Thanks Peter for your insights. Agree, this kind of predictions will need a 
couple of algorithms to be trained and work together to get to level of 
acceptable accuracy. I'm familiar with the RXNORM and SNOMED contents; but will 
dig deeper.

Do you know if cTAKES can identify events such as "cardiac arrest", "diabetes" 
and "pre-term birth"? Likely these are mentioned with different text 
representations in the clinical notes.

Thanks
Sekhar Hari | AI Program Lead | Health Sciences R&D | Asia Pacific Solutions 
Delivery Center
+91 814 7027 779 (C)

-----Original Message-----
From: Peter Abramowitsch <[email protected]> 
Sent: Wednesday, May 8, 2019 2:50 PM
To: [email protected]
Subject: Re: Reading clinical notes for specific predictions

Hi Sekhar

The predictions item in your list of objectives is very tricky and cTakes, or 
indeed any software system will only get you part of the way there.  CDS 
(clinical decision support)  researchers have been on this path for many years 
and it is clear that even an hybrid human/computational system is limited in 
its accuracy & predictive ability.  And with medicine, a miss is as good as a 
mile - as the saying goes.

As to your vocabularies question - if you don't already know the SNOMED 
clinical ontology, and RxNorm resources I suggest you have a look.  cTakes can 
fish out the appropriate CUIs and SNOMED term ids, and the ontologies will help 
 you draw the lateral links through common parents - or in your specific 
example, therapeutic classes.

- Peter

On Tue, May 7, 2019 at 6:47 PM Hari, Sekhar <[email protected]> wrote:

> Hi there -
>
> I'm trying to predict a few things from clinical notes as follows:
>
>
> 1.       Look at the notes and discharge summaries, and predict the
> re-admissions data, cardiac arrests, diabetes, and pre-term birth.
>
> 2.       Understand the vocabulary of doctors and pharmacies. For example,
> recognize that Tylenol and Acetaminophen refer to the same item. Have 
> a good understanding of body parts and diseases. The vocabulary is 
> domain-specific.
>
> 3.       The data is loaded from Cerner and EPIC.
>
> Can somebody help with suggestions on the list of pipelines that can 
> be used to achieve (1) and (2) above? Should I also develop a 
> machine-learning model along with cTAKES to get the desired results?
>
> Thanks
> Sekhar Hari | AI Program Lead | Health Sciences R&D | Asia Pacific 
> Solutions Delivery Center
> +91 814 7027 779 (C)
>
>

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