SemClinBr - a multi-institutional and multi-specialty semantically annotated corpus for Portuguese clinical NLP tasks

Abstract Background The high volume of research focusing on extracting patient information from electronic health records (EHRs) has led to an increase in the demand for annotated corpora, which are a precious resource for both the development and evaluation of natural language processing (NLP) algo...

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Main Authors: Lucas Emanuel Silva e Oliveira, Ana Carolina Peters, Adalniza Moura Pucca da Silva, Caroline Pilatti Gebeluca, Yohan Bonescki Gumiel, Lilian Mie Mukai Cintho, Deborah Ribeiro Carvalho, Sadid Al Hasan, Claudia Maria Cabral Moro
Format: Article
Language:English
Published: BMC 2022-05-01
Series:Journal of Biomedical Semantics
Subjects:
Online Access:https://doi.org/10.1186/s13326-022-00269-1
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author Lucas Emanuel Silva e Oliveira
Ana Carolina Peters
Adalniza Moura Pucca da Silva
Caroline Pilatti Gebeluca
Yohan Bonescki Gumiel
Lilian Mie Mukai Cintho
Deborah Ribeiro Carvalho
Sadid Al Hasan
Claudia Maria Cabral Moro
author_facet Lucas Emanuel Silva e Oliveira
Ana Carolina Peters
Adalniza Moura Pucca da Silva
Caroline Pilatti Gebeluca
Yohan Bonescki Gumiel
Lilian Mie Mukai Cintho
Deborah Ribeiro Carvalho
Sadid Al Hasan
Claudia Maria Cabral Moro
author_sort Lucas Emanuel Silva e Oliveira
collection DOAJ
description Abstract Background The high volume of research focusing on extracting patient information from electronic health records (EHRs) has led to an increase in the demand for annotated corpora, which are a precious resource for both the development and evaluation of natural language processing (NLP) algorithms. The absence of a multipurpose clinical corpus outside the scope of the English language, especially in Brazilian Portuguese, is glaring and severely impacts scientific progress in the biomedical NLP field. Methods In this study, a semantically annotated corpus was developed using clinical text from multiple medical specialties, document types, and institutions. In addition, we present, (1) a survey listing common aspects, differences, and lessons learned from previous research, (2) a fine-grained annotation schema that can be replicated to guide other annotation initiatives, (3) a web-based annotation tool focusing on an annotation suggestion feature, and (4) both intrinsic and extrinsic evaluation of the annotations. Results This study resulted in SemClinBr, a corpus that has 1000 clinical notes, labeled with 65,117 entities and 11,263 relations. In addition, both negation cues and medical abbreviation dictionaries were generated from the annotations. The average annotator agreement score varied from 0.71 (applying strict match) to 0.92 (considering a relaxed match) while accepting partial overlaps and hierarchically related semantic types. The extrinsic evaluation, when applying the corpus to two downstream NLP tasks, demonstrated the reliability and usefulness of annotations, with the systems achieving results that were consistent with the agreement scores. Conclusion The SemClinBr corpus and other resources produced in this work can support clinical NLP studies, providing a common development and evaluation resource for the research community, boosting the utilization of EHRs in both clinical practice and biomedical research. To the best of our knowledge, SemClinBr is the first available Portuguese clinical corpus.
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spelling doaj.art-dca2a5a5934743c598bfb5786c86df862022-12-22T00:19:33ZengBMCJournal of Biomedical Semantics2041-14802022-05-0113111910.1186/s13326-022-00269-1SemClinBr - a multi-institutional and multi-specialty semantically annotated corpus for Portuguese clinical NLP tasksLucas Emanuel Silva e Oliveira0Ana Carolina Peters1Adalniza Moura Pucca da Silva2Caroline Pilatti Gebeluca3Yohan Bonescki Gumiel4Lilian Mie Mukai Cintho5Deborah Ribeiro Carvalho6Sadid Al Hasan7Claudia Maria Cabral Moro8Health Technology Program, Pontifical Catholic University of ParanáHealth Technology Program, Pontifical Catholic University of ParanáHealth Technology Program, Pontifical Catholic University of ParanáHealth Technology Program, Pontifical Catholic University of ParanáHealth Technology Program, Pontifical Catholic University of ParanáHealth Technology Program, Pontifical Catholic University of ParanáHealth Technology Program, Pontifical Catholic University of ParanáAI Lab, Philips Research North AmericaHealth Technology Program, Pontifical Catholic University of ParanáAbstract Background The high volume of research focusing on extracting patient information from electronic health records (EHRs) has led to an increase in the demand for annotated corpora, which are a precious resource for both the development and evaluation of natural language processing (NLP) algorithms. The absence of a multipurpose clinical corpus outside the scope of the English language, especially in Brazilian Portuguese, is glaring and severely impacts scientific progress in the biomedical NLP field. Methods In this study, a semantically annotated corpus was developed using clinical text from multiple medical specialties, document types, and institutions. In addition, we present, (1) a survey listing common aspects, differences, and lessons learned from previous research, (2) a fine-grained annotation schema that can be replicated to guide other annotation initiatives, (3) a web-based annotation tool focusing on an annotation suggestion feature, and (4) both intrinsic and extrinsic evaluation of the annotations. Results This study resulted in SemClinBr, a corpus that has 1000 clinical notes, labeled with 65,117 entities and 11,263 relations. In addition, both negation cues and medical abbreviation dictionaries were generated from the annotations. The average annotator agreement score varied from 0.71 (applying strict match) to 0.92 (considering a relaxed match) while accepting partial overlaps and hierarchically related semantic types. The extrinsic evaluation, when applying the corpus to two downstream NLP tasks, demonstrated the reliability and usefulness of annotations, with the systems achieving results that were consistent with the agreement scores. Conclusion The SemClinBr corpus and other resources produced in this work can support clinical NLP studies, providing a common development and evaluation resource for the research community, boosting the utilization of EHRs in both clinical practice and biomedical research. To the best of our knowledge, SemClinBr is the first available Portuguese clinical corpus.https://doi.org/10.1186/s13326-022-00269-1Natural language processingSemantic annotationClinical narrativesCorporaGold standard
spellingShingle Lucas Emanuel Silva e Oliveira
Ana Carolina Peters
Adalniza Moura Pucca da Silva
Caroline Pilatti Gebeluca
Yohan Bonescki Gumiel
Lilian Mie Mukai Cintho
Deborah Ribeiro Carvalho
Sadid Al Hasan
Claudia Maria Cabral Moro
SemClinBr - a multi-institutional and multi-specialty semantically annotated corpus for Portuguese clinical NLP tasks
Journal of Biomedical Semantics
Natural language processing
Semantic annotation
Clinical narratives
Corpora
Gold standard
title SemClinBr - a multi-institutional and multi-specialty semantically annotated corpus for Portuguese clinical NLP tasks
title_full SemClinBr - a multi-institutional and multi-specialty semantically annotated corpus for Portuguese clinical NLP tasks
title_fullStr SemClinBr - a multi-institutional and multi-specialty semantically annotated corpus for Portuguese clinical NLP tasks
title_full_unstemmed SemClinBr - a multi-institutional and multi-specialty semantically annotated corpus for Portuguese clinical NLP tasks
title_short SemClinBr - a multi-institutional and multi-specialty semantically annotated corpus for Portuguese clinical NLP tasks
title_sort semclinbr a multi institutional and multi specialty semantically annotated corpus for portuguese clinical nlp tasks
topic Natural language processing
Semantic annotation
Clinical narratives
Corpora
Gold standard
url https://doi.org/10.1186/s13326-022-00269-1
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