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10.1093/jamia/ocab186

http://scihub22266oqcxt.onion/10.1093/jamia/ocab186
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34415311!8714262!34415311
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suck abstract from ncbi

pmid34415311      J+Am+Med+Inform+Assoc 2021 ; 29 (1): 12-21
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  • Natural language processing enabling COVID-19 predictive analytics to support data-driven patient advising and pooled testing #MMPMID34415311
  • Meystre SM; Heider PM; Kim Y; Davis M; Obeid J; Madory J; Alekseyenko AV
  • J Am Med Inform Assoc 2021[Dec]; 29 (1): 12-21 PMID34415311show ga
  • OBJECTIVE: The COVID-19 (coronavirus disease 2019) pandemic response at the Medical University of South Carolina included virtual care visits for patients with suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The telehealth system used for these visits only exports a text note to integrate with the electronic health record, but structured and coded information about COVID-19 (eg, exposure, risk factors, symptoms) was needed to support clinical care and early research as well as predictive analytics for data-driven patient advising and pooled testing. MATERIALS AND METHODS: To capture COVID-19 information from multiple sources, a new data mart and a new natural language processing (NLP) application prototype were developed. The NLP application combined reused components with dictionaries and rules crafted by domain experts. It was deployed as a Web service for hourly processing of new data from patients assessed or treated for COVID-19. The extracted information was then used to develop algorithms predicting SARS-CoV-2 diagnostic test results based on symptoms and exposure information. RESULTS: The dedicated data mart and NLP application were developed and deployed in a mere 10-day sprint in March 2020. The NLP application was evaluated with good accuracy (85.8% recall and 81.5% precision). The SARS-CoV-2 testing predictive analytics algorithms were configured to provide patients with data-driven COVID-19 testing advices with a sensitivity of 81% to 92% and to enable pooled testing with a negative predictive value of 90% to 91%, reducing the required tests to about 63%. CONCLUSIONS: SARS-CoV-2 testing predictive analytics and NLP successfully enabled data-driven patient advising and pooled testing.
  • |*COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Humans[MESH]
  • |Natural Language Processing[MESH]
  • |Pandemics[MESH]


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