An updated, computable MEDication-Indication resource for biomedical research

Abstract The MEDication-Indication (MEDI) knowledgebase has been utilized in research with electronic health records (EHRs) since its publication in 2013. To account for new drugs and terminology updates, we rebuilt MEDI to overhaul the knowledgebase for modern EHRs. Indications for prescribable med...

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Autores principales: Neil S. Zheng, V. Eric Kerchberger, Victor A. Borza, H. Nur Eken, Joshua C. Smith, Wei-Qi Wei
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/c94dcdf504b34988a12deb0dcb3d3275
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spelling oai:doaj.org-article:c94dcdf504b34988a12deb0dcb3d32752021-12-02T17:27:19ZAn updated, computable MEDication-Indication resource for biomedical research10.1038/s41598-021-98579-42045-2322https://doaj.org/article/c94dcdf504b34988a12deb0dcb3d32752021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98579-4https://doaj.org/toc/2045-2322Abstract The MEDication-Indication (MEDI) knowledgebase has been utilized in research with electronic health records (EHRs) since its publication in 2013. To account for new drugs and terminology updates, we rebuilt MEDI to overhaul the knowledgebase for modern EHRs. Indications for prescribable medications were extracted using natural language processing and ontology relationships from six publicly available resources: RxNorm, Side Effect Resource 4.1, Mayo Clinic, WebMD, MedlinePlus, and Wikipedia. We compared the estimated precision and recall between the previous MEDI (MEDI-1) and the updated version (MEDI-2) with manual review. MEDI-2 contains 3031 medications and 186,064 indications. The MEDI-2 high precision subset (HPS) includes indications found within RxNorm or at least three other resources. MEDI-2 and MEDI-2 HPS contain 13% more medications and over triple the indications compared to MEDI-1 and MEDI-1 HPS, respectively. Manual review showed MEDI-2 achieves the same precision (0.60) with better recall (0.89 vs. 0.79) compared to MEDI-1. Likewise, MEDI-2 HPS had the same precision (0.92) and improved recall (0.65 vs. 0.55) than MEDI-1 HPS. The combination of MEDI-1 and MEDI-2 achieved a recall of 0.95. In updating MEDI, we present a more comprehensive medication-indication knowledgebase that can continue to facilitate applications and research with EHRs.Neil S. ZhengV. Eric KerchbergerVictor A. BorzaH. Nur EkenJoshua C. SmithWei-Qi WeiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Neil S. Zheng
V. Eric Kerchberger
Victor A. Borza
H. Nur Eken
Joshua C. Smith
Wei-Qi Wei
An updated, computable MEDication-Indication resource for biomedical research
description Abstract The MEDication-Indication (MEDI) knowledgebase has been utilized in research with electronic health records (EHRs) since its publication in 2013. To account for new drugs and terminology updates, we rebuilt MEDI to overhaul the knowledgebase for modern EHRs. Indications for prescribable medications were extracted using natural language processing and ontology relationships from six publicly available resources: RxNorm, Side Effect Resource 4.1, Mayo Clinic, WebMD, MedlinePlus, and Wikipedia. We compared the estimated precision and recall between the previous MEDI (MEDI-1) and the updated version (MEDI-2) with manual review. MEDI-2 contains 3031 medications and 186,064 indications. The MEDI-2 high precision subset (HPS) includes indications found within RxNorm or at least three other resources. MEDI-2 and MEDI-2 HPS contain 13% more medications and over triple the indications compared to MEDI-1 and MEDI-1 HPS, respectively. Manual review showed MEDI-2 achieves the same precision (0.60) with better recall (0.89 vs. 0.79) compared to MEDI-1. Likewise, MEDI-2 HPS had the same precision (0.92) and improved recall (0.65 vs. 0.55) than MEDI-1 HPS. The combination of MEDI-1 and MEDI-2 achieved a recall of 0.95. In updating MEDI, we present a more comprehensive medication-indication knowledgebase that can continue to facilitate applications and research with EHRs.
format article
author Neil S. Zheng
V. Eric Kerchberger
Victor A. Borza
H. Nur Eken
Joshua C. Smith
Wei-Qi Wei
author_facet Neil S. Zheng
V. Eric Kerchberger
Victor A. Borza
H. Nur Eken
Joshua C. Smith
Wei-Qi Wei
author_sort Neil S. Zheng
title An updated, computable MEDication-Indication resource for biomedical research
title_short An updated, computable MEDication-Indication resource for biomedical research
title_full An updated, computable MEDication-Indication resource for biomedical research
title_fullStr An updated, computable MEDication-Indication resource for biomedical research
title_full_unstemmed An updated, computable MEDication-Indication resource for biomedical research
title_sort updated, computable medication-indication resource for biomedical research
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/c94dcdf504b34988a12deb0dcb3d3275
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