Annotating Music Therapy, Chiropractic and Aquatic Exercise Using Electronic Health Record

Area of Science:

• Health Informatics
• Complementary and Integrative Health (CIH)

Background:

• Complementary and Integrative Health (CIH) approaches are increasingly popular.
• Integrating CIH information into electronic health records (EHRs) is crucial for research and clinical practice.

Purpose of the Study:

• To represent information on music therapy, chiropractic, and aquatic exercise within an EHR system.
• To evaluate the performance of Natural Language Processing (NLP) systems in extracting CIH concepts from clinical notes.

Main Methods:

• Manually annotated 300 clinical notes for CIH approaches (status, symptom, frequency).
• Used annotations as a gold standard to assess NLP systems (BioMedICUS, MetaMap, cTAKES).

Main Results:

• NLP systems achieved an average F1-score of 0.50 for extracting CIH concepts.
• BioMedICUS demonstrated the highest performance for music therapy, with an F1-score of 0.73.

Conclusions:

• This pilot study demonstrates the feasibility of representing CIH approaches in clinical notes.
• Establishes a foundation for utilizing EHR data in CIH clinical research.