In the medical field, symptoms are typically documented in free text, but standardized terminologies like SNOMED CT and LOINC can be used for structured encoding. To improve symptom data structure, one can analyze existing data, select a suitable terminology, and implement mapping in EHR systems. Alternatively, natural language processing techniques, such as clustering with pre-trained word2vec models, can be employed to categorize symptoms in the local language without requiring complex formats.
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Symptoms Encoding Conversation With ChatGPT
In the medical field, symptoms are typically documented in free text, but standardized terminologies like SNOMED CT and LOINC can be used for structured encoding. To improve symptom data structure, one can analyze existing data, select a suitable terminology, and implement mapping in EHR systems. Alternatively, natural language processing techniques, such as clustering with pre-trained word2vec models, can be employed to categorize symptoms in the local language without requiring complex formats.
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Download as PDF or read online on Scribd
gE | know that in medical, they use ICD 10 for diagnosis encoding, what encoding
they use for symptoms?
nthe medical field, there is no specific encoding system for symptoms.
Symptoms are often described and documented in free text format in a
pai
systems have symptom checklists and standardized terminology for
nt's medical record. However, some Electronic Health Record (EHR)
documenting symptoms, such as SNOMED CT (Systematized Nomenclature of
Medicine Clinical Terms) or LOINC (Logical Observation Identifiers Names and
Codes).
gE What are those? And how those encoding works?
SNOMED CT and LOINC are standardized terminologies used in the medical
field.
SNOMED CT (Systematized Nomenclature of Mex
comprehensive and multilingual clinical healthcare terminology that provides a
ine Clinical Terms) is a
standardized way of representing clinical concepts and information in a
consistent and precise manner. It covers a wide range of medical concepts,
including symptoms, diseases, procedures, and observations.
LOINC (Logical Observation Identifiers Names and Codes) is a widely-used
terminology system for identifying laboratory and clinical observations, such as
laboratory test results, vital signs, and symptoms. LOINC provides unique,
standardized codes and names for laboratory and clinical observations,
allowing for consistent and accurate exchange of data across different
healthcare organizations.
Both SNOMED CT and LOINC allow for consistent and accurate representation
and exchange of clinical data across different healthcare systems,
proving
nt care and facilitating data analysis and research.
gE Currently in our SOAP data the symptoms is recorded using free text, but now
management want to make the symptoms data more structured, what
approach should | use?To make the symptoms data more structured, you can consider using a 0
standardized terminology system such as SNOMED CT or LOINC. Here's a
general approach you could take:
‘Assess your current data: Analyze your current data to determine the types
of symptoms being recorded and the frequency of their occurrence. This
will help you determine which standardized terminology to use and the
level of granularity needed.
2. Choose a standardized terminology: Based on your data analysis, choose a
standardized terminology that is appropriate for your needs. Both SNOMED.
CT and LOINC can be used to encade symptoms, but SNOMED CT is more
comprehensive and covers a wider range of medical concepts.
3. Map your data to the standardized terminology: Once you have chosen a
standardized terminology, map the free-text symptoms in your data to the
appropriate codes in the standardized terminology. This may require some
manual effort to ensure accurate mapping and to eliminate any
inconsistencies in the data.
4, Implement the mapping in your system: Implement the mapping in your
electronic health record (EHR) system or software. This may involve
mod
ing the existing data structures, creating new fields to store the
codes, or developing custom scripts or algorithms to automate the
mapping process.
5. Validate the mapping: Once the mapping has been implemented, validate
the data to ensure that the mapping is accurate and complete. You may
also want to perform quality control checks to ensure that the data is
consistent and complete.
6. Monitor the data: Regularly monitor the data to ensure that it remains
accurate and complete, and make any necessary updates or changes to the
mapping as needed.
By adopting a standardized terminology for encoding symptoms, you can
make your data more structured, consistent, and accurate, which can help
improve patient care and support data analysis and research.
The problem is:
1. Currently our symptoms data is in Indonesian language
2.1s hard to force doctors to input symptoms using complicated format like
LOINC or SNOMED (due to language barrier)
Instead of using standardized terminology like LOINC or SNOMED, can |
implement some standard in our language using whatever historical symptoms
data that we have?‘Yes, you can implement a standard in your language using your historical
symptoms data. This approach is known as natural language processing (NLP)
and can involve using machine learning algorithms to analyze your historical
data and identify patterns in the way symptoms are described. Here's a general
approach you could take
1. Preprocess the data: Prepare the historical symptoms data for analysis by
leaning, transforming, and normalizing it. This may involve converting the
data into a standard format, removing irrelevant information, and resolving
inconsistencies or duplicates.
2. Train a machine learning model: Train a machine learning model, such as a
classification or clustering algorithm, on the preprocessed data. The model
can then be used to identify patterns in the way symptoms are described
and to categorize symptoms into meaningful groups.
3. Evaluate the model: Evaluate the performance of the model using various
metrics, such as accuracy, precision, recall, and F1 score, to ensure that itis
working as expected. If the performance is not satisfactory, you may need
to adjust the model or retrain it on additional data
4, Create a standard: Based on the results of the machine learning model,
create a standard for encoding symptoms in your language. This may
involve defining a set of categories or groups for symptoms and providing
standardized terms or codes for each category.
5. Implement the standard in your system: Implement the standard in your
electronic health record (EHR) system or software. This may involve
modifying the existing data structures, creating new fields to store the
codes, or developing custom scripts or algorithms to automate the
mapping process.
6. Validate the data: Regularly validate the data to ensure that it is consistent
and complete and that the standard is being properly applied. You may also
want to perform quality control checks to ensure that the data is accurate
and that the standard is being followed consistently.
By implementing a standard based on your historical data, you can make your
symptoms data more structured and consistent, while also taking into account
the language barrier faced by your doctors
But if using classification, | will need the data to be labeled first, which may
lead to another problems,
le i i a
aid
-pmost similar data, let's say these words: (nyeri, nyut-nyutan, kepala nyut nyult)
are the same, so all of those will be replaced by the word nyeri
What do you think? And how to approach that?
Using an unsupervised approach, such as clustering, to group similar
symptoms is a good idea. Here's a general approach you could take:
Preprocess the data: Prepare the historical symptoms data for analysis by
leaning, transforming, and normalizing it. This may involve converting the
data into a standard format, removing irrelevant information, and resolving
inconsistencies or duplicates.
2. Vectorize the data: Convert the text data into numerical representations,
such as term frequency-inverse document frequency (TF-IDF) vectors or
word embeddings, that can be used as input for the clustering algorithm.
3. Train a clustering algorithm: Train a clustering algorithm, such as k-means
or hierarchical clustering, on the vectorized data. The algorithm will then
group the symptoms into clusters based on their similarity.
4, Evaluate the clusters: Evaluate the performance of the clustering algorithm
by analyzing the quality and stability of the clusters. You may want to adjust
the number of clusters, the distance metric, or the algorithm parameters to
achieve better results
5. Define a standard: Based on the results of the clustering algorithm, define a
standard for encoding symptoms in your language. This may involve
selecting a representative term or code for each cluster and providing a
standardized term or code for each symptom.
6. Implement the standard in your system: Implement the standard in your
electronic health record (EHR) system or software. This may involve
modifying the existing data structures, creating new fields to store the
codes, or developing custom scripts or algorithms to automate the
mapping process.
7. Validate the data: Regularly validate the data to ensure that it is consistent
and complete and that the standard is being properly applied. You may also
want to perform quality control checks to ensure that the data is accurate
and that the standard is being followed consistently.
By using an unsupervised approach, you can avoid the need for manual
labeling of the data, which can be time-consuming and prone to error. The
clustering algorithm will group similar symptoms based on their similarity,
allowing you to define a standard that is consistent with the way symptoms are
described in your language.
igE Which one is better, using simple approach like TF-IDF or word2vec based
model?
The choice between using a simple approach like TF-IDF or a more advanced
model ike word2vec will depend on your specific needs and resources. Here
are some pros and cons of each approach:
TE-IDF:
Pros:
Easy to implement: TE-IDF is a simple and widely used technique for
converting text into numerical representations, making it easy to implement
and understand.
Fast: TF-IDF is computationally efficient, which makes it suitable for large-
scale text data.
Cons:
* Limited ability to capture semantic relationships: TF-IDF does not capture
the meaning of words or the relationships between words, which can result
in poor performance for tasks like clustering or classification,
Word2vec:
Pros:
Captures semantic relationships: Word2vec is a neural network-based
approach that captures the meaning of words and the relationships
between words. This makes it suitable for tasks like clustering or
classification, where semantic relationships are important.
Improved performance: Word2vec has been shown to achieve better
performance than TF-IDF for many NLP tasks, including clustering and
dlassification.
Cons:
More complex: Word2vec is a more complex and computationally intensive
technique than TF-IDE, making it more challenging to implement and
understand.
More data needed: Word2vec requires a large amount of data to train,
which may not be available in some cases.
ie aeriecal eae Heo Lanes ial of ide ond ie ics cic aerelationships between words, word2vec may be a better choice. If you have
limited data or computational resources, or if you just want to get started
quickly, TF-IDF may be a simpler and more straightforward approach.
I'm sorry, | mean use pretrain open source word2vec model, not training
word2vec model from scratch
Using a pre-trained word2vec model is a good idea if you have limited data or
computational resources, as it avoids the need to train a large model from
scratch. Here's a general approach you could take:
Download a pre-trained word2vec model: There are many pre-trained
wordavec models available for download, such as the Google News model,
the Wikipedia model, or the fastText model. Choose a model that is well-
suited for your language and domain.
2. Praprocess the data: Prepare the historical symptoms data for analysis by
cleaning, transforming, and normalizing it. This may involve converting the
data into a standard format, removing irrelevant information, and resolving
inconsistencies or duplicates.
3. Vectorize the data: Convert the text data into numerical representations,
such as word embeddings, using the pre-trained word2vec model. This
involves mapping each word in the symptoms data to a fixed-length vector
cof numbers that represents its meaning and context.
4, Train a clustering algorithm: Train a clustering algorithm, such as k-means
or hierarchical clustering, on the vectorized data. The algorithm will then
group the symptoms into clusters based on their similarity.
5. Evaluate the clusters: Evaluate the performance of the clustering algorithm
by analyzing the quality and stability of the clusters. You may want to adjust
the number of clusters, the distance metric, or the algorithm parameters to
achieve better results.
6. Define a standard: Based on the results of the clustering algorithm, define a
standard for encoding symptoms in your language. This may involve
selecting a representative term or code for each cluster and providing a
standardized term or code for each symptom.
7. Implement the standard in your system: Implement the standard in your
electronic health record (EHR) system or software. This may involve
modifying the existing data structures, creating new fields to store the
codes, or developing custom scripts or algorithms to automate the
mapping process
Be Melidatat his chk agli vedio Whe sks to Gren aol kc: conorand complete and that the standard is being properly applied. You may also
want to perform quality control checks to ensure that the data is accurate
and that the standard is being followed consistently.
By using a pre-trained word2vec model, you can leverage the knowledge
captured by the model to group similar symptoms based on their semantic
relationships. This can result in a more accurate and meaningful standard for
encoding symptoms in your language.
Based on your current knowledge and my problems that I mentioned earlier
(symptoms language that is just free text and in Indonesian language) list out
pretrain wordvec model that | can use
Here are some pre-trained word2vec models that you may consider using for SP
grouping similar symptoms in Indonesian language:
1. FastText: FastText is a library developed by Facebook Al that provides pre~
trained word embeddings for over 170 languages, including Indonesian.
The pre-trained models can be used to perform tasks such as text
classification, text similarity, and word analogy.
2. Gensim Word2Vec: Gensim is a popular Python library for topic modeling,
document indexing, and similarity retrieval. It provides pre-trained
word2vec models for various languages, including Indonesian, that can be
used for clustering similar words,
3. MultiVec: MultiVec is a multi-lingual word embedding model that provides
pre-trained vectors for over 60 languages, including Indonesian. The model
was trained on large amounts of text data and is designed to capture cross-
lingual relationships between words.
4. BERT: BERT (Bidirectional Encoder Representations from Transformers) is a
powerful language model developed by Google that provides pre-trained
word embeddings for many languages, including Indonesian. Although
BERT is primarily used for natural language processing tasks such as
sentiment analysis and question answering, its pre-trained word
embeddings can also be used for clustering similar words.
Please note that these models were trained on large amounts of text data and
may not be perfectly suited for your specific use case. You may need to fine-
tune the models or use a combination of models to achieve the best results. It
is also important to carefully evaluate the quality and accuracy of the pre-
trained models to ensure that they are appropriate for your needs4
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