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Electronic medical record phenotyping using the anchor and learn framework.

Yoni Halpern1, Steven Horng2, Youngduck Choi3

  • 1Department of Computer Science, New York University, New York, NY, USA dsontag@cs.nyu.edu.

Journal of the American Medical Informatics Association : JAMIA
|April 24, 2016
PubMed
Summary
This summary is machine-generated.

Learning with anchors efficiently creates patient phenotypes from electronic medical records (EMRs) for real-time clinical decision support. This method requires minimal manual input and yields interpretable, fast-to-build phenotypes comparable to traditional approaches.

Keywords:
clinical decision support systemselectronic health recordsknowledge representationmachine learningnatural language processing

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Area of Science:

  • Health Informatics
  • Clinical Decision Support
  • Machine Learning in Healthcare

Background:

  • Electronic medical records (EMRs) contain rich patient data crucial for personalized care.
  • As medicine advances, patient phenotypes derived from EMRs are vital for real-time clinical decision support systems.
  • Learning with anchors offers an efficient method for developing statistically driven phenotypes with reduced manual effort.

Purpose of the Study:

  • To develop a phenotype library using both structured and unstructured EMR data for real-time clinical decision support.
  • To evaluate the performance of developed phenotype classifiers using retrospective EMR data.

Main Methods:

  • Developed a phenotype library incorporating 42 publicly available definitions.
  • Utilized structured and unstructured data from EMRs.
  • Evaluated eight phenotype classifiers on emergency department patient data against gold standard labels.

Main Results:

  • Phenotype classifiers achieved high Area Under the ROC Curve (AUC) values, with most exceeding 0.85 at triage and 0.90 at disposition.
  • AUC values for infection, cancer, septic shock, and pneumonia were particularly high, reaching up to 0.97.
  • The developed phenotypes are interpretable and rapid to construct.

Conclusions:

  • Learning with anchors enables the creation of interpretable and efficient phenotype definitions.
  • This approach performs comparably to methods requiring extensive manual labeling.
  • It is a promising method for building a public repository of phenotype definitions for health IT applications, including real-time decision support.