Medical concept intersection between outside medical records and consultant notes: A case study in transferred cardiovascular patients

Sungrim Moon, Sijia Liu, Paul Kingsbury, David Chen, Yanshan Wang, Feichen Shen, Rajeev Chaudhry, Hongfang D Liu

Research output: Chapter in Book/Report/Conference proceedingConference contribution

2 Scopus citations

Abstract

One of the promises of "meaningful use" of Electronic Health Records (EHRs) is to facilitate digital information exchange between healthcare providers through continuity of care documents. Despite such promise, outside medical records (OMRs) of referral patients including clinical notes, lab test results or diagnostic test reports are frequently provided through fax or print out. Moreover, it is not clear how much information in those OMRs is utilized when providing care at the early stage. In this study, we collected clinical concepts automatically from OMRs through optical character recognition (OCR) technology and then performed a quantitative analysis of concepts presented in OMRs and concepts captured in clinical notes at Mayo Clinic. We also investigated information from OMRs not captured in initial consultant notes but presented over subsequent consultant notes. We identified 12.93% of concepts from OMRs were identified in clinical documents within three months. Among those overlapping concepts, 26.74% of them were not captured in initial consultant notes. Our study presents that clinical information from OMRs is important for patient care. Also, the delayed presence of information in clinical notes may indicate important information from OMRs is not fully utilized earlier in the care.

Original languageEnglish (US)
Title of host publicationProceedings - 2017 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2017
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages1495-1500
Number of pages6
Volume2017-January
ISBN (Electronic)9781509030491
DOIs
StatePublished - Dec 15 2017
Event2017 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2017 - Kansas City, United States
Duration: Nov 13 2017Nov 16 2017

Other

Other2017 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2017
CountryUnited States
CityKansas City
Period11/13/1711/16/17

Keywords

  • Electronic health record
  • Medical concept matching
  • Natural language processing
  • Optical character recognition
  • Outside medical records

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics

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    Moon, S., Liu, S., Kingsbury, P., Chen, D., Wang, Y., Shen, F., Chaudhry, R., & Liu, H. D. (2017). Medical concept intersection between outside medical records and consultant notes: A case study in transferred cardiovascular patients. In Proceedings - 2017 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2017 (Vol. 2017-January, pp. 1495-1500). Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/BIBM.2017.8217883