Methods and apparatus for generating clinical reports

Patent metadata

Field	Value
Publication number	US-9785753-B2
Application number	US-201715397634-A
Country	US
Kind code	B2
Filing date	Jan 3, 2017
Priority date	Mar 8, 2012
Publication date	Oct 10, 2017
Grant date	Oct 10, 2017

Abstract

Techniques for documenting a clinical procedure involve transcribing audio data comprising audio of one or more clinical personnel speaking while performing the clinical procedure. Examples of applicable clinical procedures include sterile procedures such as surgical procedures, as well as non-sterile procedures such as those conventionally involving a core code reporter. The transcribed audio data may be analyzed to identify relevant information for documenting the clinical procedure, and a text report including the relevant information documenting the clinical procedure may be automatically generated.

First claim

What is claimed is:

1. A method comprising:
transcribing audio data comprising audio of one or more clinical personnel speaking while performing a sterile procedure, the audio data comprising audio of a first clinician speaking to one or more other clinical personnel while performing the sterile procedure, wherein transcribing the audio data comprises performing automatic speech recognition (ASR) on the audio data using a speech recognition model trained to recognize speech of the first clinician;
analyzing the transcribed audio data, including the transcribed audio of the first clinician speaking to the one or more other clinical personnel while performing the sterile procedure, using at least one processor, to identify relevant information for documenting the sterile procedure; and
automatically generating a text report including the identified relevant information documenting the sterile procedure;
wherein identifying the relevant information comprises detecting within the transcribed audio data a present-tense narration by the first clinician stating to the other clinical personnel that the first clinician is currently performing a particular step of the sterile procedure;
wherein automatically generating the text report comprises automatically transforming the present-tense narration into a non-present-tense text portion in the report, stating that the particular step of the sterile procedure was performed.

2. The method of claim 1 , wherein the audio data comprises audio of the one or more clinical personnel orally identifying an instrument used in performing the sterile procedure, wherein the analyzing comprises automatically determining from the transcribed audio data a step of the sterile procedure performed using the instrument, and wherein generating the text report comprises automatically generating text stating that the determined step of the sterile procedure was performed.

3. The method of claim 1 , wherein the audio data comprises audio of the one or more clinical personnel orally identifying an action being performed during the sterile procedure, wherein the analyzing comprises automatically determining whether the action is part of a step of the sterile procedure that is relevant for documenting the sterile procedure, and wherein generating the text report comprises, in response to determining that the action is part of a step of the sterile procedure that is relevant for documenting the sterile procedure, automatically generating text stating that the relevant step was performed.

4. The method of claim 1 , wherein the audio data comprises audio of the one or more clinical personnel orally identifying an event occurring during the sterile procedure, wherein the analyzing comprises automatically determining whether the event indicates that a patient suffered a complication of the sterile procedure, and wherein generating the text report comprises, in response to determining that the event indicates that the patient suffered a complication of the sterile procedure, automatically generating text stating that the event occurred as a complication.

5. The method of claim 1 , wherein the sterile procedure is performed on a patient, wherein the audio data comprises audio of the one or more clinical personnel orally identifying one or more observations of a condition of the patient during the sterile procedure, wherein the analyzing comprises automatically determining whether the observed condition of the patient indicates that the patient suffered a complication of the sterile procedure, and wherein generating the text report comprises, in response to determining that the observed condition indicates that the patient suffered a complication of the sterile procedure, automatically generating text stating that the condition was observed as a complication.

6. The method of claim 1 , wherein the sterile procedure is performed on a patient, wherein the audio data comprises audio of the one or more clinical personnel orally identifying one or more substances administered to the patient in connection with the sterile procedure, and wherein generating the text report comprises automatically generating text stating that the one or more substances were administered.

7. Apparatus comprising:
at least one processor; and
at least one storage medium storing processor-executable instructions that, when executed by the at least one processor, perform a method comprising:
transcribing audio data comprising audio of one or more clinical personnel speaking while performing a sterile procedure, the audio data comprising audio of a first clinician speaking to one or more other clinical personnel while performing the sterile procedure, wherein transcribing the audio data comprises performing automatic speech recognition (ASR) on the audio data using a speech recognition model trained to recognize speech of the first clinician;
analyzing the transcribed audio data, including the transcribed audio of the first clinician speaking to the one or more other clinical personnel while performing the sterile procedure, to identify relevant information for documenting the sterile procedure; and
automatically generating a text report including the identified relevant information documenting the sterile procedure;
wherein identifying the relevant information comprises detecting within the transcribed audio data a present-tense narration by the first clinician stating to the other clinical personnel that the first clinician is currently performing a particular step of the sterile procedure;
wherein automatically generating the text report comprises automatically transforming the present-tense narration into a non-present-tense text portion in the report, stating that the particular step of the sterile procedure was performed.

8. The apparatus of claim 7 , wherein the audio data comprises audio of the one or more clinical personnel orally identifying an instrument used in performing the sterile procedure, wherein the analyzing comprises automatically determining from the transcribed audio data a step of the sterile procedure performed using the instrument, and wherein generating the text report comprises automatically generating text stating that the determined step of the sterile procedure was performed.

9. The apparatus of claim 7 , wherein the audio data comprises audio of the one or more clinical personnel orally identifying an action being performed during the sterile procedure, wherein the analyzing comprises automatically determining whether the action is part of a step of the sterile procedure that is relevant for documenting the sterile procedure, and wherein generating the text report comprises, in response to determining that the action is part of a step of the sterile procedure that is relevant for documenting the sterile procedure, automatically generating text stating that the relevant step was performed.

10. The apparatus of claim 7 , wherein the audio data comprises audio of the one or more clinical personnel orally identifying an event occurring during the sterile procedure, wherein the analyzing comprises automatically determining whether the event indicates that a patient suffered a complication of the sterile procedure, and wherein generating the text report comprises, in response to determining that the event indicates that the patient suffered a complication of the sterile procedure, automatically generating text stating that the event occurred as a complication.

11. The apparatus of claim 7 , wherein the sterile procedure is performed on a patient, wherein the audio data comprises audio of the one or more clinical personnel orally identifying one or more observations of a condition of the patient during the

Assignees

• Nuance Communications Inc

Inventors

• Casella Dos Santos Mariana

Classifications

• G16H15/00 Primary

  ICT specially adapted for medical reports, e.g. generation or transmission thereof · CPC title

• G16H40/63

  for local operation · CPC title

• G10L15/183

  using context dependencies, e.g. language models · CPC title

• G16H10/60

  for patient-specific data, e.g. for electronic patient records · CPC title

• G06F19/322

  Physics · mapped topic