Tuesday, January 14, 2025
1/14/2025
This study is part of the NIH’s Helping to End Addiction Long-term (HEAL) initiative to speed scientific solutions to the national opioid public health crisis. The NIH HEAL Initiative bolsters research across NIH to improve treatment for opioid misuse and addiction. Timely and accurate estimation of overdose (OD) event rates is an indispensable surveillance component to mit-igate the toll of the ongoing OD epidemic. Getting fast updates for nonfatal ODs is crucial in decreasing further escalations in OD deaths. Traditional approaches to OD surveillance currently rely on CDC's syndromic surveil-lance system and aggregated emergency department (ED) billing data. However national level estimates are plagued by substantial delays. Hence, there is an increasing push to monitor (sub)state level datasets including ED and emergency medical service (EMS) records. Meanwhile, the role of narrative data in these records is being recognized to offer complementary signal for ODs and drugs leading to them because existing diagnosis code based OD definitions are shown to have lower recall (sensitivity). Even rule-based definitions that search for terms in narratives are missing the sequential semantic context in narrative data. To address these shortcom-ings, we propose to design and implement state-of-the-art natural language processing (NLP) models using deep neural networks (DNNs) for OD classification and fine-grained recognition of drug terms leading to ODs. To this end, we will first create and disseminate the first of their kind public gold standard hand-labeled datasets for these tasks using ED and EMS narratives. Our de-identified notes will be used to build DNN models that will also be shared publicly to the wider OD surveillance community. Our models are expected to improve recall substantially and lead to better nonfatal OD surveillance in a timely manner. We will also develop domain adaption methods to enhance the application of models developed with data from a site to datasets from a different site. Overall, our project will create novel public resources (data, code, models) for the OD surveillance community to leverage latest advances in NLP methods.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).