ii) Extract key diagnoses and complications for acute myocardial infarction (heart attack) patients, and demonstrate the impact of these clinical factors on financial outcomes.

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    cover image ACM Conferences
    KDD '03: Proceedings of the ninth ACM SIGKDD international conference on Knowledge discovery and data mining
    August 2003
    736 pages
    ISBN:1581137370
    DOI:10.1145/956750
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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    Publication History

    Published: 24 August 2003

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    Author Tags

    1. Bayes Nets
    2. HMMs
    3. data mining
    4. temporal reasoning

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    KDD '03 Paper Acceptance Rate 46 of 298 submissions, 15%;
    Overall Acceptance Rate 1,133 of 8,635 submissions, 13%

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    Cited By

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    • (2014)CodeMagic: Semi-Automatic Assignment of ICD-10-AM Codes to Patient RecordsInformation Sciences and Systems 201410.1007/978-3-319-09465-6_27(259-268)Online publication date: 25-Sep-2014
    • (2013)An intrusion detection and alert correlation approach based on revising probabilistic classifiers using expert knowledgeApplied Intelligence10.1007/s10489-012-0383-738:4(520-540)Online publication date: 1-Jun-2013
    • (2010)Does negation really matter?Proceedings of the Workshop on Negation and Speculation in Natural Language Processing10.5555/1858959.1858963(23-27)Online publication date: 10-Jul-2010
    • (2009)Specializing for predicting obesity and its co-morbiditiesJournal of Biomedical Informatics10.1016/j.jbi.2008.11.00142:5(873-886)Online publication date: 1-Oct-2009
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    • (2006)Identifying risk groups associated with colorectal cancerData Mining10.5555/2124128.2124153(260-272)Online publication date: 1-Jan-2006
    • (2006)Bayesian Network Learning with Parameter ConstraintsThe Journal of Machine Learning Research10.5555/1248547.12485977(1357-1383)Online publication date: 1-Dec-2006
    • (2006)Data mining for improved cardiac careACM SIGKDD Explorations Newsletter10.1145/1147234.11472368:1(3-10)Online publication date: 1-Jun-2006
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