EMRs2CSP : Mining Clinical Status Pathway from Electronic Medical Records

Many current studies focus on extracting tests or treatments when constructing clinical pathways, often neglecting the patient's symptoms and diagnosis, leading to incomplete diagnostic and therapeutic logic.Therefore, this paper aims to extract clinical pathways from electronic medical records that encompass complete diagnostic and therapeutic logic, including temporal information, patient symptoms, diagnosis, and tests or treatments.To achieve this objective, we propose a novel clinical pathway representation: the clinical status pathway.We also design a LLM-based pipeline framework for extracting clinical status pathway from electronic medical records, with the core concept being to improve extraction accuracy by modeling the diagnostic and treatment processes.In our experiments, we apply this framework to construct a comprehensive breast cancer-specific clinical status pathway and evaluate its performance on medical question-answering and decision-support tasks, demonstrating significant improvements over traditional clinical pathways.The code is publicly available at https://github.com/ finnchen11/EMRs2CSP.

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Publication Details

Published
2025-01-01
DOI
https://doi.org/10.18653/v1/2025.findings-acl.886
Primary Topic
Biomedical Text Mining and Ontologies
Type
article
Field-Weighted Citation Impact
0.00

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article

EMRs2CSP : Mining Clinical Status Pathway from Electronic Medical Records

Tong Ruan, Y F Chen, Jingping Liu, Ruihui Hou
Biomedical Text Mining and Ontologies
article

EMRs2CSP : Mining Clinical Status Pathway from Electronic Medical Records

Tong Ruan, Y F Chen, Jingping Liu, Ruihui Hou
article en

Abstract

Many current studies focus on extracting tests or treatments when constructing clinical pathways, often neglecting the patient's symptoms and diagnosis, leading to incomplete diagnostic and therapeutic logic.Therefore, this paper aims to extract clinical pathways from electronic medical records that encompass complete diagnostic and therapeutic logic, including temporal information, patient symptoms, diagnosis, and tests or treatments.To achieve this objective, we propose a novel clinical pathway representation: the clinical status pathway.We also design a LLM-based pipeline framework for extracting clinical status pathway from electronic medical records, with the core concept being to improve extraction accuracy by modeling the diagnostic and treatment processes.In our experiments, we apply this framework to construct a comprehensive breast cancer-specific clinical status pathway and evaluate its performance on medical question-answering and decision-support tasks, demonstrating significant improvements over traditional clinical pathways.The code is publicly available at https://github.com/ finnchen11/EMRs2CSP.

East China University of Science and Technology (CN), East China University of Political Science and Law (CN)
National Natural Science Foundation of China
Openalex Percentile: Top 83%
Biomedical Text Mining and Ontologies
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