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      A Simple Algorithm for Identifying Negated Findings and Diseases in Discharge Summaries

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      Journal of Biomedical Informatics
      Elsevier BV

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          Abstract

          Narrative reports in medical records contain a wealth of information that may augment structured data for managing patient information and predicting trends in diseases. Pertinent negatives are evident in text but are not usually indexed in structured databases. The objective of the study reported here was to test a simple algorithm for determining whether a finding or disease mentioned within narrative medical reports is present or absent. We developed a simple regular expression algorithm called NegEx that implements several phrases indicating negation, filters out sentences containing phrases that falsely appear to be negation phrases, and limits the scope of the negation phrases. We compared NegEx against a baseline algorithm that has a limited set of negation phrases and a simpler notion of scope. In a test of 1235 findings and diseases in 1000 sentences taken from discharge summaries indexed by physicians, NegEx had a specificity of 94.5% (versus 85.3% for the baseline), a positive predictive value of 84.5% (versus 68.4% for the baseline) while maintaining a reasonable sensitivity of 77.8% (versus 88.3% for the baseline). We conclude that with little implementation effort a simple regular expression algorithm for determining whether a finding or disease is absent can identify a large portion of the pertinent negatives from discharge summaries.

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          Author and article information

          Journal
          Journal of Biomedical Informatics
          Journal of Biomedical Informatics
          Elsevier BV
          15320464
          October 2001
          October 2001
          : 34
          : 5
          : 301-310
          Article
          10.1006/jbin.2001.1029
          12123149
          2a0dbefd-5d63-40ba-ab2a-7fabd325856c
          © 2001

          https://www.elsevier.com/tdm/userlicense/1.0/

          https://www.elsevier.com/open-access/userlicense/1.0/

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