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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

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Updated: Jan 9, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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REMOTE: A Framework to Create Fast Healthcare Interoperability Resources (FHIR) from Unstructured Clinical Data.

Daniel B Hier, Michael D Carrithers, Thanh Son Do

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
    |December 3, 2025
    PubMed
    Summary

    This study presents REMOTE, a framework to convert unstructured clinical notes into Fast Healthcare Interoperability Resources (FHIR). This makes valuable patient data in electronic health records more accessible for research and clinical applications.

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    Area of Science:

    • Health Informatics
    • Clinical Data Management
    • Biomedical Data Standards

    Background:

    • Unstructured clinical notes in electronic health records (EHRs) contain valuable patient information.
    • The unstructured nature of clinical notes hinders their use in population health, genomic research, precision medicine, quality improvement, and clinical decision support.

    Purpose of the Study:

    • To introduce REMOTE, a systematic framework for generating Fast Healthcare Interoperability Resources (FHIR) from unstructured clinical notes.
    • To demonstrate the feasibility of transforming clinical notes into interoperable and actionable data.

    Main Methods:

    • Developed REMOTE, a stepwise pipeline: Reformat, Extract, Map, Transform, Exchange.
    • Processed 1,618 unstructured clinical notes.
    • Extracted chief complaints, signs/symptoms, diagnoses, and medications.
    • Mapped concepts to SNOMED CT codes.
    • Converted data into FHIR Observation, Condition, and MedicationRequest resources.
    • Uploaded resources into FHIR repositories.

    Main Results:

    • Successfully demonstrated the feasibility of the REMOTE framework.
    • Generated FHIR resources from unstructured clinical notes.
    • Enabled data exchange across health repositories.

    Conclusions:

    • Information in free-text clinical notes can be transformed into discrete FHIR resources.
    • This transformation makes clinical data interoperable, exchangeable, and actionable.
    • REMOTE facilitates the utilization of underutilized patient information within EHRs.