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Automatic Generation of Conditional Diagnostic Guidelines
Tyler Baldwin1, Yufan Guo1, Tanveer Syeda-Mahmood1
1IBM Almaden Research, San Jose, CA, USA.
Insights
This study developed a three-task pipeline to extract conditions for medical procedures from diagnostic texts. The system accurately identifies recommendations and their conditions, creating concise summaries for clinical decision support.
Area of Science:
- Medical Informatics
- Natural Language Processing
- Clinical Decision Support
Background:
- Diagnostic workups involve nuanced decisions on procedure appropriateness.
- Reference materials contain extensive, complex information on medical procedures.
Purpose of the Study:
- To develop an automated pipeline for extracting conditional statements regarding medical procedure recommendations.
- To create concise summaries of procedural recommendations based on suspected diagnoses.
Main Methods:
- A three-task pipeline was employed: procedure recommendation identification, conditional statement extraction, and coreference resolution.
- The system analyzes diagnostic text to link procedures with their specific conditions.
Main Results:
- Each task in the pipeline achieved above-baseline performance.
- The system successfully produced concise recommendation summaries.
Conclusions:
- Automated extraction of procedural conditions from medical texts is feasible.
- The developed pipeline can enhance clinical decision-making by providing clear recommendation summaries.
Abstract:
The diagnostic workup for many diseases can be extraordinarily nuanced, and as such reference material text often contains extensive information regarding when it is appropriate to have a patient undergo a given procedure. In this work we employ a three task pipeline for the extraction of statements indicating the conditions under which a procedure should be performed, given a suspected diagnosis. First, we identify each instance in the text where a procedure is being recommended. Next we examine the context around these recommendations to extract conditional statements that dictate the conditions under which the recommendation holds. Finally, corefering recommendations across the document are linked to produce a full recommendation summary. Results indicate that each underlying task can be performed with above baseline performance, and the output can be used to produce concise recommendation summaries.
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