Automatically generating psychiatric case notes from digital transcripts of doctor-patient conversations using text mining
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Abstract
Current health care systems require clinicians to spend a substantial amount of time to digitally document their interactions with their patients through the use of electronic health records (EHRs), limiting the time spent on face-to-face patient care. Moreover, the use of EHRs is known to be highly inefficient due to additional time it takes for completion, which also leads to clinician burnout. In this project, we explore the feasibility of developing an automated case notes system for psychiatrists using text mining techniques that will listen to doctor-patient conversations, generate digital transcripts using speech-to-text conversion, classify information from the transcripts into relevant categories, and automatically generate structured case notes.
In our preliminary work, we develop a human-powered doctor-patient conversation transcript annotator and obtain a gold standard dataset through the National Alliance of Mental Illness (NAMI) Montana. We model the task of classifying parts of conversations into six broad categories such as medical and family history as a supervised classification problem and apply several popular machine learning algorithms. According to our preliminary experimental results obtained through 5-fold cross-validation, Support Vector Machines are able to classify an unseen transcript with an average AUROC (area under the receiver operating characteristic curve) score of 89%. Finally, we use part-of-speech (POS) tagging, grammatical rules of English language and verb conjugation, we generate written versions of the pieces of text belonging to different categories. These formal text are aggregated in to filling different sections of the EHR forms.
Cite this as
2019. Automatically generating psychiatric case notes from digital transcripts of doctor-patient conversations using text mining. PeerJ Preprints 7:e27497v2 https://doi.org/10.7287/peerj.preprints.27497v2Author comment
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Competing Interests
The authors declare that they have no competing interests.
Author Contributions
Nazmul Kazi conceived and designed the experiments, performed the experiments, analyzed the data, contributed reagents/materials/analysis tools, prepared figures and/or tables, performed the computation work, authored or reviewed drafts of the paper.
Indika Kahanda conceived and designed the experiments, analyzed the data, contributed reagents/materials/analysis tools, prepared figures and/or tables, authored or reviewed drafts of the paper, approved the final draft.
Data Deposition
The following information was supplied regarding data availability:
We do not have a data repository at this moment but we are planning to add one soon.
Funding
This work was supported by Undergraduate Scholars Program, Montana State University and Presidential Emerging Scholars Program, Montana State University. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
