PMID- 30034925 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2156-1125 (Print) IS - 2156-1125 (Linking) VI - 2017 DP - 2017 Nov TI - Automatic Methods to Extract New York Heart Association Classification from Clinical Notes. PG - 1296-1299 LID - 10.1109/BIBM.2017.8217848 [doi] AB - Cardiac Resynchronization Therapy (CRT) is an established pacing therapy for heart failure patients. The New York Heart Association (NYHA) classification is often used as a measure of a patient's response to CRT. Identifying NYHA class for heart failure patients in an electronic health record (EHR) consistently, over time, can provide better understanding of the progression of heart failure and assessment of CRT response and effectiveness. However, NYHA is rarely stored in EHR structured data such information is often documented in unstructured clinical notes. In this study, we thus investigated the use of natural language processing (NLP) methods to identify NYHA classification from clinical notes. We collected 6,174 clinical notes that were matched with hospital-specific custom NYHA class diagnosis codes. Machine-learning based methods performed similar with a rule-based method. The best machine-learning method, support vector machine with n-gram features, performed the best (93% F-measure). Further validation of the findings is required. FAU - Zhang, Rui AU - Zhang R AD - Institute for Health Informatics, and College of Pharmacy, University of Minnesota, Minneapolis, MN, USA. FAU - Ma, Sisi AU - Ma S AD - Institute for Health Informatics, and Department of Medicine, University of Minnesota, Minneapolis, MN, USA. FAU - Shanahan, Liesa AU - Shanahan L AD - Medtronic, Inc., Minneapolis, MN, USA. FAU - Munroe, Jessica AU - Munroe J AD - Medtronic, Inc., Minneapolis, MN, USA. FAU - Horn, Sarah AU - Horn S AD - Medtronic, Inc., Minneapolis MN, USA. FAU - Speedie, Stuart AU - Speedie S AD - Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA. LA - eng GR - UL1 TR000114/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20171218 PL - United States TA - Proceedings (IEEE Int Conf Bioinformatics Biomed) JT - Proceedings. IEEE International Conference on Bioinformatics and Biomedicine JID - 101525347 PMC - PMC6051704 MID - NIHMS931056 OTO - NOTNLM OT - Clinical Notes OT - Electronic Health Records OT - Natural Language Processing OT - New York Heart Association (NYHA) EDAT- 2018/07/24 06:00 MHDA- 2018/07/24 06:01 PMCR- 2018/07/18 CRDT- 2018/07/24 06:00 PHST- 2018/07/24 06:00 [entrez] PHST- 2018/07/24 06:00 [pubmed] PHST- 2018/07/24 06:01 [medline] PHST- 2018/07/18 00:00 [pmc-release] AID - 10.1109/BIBM.2017.8217848 [doi] PST - ppublish SO - Proceedings (IEEE Int Conf Bioinformatics Biomed). 2017 Nov;2017:1296-1299. doi: 10.1109/BIBM.2017.8217848. Epub 2017 Dec 18.