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I'm a medical resident. I see a patient in clinic, do a history and physical, sit down at a computer, and write a note describing what I just did. That's medica
by aabajian 9y ago
I'm a medical resident. I see a patient in clinic, do a history and physical, sit down at a computer, and write a note describing what I just did. That's medical documentation, and it's a burdensome, growing problem.
The solution would be some combination of video or audio that records the clinical encounter and automatically generates a note based on what was discussed and performed. It falls under Paul Graham's "Schlep Task" (http://www.paulgraham.com/schlep.html); http://www.paulgraham.com/schlep.html); you'd have to work with individual clinicians, get their (and the patient's!) approval to record the encounter, record it from multiple angles, build tech into dumb devices (e.g. stethoscope, Dopplers for pulses, O2 saturations, and somehow use machine learning to integrate all that sensor data into a plain-text note.
It's probably the #1 problem from a provider's viewpoint right now, especially on the primary care side. Any individual provider will see 10-20 patients per day and write just as many notes.
Edit: I'd add that you'd also have to have access to existing notes because progress notes typically summarize the patient's prior visits.
- loxias 9y agoWhat an interesting idea. Would the final output be raw text, a sort of English summary of what was said? Or, to be useful, would the final output be structured data? (example: pre-filling in a form with set number of fields and data types).
- KingPrad 9y agoMost clinical documentation in EHRs is template based with lots of boilerplate into which key words and phrases are dropped. And some template sections are free text, enabling highly customizable final documentation.
- 659087 9y ago> The solution would be some combination of video or audio that records the clinical encounter and automatically generates a note based on what was discussed and performed. I'd drop my doctor immediately if this was implemented at their office, particularly if the reasoning behind it was "I'm too lazy to take notes myself".
- nja 9y agofyi that link redirects to pg's homepage for me, since it's erroneously picking up the `);` (auto-linking is hard!) Here's the link, for those who are lazy like me: http://www.paulgraham.com/schlep.html http://www.paulgraham.com/schlep.html