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J Am Med Inform Assoc 12:517-529 doi:10.1197/jamia.M1771
  • The Practice of Informatics

MediClass: A System for Detecting and Classifying Encounter-based Clinical Events in Any Electronic Medical Record

Table 2

Three of 144 Clinical Note Segments From the Training Set, Together with the Classifications Produced for Each Segment by the Six Coders—Five Experts (Labelled 1–5) Plus MediClass (Labelled 6). When a Coder Assigned an “A” to the Note, their Number Appears in the Corresponding Cell. In this Small Sample, there are 32 Classification Decisions (4 Notes Times 8 A's) Made by Each Coder. Coder Disagreement with the Majority of Human Experts in this Sample Ranged From 1 (for Coder 1) to 6 (for Coder 4), While MedClass (Coder 6) Disagreed with the Majority of Human Experts 4 Times

Clinical Note Segment Ask Advise Assess AssistA AssistB AssistC AssistD Arrange
Pt unable to quit smoking despite use of the nicotine patch and bupropion of 12 weeks. We discussed smoking cessation. He has tried unsuccessfully before. Tobacco—start wellbutrin—pt advised he can add patch if needed 346 1235 1256 12456 123456
Trying to cut down on smoking (declines another stop smoking flyer) 6 123456 12356 25
Recommended to decrease alcohol and dc smoking 2 123456
Pt is cutting down on her smoking and has set a quit date of Mother's Day 1998 12356 12 1235 5 123456

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