Annotation Schema for Indexing Clinical Conditions from ED Reports May 17, 2005 Num Variables Definition Annotate Annotation otati Example Medical Concepts Single clinical condition EXCEPTION to Y: Multiple, Multiple clinical conditions that share inextricable clinical conditions EXCEPTION to Y: Conditions that share adjectives and other Annotate each modifiers condition and its relevant modifiers separately, using disjoint spans where necessary Historical findings Procedures Symptoms Common risk factors
taking illegal drugs. These risk factors
Drinking alcohol: 1) alcohol; 2) drinks
Taking drugs: 1) drug; 2) drug names
Qualitative physical findings Annotate all relevant § Has good perfusion words even if they are disjoint Quantitative physical findings EXCEPTION to Y: with qualitative modifier Prefer the qualitative over the quantitative Qualitative radiological findings A radiological finding that does not Qualitative diagnostic test results A diagnostic test result (e.g., lab test, Quantitative lab test results
A lab test result with a numeric value –
Diagnoses Demographics Medications EXCEPTION to N: Included in clinical condition Non-specific clinical words EXCEPTION to N: with Trauma/Accident Vague causes of a clinical
A cause for a clinical condition that is
condition Therapeutic interventions Linguistic Form Noun phrase or verb phrase
Clauses or verb phrases modifying Parts of a clause or verb phrase
EXCEPTION to N: verb phrase ends in -ing
clinical condition ends in –ingEXCEPTION to N: clinical Nominal clinical condition is condition alone is meaningless Ambiguous adjective Unambiguous adjective Section headings Lexicalized expression
Lexicalized expressions are phrases or sentences
(contiguous by definition)
that would not normally be annotated because of
their linguistic form but that can actually be treated
§ Regular rate and rhythm § Extraocular muscles are
as single words, because they occur so frequently.
Lexicalized expressions can be annotated in any
linguistic form, regardless of other rules. The
relevant body part or organ should be annotated as
part of the lexicalized expression, if it is
- pupils equally round and reactive to light and
- chest/lung sounds clear and equal bilaterally (to
- abdomen soft, non-tender, and non-distended
Lexicalized expression that is not The lexicalized expression is not contiguous in the contiguous Determiners used with nominal A definite or indefinite article, possessive clinical condition
adjective, or demonstrative adjective used with a
EXCEPTION to N:
Determiner is contained within the phrase being
determiner is internal to Coordinated modifiers
Modifiers separated from the clinical condition by
Modifier Types Integral to meaning
A modifier that changes the meaning of the clinical
condition and is necessary for correct interpretation
Void of clinical meaning
A modifier that does not add any clinical meaning
Anatomic location
A modifier indicating the anatomic location of the
§ tenderness at McBurney’s § tenderness over the EXCEPTION to Y: vague
Anatomic locations that don’t provide any useful
anatomic locations Sidedness
A modifier indicating the sidedness of the
Verticality
A modifier indicating the verticality of the
A modifier indicating the quality of the condition
Non-numeric severity quantifiers A non-numeric quantifier indicating the severity of Numeric quantifiers
A numeric quantifier of a clinical condition
“otherwise” modifiers
Modifiers that indicate a condition in contrast to a
previously mentioned condition by using a word
Causal/association
An entity or action that caused or is associated
with the clinical condition being annotated. Both
Consequence modifiers without A modifier indicating that the clinical condition is the causality
resulting or associated with a cause that is not
Uncertainty
A modifier indicating uncertainty of the condition
Negation
A modifier indicating the absence of the clinical
Time of onset
A modifier indicating the time of onset for the
§ previous ingrown toenails § new arm rednessEXCEPTION to N: integral Time of onset modifier is not meant to indicate to meaning of phrase
time of onset but is integral to the meaning of the
clinical condition. True for the following
Acute myocardial infarction, acute coronary
syndrome, acute sinusitis, chronic sinusitis, acute
Change over time
A modifier indicating a change over time for the
EXCEPTION to N: required A clinical condition would not exist without the to be a clinical concept
change over time modifier – the change over time
Non-numeric duration
A non-numeric modifier indicating the temporal
Numeric duration
A numeric modifier indicating the temporal
Non-numeric Continuity/
A non-numeric modifier indicating that the clinical
episodic Numeric Continuity/episodic
A numeric modifier indicating the clinical
Observer’s perception
A modifier indicating the observer’s perception of
Evidence
A modifier indicating evidence or signs of a
SOCIÉTÉ CANADIENNE DES COURTIERS EN DOUANE Information technique et opérationnelle ITO volume 16, 2011 Disponible sur le site Web de la SCCD (http://www.cscb.ca) et par courrier électronique du 1er au 12 août 2011 Les articles sont disposés selon la date et dans l'ordre chronologique. AGENCE DES SERVICES FRONTALIERS DU CANADA Commerce électronique Le 11 août 2
Formatting Your Paper for Evolutionary Computation B. A. Author Department of Science, My University, MyTown, Zip, Country D. C. Author2 Department of Science, My University, MyTown, Zip, Country Abstract The abstract goes here. It should be about 200 words and give the reader a summaryof the main contributions of the paper. Remember that readers may decide to read ornot to re