A typical workflow to document clinical encounters entails dictating a summary, running speech recognition, and post-processing the resulting text into a formatted letter. Post-processing entails a host of transformations including punctuation restoration, truecasing, marking sections and headers, converting dates and numerical expressions, parsing lists, etc. In conventional implementations, most of these tasks are accomplished by individual modules. We introduce a novel holistic approach to post-processing that relies on machine callytranslation. We show how this technique outperforms an alternative conventional system—even learning to correct speech recognition errors during post-processing—while being much simpler to maintain.

A medical scribe is a clinical professional who charts patient–physician encounters in real time, relieving physicians of most of their administrative burden and substantially increasing productivity and job satisfaction. We present a complete implementation of an automated medical scribe. Our system can serve either as a scalable, standardized, and economical alternative to human scribes; or as an assistive tool for them, providing a first draft of a report along with a convenient means to modify it. This solution is, to our knowledge, the first automated scribe ever presented and relies upon multiple speech and language technologies, including speaker diarization, medical speech recognition, knowledge extraction, and natural language generation.

In clinical dictation, speakers try to be as concise as possible to save time, often resulting in utterances without explicit punctuation commands. Since the end product of a dictated report, e.g. an out-patient letter, does require correct orthography, including exact punctuation, the latter need to be restored, preferably by automated means. This paper describes a method for punctuation restoration based on a state-of-the-art stack of NLP and machine learning techniques including B-RNNs with an attention mechanism and late fusion, as well as a feature extraction technique tailored to the processing of medical terminology using a novel vocabulary reduction model. To the best of our knowledge, the resulting performance is superior to that reported in prior art on similar tasks.

Dictated medical reports very often feature a preamble containing metainformation about the report such as patient and physician names, location and name of the clinic, date of procedure, and so on. In the medical transcription process, the preamble is usually omitted from the final report, as it contains information already available in the electronic medical record. We present a method which is able to automatically identify preambles in medical dictations. The method makes use of state-of-the-art NLP techniques including word embeddings and Bi-LSTMs and achieves preamble detection performance superior to humans.

Analogy completion via vector arithmetic has become a common means of demonstrating the compositionality of word embeddings. Previous work have shown that this strategy works more reliably for certain types of analogical word relationships than for others, but these studies have not offered a convincing account for why this is the case. We arrive at such an account through an experiment that targets a wide variety of analogy questions and defines a baseline condition to more accurately measure the efficacy of our system. We find that the most reliably solvable analogy categories involve either 1) the application of a morpheme with clear syntactic effects, 2) male–female alternations, or 3) named entities. These broader types do not pattern cleanly along a syntactic–semantic divide. We suggest instead that their commonality is distributional, in that the difference between the distributions of two words in any given pair encompasses a relatively small number of word types. Our study offers a needed explanation for why analogy tests succeed and fail where they do and provides nuanced insight into the relationship between word distributions and the theoretical linguistic domains of syntax and semantics.