Finding Important Terms for Patients in Their Electronic Health Records: A Learning-to-Rank Approach Using Expert Annotations

BACKGROUND: Many health organizations allow patients to access their own electronic health record (EHR) notes through online patient portals as a way to enhance patient-centered care. However, EHR notes are typically long and contain abundant medical jargon that can be difficult for patients to understand. In addition, many medical terms in patients\u27 notes are not directly related to their health care needs. One way to help patients better comprehend their own notes is to reduce information overload and help them focus on medical terms that matter most to them. Interventions can then be developed by giving them targeted education to improve their EHR comprehension and the quality of care. OBJECTIVE: We aimed to develop a supervised natural language processing (NLP) system called Finding impOrtant medical Concepts most Useful to patientS (FOCUS) that automatically identifies and ranks medical terms in EHR notes based on their importance to the patients. METHODS: First, we built an expert-annotated corpus. For each EHR note, 2 physicians independently identified medical terms important to the patient. Using the physicians\u27 agreement as the gold standard, we developed and evaluated FOCUS. FOCUS first identifies candidate terms from each EHR note using MetaMap and then ranks the terms using a support vector machine-based learn-to-rank algorithm. We explored rich learning features, including distributed word representation, Unified Medical Language System semantic type, topic features, and features derived from consumer health vocabulary. We compared FOCUS with 2 strong baseline NLP systems. RESULTS: Physicians annotated 90 EHR notes and identified a mean of 9 (SD 5) important terms per note. The Cohen\u27s kappa annotation agreement was .51. The 10-fold cross-validation results show that FOCUS achieved an area under the receiver operating characteristic curve (AUC-ROC) of 0.940 for ranking candidate terms from EHR notes to identify important terms. When including term identification, the performance of FOCUS for identifying important terms from EHR notes was 0.866 AUC-ROC. Both performance scores significantly exceeded the corresponding baseline system scores (P \u3c .001). Rich learning features contributed to FOCUS\u27s performance substantially. CONCLUSIONS: FOCUS can automatically rank terms from EHR notes based on their importance to patients. It may help develop future interventions that improve quality of care

Usage-driven Maintenance of Knowledge Organization Systems

Knowledge Organization Systems (KOS) are typically used as background knowledge for document indexing in information retrieval. They have to be maintained and adapted constantly to reflect changes in the domain and the terminology. In this thesis, approaches are provided that support the maintenance of hierarchical knowledge organization systems, like thesauri, classifications, or taxonomies, by making information about the usage of KOS concepts available to the maintainer. The central contribution is the ICE-Map Visualization, a treemap-based visualization on top of a generalized statistical framework that is able to visualize almost arbitrary usage information. The proper selection of an existing KOS for available documents and the evaluation of a KOS for different indexing techniques by means of the ICE-Map Visualization is demonstrated. For the creation of a new KOS, an approach based on crowdsourcing is presented that uses feedback from Amazon Mechanical Turk to relate terms hierarchically. The extension of an existing KOS with new terms derived from the documents to be indexed is performed with a machine-learning approach that relates the terms to existing concepts in the hierarchy. The features are derived from text snippets in the result list of a web search engine. For the splitting of overpopulated concepts into new subconcepts, an interactive clustering approach is presented that is able to propose names for the new subconcepts. The implementation of a framework is described that integrates all approaches of this thesis and contains the reference implementation of the ICE-Map Visualization. It is extendable and supports the implementation of evaluation methods that build on other evaluations. Additionally, it supports the visualization of the results and the implementation of new visualizations. An important building block for practical applications is the simple linguistic indexer that is presented as minor contribution. It is knowledge-poor and works without any training. This thesis applies computer science approaches in the domain of information science. The introduction describes the foundations in information science; in the conclusion, the focus is set on the relevance for practical applications, especially regarding the handling of different qualities of KOSs due to automatic and semiautomatic maintenance

Semantic Model Alignment for Business Process Integration

Business process models describe an enterprise’s way of conducting business and in this form the basis for shaping the organization and engineering the appropriate supporting or even enabling IT. Thereby, a major task in working with models is their analysis and comparison for the purpose of aligning them. As models can differ semantically not only concerning the modeling languages used, but even more so in the way in which the natural language for labeling the model elements has been applied, the correct identification of the intended meaning of a legacy model is a non-trivial task that thus far has only been solved by humans. In particular at the time of reorganizations, the set-up of B2B-collaborations or mergers and acquisitions the semantic analysis of models of different origin that need to be consolidated is a manual effort that is not only tedious and error-prone but also time consuming and costly and often even repetitive. For facilitating automation of this task by means of IT, in this thesis the new method of Semantic Model Alignment is presented. Its application enables to extract and formalize the semantics of models for relating them based on the modeling language used and determining similarities based on the natural language used in model element labels. The resulting alignment supports model-based semantic business process integration. The research conducted is based on a design-science oriented approach and the method developed has been created together with all its enabling artifacts. These results have been published as the research progressed and are presented here in this thesis based on a selection of peer reviewed publications comprehensively describing the various aspects

ATHENA Research Book, Volume 2

ATHENA European University is an association of nine higher education institutions with the mission of promoting excellence in research and innovation by enabling international cooperation. The acronym ATHENA stands for Association of Advanced Technologies in Higher Education. Partner institutions are from France, Germany, Greece, Italy, Lithuania, Portugal and Slovenia: University of Orléans, University of Siegen, Hellenic Mediterranean University, Niccolò Cusano University, Vilnius Gediminas Technical University, Polytechnic Institute of Porto and University of Maribor. In 2022, two institutions joined the alliance: the Maria Curie-Skłodowska University from Poland and the University of Vigo from Spain. Also in 2022, an institution from Austria joined the alliance as an associate member: Carinthia University of Applied Sciences. This research book presents a selection of the research activities of ATHENA University's partners. It contains an overview of the research activities of individual members, a selection of the most important bibliographic works of members, peer-reviewed student theses, a descriptive list of ATHENA lectures and reports from individual working sections of the ATHENA project. The ATHENA Research Book provides a platform that encourages collaborative and interdisciplinary research projects by advanced and early career researchers

Background Examples of Literature Searches on Topics of Interest

A zip file of various literature searches & some resources related to our work related to exposure after the Chernobyl accident and as we began looking at helping in Semey Kazakhstan----a collection of literature reviews on various topics we were interested in... eg. establishing a registry of those exposed for longterm follow-up, what we knew about certain areas like genetics and some resources like A Guide to Environmental Resources on the Internet by Carol Briggs-Erickson and Toni Murphy which could be found on the Internet and was written to be used by researchers, environmentalists, teachers and any person who is interested in knowing and doing something about the health of our planet. See more at https://archives.library.tmc.edu/dm-ms211-012-0060