Paper Reading AI Learner

SmartTriage: A system for personalized patient data capture, documentation generation, and decision support

2020-10-19 22:45:27
Ilya Valmianski, Ian M. Finn, Nave Frost, Yang Wang, Baodong Liu, James J. Zhu, Sunil Karumuri, Daniel S. Zisook

Abstract

Symptom checkers have emerged as an important tool for collecting symptoms and diagnosing patients, minimizing the involvement of clinical personnel. We developed a machine-learning-backed system, SmartTriage, which goes beyond conventional symptom checking through a tight bi-directional integration with the electronic medical record (EMR). Conditioned on EMR-derived patient history, our system identifies the patient's chief complaint from a free-text entry and then asks a series of discrete questions to obtain relevant symptomatology. The patient-specific data are used to predict detailed ICD-10-CM codes as well as medication, laboratory, and imaging orders. Patient responses and clinical decision support (CDS) predictions are then inserted back into the EMR. To train the machine learning components of SmartTriage, we employed novel data sets of over 25 million primary care encounters and 1 million patient free-text reason-for-visit entries. These data sets were used to construct: (1) a long short-term memory (LSTM) based patient history representation, (2) a fine-tuned transformer model for chief complaint extraction, (3) a random forest model for question sequencing, and (4) a feed-forward network for CDS predictions. We also present the full production architecture for the pilot deployment of SmartTriage that covers 337 patient chief complaints.

Abstract (translated)

URL

https://arxiv.org/abs/2010.09905

PDF

https://arxiv.org/pdf/2010.09905.pdf


Tags
3D Action Action_Localization Action_Recognition Activity Adversarial Agent Attention Autonomous Bert Boundary_Detection Caption Chat Classification CNN Compressive_Sensing Contour Contrastive_Learning Deep_Learning Denoising Detection Dialog Diffusion Drone Dynamic_Memory_Network Edge_Detection Embedding Embodied Emotion Enhancement Face Face_Detection Face_Recognition Facial_Landmark Few-Shot Gait_Recognition GAN Gaze_Estimation Gesture Gradient_Descent Handwriting Human_Parsing Image_Caption Image_Classification Image_Compression Image_Enhancement Image_Generation Image_Matting Image_Retrieval Inference Inpainting Intelligent_Chip Knowledge Knowledge_Graph Language_Model Matching Medical Memory_Networks Multi_Modal Multi_Task NAS NMT Object_Detection Object_Tracking OCR Ontology Optical_Character Optical_Flow Optimization Person_Re-identification Point_Cloud Portrait_Generation Pose Pose_Estimation Prediction QA Quantitative Quantitative_Finance Quantization Re-identification Recognition Recommendation Reconstruction Regularization Reinforcement_Learning Relation Relation_Extraction Represenation Represenation_Learning Restoration Review RNN Salient Scene_Classification Scene_Generation Scene_Parsing Scene_Text Segmentation Self-Supervised Semantic_Instance_Segmentation Semantic_Segmentation Semi_Global Semi_Supervised Sence_graph Sentiment Sentiment_Classification Sketch SLAM Sparse Speech Speech_Recognition Style_Transfer Summarization Super_Resolution Surveillance Survey Text_Classification Text_Generation Tracking Transfer_Learning Transformer Unsupervised Video_Caption Video_Classification Video_Indexing Video_Prediction Video_Retrieval Visual_Relation VQA Weakly_Supervised Zero-Shot