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Bridging the gap to structured data entry in the EHR

Clinical Language Understanding

There is a growing demand to extract structured, “actionable” information from unstructured (dictated) medical documents. Clinical Language Understanding (CLU) leverages advancements in Natural Language Processing (NLP) and Artificial Intelligence (AI) to create tailored solutions for healthcare informatics. CLU technology can be used to derive patient information from free text and to produce actionable data used to improve patient care and streamline workflow. 

How Nuance makes a difference

  • Addresses doctors’ concerns for efficiency
  • Preserves the patient’s unique clinical story
  • Enables doctors to document their clinical decision making processes
  • Integrates into doctor and enterprise workflows, enhancing acceptance
  • Supports organisational needs for structured data
  • Streamlines Electronic Health Record (EHR) population from the narrative by automatically extracting clinical facts from dictation
  • Helps accelerate EHR adoption so providers can realise the value of their HIT investments
  • Supports compliance with EHR certification criteria 

The use of CLU offers doctors the best of both worlds. It supports the comprehensive documentation of care through narrative dictation, capturing the uniqueness of each patient encounter and documenting the clinical decision-making process without the limitations of rigid documentation “templates.” However, unlike “blobs” of free-text, key patient data is identified and automatically saved in the EHR's database, where information can be analysed, reported and used for better patient care.

CLU technology allows a computer to read and understand electronic free text and extract data for use in countless applications across the healthcare spectrum. CLU software analyses free text dictation, tagging the most important clinical data elements such as problems, social history, medication, allergies and procedures. The tagged elements can then be used to populate electronic medical records, enabling applications that range from retrospective analysis to large amounts of medical records to medical decision support at the point of care.

By integrating one of the most comprehensive medical ontologies and state-of-the-art language processing algorithms, Nuance’s CLU technology can achieve the highest level of conceptual understanding of clinical narrative and bridge the gap with structured data entry to support advanced healthcare applications.

Nuance Healthcare is the right partner to help doctors and organisations transition to structured data creation, while enhancing the quality of clinical documentation, adoption and utilisation of the EHR. Nuance Healthcare leverages its considerable speech and CLU technology assets—the industry’s largest portfolio, extensive knowledge and experience and integration of cutting-edge communication and mobile devices - to create the right solutions for each doctor. Moreover, Nuance Healthcare’s partnerships with all the major EHR vendors ensures clinicians direct access to their choice of clinical documentation workflow while data flows seamlessly into the EHR.

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