[go: up one dir, main page]
More Web Proxy on the site http://driver.im/
Skip to main content

AI-Based Medical Scribe to Support Clinical Consultations: A Proposed System Architecture

  • Conference paper
  • First Online:
Progress in Artificial Intelligence (EPIA 2023)

Abstract

AI applications in hospital frameworks can improve patient-care quality and efficient workflows and assist in digital transformation. By designing Smart Hospital infrastructures, creating an efficient framework enables patient information exchange between hospitals, point of care, and remote patient monitoring. Deep learning (DL) solutions play important roles in these infrastructures’ digital transformation process and architectural design. Literature review shows that DL solutions based on Automatic Speech Recognition (ASR) and Natural Language Processing (NLP) are rising concerning clinical data digitalisation, population health management, and improving patient care. Nevertheless, one of the literature’s shortcomings highlights the limited research using these solutions in real-world medical environments. As part of smart hospitals, smart medical scribes have been presented in several studies as a promising solution. However, just a few studies have tested it in real settings. Moreover, it was limited to non-existent studies on non-English systems, even yet to be found similar studies for European Portuguese. The proposed study evaluates NLP-based solutions in real-life Portuguese clinical settings focused on patient care for Smart Healthcare applications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
£29.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
GBP 19.95
Price includes VAT (United Kingdom)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
GBP 55.99
Price includes VAT (United Kingdom)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
GBP 69.99
Price includes VAT (United Kingdom)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Avendano, J.P., Gallagher, D.O., Hawes, J.D., Boyle, J., Glasser, L., Aryee, J., Katt, B.M.: Interfacing with the electronic health record (EHR): a comparative review of modes of documentation. Cureus (2022). https://doi.org/10.7759/cureus.26330

  2. Bahja, M.: Natural language processing applications in business. In: Wu, R.M., Mircea, M. (eds.) E-Business, chap. 4. IntechOpen, Rijeka (2020). https://doi.org/10.5772/intechopen.92203

  3. Besacier, L., Barnard, E., Karpov, A., Schultz, T.: Automatic speech recognition for under-resourced languages: a survey. Speech Commun. 56, 85–100 (2014). https://doi.org/10.1016/j.specom.2013.07.008

  4. Carvalho, C., Abad, A.: TRIBUS: an end-to-end automatic speech recognition system for european portuguese. In: IberSPEECH 2021. ISCA (2021). https://doi.org/10.21437/iberspeech.2021-40

  5. Coiera, E., Kocaballi, B., Halamka, J., Laranjo, L.: The digital scribe. NPJ Digit. Med. 1(1) (2018). https://doi.org/10.1038/s41746-018-0066-9

  6. Fareez, F., Parikh, T., Wavell, C., Shahab, S., Chevalier, M., Good, S., Blasi, I.D., Rhouma, R., McMahon, C., Lam, J.P., Lo, T., Smith, C.W.: A dataset of simulated patient-physician medical interviews with a focus on respiratory cases. Sci Data 9(1) (2022). https://doi.org/10.1038/s41597-022-01423-1

  7. Ghatnekar, S., Faletsky, A., Nambudiri, V.E.: Digital scribe utility and barriers to implementation in clinical practice: a scoping review. Health Technol. 11(4), 803–809 (2021). https://doi.org/10.1007/s12553-021-00568-0

  8. https://research-and-innovation.ec.europa.eu/funding/funding-opportunities/funding-programmes-and-open-calls/horizon-europe/eu-missions-horizon-europe/climate-neutral-and-smart-cities_en

  9. Kirimtat, A., Krejcar, O., Kertesz, A., Tasgetiren, M.F.: Future trends and current state of smart city concepts: a survey. IEEE Access 8, 86448–86467 (2020). https://doi.org/10.1109/ACCESS.2020.2992441

    Article  Google Scholar 

  10. Mani, A., Palaskar, S., Konam, S.: Towards understanding ASR error correction for medical conversations. In: Proceedings of the first workshop on natural language processing for medical conversations. association for computational linguistics (2020). https://doi.org/10.18653/v1/2020.nlpmc-1.2

  11. Meripo, N.V., Konam, S.: ASR error detection via audio-transcript entailment (2022). arxiv:2207.10849

  12. Proceedings of the 2021 CHI conference on human factors in computing systems (2021). https://doi.org/10.1145/3411764

  13. Quiroz, J.C., Laranjo, L., Kocaballi, A.B., Berkovsky, S., Rezazadegan, D., Coiera, E.: Challenges of developing a digital scribe to reduce clinical documentation burden. NPJ Digit. Med. 2(1) (2019). https://doi.org/10.1038/s41746-019-0190-1

  14. Smart cities: Digital solutions for a more livable future. https://www.mckinsey.com/business-functions/operations/our-insights/smart-cities-digital-solutions-for-a-more-livable-future. Accessed 30 Apr. 2022

  15. Shahid, N., Rappon, T., Berta, W.: Applications of artificial neural networks in health care organizational decision-making: a scoping review. Plos One 14(2), 1–22 (2019). https://doi.org/10.1371/journal.pone.0212356

  16. Sheikhalishahi, S., Miotto, R., Dudley, J.T., Lavelli, A., Rinaldi, F., Osmani, V.: Natural language processing of clinical notes on chronic diseases: systematic review. JMIR Med. Inform. 7(2), e12239 (2019). https://doi.org/10.2196/12239

  17. Soltau, H., Wang, M., Shafran, I., Shafey, L.E.: Understanding medical conversations: rich transcription, confidence scores & information extraction. In: Interspeech 2021. ISCA (2021). https://doi.org/10.21437/interspeech.2021-691

  18. Stewart, C.: Time AI could save in healthcare administration Europe 2020 (2022). https://www.statista.com/statistics/1202254/time-ai-could-save-in-healthcare-administration-europe/

  19. Trabelsi, A., Warichet, S., Aajaoun, Y., Soussilane, S.: Evaluation of the efficiency of state-of-the-art speech recognition engines. Procedia Comput. Sci. 207, 2242–2252 (2022). https://doi.org/10.1016/j.procs.2022.09.534

  20. Ullah, Z., Al-Turjman, F., Mostarda, L., Gagliardi, R.: Applications of artificial intelligence and machine learning in smart cities. Comput. Commun. 154, 313–323 (2020). https://www.sciencedirect.com/science/article/pii/S0140366419320821

  21. van Buchem, M.M., Boosman, H., Bauer, M.P., Kant, I.M.J., Cammel, S.A., Steyerberg, E.W.: The digital scribe in clinical practice: a scoping review and research agenda. NPJ Digit. Med. 4(1) (2021). https://doi.org/10.1038/s41746-021-00432-5

  22. Wang, J., Lavender, M., Hoque, E., Brophy, P., Kautz, H.: A patient-centered digital scribe for automatic medical documentation. JAMIA Open 4(1) (2021). https://doi.org/10.1093/jamiaopen/ooab003

Download references

Acknowledgements

This work has been supported by “FCT-Fundação para a Ciência e Tecnologia” within the R &D Units Project Scope: UIDB/00319/2020.

The authors declare no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to José M. Machado .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Montenegro, L., Gomes, L.M., Machado, J.M. (2023). AI-Based Medical Scribe to Support Clinical Consultations: A Proposed System Architecture. In: Moniz, N., Vale, Z., Cascalho, J., Silva, C., Sebastião, R. (eds) Progress in Artificial Intelligence. EPIA 2023. Lecture Notes in Computer Science(), vol 14116. Springer, Cham. https://doi.org/10.1007/978-3-031-49011-8_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-49011-8_22

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-49010-1

  • Online ISBN: 978-3-031-49011-8

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics