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Machine learning models automate classification of penicillin adverse drug reaction labels
Authors:Joshua M. Inglis  Stephen Bacchi  Alexander Troelnikov  William Smith  Sepehr Shakib
Affiliation:1. Department of Clinical Pharmacology, Royal Adelaide Hospital, Adelaide, South Australia, Australia;2. Department of Clinical Pharmacology, Royal Adelaide Hospital, Adelaide, South Australia, Australia

Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia;3. Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia

Clinical Immunology & Allergy, Royal Adelaide Hospital, Adelaide, South Australia, Australia

Flinders University, Adelaide, South Australia, Australia;4. Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia

Clinical Immunology & Allergy, Royal Adelaide Hospital, Adelaide, South Australia, Australia;5. Department of Clinical Pharmacology, Royal Adelaide Hospital, Adelaide, South Australia, Australia

Discipline of Pharmacology, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia

Abstract:There is a growing interest in the appropriate evaluation of penicillin adverse drug reaction (ADR) labels. We have developed machine learning models for classifying penicillin ADR labels using free-text reaction descriptions, and here report external and practical validation. The models performed comparably with expert criteria for the categorisation of allergy or intolerance and identification of high-risk allergies. These models have practical applications in detecting individuals suitable for penicillin ADR evaluation. Implementation studies are required.
Keywords:penicillin  adverse drug reaction  electronic health records  deep learning  natural language processing
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