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Summary

This study developed a colon cancer pathology data system using natural language processing to standardize electronic health records. The system enables better utilization of clinical and omics data for future cancer research.

Keywords:
clinical datacolon cancercommon data modelelectronic health recordnatural language processingoncologyoncology modulepathology

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Area of Science:

  • Medical Informatics
  • Bioinformatics
  • Oncology

Background:

  • Common Data Models (CDMs) are crucial for standardizing electronic health record (EHR) data in research.
  • Analyzing pathology reports is essential for building data infrastructure for colon cancer research.
  • Existing Observational Medical Outcomes Partnership (OMOP) CDM requires conversion of free-text pathology reports, with limited use cases for cancer data.

Purpose of the Study:

  • To construct a CDM database for colon cancer pathology data using natural language processing (NLP).
  • To create a research platform integrating clinical and omics data for colon cancer studies.
  • To extract, standardize, and convert essential text entities from pathology reports into the OMOP CDM format.

Main Methods:

  • Extracted clinical text entities from pathology reports using NLP and regular expressions in Python.
  • Mapped extracted entities to standard concepts in Observational Health Data Sciences and Informatics (OHDSI) vocabularies and Systematized Nomenclature of Medicine (SNOMED).
  • Built CDM tables and defined relationships, incorporating a custom dictionary for normalization and standardization of terms like biomarkers and gene names.

Main Results:

  • Standardized 1848 immunohistochemical, 3890 molecular, and 12,352 surgical specimen pathology reports (2017-2018).
  • Constructed a database containing extracted colorectal entities: NOTE_NLP, MEASUREMENT, CONDITION_OCCURRENCE, SPECIMEN, and FACT_RELATIONSHIP.
  • Successfully integrated pathology data into OMOP CDM tables for research utilization.

Conclusions:

  • Prepared CDM data for a research platform at Seoul National University Bundang Hospital to leverage comprehensive clinical and omics data for colon cancer pathology.
  • Highlighted the need for more sophisticated pathology data preparation for cancer genomics research.
  • Identified various text narratives as targets for future research on CDM data utilization.