Capturing Detailed Structure From Patient-Doctor Conversations for Use in Clinical Documentation

摘要

A method and system is provided for assisting a user to assign a label to words or spans of text in a transcript of a conversation between a patient and a medical professional and form groupings of such labelled words or spans of text in the transcript. The transcript is displayed on an interface of a workstation. A tool is provided for highlighting spans of text in the transcript consisting of one or more words. Another tool is provided for assigning a label to the highlighted spans of text. This tool includes a feature enabling searching through a set of predefined labels available for assignment to the highlighted span of text. The predefined labels encode medical entities and attributes of the medical entities. The interface further includes a tool for creating groupings of related highlighted spans of texts. The tools can consist of mouse action or key strokes or a combination thereof.