Named Entity Recognition for Chinese Cancer Electronic Health Records—Development and Evaluation of a Domain-Specific BERT Model: Quantitative Study
Bibliographic record
Abstract
Background: The unstructured data of Chinese cancer electronic health records (EHRs) contains valuable medical expertise. Accurate medical entity recognition is crucial for building a medical-assisted decision system. Named entity recognition (NER) in cancer EHRs typically uses general models designed for English medical records. There is a lack of specialized handling for cancer-specific records and limited application to Chinese medical records. Objective: This study aims to propose a specific NER model to enhance the recognition of medical entities in Chinese cancer EHRs. Methods: Desensitized inpatient EHRs related to breast cancer were collected from a leading hospital in Beijing. Building upon the MC Bidirectional Encoder Representations from Transformers (BERT) foundation, the study further incorporated a Chinese cancer corpus for pretraining, resulting in the construction of the ChCancerBERT pretrained model. In conjunction with dilated-gated convolutional neural networks, bidirectional long short-term memory, multihead attention mechanism, and a conditional random field, this model forms a multimodel, multilevel integrated NER approach. Results: This approach effectively extracts medical entity features related to symptoms, signs, tests, treatments, and time in Chinese breast cancer EHRs. The entity recognition performance of the proposed model surpasses that of the baseline model and other models compared in the experiment. The F1-score reached 86.93%, precision reached 87.24%, and recall reached 86.61%. The model introduced in this study demonstrates exceptional performance on the CCKS2019 dataset, attaining a precision rate of 87.26%, a recall rate of 87.27%, and an impressive F1-score of 87.26%, surpassing that of existing models. Conclusions: The experiments demonstrate that the approach proposed in this study exhibits excellent performance in NER within breast cancer EHRs. This advancement will further contribute to clinical decision support for cancer treatment and research. In addition, the study reveals that incorporating domain-specific corpora in clinical NER tasks can further enhance the performance of BERT models in specialized domains.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.011 | 0.018 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.004 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".