Enhancing Decision-making Systems with Relevant Patient Information by Leveraging Clinical Notes

被引:0
作者
Almeida, Joao Rafael [1 ,2 ]
Silva, Joao Figueira [1 ]
Pazos Sierra, Alejandro [2 ]
Matos, Sergio [1 ]
Oliveira, Jose Luis [1 ]
机构
[1] Univ Aveiro, DETI IEETA, Aveiro, Portugal
[2] Univ A Coruna, Dept Informat & Commun Technol, La Coruna, Spain
来源
PROCEEDINGS OF THE 13TH INTERNATIONAL JOINT CONFERENCE ON BIOMEDICAL ENGINEERING SYSTEMS AND TECHNOLOGIES, VOL 5: HEALTHINF | 2020年
关键词
EHR; CDSS; NLP; Clinical Notes; Clinical Decision-making; Treatment Guidance; ELECTRONIC HEALTH RECORD; MANAGEMENT; CARE; HYPERGLYCEMIA; SUPPORT; IMPACT;
D O I
10.5220/0009166902540262
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Hospitalised patients suffering from secondary illnesses that require daily medication typically need personalised treatment. Although clinical guidelines were designed considering those circumstances, existing decision-support features fail in assimilating detailed relevant patient information, which opens up opportunities for systems capable of performing a real-time evaluation of such data against existing knowledge and providing recommendations during clinical treatments. In this paper, we present a proposal for a new feature to integrate with electronic health record (EHR) systems that enriches the health treatment process by automatically extracting information from patient medical notes and aggregating it in clinical protocols. Our goal is to leverage the historical component of the patient trajectory to improve clinical decision support systems performance.
引用
收藏
页码:254 / 262
页数:9
相关论文
共 33 条
[21]   Normalized names for clinical drugs: RxNorm at 6 years [J].
Nelson, Stuart J. ;
Zeng, Kelly ;
Kilbourne, John ;
Powell, Tammy ;
Moore, Robin .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2011, 18 (04) :441-448
[22]  
Neustein Amy, 2014, TEXT MINING WEB BASE, P3, DOI [10.1515/9781614513902.3, DOI 10.1515/9781614513902.3]
[23]   Impact of Electronic Health Record Clinical Decision Support on Diabetes Care: A Randomized Trial [J].
O'Connor, Patrick J. ;
Sperl-Hillen, JoAnn M. ;
Rush, William A. ;
Johnson, Paul E. ;
Amundson, Gerald H. ;
Asche, Stephen E. ;
Ekstrom, Heidi L. ;
Gilmer, Todd P. .
ANNALS OF FAMILY MEDICINE, 2011, 9 (01) :12-21
[24]   Automated methods for the summarization of electronic health records [J].
Pivovarov, Rimma ;
Elhadad, Noemie .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2015, 22 (05) :938-947
[25]   GenericCDSS - A Generic Clinical Decision Support System [J].
Rafael Almeida, Joao ;
Oliveira, Jose Luis .
2019 IEEE 32ND INTERNATIONAL SYMPOSIUM ON COMPUTER-BASED MEDICAL SYSTEMS (CBMS), 2019, :186-191
[26]   Types and Origins of Diagnostic Errors in Primary Care Settings [J].
Singh, Hardeep ;
Giardina, Traber Davis ;
Meyer, Ashley N. D. ;
Forjuoh, Samuel N. ;
Reis, Michael D. ;
Thomas, Eric J. .
JAMA INTERNAL MEDICINE, 2013, 173 (06) :418-425
[27]  
Stearns MQ, 2001, J AM MED INFORM ASSN, P662
[28]   Bridging the inferential gap: The electronic health record and clinical evidence [J].
Stewart, Walter F. ;
Shah, Nirav R. ;
Selna, Mark J. ;
Paulus, Ronald A. ;
Walker, James M. .
HEALTH AFFAIRS, 2007, 26 (02) :W181-W191
[29]   Identifying risk factors for heart disease over time: Overview of 2014 i2b2/UTHealth shared task Track 2 [J].
Stubbs, Amber ;
Kotfila, Christopher ;
Xu, Hua ;
Uzuner, Ozlem .
JOURNAL OF BIOMEDICAL INFORMATICS, 2015, 58 :S67-S77
[30]   Safety and Efficacy of Sitagliptin Therapy for the Inpatient Management of General Medicine and Surgery Patients With Type 2 Diabetes A pilot, randomized, controlled study [J].
Umpierrez, Guillermo E. ;
Gianchandani, Roma ;
Smiley, Dawn ;
Jacobs, Sol ;
Wesorick, David H. ;
Newton, Christopher ;
Farrokhi, Farnoosh ;
Peng, Limin ;
Reyes, David ;
Lathkar-Pradhan, Sangeeta ;
Pasquel, Francisco .
DIABETES CARE, 2013, 36 (11) :3430-3435