Adverse Childhood Experiences Identification from Clinical Notes with Ontologies and NLP

Abstract: Adverse Childhood Experiences (ACEs) are defined as a collection of highly stressful, and potentially traumatic, events or circumstances that occur throughout childhood and/or adolescence. They have been shown to be associated with increased risks of mental health diseases or other abnormal behaviours in later lives. However, the identification of ACEs from free-text Electronic Health Records (EHRs) with NLP is challenging because (a) there is no NLP ready ACE ontologies; (b) there are limited cases available for machine learning, necessitating the data annotation from clinical experts. We are currently developing a tool that would use NLP techniques to assist us in surfacing ACEs from clinical notes. This will enable us further research in identifying evidence of the relationship between ACEs and the subsequent developments of mental illness (e.g., addictions) in large-scale and longitudinal free-text EHRs, which has previously not been possible.