Automated Reconciliation of Radiology Reports and Discharge Summaries.

Journal: AMIA ... Annual Symposium proceedings. AMIA Symposium
Published Date:

Abstract

We study machine learning techniques to automatically identify limb abnormalities (including fractures, dislocations and foreign bodies) from radiology reports. For patients presenting to the Emergency Room (ER) with suspected limb abnormalities (e.g., fractures) there is often a multi-day delay before the radiology report is available to ER staff, by which time the patient may have been discharged home with the possibility of undiagnosed fractures. ER staff, currently, have to manually review and reconcile radiology reports with the ER discharge diagnosis; this is a laborious and error-prone manual process. Using radiology reports from three different hospitals, we show that extracting detailed features from the reports to train Support Vector Machines can effectively automate the identification of limb fractures, dislocations and foreign bodies. These can be automatically reconciled with a patient's discharge diagnosis from the ER to identify a number of cases where limb abnormalities went undiagnosed.

Authors

  • Bevan Koopman
    Australian e-Health Research Centre, CSIRO, Brisbane, QLD, Australia; Queensland University of Technology, Brisbane, QLD, Australia.
  • Guido Zuccon
    Queensland University of Technology, Brisbane, QLD, Australia.
  • Amol Wagholikar
    Australian e-Health Research Centre, CSIRO, Brisbane, QLD, Australia.
  • Kevin Chu
    Royal Brisbane andWomens Hospital, Brisbane, QLD, Australia.
  • John O'Dwyer
    The Australian e-Health Research Centre, CSIRO, Brisbane, Australia.
  • Anthony Nguyen
    Australian e-Health Research Centre, CSIRO, Brisbane, QLD, Australia.
  • Gerben Keijzers
    Gold Coast Hospital, Gold Coast, QLD, Australia.