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Improving a full-text search engine: the importance of negation detection and family history context to identify cases in a biomedical data warehouse
Author(s) -
Nicolas Garcelon,
Antoine Neuraz,
Vincent Benoît,
Rémi Salomon,
Anita Burgun
Publication year - 2016
Publication title -
journal of the american medical informatics association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.614
H-Index - 150
eISSN - 1527-974X
pISSN - 1067-5027
DOI - 10.1093/jamia/ocw144
Subject(s) - pipeline (software) , context (archaeology) , data warehouse , computer science , negation , family history , narrative , electronic health record , repurposing , process (computing) , information retrieval , medicine , artificial intelligence , database , health care , engineering , geography , linguistics , philosophy , archaeology , economic growth , economics , programming language , waste management , operating system
The repurposing of electronic health records (EHRs) can improve clinical and genetic research for rare diseases. However, significant information in rare disease EHRs is embedded in the narrative reports, which contain many negated clinical signs and family medical history. This paper presents a method to detect family history and negation in narrative reports and evaluates its impact on selecting populations from a clinical data warehouse (CDW).

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