Table I.
Guideline elements extracted from clinical notes by NLP
| Guideline element | Required documentation | Example |
|---|---|---|
| Asthma Control | Daytime asthma symptoms (with frequency) Nighttime asthma symptoms (with frequency) Activity limitations |
He had no difficulty of breathing for a month. She can awaken 1–2 times during the night due to coughing. He missed school due to asthma symptoms. |
|
| ||
| Factors associated with control | ||
| Medication compliance Inhaler technique Allergy/irritant assessment Smoking |
Medication compliance discussed Review of patient’s inhaler technique Allergy testing or assessment Household member smoking status |
Patient is able to use Flovent about 60% of time. Discussed correct inhaler technique. Exercise can also be a trigger. Non-smoker |
|
| ||
| Medications | ||
| Rescue medication Maintenance medication |
Recorded Recorded |
Albuterol (under medication section) Flovent (under medication section) |
Adapted from Yawn’s work (17).