{"id":585,"date":"2025-02-13T10:06:57","date_gmt":"2025-02-13T09:06:57","guid":{"rendered":"https:\/\/www.talence.it\/?p=585"},"modified":"2026-09-23T11:00:47","modified_gmt":"2026-09-23T10:00:47","slug":"conversione-note-cliniche-in-dati-strutturati","status":"publish","type":"post","link":"https:\/\/www.talence.it\/en\/2025\/02\/conversione-note-cliniche-in-dati-strutturati\/","title":{"rendered":"Conversion clinical notes into structured data"},"content":{"rendered":"<div id='layer_slider_1'  class='avia-layerslider main_color avia-shadow  avia-builder-el-0  el_before_av_section  avia-builder-el-first  container_wrap fullsize'  style='height: 721px; max-width: 1280px; margin: 0 auto;'  ><\/div>\n<div id='large'  class='avia-section av-4eey09-155855ac1d559000fa52b444d7272f03 alternate_color avia-section-default avia-no-border-styling  avia-builder-el-1  el_after_av_layerslider  el_before_av_section  hide-on-small avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-585'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-4966hd-dffb6276aaf0d3af1e271bf6f8c164e3 sc-av_one_fifth av-equal-height-column-flextable shadow-not-animated'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4966hd-dffb6276aaf0d3af1e271bf6f8c164e3\">\n@keyframes av_boxShadowEffect_av-4966hd-dffb6276aaf0d3af1e271bf6f8c164e3-row {\n0%   { box-shadow:  0 0 0 0 #444444; 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The following illustration highlights the main areas of a folder but not limited to<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-lvkr0rhp-4db9143d798b37017581ae6bff263388'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-2' data-fake-id='#toggle-id-2' class='toggler  av-title-above'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-2' data-slide-speed=\"200\" data-title=\"Identificazione di entit\u00e0, asserzioni e relazioni\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Identificazione di entit\u00e0, asserzioni e relazioni\" data-aria_expanded=\"Click to collapse: Identificazione di entit\u00e0, asserzioni e relazioni\">Identifying entities, assertions, and relations<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-2' aria-labelledby='toggle-toggle-id-2' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color'  itemprop=\"text\" ><p>Once categorized, the sections and the areas and extracts the text content, it is necessary to pass to the phase of identification of entities, assertions, and relations.<\/p>\n<p>The result of the step of identification will produce patterns of identification, structured in a similar way.<\/p>\n<p>Once you have completed the identification of the C-NER will be identified and the relationships between the different entities.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-lvkr3dm2-949c89a186827731d3ca85fc2adb206d'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-3' data-fake-id='#toggle-id-3' class='toggler  av-title-above'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-3' data-slide-speed=\"200\" data-title=\"Conversione delle C-NER in logica HL7 IHE\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Conversione delle C-NER in logica HL7 IHE\" data-aria_expanded=\"Click to collapse: Conversione delle C-NER in logica HL7 IHE\">Conversion of C-NER logic HL7 IHE<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-3' aria-labelledby='toggle-toggle-id-3' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color'  itemprop=\"text\" ><p>The phase of successive processing involves conversion of encodings C-NER identified in the corresponding encodings HL7 IHE. In the following table are shown the main encodings that must be converted, and the coding of the target in the scope of the HL7 IHE.<\/p>\n<p>Once converted the encoding format HL7 IHE emerges the need to systematize the available data in a schema to a representation that is both functional to the stage of interrogation. In this respect, it provides for the construction of a graph of knowledge made with ElasticSearch, which will represent in a structured manner, the knowledge extracted from the folders that are processed.<\/p>\n<\/div><\/div><\/div><\/section>\n<\/div><\/div><\/div><!--close column table wrapper. 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Autoclose: 1 --><div class='flex_column_table av-dy68t5-54185abfe669379407176b0533e52a14 sc-av_one_full av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-dy68t5-54185abfe669379407176b0533e52a14\">\n.flex_column.av-dy68t5-54185abfe669379407176b0533e52a14{\nwidth:100%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-dy68t5-54185abfe669379407176b0533e52a14 .av-flex-placeholder{\nwidth:0%;\n}\n<\/style>\n<div  class='flex_column av-dy68t5-54185abfe669379407176b0533e52a14 av_one_full  avia-builder-el-20  el_after_av_one_fifth  el_before_av_one_full  first flex_column_table_cell av-equal-height-column av-align-top  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1dh9g9-e0121515a25dd76912f469efd5cc9aff\">\n.avia-image-container.av-1dh9g9-e0121515a25dd76912f469efd5cc9aff img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-1dh9g9-e0121515a25dd76912f469efd5cc9aff .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-1dh9g9-e0121515a25dd76912f469efd5cc9aff av-styling- avia-align-center  avia-builder-el-21  avia-builder-el-no-sibling'   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-731 avia-img-lazy-loading-not-731 avia_image' src=\"https:\/\/www.talence.it\/wp-content\/uploads\/2024\/04\/Immagine4.jpg\" alt='' title='Slide 4'  height=\"823\" width=\"1546\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.talence.it\/wp-content\/uploads\/2024\/04\/Immagine4.jpg 1546w, https:\/\/www.talence.it\/wp-content\/uploads\/2024\/04\/Immagine4-300x160.jpg 300w, https:\/\/www.talence.it\/wp-content\/uploads\/2024\/04\/Immagine4-1030x548.jpg 1030w, https:\/\/www.talence.it\/wp-content\/uploads\/2024\/04\/Immagine4-768x409.jpg 768w, https:\/\/www.talence.it\/wp-content\/uploads\/2024\/04\/Immagine4-1536x818.jpg 1536w, https:\/\/www.talence.it\/wp-content\/uploads\/2024\/04\/Immagine4-18x10.jpg 18w, https:\/\/www.talence.it\/wp-content\/uploads\/2024\/04\/Immagine4-1500x799.jpg 1500w, https:\/\/www.talence.it\/wp-content\/uploads\/2024\/04\/Immagine4-705x375.jpg 705w\" sizes=\"(max-width: 1546px) 100vw, 1546px\" \/><\/div><\/div><\/div><\/div><\/div><!--close column table wrapper. Autoclose: 1 --><div class='flex_column_table av-dl792x-78fbd1733d9206b2166f8b8914b30c06 sc-av_one_full av-equal-height-column-flextable'><div  class='flex_column av-dl792x-78fbd1733d9206b2166f8b8914b30c06 av_one_full  avia-builder-el-22  el_after_av_one_full  el_before_av_hr  first flex_column_table_cell av-equal-height-column av-align-top  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1cqnw1-4ee29f7384eafb10f740aa7d256719d3\">\n#top .togglecontainer.av-1cqnw1-4ee29f7384eafb10f740aa7d256719d3 p.toggler{\nfont-size:35px;\n}\n#top .togglecontainer.av-1cqnw1-4ee29f7384eafb10f740aa7d256719d3 .toggle_wrap .toggle_content{\nfont-size:30px;\n}\n<\/style>\n<div  class='togglecontainer av-1cqnw1-4ee29f7384eafb10f740aa7d256719d3 av-elegant-toggle  avia-builder-el-23  avia-builder-el-no-sibling  toggle_close_all' >\n<section class='av_toggle_section av-dcmrdd-ed53bc96ea4188a767e196da4911d55e'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-4' data-fake-id='#toggle-id-4' class='toggler  av-title-above'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-4' data-slide-speed=\"200\" data-title=\"Classificazione delle sezioni e delle aree\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Classificazione delle sezioni e delle aree\" data-aria_expanded=\"Click to collapse: Classificazione delle sezioni e delle aree\">Classification of the sections and areas<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-4' aria-labelledby='toggle-toggle-id-4' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color'  itemprop=\"text\" ><p>The initial phase of the process of elaboration of the medical records digitized consists in identifying the texts to be converted in the sections and areas in the documents. The following illustration highlights the main areas of a folder but not limited to<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-d4fmdd-4196f8cf4be711e51be2ac1446d936d4'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-5' data-fake-id='#toggle-id-5' class='toggler  av-title-above'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-5' data-slide-speed=\"200\" data-title=\"Identificazione di entit\u00e0, asserzioni e relazioni\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Identificazione di entit\u00e0, asserzioni e relazioni\" data-aria_expanded=\"Click to collapse: Identificazione di entit\u00e0, asserzioni e relazioni\">Identifying entities, assertions, and relations<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-5' aria-labelledby='toggle-toggle-id-5' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color'  itemprop=\"text\" ><p>Once categorized, the sections and the areas and extracts the text content, it is necessary to pass to the phase of identification of entities, assertions, and relations.<\/p>\n<p>The result of the step of identification will produce patterns of identification, structured in a similar way.<\/p>\n<p>Once you have completed the identification of the C-NER will be identified and the relationships between the different entities.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-d0iws9-b8e4ec1c733e2d09a6fb2b7d44c617e3'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-6' data-fake-id='#toggle-id-6' class='toggler  av-title-above'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-6' data-slide-speed=\"200\" data-title=\"Conversione delle C-NER in logica HL7 IHE\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Conversione delle C-NER in logica HL7 IHE\" data-aria_expanded=\"Click to collapse: Conversione delle C-NER in logica HL7 IHE\">Conversion of C-NER logic HL7 IHE<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-6' aria-labelledby='toggle-toggle-id-6' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color'  itemprop=\"text\" ><p>The phase of successive processing involves conversion of encodings C-NER identified in the corresponding encodings HL7 IHE. In the following table are shown the main encodings that must be converted, and the coding of the target in the scope of the HL7 IHE.<\/p>\n<p>Once converted the encoding format HL7 IHE emerges the need to systematize the available data in a schema to a representation that is both functional to the stage of interrogation. In this respect, it provides for the construction of a graph of knowledge made with ElasticSearch, which will represent in a structured manner, the knowledge extracted from the folders that are processed.<\/p>\n<\/div><\/div><\/div><\/section>\n<\/div><\/div><\/div><!--close column table wrapper. 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id=\"style-css-av-cio87l-55c3699a20921707da279b54c9c3ed63\">\n.flex_column.av-cio87l-55c3699a20921707da279b54c9c3ed63{\nwidth:49%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-cio87l-55c3699a20921707da279b54c9c3ed63 .av-flex-placeholder{\nwidth:2%;\n}\n<\/style>\n<div  class='flex_column av-cio87l-55c3699a20921707da279b54c9c3ed63 av_one_half  avia-builder-el-28  el_after_av_hr  el_before_av_one_half  first flex_column_table_cell av-equal-height-column av-align-top'     ><div class='avia-data-table-wrap av-c99yqp-ac58aa1e7dc46d9e779e3a3ab6e196ae avia_responsive_table avia-table-1'><table  class='avia-table avia-data-table avia_pricing_default  avia-builder-el-29  avia-builder-el-no-sibling  step-table'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/Table\" ><tbody><tr class='avia-heading-row'><th class=''>Acronym<\/th><th class=''>Clinical entities (C-NER)<\/th><th class=''>Encoding in HL7 IHE standard<\/th><\/tr><tr class=''><td class=''>ICD9.CM \/ ICD-10-CM<\/td><td class=''>Diagnosis, interventions, question diagnostic<\/td><td class=''>ICD9-CM (International Classification of Diseases,9 \/ 10 Revision, Clinical Modification)<\/td><\/tr><tr class=''><td class=''>LOINC<\/td><td class=''>Specialty of the examination, and results of examinations<\/td><td class=''>LOINC (Logical Observation Identifiers Names and Codes)<\/td><\/tr><tr class=''><td class=''>SNOMED-CT<\/td><td class=''>Clinical diagnosis, results of diagnostic procedures, anatomical parts<\/td><td class=''>SNOMED CT (Systematized Nomenclature of Medicine \u2014 Clinical Terms)<\/td><\/tr><tr class=''><td class=''>UCUM<\/td><td class=''>Unit of measure various<\/td><td class=''>UCUM (The Unified Code for Units of Measure)<\/td><\/tr><tr class=''><td class=''>AIC<\/td><td class=''>Packaging pharmaceutical<\/td><td class=''>The AIC&#039;s Code (identification of medicinal products in use)<br \/>\n<\/td><\/tr><tr class=''><td class=''>ATC<\/td><td class=''>The active principles of the drugs<\/td><td class=''>ATC (The Anatomical Therapeutic Chemical code)<br \/>\n<\/td><\/tr><tr class=''><td class=''>RIM<\/td><td class=''>RIM of the HL7 v. 3<\/td><td class=''>Reference Information Model of HL7 v. 3 (Health Level 7 version 3 <\/td><\/tr><\/tbody><\/table><\/div><style type='text\/css'>.avia-table-1 td:nth-of-type(1):before { content: 'Sigla'; } .avia-table-1 td:nth-of-type(2):before { content: 'Entit\u00e0 cliniche (C-NER)'; } .avia-table-1 td:nth-of-type(3):before { content: 'Codifica in standard HL7 IHE'; } <\/style><\/div><div class='av-flex-placeholder'><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ojbu1-8b2886e30771d76475f633c1c3e36a38\">\n.flex_column.av-ojbu1-8b2886e30771d76475f633c1c3e36a38{\nwidth:49%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-ojbu1-8b2886e30771d76475f633c1c3e36a38 .av-flex-placeholder{\nwidth:2%;\n}\n<\/style>\n<div  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