title: V-Model: a new perspective for EHR-based phenotyping.
abstract: BACKGROUND
  Narrative resources in electronic health records make clinical phenotyping study difficult to achieve. If a narrative patient history can be represented in a timeline, this would greatly enhance the efficiency of information-based studies. However, current timeline representations have limitations in visualizing narrative events. In this paper, we propose a temporal model named the 'V-Model' which visualizes clinical narratives into a timeline.
  
  
  METHODS
  We developed the V-Model which models temporal clinical events in v-like graphical structure. It visualizes patient history on a timeline in an intuitive way. For the design, the representation, reasoning, and visualization (readability) aspects were considered. Furthermore, the unique graphical notation helps to find hidden patterns of a specific patient group. For evaluation, we verified our distinctive solutions, and surveyed usability. The experiments were carried out between the V-Model and a conventional timeline model group. Eighty medical students and physicians participated in this evaluation.
  
  
  RESULTS
  The V-Model was proven to be superior in representing narrative medical events, provide sufficient information for temporal reasoning, and outperform in readability compared to a conventional timeline model. The usability of the V-Model was assessed as positive.
  
  
  CONCLUSIONS
  The V-Model successfully resolves visualization issues of clinical documents, and provides better usability compared to a conventional timeline model.
authors.forename: Heekyong
authors.initials: H
authors.lastname: Park
authors.affiliation: Interdisciplinary Program of Biomedical Engineering, Seoul National University, Seoul, Republic of Korea. jinchoi@snu.ac.kr.
authors.forename: Jinwook
authors.initials: J
authors.lastname: Choi
mesh_terms: D000328:Adult; D003196:Computer Graphics; D057286:Electronic Health Records / Q000592:standards*; D006801:Humans; D008962:Models, Theoretical; D010641:Phenotype; D013997:Time Factors; D055815:Young Adult