Discovering Medication Patterns for High-Complexity Drug-Using Diseases Through Electronic Medical Records

An Electronic Medical Record (EMR) is a professional document that contains all data generated during the treatment process. The EMR can utilize various data formats, such as numerical data, text, and images. Mining the information and knowledge hidden in the huge amount of EMR data is an essential...

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Main Authors: Huiqun Huang, Xiaopu Shang, Hongmei Zhao, Nan Wu, Weizi Li, Yuan Xu, Yang Zhou, Lei Fu
Format: Article
Language:English
Published: IEEE 2019-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/8815770/
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author Huiqun Huang
Xiaopu Shang
Hongmei Zhao
Nan Wu
Weizi Li
Yuan Xu
Yang Zhou
Lei Fu
author_facet Huiqun Huang
Xiaopu Shang
Hongmei Zhao
Nan Wu
Weizi Li
Yuan Xu
Yang Zhou
Lei Fu
author_sort Huiqun Huang
collection DOAJ
description An Electronic Medical Record (EMR) is a professional document that contains all data generated during the treatment process. The EMR can utilize various data formats, such as numerical data, text, and images. Mining the information and knowledge hidden in the huge amount of EMR data is an essential requirement for clinical decision support, such as clinical pathway formulation and evidence-based medical research. In this paper, we propose a machine-learning-based framework to mine the hidden medication patterns in EMR text. The framework systematically integrates the Jaccard similarity evaluation, spectral clustering, the modified Latent Dirichlet Allocation and cross-matching among multiple features to find the residuals that describe additional knowledge and clusters hidden in multiple perspectives of highly complex medication patterns. These methods work together, step by step to reveal the underlying medication pattern. We evaluated the method by using real data from EMR text (patients with cirrhotic ascites) from a large hospital in China. The proposed framework outperforms other approaches for medication pattern discovery, especially for this disease with subtle medication treatment variances. The results also revealed little overlap among the discovered patterns; thus, the distinct features of each pattern are well studied through the proposed framework.
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spelling doaj.art-3e4086aa14a0454cb8c34d373de82f732022-12-21T23:48:32ZengIEEEIEEE Access2169-35362019-01-01712528012529910.1109/ACCESS.2019.29378928815770Discovering Medication Patterns for High-Complexity Drug-Using Diseases Through Electronic Medical RecordsHuiqun Huang0Xiaopu Shang1Hongmei Zhao2Nan Wu3Weizi Li4Yuan Xu5https://orcid.org/0000-0001-9589-6046Yang Zhou6Lei Fu7School of Software Engineering, Beijing Jiaotong University, Beijing, ChinaSchool of Economics and Management, Beijing Jiaotong University, Beijing, ChinaSchool of Economics and Management, Beijing Jiaotong University, Beijing, ChinaPeking University People’s Hospital, Beijing, ChinaInformatics Research Center, University of Reading, Berkshire, U.K.School of Economics and Management, Beijing Jiaotong University, Beijing, ChinaSchool of Economics and Management, Beijing Jiaotong University, Beijing, ChinaChinese PLA General Hospital, Beijing, ChinaAn Electronic Medical Record (EMR) is a professional document that contains all data generated during the treatment process. The EMR can utilize various data formats, such as numerical data, text, and images. Mining the information and knowledge hidden in the huge amount of EMR data is an essential requirement for clinical decision support, such as clinical pathway formulation and evidence-based medical research. In this paper, we propose a machine-learning-based framework to mine the hidden medication patterns in EMR text. The framework systematically integrates the Jaccard similarity evaluation, spectral clustering, the modified Latent Dirichlet Allocation and cross-matching among multiple features to find the residuals that describe additional knowledge and clusters hidden in multiple perspectives of highly complex medication patterns. These methods work together, step by step to reveal the underlying medication pattern. We evaluated the method by using real data from EMR text (patients with cirrhotic ascites) from a large hospital in China. The proposed framework outperforms other approaches for medication pattern discovery, especially for this disease with subtle medication treatment variances. The results also revealed little overlap among the discovered patterns; thus, the distinct features of each pattern are well studied through the proposed framework.https://ieeexplore.ieee.org/document/8815770/Electronic medical record (EMR)medication patterndiscoverymachine learninghigh-complexity drug-use pattern
spellingShingle Huiqun Huang
Xiaopu Shang
Hongmei Zhao
Nan Wu
Weizi Li
Yuan Xu
Yang Zhou
Lei Fu
Discovering Medication Patterns for High-Complexity Drug-Using Diseases Through Electronic Medical Records
IEEE Access
Electronic medical record (EMR)
medication pattern
discovery
machine learning
high-complexity drug-use pattern
title Discovering Medication Patterns for High-Complexity Drug-Using Diseases Through Electronic Medical Records
title_full Discovering Medication Patterns for High-Complexity Drug-Using Diseases Through Electronic Medical Records
title_fullStr Discovering Medication Patterns for High-Complexity Drug-Using Diseases Through Electronic Medical Records
title_full_unstemmed Discovering Medication Patterns for High-Complexity Drug-Using Diseases Through Electronic Medical Records
title_short Discovering Medication Patterns for High-Complexity Drug-Using Diseases Through Electronic Medical Records
title_sort discovering medication patterns for high complexity drug using diseases through electronic medical records
topic Electronic medical record (EMR)
medication pattern
discovery
machine learning
high-complexity drug-use pattern
url https://ieeexplore.ieee.org/document/8815770/
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