Making the Most of Captured Information V5 10§Uses Datacap cognitive capability to extract medical info from attending physician statements §APS assessment tool simplifies APS review

PYRAMIDSOLUTIONS.COM | 0

Making the Most of Captured InformationIBM World of Watson 2016

By Kevin Knill, Director of Products and Services


Document management systems that harness the boundless capabilities of

cognitive technology will drive our people, our processes and our businesses to

success.


%


Common Challenges:

Too much process-specific metadata

complicates document taxonomy.

Annotations are difficult to find and

are not private.


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


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


20-30%Used in

of life insurance applications.

Can be

of pages long.100-1,000s


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


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


Pyramid eXpeditor in Action


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.


THANKYOU

@Kevin_KnillKevin Knill

@PyramidECM#PyramidSolutions

Pyramid Solutions, Inc.

Documents

Making the Most of Captured Information V5 10§Uses Datacap cognitive capability to extract medical info from attending physician statements §APS assessment tool simplifies APS review