Application of the program for artificial intelligence analytics of paper text and segmentation by specified parameters in clinical practice

Abstract

The development of novel technologies using elements of artificial intelligence (AI) in medicine is addressed to practical clinical implementation and provision of key issues, including improvement in the use of routine clinical data, aimed at practical relevance, standardization, confidentiality and patient safety.Aim. To evaluate the effectiveness of the RuPatient electronic heart record (EHR) system in real clinical practice for extracting and structuring medical data.Material and methods. Extraction and recognition of data using EHR from various following sources: outpatient records, statements, routine medical reports, epicrisis and other structured and unstructured medical information based on the developed technology of intelligent text analytics, optical character recognition, for specified words and phrases, and the use of machine learning elements. A particular criterion for evaluating the effectiveness of EHR is the time spent on filling out electronic medical records compared to real clinical practice.Results. The time of entering and processing information by the recognition system of medical documentation included in the RuPatient EHR was shorter than in standard practice (20,3±1,4 minutes, 25,1±1,5 minutes, respectively, p<0,001), the average time of recognition of documents was 30±4,3 seconds. During the ROC analysis, we determined that the threshold value that allows high accuracy to recognize images of discharge epicrisis using the RuPatient system was 83,5% with an area under the curve (AUC) value of 0,76.Conclusions. The developed RuPatient EHR has a medical documentation recognition module for creating structured data based on AI technology elements and can be used in creating an electronic medical history and accumulation of structured data for the implementation of tasks for the practical and scientific use of big data and AI projects in medicine. When using the RuPatient system, the burden on medical staff during document management can be reduced and access to primary medical information simplified.