Extracting Adverse Drug Events from Clinical Notes

Adverse drug events (ADEs) are unexpected incidents caused by the administration of a drug or medication. To identify and extract these events, we require information about not just the drug itself but attributes describing the drug (e.g., strength, dosage), the reason why the drug was initially prescribed, and any adverse reaction to the drug. This paper explores the relationship between a drug and its associated attributes using relation extraction techniques. We explore three approaches: a rule-based approach, a deep learning-based approach, and a contextualized language model-based approach. We evaluate our system on the n2c2-2018 ADE extraction dataset. Our experimental results demonstrate that the contextualized language model-based approach outperformed other models overall and obtain the state-of-the-art performance in ADE extraction with a Precision of 0.93, Recall of 0.96, and an $F_1$ score of 0.94; however, for certain relation types, the rule-based approach obtained a higher Precision and Recall than either learning approach.

MT-Clinical BERT: Scaling Clinical Information Extraction with Multitask Learning

Clinical notes contain an abundance of important but not-readily accessible information about patients. Systems to automatically extract this information rely on large amounts of training data for which their exists limited resources to create. Furthermore, they are developed dis-jointly; meaning that no information can be shared amongst task-specific systems. This bottle-neck unnecessarily complicates practical application, reduces the performance capabilities of each individual solution and associates the engineering debt of managing multiple information extraction systems. We address these challenges by developing Multitask-Clinical BERT: a single deep learning model that simultaneously performs eight clinical tasks spanning entity extraction, PHI identification, language entailment and similarity by sharing representations amongst tasks. We find our single system performs competitively with all state-the-art task-specific systems while also benefiting from massive computational benefits at inference.

Improving Correlation with Human Judgments by Integrating Semantic Similarity with Second--Order Vectors

Vector space methods that measure semantic similarity and relatedness often rely on distributional information such as co--occurrence frequencies or statistical measures of association to weight the importance of particular co--occurrences. In this paper, we extend these methods by incorporating a measure of semantic similarity based on a human curated taxonomy into a second--order vector representation. This results in a measure of semantic relatedness that combines both the contextual information available in a corpus--based vector space representation with the semantic knowledge found in a biomedical ontology. Our results show that incorporating semantic similarity into a second order co--occurrence matrices improves correlation with human judgments for both similarity and relatedness, and that our method compares favorably to various different word embedding methods that have recently been evaluated on the same reference standards we have used.