Pruning by the UMLS semantic type is a very good idea. In some of our studies 
we have found that the semantic type of Finding is quite noisy and we have 
discarded it (this should be very easy to do in cTAKES).

The UMLS semantic types that define UMLS semantic groups such as Disorders are 
in Table 1 of this manuscript: 
http://semanticnetwork.nlm.nih.gov/SemGroups/Papers/2003-medinfo-atm.pdf. You 
can use that table as a rough guide to which semantic types to include in your 
study. Anyway, the modification to cTAKES is really minimal (you have to 
specify the sem types in an XML file).

Hope this helps!
--Guergana

From: Tim Miller [mailto:[email protected]]
Sent: Tuesday, August 06, 2013 12:16 PM
To: [email protected]
Subject: Re: Extracting Symptoms

I don't know of anyone that's done exactly what you're asking, but I think it's 
a really interesting idea. My first thought was that you could try the Finding 
typeID which would be one level less granular the TUIs. But that covers many 
more TUIs:
T033,T034,T040,T041,T042,T043,T044,T045,T046,T056,T057,T184

that contains T184, but also the noisier T033 and T047, along with many others! 
So that would make your problem worse.

Unfortunately it sounds like from what you're saying that the UMLS doesn't have 
the granularity in the places that you need to represent only the findings that 
you're interested in.

Are there any examples of the types of things that come up from T033 and T047 
that you aren't interested in? I'm wondering if there's a pattern that you may 
be able to write rules to find so that you can over-generate and then filter 
with those rules. Just throwing out a simple idea.

Tim


Do you think if you moved to one level more abstract you would get too much?
On 08/06/2013 11:47 AM, Bohne, Jacqueline R wrote:
We are trying to create a cTAKES process that will extract all symptoms from 
our documents.  In our first attempt, we used the UMLS dictionary and pulled 
anything with a TUI of T184 (Sign or Symptom).  While this worked, we found 
that when we compared it to what our Research Coordinators manually abstracted 
as symptoms, there were quite a few differences.  When we looked into these 
differences we found a lot of the extra terms were considered either Findings 
(T033) or Disease or Syndrome (T047) in UMLS.  We would rather not just add 
these TUIs to our NLP process because then we would end up with many more terms 
than just symptoms in our results.

Has anyone else tried to create a database of symptoms using NLP?  Or are you 
aware of a better solution for creating a symptoms database?

Thank you for your time!

Thanks,
Jacquie Bohne
Research Programmer/Analyst
Marshfield Clinic
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