Automatically Generating Psychiatric Case Notes From Digital Transcripts of Doctor-Patient Conversations

Electronic health records (EHRs) are notorious for reducing the face-to-face time with patients while increasing the screen-time for clinicians leading to burnout. This is especially problematic for psychiatry care in which maintaining consistent eye-contact and nonverbal cues are just as important as the spoken words. In this ongoing work, we explore the feasibility of automatically generating psychiatric EHR case notes from digital transcripts of doctor-patient conversation using a two-step approach: (1) predicting semantic topics for segments of transcripts using supervised machine learning, and (2) generating formal text of those segments using natural language processing. Through a series of preliminary experimental results obtained through a collection of synthetic and real-life transcripts, we demonstrate the viability of this approach.

[1]  E. Hing,et al.  Use and characteristics of electronic health record systems among office-based physician practices: United States, 2001-2013. , 2014, NCHS data brief.

[2]  Thomas H. Payne,et al.  Report of the AMIA EHR-2020 Task Force on the status and future direction of EHRs , 2015, J. Am. Medical Informatics Assoc..

[3]  Radford M. Neal Pattern Recognition and Machine Learning , 2007, Technometrics.

[4]  Barbara Sheehan,et al.  Natural Language Processing–Enabled and Conventional Data Capture Methods for Input to Electronic Health Records: A Comparative Usability Study , 2016, JMIR medical informatics.

[5]  Miroslav Nagy,et al.  Voice-controlled Data Entry in Dental Electronic Health Record , 2008, MIE.

[6]  Ronilda C. Lacson,et al.  Automatic analysis of medical dialogue in the home hemodialysis domain: structure induction and summarization , 2006, J. Biomed. Informatics.

[7]  Viv Bewick,et al.  Statistics review 13: Receiver operating characteristic curves , 2004, Critical care.

[8]  Byron C. Wallace,et al.  Automatically Annotating Topics in Transcripts of Patient-Provider Interactions via Machine Learning , 2014, Medical decision making : an international journal of the Society for Medical Decision Making.

[9]  S. Bakken,et al.  Assessing Electronic Note Quality Using the Physician Documentation Quality Instrument (PDQI-9) , 2012, Applied Clinical Informatics.

[10]  Gaël Varoquaux,et al.  Scikit-learn: Machine Learning in Python , 2011, J. Mach. Learn. Res..