What can natural language processing do for clinical decision support?

What can natural language processing do for clinical decision support?
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DOI:
10.1016/j.jbi.2009.08.007
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发表时间:
2009-10
影响因子:
4.5
通讯作者:
McDonald CJ
McDonald CJ
中科院分区:
医学3区
文献类型:
--
作者:
Demner-Fushman D;Chapman WW;McDonald CJ

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计算机化临床决策支持(CDS)旨在通过在需要的时间点提供易于访问的健康相关信息来帮助医疗保健提供者和公众做出决策。自然语言处理(NLP)有助于使用自由文本信息来驱动CDS,以标准化格式表示临床知识和CDS干预,并利用临床叙述。早期的临床叙述的创新NLP研究之后,在主要的临床中心进行了一段稳定的研究,主流兴趣转向生物医学NLP。这篇评论主要集中在最近重新关注的发展基本的NLP方法和进展的NLP系统的CDS。目前的解决方案所带来的挑战,不同的子语言,预期的用户群,和支持目标进行了讨论。
Computerized Clinical Decision Support (CDS) aims to aid decision making of health care providers and the public by providing easily accessible health-related information at the point and time it is needed. Natural Language Processing (NLP) is instrumental in using free-text information to drive CDS, representing clinical knowledge and CDS interventions in standardized formats, and leveraging clinical narrative. The early innovative NLP research of clinical narrative was followed by a period of stable research conducted at the major clinical centers and a shift of mainstream interest to biomedical NLP. This review primarily focuses on the recently renewed interest in development of fundamental NLP methods and advances in the NLP systems for CDS. The current solutions to challenges posed by distinct sublanguages, intended user groups, and support goals are discussed.
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