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Deciphering clinical abbreviations with a privacy protecting machine learning system

Alvin Rajkomar (), Eric Loreaux, Yuchen Liu, Jonas Kemp, Benny Li, Ming-Jun Chen, Yi Zhang, Afroz Mohiuddin and Juraj Gottweis
Additional contact information
Alvin Rajkomar: Google
Eric Loreaux: Google
Yuchen Liu: Google
Jonas Kemp: Google
Benny Li: Google
Ming-Jun Chen: Google
Yi Zhang: Google
Afroz Mohiuddin: Google
Juraj Gottweis: Google

Nature Communications, 2022, vol. 13, issue 1, 1-14

Abstract: Abstract Physicians write clinical notes with abbreviations and shorthand that are difficult to decipher. Abbreviations can be clinical jargon (writing “HIT” for “heparin induced thrombocytopenia”), ambiguous terms that require expertise to disambiguate (using “MS” for “multiple sclerosis” or “mental status”), or domain-specific vernacular (“cb” for “complicated by”). Here we train machine learning models on public web data to decode such text by replacing abbreviations with their meanings. We report a single translation model that simultaneously detects and expands thousands of abbreviations in real clinical notes with accuracies ranging from 92.1%-97.1% on multiple external test datasets. The model equals or exceeds the performance of board-certified physicians (97.6% vs 88.7% total accuracy). Our results demonstrate a general method to contextually decipher abbreviations and shorthand that is built without any privacy-compromising data.

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:13:y:2022:i:1:d:10.1038_s41467-022-35007-9

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DOI: 10.1038/s41467-022-35007-9

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