Pain is the main symptom that patients present with to the emergency department (ED). Pain management, however, is often poorly done aspect of emergency care and patients with painful conditions can endure long waits before their pain is assessed or treated. To improve pain management quality, identifying whether or not an ED patient presents with pain is an important task and allows for further investigation of the quality of care provided. In this paper, machine learning was utilised to handle the task of automatically detecting patients who present at EDs with pain from retrospective data. Experimental results on a manually annotated dataset show that our proposed machine learning models achieve high performances, in which the highest accuracy and macro-averaged F1 are 91.00% and 90.96%, respectively.

Automatic identification of heart disease risk factors in clinical narratives can expedite disease progression modelling and support clinical decisions. Existing practical solutions for cardiovascular risk detection are mostly hybrid systems entailing the integration of knowledge-driven and data-driven methods, relying on dictionaries, rules and machine learning methods that require a substantial amount of human effort. This paper proposes a comparative analysis on the applicability of deep learning, a re-emerged data-driven technique, in the context of clinical text classification. Various deep learning architectures were devised and evaluated for extracting heart disease risk factors from clinical documents. The data provided for the 2014 i2b2/UTHealth shared task focusing on identifying risk factors for heart disease was used for system development and evaluation. Results have shown that a relatively simple deep learning model can achieve a high micro-averaged F-measure of 0.9081, which is comparable to the best systems from the shared task. This is highly encouraging given the simplicity of the deep learning approach compared to the heavily feature-engineered hybrid approaches that were required to achieve state-of-the-art performances.

Diagnosis autocoding services and research intend to both improve the productivity of clinical coders and the accuracy of the coding. It is an important step in data analysis for funding and reimbursement, as well as health services planning and resource allocation. We investigate the applicability of deep learning at autocoding of radiology reports using International Classification of Diseases (ICD). Deep learning methods are known to require large training data. Our goal is to explore how to use these methods when the training data is sparse, skewed and relatively small, and how their effectiveness compares to conventional methods. We identify optimal parameters that could be used in setting up a convolutional neural network for autocoding with comparable results to that of conventional methods.