Statements in which the resource exists.
SubjectPredicateObjectContext
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pubmed-article:12123149pubmed:dateCreated2002-7-18lld:pubmed
pubmed-article:12123149pubmed:abstractTextNarrative reports in medical records contain a wealth of information that may augment structured data for managing patient information and predicting trends in diseases. Pertinent negatives are evident in text but are not usually indexed in structured databases. The objective of the study reported here was to test a simple algorithm for determining whether a finding or disease mentioned within narrative medical reports is present or absent. We developed a simple regular expression algorithm called NegEx that implements several phrases indicating negation, filters out sentences containing phrases that falsely appear to be negation phrases, and limits the scope of the negation phrases. We compared NegEx against a baseline algorithm that has a limited set of negation phrases and a simpler notion of scope. In a test of 1235 findings and diseases in 1000 sentences taken from discharge summaries indexed by physicians, NegEx had a specificity of 94.5% (versus 85.3% for the baseline), a positive predictive value of 84.5% (versus 68.4% for the baseline) while maintaining a reasonable sensitivity of 77.8% (versus 88.3% for the baseline). We conclude that with little implementation effort a simple regular expression algorithm for determining whether a finding or disease is absent can identify a large portion of the pertinent negatives from discharge summaries.lld:pubmed
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pubmed-article:12123149pubmed:statusMEDLINElld:pubmed
pubmed-article:12123149pubmed:monthOctlld:pubmed
pubmed-article:12123149pubmed:issn1532-0464lld:pubmed
pubmed-article:12123149pubmed:authorpubmed-author:CooperG FGFlld:pubmed
pubmed-article:12123149pubmed:authorpubmed-author:BuchananB GBGlld:pubmed
pubmed-article:12123149pubmed:authorpubmed-author:ChapmanW WWWlld:pubmed
pubmed-article:12123149pubmed:authorpubmed-author:HanburyPPlld:pubmed
pubmed-article:12123149pubmed:authorpubmed-author:BridewellWWlld:pubmed
pubmed-article:12123149pubmed:issnTypePrintlld:pubmed
pubmed-article:12123149pubmed:volume34lld:pubmed
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pubmed-article:12123149pubmed:authorsCompleteYlld:pubmed
pubmed-article:12123149pubmed:pagination301-10lld:pubmed
pubmed-article:12123149pubmed:dateRevised2007-11-14lld:pubmed
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pubmed-article:12123149pubmed:year2001lld:pubmed
pubmed-article:12123149pubmed:articleTitleA simple algorithm for identifying negated findings and diseases in discharge summaries.lld:pubmed
pubmed-article:12123149pubmed:affiliationCenter for Biomedical Informatics, 8084 Forbes Tower, University of Pittsburgh, Pittsburgh, PA 15213, USA. chapman@cbmi.upmc.edulld:pubmed
pubmed-article:12123149pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:12123149pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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