联邦金融服务管理局 (FedFSA):跨机构的功能状态确认的混合和联合框架
Sunyang Fu1, Heling Jia2, Maria Vassilaki2
1Mayo Clinic, Rochester, MN, United States; University of Texas Health Science Center, Houston, TX, United States.
Journal of biomedical informatics
|March 8, 2024
概括
这项研究介绍了FedFSA,一个联合的NLP框架,有效地从电子健康记录中提取患者的功能状态. 联邦财政局的框架在多个机构的日常生活 (ADL) 活动受损的分类方面表现出卓越的表现.
科学领域:
- 自然语言处理 (NLP) 是一种自然语言处理.
- 医疗信息学 医疗信息学
- 联邦学习学习 (Federated Learning) 是一种学习方式.
背景情况:
- 患者的功能状态,评估日常生活活动 (ADL) 的独立性,对于预测健康结果至关重要,特别是在老年人中.
- 功能状态信息通常在电子健康记录 (EHR) 中是无结构的,需要先进的计算方法来提取.
- 自然语言处理 (NLP) 提供了一个有效策划这些重要患者数据的解决方案.
研究的目的:
- 引入FedFSA,这是一个混合和联合的NLP框架,旨在从多机构的电子健康记录中提取功能状态信息.
- 开发一种计算方法来加速功能状态数据的处理,包括基本ADL (bADL) 和仪器ADL (iADL).
- 评估FedFSA框架在不同医疗机构的功能状态提取和损伤分类方面的表现.
主要方法:
- 开发了FedFSA,这是一个整合基于规则的信息提取 (IE) 的框架,以及用于ADL提取和损坏分类的联合BERT模型.
- 使用OHNLP Backbone用于基于规则的IE和Flower/PyTorch用于联合的BERT组件.
- 通过基于ICF定义的语料库注释生成黄金标准数据,涉及四个医疗机构.
主要成果:
- 联邦食品安全局在ADL提取 (bADL: 0.907-0.986; iADL: 0.825-0.951) 和损伤分类 (bADL: 0.722-0.954; iADL: 0.674-0.813) 获得了高的F1分数.
- 性能因ADL类别而异,洗衣和转移显示出高提取率,而食品准备和所使用率较低.
- 在FedFSA内部的联合学习优于对ADL提取受损的非联合方法.
结论:
- 联邦医疗健康管理局框架展示了联合学习的潜力,用于在EHR中进行可靠的功能状态提取和损伤分类.
- 在医疗保健中推进NLP应用方面,大规模的多机构合作开发工作至关重要.
- NLP技术可以显著提高存储在EHR中的功能状态数据的可访问性和实用性.
更多相关视频
07:31A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
6.9K
11:29Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
9.1K
相关概念视频
01:20Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:17Healthcare Agencies II
698
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
698
01:18Healthcare Agencies I
728
Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
728
01:30Health Information Technology and Healthcare Information System
840
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
840
01:21Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K