
<p>Handwritten paper charting remains the primary method of collecting anesthesia health data in low-middle income countries that lack automated data capture devices and electronic medical records. Lack of digital data precludes automated evaluation of a patient’s condition in real time intraoperatively and limits healthcare research to improve outcomes. In this paper, we demonstrate the use of computer vision software to digitize handwritten intraoperative data from smartphone photographs of paper anesthesia records from the University Teaching Hospital of Kigali. We implement approaches for removing perspective distortions from photographs, removing shadows and improving image readability though morphological operations, reading handwritten symbols using deep neural networks, and decoding handwritten symbols into meaningful values. Our work builds upon the contributions of previous research by improving upon their methods, updating the deep learning models to newer architectures, as well as consolidating them into a single piece of software. Our software digitizes checkbox data with greater than 99% accuracy and digitizes blood pressure data with a mean average error of 1.17mmHg under realistic photography conditions, and digitizes physiological data to within human accuracy when provided legible handwriting and high image quality. Our contributions provides improved access to digital data to healthcare practitioners in low-middle income countries and enables collection of data previously inaccessible to clinicians and researchers. </p>
QH301-705.5, Research, Computer applications to medicine. Medical informatics, R858-859.7, Deep Learning, Document analysis, Computer extraction of time series, Image Processing, Computer-Assisted, Humans, Electronic Health Records, Computer vision, Anesthesia, Smartphone, Biology (General), Developing Countries
QH301-705.5, Research, Computer applications to medicine. Medical informatics, R858-859.7, Deep Learning, Document analysis, Computer extraction of time series, Image Processing, Computer-Assisted, Humans, Electronic Health Records, Computer vision, Anesthesia, Smartphone, Biology (General), Developing Countries
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 4 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
