Extraction of Vital Signs from Clinical Notes

Stud Health Technol Inform. 2015:216:1035.

Abstract

Assessment of vital signs is an essential part of surveillance of critically ill patients to detect condition changes and clinical deterioration. While most modern electronic medical records allow for vitals to be recorded in a structured format, the frequency and quality of what is electronically stored may differ from how often these measures are actually recorded. We created a tool that extracts blood pressure, heart rate, temperature, respiratory rate, blood oxygen saturation, and pain level from nursing and other clinical notes recorded in the course of inpatient care to supplement structured vital sign data.

MeSH terms

  • Biological Ontologies
  • Data Mining / methods*
  • Decision Support Systems, Clinical / organization & administration
  • Electronic Health Records / classification*
  • Hospitals, Veterans / statistics & numerical data
  • Humans
  • Machine Learning
  • Natural Language Processing*
  • Physical Examination / classification*
  • Semantics*
  • Software*
  • United States
  • Vital Signs*
  • Vocabulary, Controlled