Iterative construction of clinical history sections

Abstract

A system for generating a patient clinical history for a current exam includes a clinical information database containing one or more clinical documents. Each clinical document including a list of patient specific information items. A clinical information crawler engine queries the clinical information database for clinical data, the clinical data including one or more information items. A clinical history construction interface displays the clinical data to the user. A narrative construction engine concatenates information items within the clinical data selected in the clinical history construction interface by the user and creates a free-text rendering, wherein the free-text rendering is inserted into the patient clinical history of a clinical report.

Description

technical field [0001] The present application generally relates to the iterative construction of clinical histories. It is particularly applicable in connection with presenting information items to the user and will be described with particular reference to the aspect from which the user can intuitively create clinical history sections which can then be translated into free text and To be inserted as such into the radiology report. However, it should be understood that it is also applicable to other use cases and is not necessarily limited to the aforementioned applications. Background technique [0002] Like other medical professionals, radiologists must keep detailed documentation about their patients' medical histories up to date. In doing so, the radiologist writes with each report a snippet of the clinical history that reflects the patient's current and previous health status and the reason for the examination. Writing clinical history pieces is labor intensive and ...

AI Technical Summary

Problems solved by technology

Writing clinical history pieces is labor intensive and thus time consuming

It requires radiologists to synthesize information from multiple sources into a coherent narrative, and sometimes radiologists, like other medical professionals, struggle with the ever-increasing amount of information available for each patient, and will sometimes simply not pay Any effort to write clinical history pieces

However, it has been recognized that not writing a detailed narrative of each patient's visit and findings will adversely affect the radiologist's understanding of the patient's condition and thus reduce the value of the radiologist's interpretation of the images

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