Automated medical record collation using AI/ML

At a glance

MRC is a specialised medical record collation service provider for the legal industry, with over 500 years of combined medical expertise across 70+ specialties. 

Challenge

MRC faced the challenge of increasing the speed and capacity of their manual medical record collation process to meet growing customer demand and stay ahead of the competition.

Solution

Firemind developed an AI/ML-powered automated medical record collation solution that could intelligently extract, classify, and paginate diverse medical records at a significantly faster rate.

Services used
  • Amazon Comprehend
  • Amazon DynamoDB
  • Amazon Textract
  • AWS Lambda
Outcomes
  • 1,000 documents in 12.5 minutes vs. 4 hours

  • 88% keyword accuracy
  • 80% reduction in AWS costs 
Business challenges

Scaling Medical Record Collation to meet growing demand

MRC determined that to increase customer satisfaction, retention and acquisition (as well as affirm their position as a market leader), the workflow of collating medical records had to be significantly increased. As it’s a key business need for solicitors and barristers to have access to the collated medical records as soon as possible.

They also faced a challenge in terms of their ability to scale the business and meet customer demand, when processing a much larger volume of documents. They were able to process around 2,000 pages per business day but were being faced with challenges of staff hire and turnover, due to the repetitive nature of manual document sorting, as well as limitations to the speed and accuracy of record collation for their customers.

To meet the challenges of increasing the speed and capacity of the manual processes of pagination, MRC looked towards automation and refinement within their workflow, for record collation and towards cloud adaption, especially using AI/ML services.

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Solution

Our proof of concept (PoC)

For this specific project, we had to gain a thorough understanding of the many challenges that this build faced:

Document volume – MRC focus on clinical negligence and personal injury cases. Due to the complexity and variety in these cases, some case documents could span thousands of pages in total, whilst others may consist of 50 or less.

Classification variety – To detect handwriting from doctor’s notes as well as specialist notes for personal injury consultations. It would have to do this as well as quickly adjusting to typed copy. The quality of each document also becomes a factor when classifying blurry and low-quality scans.

Value differentiation – To build accurate models, there is a need to understand and differentiate between numbers and characters that shared similar visuals. For example, ‘1’ and ‘7’, or ‘6’ and ‘G’. Failure to differentiate numerical and character differences would result in unstructured page formatting and classification for indexing purposes.

Data modelling – A complex variety of label types to identify such as hospitals, patient details, medical procedures, and processes.

Due to the complexity of the build and the requirement for validation to the business and its stakeholders, a Proof-of-Concept (PoC) focused on the above-mentioned challenges was to be delivered.

To combat differentiation, the PoC we built had to assign a category/subcategory for each document as well as understand the classification variety. This would help replicate the current system and requirement used by MRC through their manual process.

To begin streamlining MRC’s operation and collation processes, we worked on building a PoC that could fully automate the document processing, sorting, and collation system. Using Amazon Textract as the core service, we could intelligently extract texts from handwritten, scanned, or electronic medical records. Then, by applying Amazon Comprehend capabilities, we could extract insights from the documents such as key information or document category.

We used Comprehend Custom Classifier to manage the data model training and predictive capabilities. A TFIDF (term frequency–inverse document frequency) text classification model was built as a precursor to modelling performance and understanding the data at hand.

These ML (Machine Learning) services were built on a serverless infrastructure using AWS Lambda and Amazon DynamoDB. This provided greater scalability, flexibility, and reduced cost during the data training and concept building. As a result, at the end of this AI/ML driven process, MRC can create a neatly ordered, paginated, and indexed document.

Time to value

The automated solution achieved a remarkable 1,920% speed increase over the human-led workflow, reducing AWS costs by over 80% through optimised data modelling.

Ability to scale

The PoC validated a production-ready automated process, increasing MRC’s document handling capacity by over 500%. This shift allows staff to focus on complex medical cases while the AI model scales to manage higher document volumes.

New offering

The PoC not only replaced manual processes but also enabled MRC to develop proprietary IP. Owning the code and models positions MRC as a technology leader, setting a new industry benchmark.

As well as building the PoC, Firemind were keen to film the soft launch event at the 2022 Annual Clinical Negligence Conference in Leeds, UK. Here we were able to speak to Pete Kilbane, Commercial Director at MRC, about his experience with Firemind.

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