Computer-automated scribe tools
A computerized system processes the speech of a physician and a patient during a patient encounter to automatically produce a draft clinical report which documents the patient encounter. The draft clinical report includes information that has been abstracted from the speech of the physician and patient. The draft report is provided to the physician for review. Producing the draft clinical report automatically, rather than requiring the physician to prepare the draft clinical report manually, significantly reduces the time required by the physician to produce the final version of the clinical report.
1. A method for automatically modifying, by a computer-automated tool, a draft clinical report to incorporate representations of data generated based on data extracted from captured speech, the method comprising:
accessing, by a dialog mapping module executed by a computing device, a transcript of an encounter between a patient and a healthcare professional, the transcript including (i) an identification of a role of a first speaker at a portion of the transcript including a transcription of captured speech of the first speaker and (ii) an identification of a role of a second speaker at a portion of the transcript including a transcription of captured speech of the second speaker;
mapping, by the dialog mapping module, at least one portion of the transcript of captured speech to a portion of a draft clinical report related to the encounter, based on the role of at least one of the first speaker and the second speaker;
modifying, by the dialog mapping module, based on an encounter context data, the draft clinical report to include a representation of the mapped at least one portion of the generated transcript, the representation including a proposed statement written in a linguistic writing style of the healthcare professional, wherein modifying the draft clinical report to include the representation further comprises:
accessing a second mapping between a concept identified in the portion of the transcript and a description of the concept;
generating a summary of the portion of the transcript;
including the summary in the proposed statement without including the text of the portion of the transcript; and
providing, by the dialog mapping module, the modified draft clinical report to a user.
2. The method of claim 1 , wherein modifying the draft clinical report to include the representation further comprises modifying the draft clinical report to include text copied from a portion of the transcript into the report.
3. The method of claim 1 further comprising receiving an identification of the first speaker.
4. The method of claim 3 , wherein modifying further comprises modifying the draft clinical report to include text selected based upon a preference associated with the identified first speaker.
5. The method of claim 3 , wherein modifying further comprises determining a level of detail to include from the transcript in the portion of the draft clinical report, based upon a preference associated with the identified first speaker.
6. The method of claim 1 , wherein modifying the draft clinical report further comprises including a copy of the accessed transcript.
7. The method of claim 1 further comprising storing, in a data structure, data representing an association between data stored in an electronic medical record about one of the first speaker and the second speaker identified as having a patient role and a portion of the transcript.
8. The method of claim 1 further comprising:
generating a proposed modification to the draft clinical report;
receiving input accepting the proposed modification; and
modifying the draft clinical report to include the proposed modification.
9. The method of claim 1 further comprising displaying a visible alert notifying the user of a portion of the draft clinical report that requires additional modification.
10. The method of claim 9 further comprising:
determining that the portion of the draft clinical report no longer requires additional modification; and
automatically removing the visible alert based upon the determination.
11. A non-transitory computer-readable medium storing computer program instructions executable by at least one computer processor to perform a method for automatically modifying, by a computer-automated tool, a draft clinical report to incorporate representations of data generated based on data extracted from captured speech, the method comprising:
accessing, by a dialog mapping module executed by a computing device, a transcript of an encounter between a patient and a healthcare professional, the transcript including (i) an identification of a role of a first speaker at a portion of the transcript including a transcription of captured speech of the first speaker and (ii) an identification of a role of a second speaker at a portion of the transcript including a transcription of captured speech of the second speaker;
mapping, by the dialog mapping module, at least one portion of the transcript of captured speech to a portion of a draft clinical report related to the encounter, based on the role of at least one of the first speaker and the second speaker;
modifying, by the dialog mapping module, based on an encounter context data, the draft clinical report to include a representation of the mapped at least one portion of the generated transcript, the representation including a proposed statement written in a linguistic writing style of the healthcare professional, wherein modifying the draft clinical report to include the representation further comprises including a summary of the portion of the transcript generated by accessing a second mapping between a concept identified in the portion of the transcript and a description of the concept, without including the text of the portion of the transcript; and
providing the modified draft clinical report to a user.
12. The non-transitory computer-readable medium of claim 11 further comprising instructions to modify the draft clinical report to include text copied from a portion of the transcript into the report.
13. The non-transitory computer-readable medium of claim 11 further comprising instructions to receive an identification of the first speaker.
14. The non-transitory computer-readable medium of claim 13 further comprising instructions to modify the draft clinical report to include text selected based upon a preference associated with the identified first speaker.
15. The non-transitory computer-readable medium of claim 13 further comprising instructions to determine a level of detail to include from the transcript in the portion of the draft clinical report, based upon a preference associated with the identified first speaker.
16. The non-transitory computer-readable medium of claim 11 further comprising instructions to include a copy of the accessed transcript.
17. The non-transitory computer-readable medium of claim 11 further comprising instructions to store, in a data structure, data representing an association between data stored in an electronic medical record about one of the first speaker and the second speaker identified as having a patient role and a portion of the transcript.
18. The non-transitory computer-readable medium of claim 11 further comprising instructions to:
generate a proposed modification to the draft clinical report;
receive input accepting the proposed modification; and
modify the draft clinical report to include the proposed modification.
19. The method of claim 1 , wherein the proposed statement is written using a preferred word choice of the healthcare professional.
20. The non-transitory computer-readable medium of claim 11 , wherein the proposed statement is written using a preferred word choice of the healthcare professional.