CLIRMLDec 10, 2019

Medication Regimen Extraction From Medical Conversations

arXiv:1912.04961v36 citations
Originality Incremental advance
AI Analysis

This addresses doctor burnout and patient forgetfulness by automating information extraction from medical conversations, though it is incremental as it builds on existing QA and information extraction methods.

The paper tackled extracting medication regimens (dosage and frequency) from doctor-patient conversations by framing it as a question answering task and using data augmentation to address data scarcity, resulting in improvements from baseline ROUGE-1 F1 scores of 54.28 and 37.13 to 89.57 and 45.94, and achieving about 71% accuracy in a fully automated system.

Extracting relevant information from medical conversations and providing it to doctors and patients might help in addressing doctor burnout and patient forgetfulness. In this paper, we focus on extracting the Medication Regimen (dosage and frequency for medications) discussed in a medical conversation. We frame the problem as a Question Answering (QA) task and perform comparative analysis over: a QA approach, a new combined QA and Information Extraction approach, and other baselines. We use a small corpus of 6,692 annotated doctor-patient conversations for the task. Clinical conversation corpora are costly to create, difficult to handle (because of data privacy concerns), and thus scarce. We address this data scarcity challenge through data augmentation methods, using publicly available embeddings and pretrain part of the network on a related task (summarization) to improve the model's performance. Compared to the baseline, our best-performing models improve the dosage and frequency extractions' ROUGE-1 F1 scores from 54.28 and 37.13 to 89.57 and 45.94, respectively. Using our best-performing model, we present the first fully automated system that can extract Medication Regimen tags from spontaneous doctor-patient conversations with about $\approx$71% accuracy.

Foundations

The foundational work for this paper's niche, ranked by how specifically the neighbourhood builds on it — not by global fame.

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