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Making the Most of Captured InformationIBM World of Watson 2016
By Kevin Knill, Director of Products and Services
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Document management systems that harness the boundless capabilities of
cognitive technology will drive our people, our processes and our businesses to
success.
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%
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Common Challenges:
Too much process-specific metadata
complicates document taxonomy.
Annotations are difficult to find and
are not private.
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Pyramid eXpeditorFeatures§Case in-baskets§Case information widget and details
widget§Comment feed§ Advanced viewer§ Bookmarks§ Visual tags§Document split and merge§Context-based search
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Attending Physician Statement (APS)
http://www.acponline.org/practiceforms
Patient Name: Jane Doe
ADULT PROGRESS NOTE Date of Birth: 2/14/1956 Date: 8/18/2009 Medical Record Number: A213-3 � New _ Return � Periodic
� Chart Not Available � Interval ED Visit � Interval Admission Allergies: � Yes (See Adult Summary Form) � Missed App’t(s) � Needs Prescriptions � No Review of Systems: + - Constitutional + - + - + - Musculoskeletal + - � � Change Wt � � Tinnitus � � Constipation � � Arthritis � � Breast Pain � � Fatigue � � Ulcers � � Diarrhea � � Cervical Pain � � Breast Lumps � � Temperature/Chills Respiratory � � Dysphagia � � Decreased Motion � � Breast Discharge � _ Weakness � � Asthma � � Fecal Incontinence � � Gout Endocrine Skin � � Bronchitis � � GERD � � Injuries � � Heat/Cold Intol. � � Chng Color � � Cough � � Hematochezia � � Joint Pain � � Neck Enlargement � � Chng Hair/Nails � � DOE � � Hemorrhoids � � Joint Stiffness � � Polydipsia � � New Lesions _ � Hemoptysis � � Melena � � Locking Joints � � Xerosis � � Pruritis � � Pneumonia � � N/V � � Low Back Pain Neurologic � � Rash � � SOB � � PUD � � Swelling � � Chng Concentration � � Xerosis Cardiovascular + - Genitourinary Psychiatric � � Chng Memory Eyes � � Angina � � Chng Stream � � Depression � _ Dizziness � � Cataracts � � CAD � � Hematuria � � Homicidal Ideation � _ Headache � � Chng Vision � � Chest Pain � � Hernia � � Substance Abuse � _ Imbalance � � Glaucoma � � Claudication � � Hesitancy � � Suicidal Ideation � � Numbness � � Redness � � DOE � � Impotence � � Time/Place Orientation � � Seizures ENMT � � Edema � � Incontinence � � Recent/Remote Memory � � Tremor � � Bleeding Gums � � HTN � � Nocturia � � Anxiety/Agitation � � Weakness � � Chng Hearing � � Orthopnea � � Polyuria Female Reprod. Hematologic � � Chng Voice � � Palpitations � � Scrotal Masses/Pain � � Abnormal Menses � � Anemia � � Dentures � � PND � � STD’s � � Dryness � � Easy Bruisability � � Epistaxis Gastrointestinal � � Urgency � � Dyspareunia � � Enlarged LN’s � � Hoarseness � � BRBPR � � Sexual Abuse � � HxTransfusions � � Sinusitis � � Chng Bowel Habits � � Vaginal Discharge Comments: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ � PMH Reviewed – No Changes; See Adult Summary Form � PMH Reviewed & Updated; See Adult Summary Form
CC: _________________________________________________________________________________________________________ ____________________________________________________________________________ Initial: GS HPI: (Location, Quality, Severity, Duration, Timing, Context, Modifying Factors, Assoc. Signs/Symptoms) Some dizziness and migranes returning this summer. _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Medications: � None � See Updated Med List
Stephen D. Proctor, MD Name: Example, Normal Pattern Id: 06954Gender: Male Date: 02/02/03102-G Mocksville Avenue Age: 51 Race: Caucasian Temp: 25 PBar: 740Salisbury, NC 28144 Height(in): 72 Weight(lb): 172 Physician: Proctor
(704) 636-8895 Diagnosis: Technician: bc________________________ PF Reference: Knudson (1983) Version: IVS-0101-05-2A
Calibration: Date: 05/13/03 Pred Volume: 3.00
12 10 8 6 4 2 0Volume
Flow
-12
-8
-4
0
4
8
12
16 Inspire Avg: 2.99 Expire Avg: 2.99PRE______POST_____
Spirometry
FVCFEV1FEV1/FVCFEF25-75%PEFFET100%FIVCFIF50%FVL ECodeMVV
LitersLiters%L/secL/secSecLitersL/sec
L/min
Ref
5.144.17
814.239.41
5.14
158
PreMeas4.183.32
793.228.35
12.053.992.32
000000138
Pre% Ref
8180
7689
77
87
PostMeas4.253.56
844.279.21
11.573.821.91
001000
Post% Ref
8386
10198
74
Post% Chg
27
3310-4-4
-18
Lung Volumes
VCTLCRVRV/TLCFRC N2ERV
LitersLitersLiters%LitersLiters
Ref
5.147.272.36
344.14
PreMeas4.186.362.18
343.110.94
Pre% Ref
818792
75
PostMeas
Post% Ref
0
2
4
6
8
10Lung Volumes
Ref Meas
TLC
ERV
RV
Diffusion Hb:
DLCODL AdjVADLCO/VADL/VA AdjIVC
mL/mmHg/minmL/mmHg/minLitersmL/mHg/min/LmL/mHg/min/LLiters
Ref
25.625.6
3.99
PreMeas28.628.65.924.834.833.93
Pre% Ref
111111
121
PostMeas
Post% Ref
0 2 4 6 8 10 12 14 16Time
Volume
0
1
2
3
4% Gas
0.00.10.20.3
Pulse Ox 97 %
CommentsThe measured parameters were acceptable and reproducible.The patient understood instructions and made a good effort. Thebronchodilator used was albuterol 2.5 mg via nebulizer.
InterpretationThese findings are at the lower limits of normal. Under the American Medical Association Classification Scheme for RespiratoryImpairment, this client would be Class 1 (0%, no impairment).
Xray Left Hand Patient Jane Doe Test Date 2/7/2012 Results:
Mild osteoarthritic changes of left index finger, abnormal
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20-30%Used in
of life insurance applications.
Can be
of pages long.100-1,000s
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Pyramid eXpeditor (PX) for Life Underwriting
http://www.acponline.org/practiceforms
Patients Name: Jane Doe Adult Summary Form Date of Birth: 2/14/1956 Medical Record #: A213-1
Primary Care Provider: Dr George Smith Drug Allergies/Sensitivities: None Emergency Phone #: 816-555-1212 Contact Person/Relationship: John Doe / Spouse
ICD Code Chronic Medical Problem List Date Past Surgical History Date
Hospitalizations Date Family History of Y N Family Member � � Alzheimer’s Dz ______________ � � Breast Ca ______________ � � CAD ______________ � � Cerebrovas. Dz ______________ � � Cervical Cancer ______________ � � Colon CA ______________ � � Depression ______________ � � DM ______________ � � Fe Storage ______________ � � Glaucoma ______________ � � Hyperchol. ______________ � � HTN ______________ � � Ovarian CA ______________ � � Prostate CA ______________ _ � Skin CA Mother � � Thyroid Dz ______________
Initial Risk Assessment Date � Alcohol/Drug Use _________ � STDs _________ � Domestic Violence _________ � Depression _________ � Osteoporosis _________ � Geriatric Assessment _________ � MMSE _________ � ________________ _________
Social History _ Married � Single � Civil Union � Divorced � Widow(er) � Lives Alone � Separated Occupation: Retail Religious Preference: Protestant Advance Directive? � Yes _ No If Yes, Date: _________________ Educ.: � JHS � HS _ College � Other _________________
Signature: ____________________________________________________________ Date: 1/14/1999
APS
• Read diagnoses and Rx
• Assess history• Rate each diagnoses
• Store document features
• Manage underwriting process
• Score final rating
FEATURES
RATING
• OCR• ID unreadable text• Set chronology• Find vital information• Send info to PX
IBM Datacap & Alchemy API
FEATURES
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Key Datacap Tools§ OCR (Optical Character
Recognition)§Digitize written, TIFF and fax images
§ Alchemy Bluemix Service§Sentiment analysis§Entity extraction§Concept tagging§Keyword extraction
§ Segmenters§ Classifiers
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Pyramid eXpeditor in Action
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Quick Review
PX for Life Underwriting§Uses Datacap cognitive capability to extract medical info from attending physician statements§APS assessment tool simplifies APS review and rating
IBM Datacap Cognitive Capability
Extract key features from documents to drive business processes.
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THANKYOU
@Kevin_KnillKevin Knill
@PyramidECM#PyramidSolutions
Pyramid Solutions, Inc.
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