A framework and its empirical study of automatic diagnosis of traditional Chinese medicine utilizing raw free-text clinical records

• Published in: Journal of biomedical informatics Vol. 45; no. 2; pp. 210 - 223
• Main Authors: Wang, Yaqiang, Yu, Zhonghua, Jiang, Yongguang, Liu, Yongchao, Chen, Li, Liu, Yiguang
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.04.2012
• Subjects: Algorithms; Automatic diagnosis; China; Data Mining; Databases, Factual; Drugs, Chinese Herbal - therapeutic use; Humans; Medical Records Systems, Computerized; Medicine, Chinese Traditional - methods; Natural language processing; Raw free-text clinical records; Text mining; Traditional Chinese medicine; User-Computer Interface; China; Text mining; Traditional Chinese medicine; Natural language processing; Automatic diagnosis; Raw free-text clinical records
• ISSN: 1532-0464; 1532-0480; 1532-0480
• DOI: 10.1016/j.jbi.2011.10.010

[Display omitted] ► We design a new automatic diagnosis framework for TCM clinical practice. ► Several challenges in the framework are tackled by several appropriate methods. ► The framework is analyzed and studied carefully. ► The importance and significance of the framework for TCM clinical practice are described detailed. ► This framework is very important and significant for TCM practical aided diagnosis. Automatic diagnosis is one of the most important parts in the expert system of traditional Chinese medicine (TCM), and in recent years, it has been studied widely. Most of the previous researches are based on well-structured datasets which are manually collected, structured and normalized by TCM experts. However, the obtained results of the former work could not be directly and effectively applied to clinical practice, because the raw free-text clinical records differ a lot from the well-structured datasets. They are unstructured and are denoted by TCM doctors without the support of authoritative editorial board in their routine diagnostic work. Therefore, in this paper, a novel framework of automatic diagnosis of TCM utilizing raw free-text clinical records for clinical practice is proposed and investigated for the first time. A series of appropriate methods are attempted to tackle several challenges in the framework, and the Naïve Bayes classifier and the Support Vector Machine classifier are employed for TCM automatic diagnosis. The framework is analyzed carefully. Its feasibility is validated through evaluating the performance of each module of the framework and its effectiveness is demonstrated based on the precision, recall and F-Measure of automatic diagnosis results.