{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T06:47:47Z","timestamp":1770274067544,"version":"3.49.0"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643684567","type":"print"},{"value":"9781643684574","type":"electronic"}],"license":[{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,25]]},"abstract":"<jats:p>While advanced care planning (ACP) is an essential practice for ensuring patient-centered care, its adoption remains poor and the completeness of its documentation variable. Natural language processing (NLP) approaches hold promise for supporting ACP, including its use for decision support to improve ACP gaps at the point of care. ACP themes were annotated on palliative care notes across four annotators (Fleiss kappa = 0.753) and supervised models trained (Huggingface models bert-base-uncased and Bio_ClinicalBERT) using 5-fold cross validation (F1=0.8, precision=0.75, recall=0.86, any theme). When applied across the full note corpus of 12,711 notes, we observed variability in documentation of ACP information. Our findings demonstrate the promise of NLP approaches for informatics-based approaches for ACP and patient-centered care.<\/jats:p>","DOI":"10.3233\/shti231037","type":"book-chapter","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T10:24:30Z","timestamp":1706178270000},"source":"Crossref","is-referenced-by-count":1,"title":["Advanced Care Planning Content Encoding with Natural Language Processing"],"prefix":"10.3233","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1836-721X","authenticated-orcid":false,"given":"Benjamin C.","family":"Knoll","sequence":"first","affiliation":[{"name":"University of Minnesota, Minneapolis, MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Gunderson","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geetanjali","family":"Rajamani","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth C.","family":"Wick","sequence":"additional","affiliation":[{"name":"University of California San Francisco, San Francisco, CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Colley","sequence":"additional","affiliation":[{"name":"University of California San Francisco, San Francisco, CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Lindemann","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rubina","family":"Rizvi","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly","family":"Diethelm","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gretchen","family":"Hultman","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Logan","family":"Pierce","sequence":"additional","affiliation":[{"name":"University of California San Francisco, San Francisco, CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8258-3585","authenticated-orcid":false,"given":"Rui","family":"Zhang","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5193-1663","authenticated-orcid":false,"given":"Genevieve B.","family":"Melton","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","MEDINFO 2023 \u2014 The Future Is Accessible"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI231037","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T10:24:31Z","timestamp":1706178271000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI231037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,25]]},"ISBN":["9781643684567","9781643684574"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti231037","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,25]]}}}