Two classifier based system for classifying anomalous medical patient records

• US 7,650,321 B2
• Filed: 02/15/2006
• Issued: 01/19/2010
• Est. Priority Date: 02/16/2005
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Inventors: Krishnan, Sriram, Rao, R. Bharat
• Primary Examiner(s): Vincent; David R
• Assistant Examiner(s): Kennedy; Adrian L
• Application Number:
  US11/355,299
• Publication Number:
  US 20060184475A1
• Time in Patent Office: 1,434 Days
• Field of Search: None
• US Class Current: 706/60
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

Missing data is addressed in a medical decision support system. The classifier applied to the patient record with missing data is obtained as a function of the available data. For example, one of a plurality of different classifiers is selected based on the features available in the patient record to be classified. The different classifiers are developed using different feature sets. The classifier developed using a feature set closest to or a sub-set of the features available in the patient record is selected for classifying the patient record. As another example, features in a training set corresponding to features available in the patient record are used to build a classifier. The classifier is applied to the patient record by inputting the available features of the patient record.

Claims

1. A method for addressing missing data in a medical decision support system, the method comprising:

identifying a set of M features in a patient record;

assigning, with a processor, a classifier as a function of the M features; and

classifying the patient record with the classifier as a function of the M features;

wherein assigning comprises selecting, with the processor, from a collection of at least two classifiers, each of the at least two classifiers operable with different sets of features;

wherein selecting, with the processor, comprises selecting the classifier for the set of M features or a sub-set of the M features and not selecting any classifier with at least one feature not in the set of M features.

2. The method of claim 1 wherein identifying comprises identifying each of the M features.

3. The method of claim 1 wherein identifying comprises determining missing features from a set of N possible features, the set of M features being a sub-set of the set of N possible features.

4. The method of claim 1 wherein assigning comprises assigning from different types of classifiers.

5. The method of claim 1 further comprising:

determining, with the processor, an estimate of performance of the classifier; and

outputting the estimate.

6. In a computer readable storage media having stored therein data representing instructions executable by a programmed processor for addressing missing data in a medical decision support system the storage media comprising instructions for:

identifying a set of M features in a patient record;

assigning with a processor a classifier as a function of the M features; and

classifying the patient record with the classifier as a function of the M features;

wherein assigning comprises selecting, with the processor, from a collection of at least two classifiers, each of the at least two classifiers operable with different sets of features;

wherein selecting, with the processor, comprises selecting the classifier for the set of M features or a sub-set of the M features and not selecting any classifier with at least one feature not in the set of M features.

7. The computer readable media of claim 6 wherein identifying comprises identifying each of the M features.

8. The computer readable media of claim 6 wherein identifying comprises determining missing features from a set of N possible features, the set of M features being a sub-set of the set of N possible features.

9. A system for addressing missing data in a medical decision support, the system comprising:

a memory operable to store features available for a patient record and a collection of at least two classifiers; and

a processor operable to identify a set of M of the features in the patient record, to assign a classifier as a function of the M features, and classify the patient record with the classifier as a function of the M features, wherein the processor is operable to assign by selecting from the collection of at least two classifiers, each of the at least two classifiers operable with different sets of features, and wherein selecting comprises selecting the classifier for the set of M features or a sub-set of the M features and not selecting any classifier with at least one feature not in the set of M features.

10. The system of claim 9 wherein the processor is operable to identify by determining missing features from a set of N possible features the set of M features being a sub-set of the set of N possible features.