Extract temporal relations among clinical events (ReDL)

Description

Extract relations between clinical events in terms of time. If an event occurred before, after, or overlaps another event.

Predicted Entities

AFTER, BEFORE, OVERLAP

Live Demo Open in Colab Copy S3 URI

How to use

documenter = DocumentAssembler()\
    .setInputCol("text")\
    .setOutputCol("document")

sentencer = SentenceDetector()\
    .setInputCols(["document"])\
    .setOutputCol("sentences")

tokenizer = sparknlp.annotators.Tokenizer()\
    .setInputCols(["sentences"])\
    .setOutputCol("tokens")

pos_tagger = PerceptronModel()\
    .pretrained("pos_clinical", "en", "clinical/models") \
    .setInputCols(["sentences", "tokens"])\
    .setOutputCol("pos_tags")

words_embedder = WordEmbeddingsModel() \
    .pretrained("embeddings_clinical", "en", "clinical/models") \
    .setInputCols(["sentences", "tokens"]) \
    .setOutputCol("embeddings")

ner_tagger = MedicalNerModel.pretrained("ner_events_clinical", "en", "clinical/models")\
    .setInputCols("sentences", "tokens", "embeddings")\
    .setOutputCol("ner_tags") 

ner_converter = NerConverterInternal() \
    .setInputCols(["sentences", "tokens", "ner_tags"]) \
    .setOutputCol("ner_chunks")

dependency_parser = DependencyParserModel() \
    .pretrained("dependency_conllu", "en") \
    .setInputCols(["sentences", "pos_tags", "tokens"]) \
    .setOutputCol("dependencies")

re_ner_chunk_filter = RENerChunksFilter() \
    .setInputCols(["ner_chunks", "dependencies"])\
    .setMaxSyntacticDistance(10)\
    .setOutputCol("re_ner_chunks")

re_model = RelationExtractionDLModel()\
    .pretrained("redl_temporal_events_biobert", "en", "clinical/models") \
    .setPredictionThreshold(0.5)\
    .setInputCols(["re_ner_chunks", "sentences"]) \
    .setOutputCol("relations")

pipeline = Pipeline(stages=[documenter, sentencer, tokenizer, pos_tagger, words_embedder, ner_tagger, ner_converter, dependency_parser, re_ner_chunk_filter, re_model])

text = "She is diagnosed with cancer in 1991. Then she was admitted to Mayo Clinic in May 2000 and discharged in October 2001"

data = spark.createDataFrame([[text]]).toDF("text")

p_model = pipeline.fit(data)

result = p_model.transform(data)
val documenter = new DocumentAssembler() 
    .setInputCol("text") 
    .setOutputCol("document")

val sentencer = new SentenceDetector()
    .setInputCols("document")
    .setOutputCol("sentences")

val tokenizer = new Tokenizer()
    .setInputCols("sentences")
    .setOutputCol("tokens")

val pos_tagger = PerceptronModel()
    .pretrained("pos_clinical", "en", "clinical/models") 
    .setInputCols(Array("sentences", "tokens"))
    .setOutputCol("pos_tags")

val words_embedder = WordEmbeddingsModel()
    .pretrained("embeddings_clinical", "en", "clinical/models")
    .setInputCols(Array("sentences", "tokens"))
    .setOutputCol("embeddings")

val ner_tagger = MedicalNerModel.pretrained("ner_events_clinical", "en", "clinical/models")
    .setInputCols(Array("sentences", "tokens", "embeddings"))
    .setOutputCol("ner_tags") 

val ner_converter = new NerConverterInternal()
    .setInputCols(Array("sentences", "tokens", "ner_tags"))
    .setOutputCol("ner_chunks")

val dependency_parser = DependencyParserModel()
    .pretrained("dependency_conllu", "en")
    .setInputCols(Array("sentences", "pos_tags", "tokens"))
    .setOutputCol("dependencies")

// Set a filter on pairs of named entities which will be treated as relation candidates
val re_ner_chunk_filter = new RENerChunksFilter()
    .setInputCols(Array("ner_chunks", "dependencies"))
    .setMaxSyntacticDistance(10)
    .setOutputCol("re_ner_chunks")

// The dataset this model is trained to is sentence-wise. 
// This model can also be trained on document-level relations - in which case, while predicting, use "document" instead of "sentence" as input.
val re_model = RelationExtractionDLModel()
    .pretrained("redl_temporal_events_biobert", "en", "clinical/models")
    .setPredictionThreshold(0.5)
    .setInputCols(Array("re_ner_chunks", "sentences"))
    .setOutputCol("relations")

val pipeline = new Pipeline().setStages(Array(documenter, sentencer, tokenizer, pos_tagger, words_embedder, ner_tagger, ner_converter, dependency_parser, re_ner_chunk_filter, re_model))

val data = Seq("""She is diagnosed with cancer in 1991. Then she was admitted to Mayo Clinic in May 2000 and discharged in October 2001""").toDS.toDF("text")

val result = pipeline.fit(data).transform(data)
import nlu
nlu.load("en.relation.temporal_events").predict("""She is diagnosed with cancer in 1991. Then she was admitted to Mayo Clinic in May 2000 and discharged in October 2001""")

Results

+--------+-------------+-------------+-----------+-----------+-------------+-------------+-----------+------------+----------+
|relation|      entity1|entity1_begin|entity1_end|     chunk1|      entity2|entity2_begin|entity2_end|      chunk2|confidence|
+--------+-------------+-------------+-----------+-----------+-------------+-------------+-----------+------------+----------+
|  BEFORE|   OCCURRENCE|            7|         15|  diagnosed|      PROBLEM|           22|         27|      cancer|0.78168863|
| OVERLAP|      PROBLEM|           22|         27|     cancer|         DATE|           32|         35|        1991| 0.8492274|
|   AFTER|   OCCURRENCE|           51|         58|   admitted|CLINICAL_DEPT|           63|         73| Mayo Clinic|0.85629463|
|  BEFORE|   OCCURRENCE|           51|         58|   admitted|   OCCURRENCE|           91|        100|  discharged| 0.6843513|
| OVERLAP|CLINICAL_DEPT|           63|         73|Mayo Clinic|         DATE|           78|         85|    May 2000| 0.7844673|
|  BEFORE|CLINICAL_DEPT|           63|         73|Mayo Clinic|   OCCURRENCE|           91|        100|  discharged|0.60411876|
| OVERLAP|CLINICAL_DEPT|           63|         73|Mayo Clinic|         DATE|          105|        116|October 2001|  0.540761|
|  BEFORE|         DATE|           78|         85|   May 2000|   OCCURRENCE|           91|        100|  discharged| 0.6042761|
| OVERLAP|         DATE|           78|         85|   May 2000|         DATE|          105|        116|October 2001|0.64867175|
|  BEFORE|   OCCURRENCE|           91|        100| discharged|         DATE|          105|        116|October 2001| 0.5302478|
+--------+-------------+-------------+-----------+-----------+-------------+-------------+-----------+------------+----------+

Model Information

Model Name: redl_temporal_events_biobert
Compatibility: Healthcare NLP 4.2.4+
License: Licensed
Edition: Official
Language: en
Size: 401.7 MB

References

Trained on temporal clinical events benchmark dataset.

Benchmarking

label              Recall Precision        F1   Support
AFTER               0.332     0.655     0.440      2123
BEFORE              0.868     0.908     0.887     13817
OVERLAP             0.887     0.733     0.802      7860
Avg.                0.695     0.765     0.710		     -