Faculty Publications
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Item TAGS: Towards Automated Classification of Unstructured Clinical Nursing Notes(Springer Verlag service@springer.de, 2019) Gangavarapu, T.; Jayasimha, A.; S. Krishnan, G.S.; Kamath S․, S.K.Accurate risk management and disease prediction are vital in intensive care units to channel prompt care to patients in critical conditions and aid medical personnel in effective decision making. Clinical nursing notes document subjective assessments and crucial information of a patient’s state, which is mostly lost when transcribed into Electronic Medical Records (EMRs). The Clinical Decision Support Systems (CDSSs) in the existing body of literature are heavily dependent on the structured nature of EMRs. Moreover, works which aim at benchmarking deep learning models are limited. In this paper, we aim at leveraging the underutilized treasure-trove of patient-specific information present in the unstructured clinical nursing notes towards the development of CDSSs. We present a fuzzy token-based similarity approach to aggregate voluminous clinical documentations of a patient. To structure the free-text in the unstructured notes, vector space and coherence-based topic modeling approaches that capture the syntactic and latent semantic information are presented. Furthermore, we utilize the predictive capabilities of deep neural architectures for disease prediction as ICD-9 code group. Experimental validation revealed that the proposed Term weighting of nursing notes AGgregated using Similarity (TAGS) model outperformed the state-of-the-art model by 5% in AUPRC and 1.55% in AUROC. © 2019, Springer Nature Switzerland AG.Item FarSight: Long-Term Disease Prediction Using Unstructured Clinical Nursing Notes(IEEE Computer Society, 2021) Gangavarapu, T.; S. Krishnan, G.S.; Kamath S?, S.; Jeganathan, J.Accurate risk stratification using patient data is a vital task in channeling prioritized care. Most state-of-the-art models are predominantly reliant on digitized data in the form of structured Electronic Health Records (EHRs). Those models overlook the valuable patient-specific information embedded in unstructured clinical notes, which is the prevalent medium employed by caregivers to record patients' disease timeline. The availability of such patient-specific data presents an unprecedented opportunity to build intelligent systems that provide exclusive insights into patients' disease physiology. Moreover, very few works have attempted to benchmark the performance of deep neural architectures against the state-of-the-art models on publicly available datasets. This article presents significant observations from our benchmarking experiments on the applicability of deep learning models for the clinical task of ICD-9 code group prediction. We present FarSight, a long-term aggregation mechanism intended to recognize the onset of the disease with the earliest detected symptoms. Vector space and topic modeling approaches are utilized to capture the semantic information in the patient representations. Experiments on MIMIC-III database underscored the superior performance of the proposed models built on unstructured data when compared to structured EHR based state-of-the-art model, achieving an improvement of 19.34 percent in AUPRC and 5.41 percent in AUROC. © 2013 IEEE.