IP Library Granted Patent US 8,788,289
Granted Patent B2
US 8,788,289 · App. 13/030,981 · Granted Jul 22, 2014

Methods and apparatus for linking extracted clinical facts to text

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Quick Facts
Patent No.
US 8,788,289
App. No.
13/030,981
Granted
Jul 22, 2014
Kind
B2
Abstract

A plurality of clinical facts may be extracted from a free-form narration of a patient encounter provided by a clinician. The plurality of clinical facts may include a first fact and a second fact. The first fact may be extracted from a first portion of the free-form narration, and the second fact may be extracted from a second portion of the free-form narration. A first indicator that indicates a first linkage between the first fact and the first portion of the free-form narration may be provided to a user. A second indicator, different from the first indicator, that indicates a second linkage between the second fact and the second portion of the free-form narration may also be provided to the user.

Claims (107)

1. A method comprising:

extracting, using at least one processor, a plurality of clinical facts from a free-form narration of a patient encounter provided by a clinician, wherein the plurality of clinical facts comprises a first fact and a second fact, wherein the first fact is extracted from a first portion of the free-form narration, and wherein the second fact is extracted from a second portion of the free-form narration, the extracting comprising

analyzing the free-form narration to identify one or more sets of features of at least the first and second portions of the free-form narration,

correlating the one or more sets of features to a plurality of abstract semantic concepts, and

generating computer-readable data that expresses the plurality of abstract semantic concepts as the plurality of clinical facts extracted from the free-form narration; and

providing to a user a first indicator that indicates a first linkage between the first fact and the first portion of the free-form narration, wherein providing the first indicator comprises:

in response to the user selecting the first fact via a user interface, providing to the user an indicator that distinguishes the first portion of the free-form narration from which the first fact was extracted from other portions of the free-form narration from which the first fact was not extracted; and

providing to the user a second indicator, different from the first indicator, that indicates a second linkage between the second fact and the second portion of the free-form narration.

2. The method of claim 1 , wherein the first indicator comprises a visual indicator.

3. The method of claim 2 , wherein the first indicator indicates the first linkage using a different textual and/or graphic style than the second indicator uses to indicate the second linkage.

4. The method of claim 3 , wherein the first indicator indicates the first linkage using a first color, and the second indicator indicates the second linkage using a second color, wherein the first color is different from the second color.

5. The method of claim 2 , wherein providing the first indicator comprises:

in response to a selection by the user of one of the first fact and a textual representation of the first portion of the free-form narration, visually identifying the other of the first fact and the textual representation of the first portion of the free-form narration.

6. The method of claim 2 , wherein providing the first indicator comprises:

in response to a selection by the user of one of the first fact and a textual representation of the first portion of the free-form narration, displaying a graphical connector between the first fact and the textual representation of the first portion of the free-form narration.

7. The method of claim 2 , wherein providing the first indicator comprises:

in response to a selection by the user of the first fact, scrolling a display of a textual representation of the free-form narration to a textual representation of the first portion of the free-form narration.

8. The method of claim 1 , wherein the first indicator comprises an audio indicator.

9. The method of claim 8 , wherein providing the first indicator comprises:

in response to a selection by the user of the first fact, playing an audio version of the first portion of the free-form narration.

10. The method of claim 9 , wherein the audio version of the first portion of the free-form narration comprises a portion of an audio recording of the clinician dictating the free-form narration.

11. The method of claim 9 , wherein the audio version of the first portion of the free-form narration is generated from a textual representation of the free-form narration using automatic speech synthesis.

12. The method of claim 1 , further comprising automatically editing one of the first fact and a data representation of the first portion of the free-form narration in response to the user editing the other of the first fact and the data representation of the first portion of the free-form narration.

13. The method of claim 1 , further comprising:

in response to the user selecting a third portion of the free-form narration, extracting a third fact from the third portion of the free-form narration.

14. The method of claim 1 , further comprising formatting a textual representation of the free-form narration to produce a formatted text, wherein the plurality of clinical facts are extracted from the formatted text.

15. The method of claim 14 , wherein the formatting is performed in a way that facilitates the extracting of the plurality of clinical facts.

16. The method of claim 1 , further comprising:

including the first fact in a patient record; and

indicating a linkage between the first fact in the patient record and the first portion of the free-form narration.

17. The method of claim 16 , wherein the indicating comprises:

simultaneously displaying at least a portion of the patient record and a textual representation of at least the first portion of the free-form narration; and

visually indicating the linkage between the first fact in the patient record and a textual representation of the first portion of the free-form narration.

18. The method of claim 1 , wherein the user is the clinician.

19. The method of claim 1 , wherein the user is a person other than the clinician.

20. Apparatus comprising:

at least one processor; and

a memory storing processor-executable instructions that, when executed by the at least one processor, perform a method comprising:

extracting a plurality of clinical facts from a free-form narration of a patient encounter provided by a clinician, wherein the plurality of clinical facts comprises a first fact and a second fact, wherein the first fact is extracted from a first portion of the free-form narration, and wherein the second fact is extracted from a second portion of the free-form narration, the extracting comprising

analyzing the free-form narration to identify one or more sets of features of at least the first and second portions of the free-form narration,

correlating the one or more sets of features to a plurality of abstract semantic concepts, and

generating computer-readable data that expresses the plurality of abstract semantic concepts as the plurality of clinical facts extracted from the free-form narration; and

providing to a user a first indicator that indicates a first linkage between the first fact and the first portion of the free-form narration, wherein providing the first indicator comprises:

in response to the user selecting the first fact via a user interface, providing to the user an indicator that distinguishes the first portion of the free-form narration from which the first fact was extracted from other portions of the free-form narration from which the first fact was not extracted; and

providing to the user a second indicator, different from the first indicator, that indicates a second linkage between the second fact and the second portion of the free-form narration.

21. The apparatus of claim 20 , wherein the first indicator comprises a visual indicator.

22. The apparatus of claim 21 , wherein the first indicator indicates the first linkage using a different textual and/or graphic style than the second indicator uses to indicate the second linkage.

23. The apparatus of claim 22 , wherein the first indicator indicates the first linkage using a first color, and the second indicator indicates the second linkage using a second color, wherein the first color is different from the second color.

24. The apparatus of claim 21 , wherein providing the first indicator comprises:

in response to a selection by the user of one of the first fact and a textual representation of the first portion of the free-form narration, visually identifying the other of the first fact and the textual representation of the first portion of the free-form narration.

25. The apparatus of claim 21 , wherein providing the first indicator comprises:

in response to a selection by the user of one of the first fact and a textual representation of the first portion of the free-form narration, displaying a graphical connector between the first fact and the textual representation of the first portion of the free-form narration.

26. The apparatus of claim 21 , wherein providing the first indicator comprises:

in response to a selection by the user of the first fact, scrolling a display of a textual representation of the free-form narration to a textual representation of the first portion of the free-form narration.

27. The apparatus of claim 20 , wherein the first indicator comprises an audio indicator.

28. The apparatus of claim 27 , wherein providing the first indicator comprises:

in response to a selection by the user of the first fact, playing an audio version of the first portion of the free-form narration.

29. The apparatus of claim 28 , wherein the audio version of the first portion of the free-form narration comprises a portion of an audio recording of the clinician dictating the free-form narration.

30. The apparatus of claim 28 , wherein the audio version of the first portion of the free-form narration is generated from a textual representation of the free-form narration using automatic speech synthesis.

31. The apparatus of claim 20 , wherein the method further comprises automatically editing one of the first fact and a data representation of the first portion of the free-form narration in response to the user editing the other of the first fact and the data representation of the first portion of the free-form narration.

32. The apparatus of claim 20 , wherein the method further comprises:

in response to the user selecting a third portion of the free-form narration, extracting a third fact from the third portion of the free-form narration.

33. The apparatus of claim 20 , wherein the method further comprises formatting a textual representation of the free-form narration to produce a formatted text, wherein the plurality of clinical facts are extracted from the formatted text.

34. The apparatus of claim 33 , wherein the formatting is performed in a way that facilitates the extracting of the plurality of clinical facts.

35. The apparatus of claim 20 , wherein the method further comprises:

including the first fact in a patient record; and

indicating a linkage between the first fact in the patient record and the first portion of the free-form narration.

36. The apparatus of claim 35 , wherein the indicating comprises:

simultaneously displaying at least a portion of the patient record and a textual representation of at least the first portion of the free-form narration; and

visually indicating the linkage between the first fact in the patient record and a textual representation of the first portion of the free-form narration.

37. The apparatus of claim 20 , wherein the user is the clinician.

38. The apparatus of claim 20 , wherein the user is a person other than the clinician.

39. At least one non-transitory computer-readable storage medium encoded with a plurality of computer-executable instructions that, when executed, perform a method comprising:

extracting a plurality of clinical facts from a free-form narration of a patient encounter provided by a clinician, wherein the plurality of clinical facts comprises a first fact and a second fact, wherein the first fact is extracted from a first portion of the free-form narration, and wherein the second fact is extracted from a second portion of the free-form narration, the extracting comprising

analyzing the free-form narration to identify one or more sets of features of at least the first and second portions of the free-form narration,

correlating the one or more sets of features to a plurality of abstract semantic concepts, and

generating computer-readable data that expresses the plurality of abstract semantic concepts as the plurality of clinical facts extracted from the free-form narration; and

providing to a user a first indicator that indicates a first linkage between the first fact and the first portion of the free-form narration, wherein providing the first indicator comprises:

in response to the user selecting the first fact via a user interface, providing to the user an indicator that distinguishes the first portion of the free-form narration from which the first fact was extracted from other portions of the free-form narration from which the first fact was not extracted; and

providing to the user a second indicator, different from the first indicator, that indicates a second linkage between the second fact and the second portion of the free-form narration.

40. The at least one non-transitory computer-readable storage medium of claim 39 , wherein the first indicator comprises a visual indicator.

41. The at least one non-transitory computer-readable storage medium of claim 40 , wherein the first indicator indicates the first linkage using a different textual and/or graphic style than the second indicator uses to indicate the second linkage.

42. The at least one non-transitory computer-readable storage medium of claim 41 , wherein the first indicator indicates the first linkage using a first color, and the second indicator indicates the second linkage using a second color, wherein the first color is different from the second color.

43. The at least one non-transitory computer-readable storage medium of claim 40 , wherein providing the first indicator comprises:

in response to a selection by the user of one of the first fact and a textual representation of the first portion of the free-form narration, visually identifying the other of the first fact and the textual representation of the first portion of the free-form narration.

44. The at least one non-transitory computer-readable storage medium of claim 40 , wherein providing the first indicator comprises:

in response to a selection by the user of one of the first fact and a textual representation of the first portion of the free-form narration, displaying a graphical connector between the first fact and the textual representation of the first portion of the free-form narration.

45. The at least one non-transitory computer-readable storage medium of claim 40 , wherein providing the first indicator comprises:

in response to a selection by the user of the first fact, scrolling a display of a textual representation of the free-form narration to a textual representation of the first portion of the free-form narration.

46. The at least one non-transitory computer-readable storage medium of claim 39 , wherein the first indicator comprises an audio indicator.

47. The at least one non-transitory computer-readable storage medium of claim 46 , wherein providing the first indicator comprises:

in response to a selection by the user of the first fact, playing an audio version of the first portion of the free-form narration.

48. The at least one non-transitory computer-readable storage medium of claim 47 , wherein the audio version of the first portion of the free-form narration comprises a portion of an audio recording of the clinician dictating the free-form narration.

49. The at least one non-transitory computer-readable storage medium of claim 47 , wherein the audio version of the first portion of the free-form narration is generated from a textual representation of the free-form narration using automatic speech synthesis.

50. The at least one non-transitory computer-readable storage medium of claim 39 , wherein the method further comprises automatically editing one of the first fact and a data representation of the first portion of the free-form narration in response to the user editing the other of the first fact and the data representation of the first portion of the free-form narration.

51. The at least one non-transitory computer-readable storage medium of claim 39 , wherein the method further comprises:

in response to the user selecting a third portion of the free-form narration, extracting a third fact from the third portion of the free-form narration.

52. The at least one non-transitory computer-readable storage medium of claim 39 , wherein the method further comprises formatting a textual representation of the free-form narration to produce a formatted text, wherein the plurality of clinical facts are extracted from the formatted text.

53. The at least one non-transitory computer-readable storage medium of claim 52 , wherein the formatting is performed in a way that facilitates the extracting of the plurality of clinical facts.

54. The at least one non-transitory computer-readable storage medium of claim 39 , wherein the method further comprises:

including the first fact in a patient record; and

indicating a linkage between the first fact in the patient record and the first portion of the free-form narration.

55. The at least one non-transitory computer-readable storage medium of claim 54 , wherein the indicating comprises:

simultaneously displaying at least a portion of the patient record and a textual representation of at least the first portion of the free-form narration; and

visually indicating the linkage between the first fact in the patient record and a textual representation of the first portion of the free-form narration.

56. The at least one non-transitory computer-readable storage medium of claim 39 , wherein the user is the clinician.

57. The at least one non-transitory computer-readable storage medium of claim 39 , wherein the user is a person other than the clinician.

Assignments (3)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Nov 9, 2023
From: NUANCE COMMUNICATIONS, INC.
To: MICROSOFT TECHNOLOGY LICENSING, LLC
Reel/Frame 065533/0389 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Oct 30, 2023
From: NUANCE COMMUNICATIONS, INC.
To: MICROSOFT TECHNOLOGY LICENSING, LLC
Reel/Frame 065395/0902 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 23, 2011
From: FLANAGAN, JAMES R.; ZACCAGNINI, DAVIDE; MONTYNE, FRANK; DECRAENE, DAVID; HELLMAN, DAVID; SHELTON, MATTHEW R.; CASELLA DOS SANTOS, MARIANA; DOYLE, KAREN ANNE; RAEDEMAEKER, JOHAN; VAN DER VLOET, JOERI; HABBOUSH, ISAM; ELCOCKS, ANTHONY J.; HARTUNIAN, ANUSH
To: NUANCE COMMUNICATIONS, INC.
Reel/Frame 026321/0628 →