Analyzing differences between Chinese and English clinical text: A cross-institution comparison of discharge summaries in two languages

Yonghui Wu; Jianbo Leia; Wei Qi Wei; Buzhou Tang; Joshua C. Denny; S. Trent Rosenbloom; Randolph A. Miller; Dario A. Giuse; Kai Zheng; Hua Xu

doi:10.3233/978-1-61499-289-9-662

Analyzing differences between Chinese and English clinical text: A cross-institution comparison of discharge summaries in two languages

Yonghui Wu^*
, Jianbo Leia
, Wei Qi Wei
, Buzhou Tang
, Joshua C. Denny
, S. Trent Rosenbloom
, Randolph A. Miller
, Dario A. Giuse
, Kai Zheng
, Hua Xu

^*Corresponding author for this work

University of Texas Health Science Center at Houston
Peking University
Vanderbilt University
University of Michigan, Ann Arbor

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

14 Scopus citations

Abstract

Worldwide adoption of Electronic Medical Records (EMRs) databases in health care have generated an unprecedented amount of clinical data available electronically. There has been an increasing trend in US and western institutions towards collaborating with China on medical research using EMR data. However, few studies have investigated characteristics of EMR data in China and their differences with the data in US hospitals. As an initial step towards differentiating EMR data in Chinese and US systems, this study attempts to understand system and cultural differences that may exist between Chinese and English clinical documents. We collected inpatient discharge summaries from one Chinese and from three US institutions and manually analyzed three major clinical components in text: medical problems, tests, and treatments. We reported comparison results at the document level and section level and discussed potential reasons for observed differences. Documenting and understanding differences in clinical reports from the US and China EMRs are important for cross-country collaborations. Our study also provided valuable insights for developing natural language processing tools for Chinese clinical text.

Original language	English
Title of host publication	MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics
Publisher	IOS Press
Pages	662-666
Number of pages	5
Edition	1-2
ISBN (Print)	9781614992882
DOIs	https://doi.org/10.3233/978-1-61499-289-9-662
State	Published - 2013
Externally published	Yes
Event	14th World Congress on Medical and Health Informatics, MEDINFO 2013 - Copenhagen, Denmark Duration: 20 Aug 2013 → 23 Aug 2013

Publication series

Name	Studies in Health Technology and Informatics
Number	1-2
Volume	192
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	14th World Congress on Medical and Health Informatics, MEDINFO 2013
Country/Territory	Denmark
City	Copenhagen
Period	20/08/13 → 23/08/13

Keywords

Cross Language
clinical notes
discharge summary

Access to Document

10.3233/978-1-61499-289-9-662

Cite this

Wu, Y., Leia, J., Wei, W. Q., Tang, B., Denny, J. C., Rosenbloom, S. T., Miller, R. A., Giuse, D. A., Zheng, K., & Xu, H. (2013). Analyzing differences between Chinese and English clinical text: A cross-institution comparison of discharge summaries in two languages. In MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics (1-2 ed., pp. 662-666). (Studies in Health Technology and Informatics; Vol. 192, No. 1-2). IOS Press. https://doi.org/10.3233/978-1-61499-289-9-662

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abstract = "Worldwide adoption of Electronic Medical Records (EMRs) databases in health care have generated an unprecedented amount of clinical data available electronically. There has been an increasing trend in US and western institutions towards collaborating with China on medical research using EMR data. However, few studies have investigated characteristics of EMR data in China and their differences with the data in US hospitals. As an initial step towards differentiating EMR data in Chinese and US systems, this study attempts to understand system and cultural differences that may exist between Chinese and English clinical documents. We collected inpatient discharge summaries from one Chinese and from three US institutions and manually analyzed three major clinical components in text: medical problems, tests, and treatments. We reported comparison results at the document level and section level and discussed potential reasons for observed differences. Documenting and understanding differences in clinical reports from the US and China EMRs are important for cross-country collaborations. Our study also provided valuable insights for developing natural language processing tools for Chinese clinical text.",

keywords = "Cross Language, clinical notes, discharge summary",

author = "Yonghui Wu and Jianbo Leia and Wei, \{Wei Qi\} and Buzhou Tang and Denny, \{Joshua C.\} and Rosenbloom, \{S. Trent\} and Miller, \{Randolph A.\} and Giuse, \{Dario A.\} and Kai Zheng and Hua Xu",

year = "2013",

doi = "10.3233/978-1-61499-289-9-662",

language = "英语",

isbn = "9781614992882",

series = "Studies in Health Technology and Informatics",

publisher = "IOS Press",

number = "1-2",

pages = "662--666",

booktitle = "MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics",

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Wu, Y, Leia, J, Wei, WQ, Tang, B, Denny, JC, Rosenbloom, ST, Miller, RA, Giuse, DA, Zheng, K & Xu, H 2013, Analyzing differences between Chinese and English clinical text: A cross-institution comparison of discharge summaries in two languages. in MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics. 1-2 edn, Studies in Health Technology and Informatics, no. 1-2, vol. 192, IOS Press, pp. 662-666, 14th World Congress on Medical and Health Informatics, MEDINFO 2013, Copenhagen, Denmark, 20/08/13. https://doi.org/10.3233/978-1-61499-289-9-662

Analyzing differences between Chinese and English clinical text: A cross-institution comparison of discharge summaries in two languages. / Wu, Yonghui; Leia, Jianbo; Wei, Wei Qi et al.
MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics. 1-2. ed. IOS Press, 2013. p. 662-666 (Studies in Health Technology and Informatics; Vol. 192, No. 1-2).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

TY - GEN

T1 - Analyzing differences between Chinese and English clinical text

T2 - 14th World Congress on Medical and Health Informatics, MEDINFO 2013

AU - Wu, Yonghui

AU - Leia, Jianbo

AU - Wei, Wei Qi

AU - Tang, Buzhou

AU - Denny, Joshua C.

AU - Rosenbloom, S. Trent

AU - Miller, Randolph A.

AU - Giuse, Dario A.

AU - Zheng, Kai

AU - Xu, Hua

PY - 2013

Y1 - 2013

N2 - Worldwide adoption of Electronic Medical Records (EMRs) databases in health care have generated an unprecedented amount of clinical data available electronically. There has been an increasing trend in US and western institutions towards collaborating with China on medical research using EMR data. However, few studies have investigated characteristics of EMR data in China and their differences with the data in US hospitals. As an initial step towards differentiating EMR data in Chinese and US systems, this study attempts to understand system and cultural differences that may exist between Chinese and English clinical documents. We collected inpatient discharge summaries from one Chinese and from three US institutions and manually analyzed three major clinical components in text: medical problems, tests, and treatments. We reported comparison results at the document level and section level and discussed potential reasons for observed differences. Documenting and understanding differences in clinical reports from the US and China EMRs are important for cross-country collaborations. Our study also provided valuable insights for developing natural language processing tools for Chinese clinical text.

AB - Worldwide adoption of Electronic Medical Records (EMRs) databases in health care have generated an unprecedented amount of clinical data available electronically. There has been an increasing trend in US and western institutions towards collaborating with China on medical research using EMR data. However, few studies have investigated characteristics of EMR data in China and their differences with the data in US hospitals. As an initial step towards differentiating EMR data in Chinese and US systems, this study attempts to understand system and cultural differences that may exist between Chinese and English clinical documents. We collected inpatient discharge summaries from one Chinese and from three US institutions and manually analyzed three major clinical components in text: medical problems, tests, and treatments. We reported comparison results at the document level and section level and discussed potential reasons for observed differences. Documenting and understanding differences in clinical reports from the US and China EMRs are important for cross-country collaborations. Our study also provided valuable insights for developing natural language processing tools for Chinese clinical text.

KW - Cross Language

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KW - discharge summary

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SN - 9781614992882

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SP - 662

EP - 666

BT - MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics

PB - IOS Press

Y2 - 20 August 2013 through 23 August 2013

ER -

Wu Y, Leia J, Wei WQ, Tang B, Denny JC, Rosenbloom ST et al. Analyzing differences between Chinese and English clinical text: A cross-institution comparison of discharge summaries in two languages. In MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics. 1-2 ed. IOS Press. 2013. p. 662-666. (Studies in Health Technology and Informatics; 1-2). doi: 10.3233/978-1-61499-289-9-662

Analyzing differences between Chinese and English clinical text: A cross-institution comparison of discharge summaries in two languages

Abstract

Publication series

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Keywords

Access to Document

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