scholarly journals De-identification of electronic health record using neural network

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Tanbir Ahmed ◽  
Md Momin Al Aziz ◽  
Noman Mohammed

Abstract According to a recent study, around 99% of hospitals across the US now use electronic health record systems (EHRs). One of the most common types of EHR is the unstructured textual data, and unlocking hidden details from this data is critical for improving current medical practices and research endeavors. However, these textual data contain sensitive information, which could compromise our privacy. Therefore, medical textual data cannot be released publicly without undergoing any privacy-protective measures. De-identification is a process of detecting and removing all sensitive information present in EHRs, and it is a necessary step towards privacy-preserving EHR data sharing. Over the last decade, there have been several proposals to de-identify textual data using manual, rule-based, and machine learning methods. In this article, we propose new methods to de-identify textual data based on the self-attention mechanism and stacked Recurrent Neural Network. To the best of our knowledge, we are the first to employ these techniques. Experimental results on three different datasets show that our model performs better than all state-of-the-art mechanism irrespective of the dataset. Additionally, our proposed method is significantly faster than the existing techniques. Finally, we introduced three utility metrics to judge the quality of the de-identified data.

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A402-A402 ◽  
Author(s):  
B Staley ◽  
B T Keenan ◽  
S Simonsen ◽  
R Warrell ◽  
R Schwab ◽  
...  

2014 ◽  
Vol 05 (03) ◽  
pp. 757-772 ◽  
Author(s):  
R. Benkert ◽  
P. Dennehy ◽  
J. White ◽  
A. Hamilton ◽  
C. Tanner ◽  
...  

SummaryBackground: In this new era after the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, the literature on lessons learned with electronic health record (EHR) implementation needs to be revisited.Objectives: Our objective was to describe what implementation of a commercially available EHR with built-in quality query algorithms showed us about our care for diabetes and hypertension populations in four safety net clinics, specifically feasibility of data retrieval, measurements over time, quality of data, and how our teams used this data.Methods: A cross-sectional study was conducted from October 2008 to October 2012 in four safety-net clinics located in the Midwest and Western United States. A data warehouse that stores data from across the U.S was utilized for data extraction from patients with diabetes or hypertension diagnoses and at least two office visits per year. Standard quality measures were collected over a period of two to four years. All sites were engaged in a partnership model with the IT staff and a shared learning process to enhance the use of the quality metrics.Results: While use of the algorithms was feasible across sites, challenges occurred when attempting to use the query results for research purposes. There was wide variation of both process and outcome results by individual centers. Composite calculations balanced out the differences seen in the individual measures. Despite using consistent quality definitions, the differences across centers had an impact on numerators and denominators. All sites agreed to a partnership model of EHR implementation, and each center utilized the available resources of the partnership for Center-specific quality initiatives.Conclusions: Utilizing a shared EHR, a Regional Extension Center-like partnership model, and similar quality query algorithms allowed safety-net clinics to benchmark and improve the quality of care across differing patient populations and health care delivery models.Citation: Benkert R, Dennehy P, White J, Hamilton A, Tanner C, Pohl JM. Diabetes and hypertension quality measurement in four safety-net sites: Lessons learned after implementation of the same commercial electronic health record. Appl Clin Inf 2014; 5: 757–772http://dx.doi.org/10.4338/ACI-2014-03-RA-0019


2009 ◽  
Vol 16 (4) ◽  
pp. 457-464 ◽  
Author(s):  
L. Zhou ◽  
C. S. Soran ◽  
C. A. Jenter ◽  
L. A. Volk ◽  
E. J. Orav ◽  
...  

Author(s):  
Ann L Bryan ◽  
John C Lammers

Abstract In this study we argue that professionalism imposed from above can result in a type of fission, leading to the ambiguous emergence of new occupations. Our case focuses on the US’ federally mandated use of electronic health records and the increased use of medical scribes. Data include observations of 571 patient encounters across 48 scribe shifts, and 12 interviews with medical scribes and physicians in the ophthalmology and digestive health departments of a community hospital. We found substantial differences in scribes’ roles based on the pre-existing routines within each department, and that scribes developed agency in the interface between the electronic health record and the physicians’ work. Our study contributes to work on occupations as negotiated orders by drawing attention to external influences, the importance of considering differences across professional task routines, and the personal interactions between professional and technical workers.


2009 ◽  
Vol 24 (5) ◽  
pp. 385-394 ◽  
Author(s):  
Carol P. Roth ◽  
Yee-Wei Lim ◽  
Joshua M. Pevnick ◽  
Steven M. Asch ◽  
Elizabeth A. McGlynn

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