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Representing, extracting and reasoni...
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Zhou, Li.
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Representing, extracting and reasoning with temporal information in clinical narrative reports.
紀錄類型:
書目-語言資料,印刷品 : Monograph/item
正題名/作者:
Representing, extracting and reasoning with temporal information in clinical narrative reports./
作者:
Zhou, Li.
面頁冊數:
218 p.
附註:
Adviser: George M. Hripcsak.
Contained By:
Dissertation Abstracts International68-06B.
標題:
Biology, Bioinformatics. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3266710
ISBN:
9780549056645
Representing, extracting and reasoning with temporal information in clinical narrative reports.
Zhou, Li.
Representing, extracting and reasoning with temporal information in clinical narrative reports.
- 218 p.
Adviser: George M. Hripcsak.
Thesis (Ph.D.)--Columbia University, 2007.
Temporal information is crucial in electronic medical records (EMR) and biomedical information systems. Reasoning automatically with temporal data can enhance our understanding of the dynamics of medical phenomena and may potentially improve the quality of patient care. Currently, the effective use of temporal information from narrative clinical notes within the EMR represents an important challenge for researchers in the field of biomedical informatics.
ISBN: 9780549056645Subjects--Topical Terms:
1018415
Biology, Bioinformatics.
Representing, extracting and reasoning with temporal information in clinical narrative reports.
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Representing, extracting and reasoning with temporal information in clinical narrative reports.
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Temporal information is crucial in electronic medical records (EMR) and biomedical information systems. Reasoning automatically with temporal data can enhance our understanding of the dynamics of medical phenomena and may potentially improve the quality of patient care. Currently, the effective use of temporal information from narrative clinical notes within the EMR represents an important challenge for researchers in the field of biomedical informatics.
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The objective of this work is to develop a comprehensive treatment of temporal information in clinical narrative data, including representation, extraction, and reasoning. The goal is to initiate and build a foundation that supports further applications that assist healthcare practice and research.
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In this thesis, I propose a systematic methodology and present a corresponding temporal reasoning system, TimeText, which consists of several components, including: (1) a formal temporal model based on simple temporal constraint satisfaction problem (STP) for representing and reasoning about time-oriented information in clinical reports; (2) a formal model called the Temporal Constraint Structure (TCS) for formalizing and annotating temporal expressions, with the TCS tagger, a computer program that implements the TCS; (3) an integration component that uses an existing medical NLP system (MedLEE) for processing other clinical information; and (4) a subsystem (called T-Order) for handling implicit temporal information and resolving issues such as granularity and uncertainty.
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The results have shown that a STP appears sufficient to represent most temporal assertions in discharge summaries, although repeating events and hypothetical events (e.g. follow-up plans) were considered beyond the scope of this thesis. We also conclude that the proposed TCS embodies a sufficient and successful implementation method to encode the diversity of temporal information in discharge summaries. In addition, the post-processing subsystem demonstrates an innovative approach by utilizing domain and linguistic knowledge and by employing several methodological components to handle implicit and uncertain temporal information. The evaluation of the temporal reasoning system, TimeText, shows that it can encode the majority of temporal relations identified by domain experts, and it is able to answer time-oriented clinical queries.
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