Toward Relieving Clinician Burden by Automatically Generating Progress Notes using Interim Hospital Data

Fuente: arXiv
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Main Authors: Soni, Sarvesh, Demner-Fushman, Dina
Format: Preprint
Published: 2024
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author Soni, Sarvesh
Demner-Fushman, Dina
author_facet Soni, Sarvesh
Demner-Fushman, Dina
contents Regular documentation of progress notes is one of the main contributors to clinician burden. The abundance of structured chart information in medical records further exacerbates the burden, however, it also presents an opportunity to automate the generation of progress notes. In this paper, we propose a task to automate progress note generation using structured or tabular information present in electronic health records. To this end, we present a novel framework and a large dataset, ChartPNG, for the task which contains $7089$ annotation instances (each having a pair of progress notes and interim structured chart data) across $1616$ patients. We establish baselines on the dataset using large language models from general and biomedical domains. We perform both automated (where the best performing Biomistral model achieved a BERTScore F1 of $80.53$ and MEDCON score of $19.61$) and manual (where we found that the model was able to leverage relevant structured data with $76.9\%$ accuracy) analyses to identify the challenges with the proposed task and opportunities for future research.
format Preprint
id arxiv_https___arxiv_org_abs_2410_12845
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Toward Relieving Clinician Burden by Automatically Generating Progress Notes using Interim Hospital Data
Soni, Sarvesh
Demner-Fushman, Dina
Computation and Language
Artificial Intelligence
Regular documentation of progress notes is one of the main contributors to clinician burden. The abundance of structured chart information in medical records further exacerbates the burden, however, it also presents an opportunity to automate the generation of progress notes. In this paper, we propose a task to automate progress note generation using structured or tabular information present in electronic health records. To this end, we present a novel framework and a large dataset, ChartPNG, for the task which contains $7089$ annotation instances (each having a pair of progress notes and interim structured chart data) across $1616$ patients. We establish baselines on the dataset using large language models from general and biomedical domains. We perform both automated (where the best performing Biomistral model achieved a BERTScore F1 of $80.53$ and MEDCON score of $19.61$) and manual (where we found that the model was able to leverage relevant structured data with $76.9\%$ accuracy) analyses to identify the challenges with the proposed task and opportunities for future research.
title Toward Relieving Clinician Burden by Automatically Generating Progress Notes using Interim Hospital Data
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2410.12845