论文标题
NLP解决方案,用于促进电子健康记录中信息的使用,以促进医院护理决策的效率
An NLP Solution to Foster the Use of Information in Electronic Health Records for Efficiency in Decision-Making in Hospital Care
论文作者
论文摘要
该项目旨在定义规则并开发一种技术解决方案,以自动识别葡萄牙语编写的自由文本临床记录中的一组属性。在此基础上开发和实施的第一个应用程序是对患者临床病史的结构化摘要,包括先前的诊断和程序,常规药物,以及临床决策的相关特征或条件,例如过敏,正在抗凝治疗下。公立医院,大学和私营部门的观点。对用户和患者的相关利益与有助于获得患者病史的机会有关,这转化为避免患者的临床过去和由于节省时间而效率的详尽无关。
The project aimed to define the rules and develop a technological solution to automatically identify a set of attributes within free-text clinical records written in Portuguese. The first application developed and implemented on this basis was a structured summary of a patient's clinical history, including previous diagnoses and procedures, usual medication, and relevant characteristics or conditions for clinical decisions, such as allergies, being under anticoagulant therapy, etc. The project's goal was achieved by a multidisciplinary team that included clinicians, epidemiologists, computational linguists, machine learning researchers and software engineers, bringing together the expertise and perspectives of a public hospital, the university and the private sector. Relevant benefits to users and patients are related with facilitated access to the patient's history, which translates into exhaustiveness in apprehending the patient's clinical past and efficiency due to time saving.