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Artificial Intelligence in Health                                                        NLP in EHR




            Table 2. (Continued)
            Article Focus            NLP level      Limitations                      Future scope
            [34]  Development of an   Semantic      Negation detection, a German translation of   Semantic interoperability
                  algorithm for information         UMLS
                  extraction
            [35]  Identification of peripheral  Semantic  Captures only clinical visits  Larger PAD cohort from multiple
                  arterial disease                                                   institutes
            [37]  Automatic extraction of   Lexical and semantic  Biases in the annotation process, small training   Application of the method to
                  clinical findings from            and test sets, and inclusion exclusively of chest   various radiology reports other than
                  radiology reports                 CT reports                       chest CT involving structured and
                                                                                     unstructured clinical notes
            [38]  Early identification of   Semantic  Insufficient number of patients who had notes   The approach can be applied
                  symptoms                          entered, patients with no follow-up records,   to another disease using the
                                                    classifier built and tested locally, only focusing on  classification method
                                                    a female patient, and inaccurate ICD coding
            [39]  Automatic identification of  Semantic  Replication without a positive set; complex   Graph-based representation to
                  breast cancer                     and confusion in terminologies; no analysis of   capture relation
                                                    pathology reports; and little semantic relations
            [40]  Identification of clinical   Semantic  Degree of uncertainty in diagnosis of pneumonia;  Improved support for medical
                  assertion of pneumonia            problems of false positive and negation  decision-making
            [41]  Information extraction   Semantic  A small set of annotations, rate of false positives,  Expand to all diagnostic imaging.
                  from radiology reports            and ambiguities in natural language complicate
                                                    the negation detection task and subjectivity of
                                                    annotators
            [42]  NA                 ICU            Domain knowledge, the hierarchical tree   Cohort identification, automatic code
                                                    structure of medical codes       assignment, and use of deep neural
                                                                                     network in the prediction model
            [43]  Detection of infection  Semantic  False positive occurrence, use of only radiology   Conducting data analysis across
                                                    reports                          various report types to make
                                                                                     generalizations of the method, using
                                                                                     non-enriched text, using structured
                                                                                     or unstructured data
            [45]  Identification of respiratory  Semantic  Retrospective and single-site design  NA
                  failure
            [47]  Development of     Lexical and semantic  Typing errors in findings  Formalization of the syntactic
                  methodology for automatic                                          structure of negated finding,
                  extraction                                                         enrichment of specialty dictionary,
                                                                                     and creation of more complete
                                                                                     dictionaries
            [48]  Extracting polyp   Semantic       The degree of accuracy depends on manual   Applications of findings to other
                  information from                  data abstraction leads to errors and incorrect   healthcare settings
                  colonoscopy reports               assignments
            [49]  Identification of surgical site  Lexical and semantic  Use of clinical notes to study SSI,    Various machine learning
                  infection                         relatively low F1 score          approaches, sub-language supporting
                                                                                     techniques
            [50]  Extraction of fall   Semantic     Limited to one type of clinical note and one   Investigation into the system and
                  information                       domain                           use of different machine learning
                                                                                     algorithms
            [51]  Surveillance of surgical site  Semantic  Annotation errors, mention level, and   Removal of document and mention
                  infection                         document-level errors            level errors
            [53]  Detection of hypoglycemia  Semantic  EMR from only one health system, lack of   NA
                                                    diabetes duration
            [54]  Extract ion of clinical events Lexical, semantic, and  NA          Comparison with other language
                                     morphological                                   models
                                                                                                       (Cont’d...)


            Volume 1 Issue 1 (2024)                         22                        https://doi.org/10.36922/aih.2147
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