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International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 09 Issue: 05 | May 2022 www.irjet.net p-ISSN: 2395-0072
© 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page 1628
HealthCare Chatbot
Manaswi Vichare1, Divya Kadole2, Sheetal Kumari3, Shresth Jain4
1,2,3,4 Student, Dept of CSE, MIT School of Engineering, MIT ADT University, Pune, Maharashtra, India
---------------------------------------------------------------------***---------------------------------------------------------------------
Abstract - With changing times due to the Covid-19
pandemic, it is advisable to leave our houses only during
emergencies. Despite the fact that hospitals maintain
adequate precautions, people still remain fearful of visiting
them due to the risk of getting infected. In the safe confines of
one's own home, this work can be used to analyze and
understand diseases and symptoms. It contains a MedicalTest
webpage that makes predictions about various illnesses using
the concept of machine learning. If the user wants to knowthe
cause for the particular symptom, they can use the chat-bot
facility. The chat-bot will ask to state the symptoms which the
user is experiencing. The user can state their symptomsone by
one and receive the predicted output. It will also provide the
probability of the illness occurring based on the symptoms. A
set of possible future symptoms are also displayed concerning
the probable disease. When an emergency occurs, it helps
pinpoint what is wrong and recommendsexpertdoctorsbased
on their Practo profile to schedule an appointment.
Key Words: Chatbot, Healthcare, Machinelearning,Decision
Tree, Natural Language Processing, Neural Network
1. INTRODUCTION
Even though we are getting accustomedtothelatestchanges
due to the Covid-19 pandemic, the fear of getting infected is
increasing due to new emerging variants. Despite the strict
lockdown restrictions, the cases are yet to be recovered,
causing a disturbance in our daily life. One of the issues
includes applying for a doctor's appointment. The hospitals
follow the Covid-19 protocols up to the mark, yet people
have a misconception of hospitalsbeinga hotspotforCorona
patients. To minimize this fear and to avoid people leaving
their houses frequently, we came up with an idea of self-
diagnosis at home.
The user can check their health reports for crucial concerns
regarding Cancer, Diabetes, Heart, Liver, Kidney, Malaria,
Pneumonia, which are prime health issues faced in India.
This process is carried out through a Medical Web page
using Flask, where the users can input their health report
details and get a diagnosis for the same. This web page is
developed using machine learning and web development
methods. Other queries related to health are answered
through the chatbot service. The chatbot will ask the user to
state the symptoms, for example, the user types "I’m feeling
cold", "There are skinrashes","Vomiting","Fatigue" etcetera,
and the model will then predict that the user has "Dengue."
Further, it will list out more symptoms that may occur and
calculate the probabilityoftheillnesssupposedlyhappening,
based on the symptoms selected. It helps to figure out what
is wrong and how urgent the situation is and recommends
expert doctors with their Practo profile to book an
appointment in the case of an emergency.
The main benefit of this research is that the users will be
able to evaluate the severity of their illnesses and take the
appropriate action as a result. In that way, they can
determine if a hospital visit or clinic consultation is
necessary or if self-diagnosis and telephonic consultation
would suffice. Rather than spending hours waiting and
making multiple trips to the hospital, you can save time
through this work.
2. LITERATURE REVIEW
In [1], the authors developed an intelligent virtual
assistant able to talk with patients to understand their
symptomatology, counsel doctors, and monitor treatments
and health parameters. By utilizing a natural language-based
interaction, the system permits the user to form their health
profile, describe their symptoms, search for doctors, or
remember a treatment to attend. Asafuturescope,theywant
to boost the performance oftheSymptomCheckermoduleby
adding information on the rarity of the diseases; automatic
suggestions of food and physical activity to performbasedon
the user’s health conditions. An exploratory study on using
conversational interfaces (CIs) was done in [2] to support
physiciansconductingoccupationalhealthconsultations.The
CI was developed with the help of a web-based information
dashboard along with a chatbot assistant, which provides
real-time recommendations. Two system designs were
implemented in this paper. The first design was by using a
proactive chatbot, and the other was by using an on-demand
interaction. The limitation was that it was conducted using
simulated medical cases, with limited participants, based on
only one round of experiments. Hence, the results might not
have been sufficient to demonstratethe effects of CIs in long-
term routine in real occupational health consults.
Analysis of two characteristics; language, and persona;
and their effect on outcomes such as effectiveness, usability,
and trust in a chatbot was carried out in [3]. Its disadvantage
was the use of informal language foronline counseling,alack
of trust in the information, or the chatbot being perceived as
not having the correct information. The chatbot in [4] stores
the information inthedatabasetoidentifythekeywordsfrom
the sentences and make a decision for the query and answer
the question. A score is calculated for each sentence, and
more similar sentencesareobtainedforthegivenquery,from
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 09 Issue: 05 | May 2022 www.irjet.net p-ISSN: 2395-0072
© 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page 1629
the input sequence. A third party or an expert system is
recommended, when the chatbot isn't able to comprehend
the query.
An edge computing chatbot-based web interface that
controls a given COVID-19 dataset that uses two
recommender system modules is discussed in [5]. The two
modules include evidence-based filtering and socialfiltering.
Evidence-based filtering is used to observe domain-specific
topics whereas; social filtering authorizes diverse experts to
unite via a “social plane” to collaboratively find answers to
crucial clinical questions to fight the pandemic. The authors
want to create mechanisms such as open datasets, model-
driven tools, and task-specific social collaboration features.
The proposed idea in [6] is to create a medical chatbot using
Artificial Intelligence that can diagnose the disease, and
provide basic details about the disease before consulting a
doctor. The main objective was to reduce healthcare costs
and improve accessibilitytomedicalknowledgewiththehelp
of a medical chatbot. The authors addedthatinthefuture,the
bot’s symptom recognition and diagnosis performancecould
be greatly improved by adding support for more medical
features, such as location, duration, and intensity of
symptoms, and more detailed symptom descriptions.
3. PROPOSED METHODOLOGY
3.1 Dataset
Datasets for various illnesses are obtained from Kaggle.
Snippets of a few such as Liver and MalariacanbeseeninFig-
1 and Fig-2. Various other datasets such as datasets for
Diabetes, Pneumonia, Cancer, Dengue, Cold, and so on are
also incorporated with the model.
Fig-1: Dataset for Liver patients
Fig-2: Dataset for Malaria patients
The doctor's dataset which is used for recommending
their Practo profile is seen in Fig-3.
Fig-3: Dataset of Doctor’s profile
3.2 Block Diagram
Fig-4 shows how the attributes will function using a
diagrammatic representation.
Fig-4: Block diagram
3.3 Machine Learning Techniques
Decision Trees:
A Decision Tree algorithm is a tree-structured classifier
that can be implemented forClassification and Regression. It
consists of root nodes and leaf nodes, where the root nodes
define the features of the given dataset, and leaf nodes define
the output. A decision tree algorithm was preferred for this
work since it simulates the human-thinking capability to
make a decision and is also easy to understand.
The prediction starts from the root node of the decision
tree and compares the valuesor weights of therootattribute.
According to the comparison, it continues down the branch
and onto the next node. The algorithm continues the
comparison of the attribute values with other sub-nodesand
proceeds down the tree. This process goes on until the last
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 09 Issue: 05 | May 2022 www.irjet.net p-ISSN: 2395-0072
© 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page 1630
node, that is, the leaf node is reached. The algorithm can be
summarized as:
 Step-1: Start the tree with the root node containing
the entire dataset.
 Step-2: Determine which attribute will be the best
fit in the dataset using the Attribute Selection
Measure (ASM).
 Step-3: Create subsets for therootnodethatcontain
the best values for the attributes.
 Step-4: Create the decision tree nodecontainingthe
best attribute.
 Step-5: Make new decision trees recursively using
the subsets of the dataset created in step -3.
Continually repeat this process until you reach the
point where you cannot further classify the nodes,
that is, when you reach the leaf node.
The simple representation oftheDecisiontreeforDengue
is shown in Fig-5.
Fig-5: Block Diagram for Decision Tree
Logistic Regression:
The method of modeling the probability of a discrete
result of a given input variable is known as logistic
regression. The Binary Logistic regression models have a
binary outcome, which might be true or false, yes or no, and
so forth. Logistic regression is a handy analysis tool for
determining if a new sample fits best into a category in
classification tasks.
Natural Language Processing:
Natural language processing (NLP) is a field that focuses
on making computer algorithms understand natural human
language. Natural Language Toolkit (NLTK) is a Python
package that can be used for NLP. The Natural language
toolkit (NLTK) is a collection of Python packages built
specificallyfordetectingandtaggingcomponentsofspeechin
natural language text such as English.
Neural Networks:
A neural network is an artificial intelligence strategy for
teaching computers to analyze data in a manner inspired by
the human brain. It is a form of deep learning that employs
interconnected nodes or neurons in a layered structure that
bear a resemblance to our brain. It generates an adaptive
system that computers can utilize to learn from their
mistakes and continuously improve.
3. CONCLUSIONS
As new variants of the Covid-19 virus are emerging, dread is
rising in people for the safety of their lives. Even though
there are various norms and regulations implemented, the
severity of the situation should not be neglected. Though
proper precautions are maintained,peoplestill havea fearof
going to hospitals, risking their chances of getting infected.
This work will help create a healthy and safe environment
without going through the fear and risk of getting infected.
People who are finding it difficult to afford the hospital bills
can also be benefitted from this project.
Our model has been designed to work smoothly based on
mentioned features such as functioning of the webpage,
prediction through inputs, and implementation of chatbot.
The accuracy reached forthe chatbotmodel isabout95.52%.
For future scope, we want to improve our chatbot facility by
adding features such as translationsothatpeoplewhoaren’t
comfortable in English language can also use the chatbot
with ease. We would also like to add a chtbot for mental
health care.
REFERENCES
[1] M. Polignano, F. Narducci, A. Iovine, C. Musto, M. De
Gemmis and G. Semeraro, ‘HealthAssistantBot: A
Personal Health Assistant for the Italian Language’ in
IEEE Access, vol. 8, pp. 107479-107497, 2020, doi:
10.1109/ACCESS.2020.3000815.
[2] M. Young, The Technical Writer’s Handbook. Mill Valley,
CA: University Science, 1989. X. Ren, G. Spina, S. De
Vries, A. Bijkerk, B. Faber and A. Geraedts,
‘Understanding Physician’s Experience With
Conversational Interfaces During Occupational Health
Consultation’ in IEEE Access, vol. 8,pp.119158-119169,
2020, doi: 10.1109/ACCESS.2020.3005733.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 09 Issue: 05 | May 2022 www.irjet.net p-ISSN: 2395-0072
© 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page 1631
[3] R. Oruche et al. ‘Evidence-Based Recommender System
for a COVID-19 Publication Analytics Service’ in IEEE
Access, vol. 9, pp. 79400-79415, 2021, doi:
10.1109/ACCESS.2021.3083583.
[4] Kavitha, B. R., and Chethana R. Murthy.’Chatbot for
healthcare system using Artificial Intelligence’ Int J Adv
Res Ideas Innov Technol 5 (2019): 1304-1307.
[5] Linder, Courtney. The Effects of a Healthcare Chatbots;
Language and Persona on User Trust, Satisfaction, and
Chatbot Effectiveness. Diss. Clemson University, 2020.
[6] Divya, S., Indumathi, V., Ishwarya, S., Priyasankari, M.
and Devi, S.K., 2018. A self-diagnosis medical chatbot
using artificial intelligence.Journal ofWebDevelopment
and Web Designing, 3(1), pp.1-7.

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HealthCare Chatbot

  • 1. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 09 Issue: 05 | May 2022 www.irjet.net p-ISSN: 2395-0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page 1628 HealthCare Chatbot Manaswi Vichare1, Divya Kadole2, Sheetal Kumari3, Shresth Jain4 1,2,3,4 Student, Dept of CSE, MIT School of Engineering, MIT ADT University, Pune, Maharashtra, India ---------------------------------------------------------------------***--------------------------------------------------------------------- Abstract - With changing times due to the Covid-19 pandemic, it is advisable to leave our houses only during emergencies. Despite the fact that hospitals maintain adequate precautions, people still remain fearful of visiting them due to the risk of getting infected. In the safe confines of one's own home, this work can be used to analyze and understand diseases and symptoms. It contains a MedicalTest webpage that makes predictions about various illnesses using the concept of machine learning. If the user wants to knowthe cause for the particular symptom, they can use the chat-bot facility. The chat-bot will ask to state the symptoms which the user is experiencing. The user can state their symptomsone by one and receive the predicted output. It will also provide the probability of the illness occurring based on the symptoms. A set of possible future symptoms are also displayed concerning the probable disease. When an emergency occurs, it helps pinpoint what is wrong and recommendsexpertdoctorsbased on their Practo profile to schedule an appointment. Key Words: Chatbot, Healthcare, Machinelearning,Decision Tree, Natural Language Processing, Neural Network 1. INTRODUCTION Even though we are getting accustomedtothelatestchanges due to the Covid-19 pandemic, the fear of getting infected is increasing due to new emerging variants. Despite the strict lockdown restrictions, the cases are yet to be recovered, causing a disturbance in our daily life. One of the issues includes applying for a doctor's appointment. The hospitals follow the Covid-19 protocols up to the mark, yet people have a misconception of hospitalsbeinga hotspotforCorona patients. To minimize this fear and to avoid people leaving their houses frequently, we came up with an idea of self- diagnosis at home. The user can check their health reports for crucial concerns regarding Cancer, Diabetes, Heart, Liver, Kidney, Malaria, Pneumonia, which are prime health issues faced in India. This process is carried out through a Medical Web page using Flask, where the users can input their health report details and get a diagnosis for the same. This web page is developed using machine learning and web development methods. Other queries related to health are answered through the chatbot service. The chatbot will ask the user to state the symptoms, for example, the user types "I’m feeling cold", "There are skinrashes","Vomiting","Fatigue" etcetera, and the model will then predict that the user has "Dengue." Further, it will list out more symptoms that may occur and calculate the probabilityoftheillnesssupposedlyhappening, based on the symptoms selected. It helps to figure out what is wrong and how urgent the situation is and recommends expert doctors with their Practo profile to book an appointment in the case of an emergency. The main benefit of this research is that the users will be able to evaluate the severity of their illnesses and take the appropriate action as a result. In that way, they can determine if a hospital visit or clinic consultation is necessary or if self-diagnosis and telephonic consultation would suffice. Rather than spending hours waiting and making multiple trips to the hospital, you can save time through this work. 2. LITERATURE REVIEW In [1], the authors developed an intelligent virtual assistant able to talk with patients to understand their symptomatology, counsel doctors, and monitor treatments and health parameters. By utilizing a natural language-based interaction, the system permits the user to form their health profile, describe their symptoms, search for doctors, or remember a treatment to attend. Asafuturescope,theywant to boost the performance oftheSymptomCheckermoduleby adding information on the rarity of the diseases; automatic suggestions of food and physical activity to performbasedon the user’s health conditions. An exploratory study on using conversational interfaces (CIs) was done in [2] to support physiciansconductingoccupationalhealthconsultations.The CI was developed with the help of a web-based information dashboard along with a chatbot assistant, which provides real-time recommendations. Two system designs were implemented in this paper. The first design was by using a proactive chatbot, and the other was by using an on-demand interaction. The limitation was that it was conducted using simulated medical cases, with limited participants, based on only one round of experiments. Hence, the results might not have been sufficient to demonstratethe effects of CIs in long- term routine in real occupational health consults. Analysis of two characteristics; language, and persona; and their effect on outcomes such as effectiveness, usability, and trust in a chatbot was carried out in [3]. Its disadvantage was the use of informal language foronline counseling,alack of trust in the information, or the chatbot being perceived as not having the correct information. The chatbot in [4] stores the information inthedatabasetoidentifythekeywordsfrom the sentences and make a decision for the query and answer the question. A score is calculated for each sentence, and more similar sentencesareobtainedforthegivenquery,from
  • 2. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 09 Issue: 05 | May 2022 www.irjet.net p-ISSN: 2395-0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page 1629 the input sequence. A third party or an expert system is recommended, when the chatbot isn't able to comprehend the query. An edge computing chatbot-based web interface that controls a given COVID-19 dataset that uses two recommender system modules is discussed in [5]. The two modules include evidence-based filtering and socialfiltering. Evidence-based filtering is used to observe domain-specific topics whereas; social filtering authorizes diverse experts to unite via a “social plane” to collaboratively find answers to crucial clinical questions to fight the pandemic. The authors want to create mechanisms such as open datasets, model- driven tools, and task-specific social collaboration features. The proposed idea in [6] is to create a medical chatbot using Artificial Intelligence that can diagnose the disease, and provide basic details about the disease before consulting a doctor. The main objective was to reduce healthcare costs and improve accessibilitytomedicalknowledgewiththehelp of a medical chatbot. The authors addedthatinthefuture,the bot’s symptom recognition and diagnosis performancecould be greatly improved by adding support for more medical features, such as location, duration, and intensity of symptoms, and more detailed symptom descriptions. 3. PROPOSED METHODOLOGY 3.1 Dataset Datasets for various illnesses are obtained from Kaggle. Snippets of a few such as Liver and MalariacanbeseeninFig- 1 and Fig-2. Various other datasets such as datasets for Diabetes, Pneumonia, Cancer, Dengue, Cold, and so on are also incorporated with the model. Fig-1: Dataset for Liver patients Fig-2: Dataset for Malaria patients The doctor's dataset which is used for recommending their Practo profile is seen in Fig-3. Fig-3: Dataset of Doctor’s profile 3.2 Block Diagram Fig-4 shows how the attributes will function using a diagrammatic representation. Fig-4: Block diagram 3.3 Machine Learning Techniques Decision Trees: A Decision Tree algorithm is a tree-structured classifier that can be implemented forClassification and Regression. It consists of root nodes and leaf nodes, where the root nodes define the features of the given dataset, and leaf nodes define the output. A decision tree algorithm was preferred for this work since it simulates the human-thinking capability to make a decision and is also easy to understand. The prediction starts from the root node of the decision tree and compares the valuesor weights of therootattribute. According to the comparison, it continues down the branch and onto the next node. The algorithm continues the comparison of the attribute values with other sub-nodesand proceeds down the tree. This process goes on until the last
  • 3. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 09 Issue: 05 | May 2022 www.irjet.net p-ISSN: 2395-0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page 1630 node, that is, the leaf node is reached. The algorithm can be summarized as:  Step-1: Start the tree with the root node containing the entire dataset.  Step-2: Determine which attribute will be the best fit in the dataset using the Attribute Selection Measure (ASM).  Step-3: Create subsets for therootnodethatcontain the best values for the attributes.  Step-4: Create the decision tree nodecontainingthe best attribute.  Step-5: Make new decision trees recursively using the subsets of the dataset created in step -3. Continually repeat this process until you reach the point where you cannot further classify the nodes, that is, when you reach the leaf node. The simple representation oftheDecisiontreeforDengue is shown in Fig-5. Fig-5: Block Diagram for Decision Tree Logistic Regression: The method of modeling the probability of a discrete result of a given input variable is known as logistic regression. The Binary Logistic regression models have a binary outcome, which might be true or false, yes or no, and so forth. Logistic regression is a handy analysis tool for determining if a new sample fits best into a category in classification tasks. Natural Language Processing: Natural language processing (NLP) is a field that focuses on making computer algorithms understand natural human language. Natural Language Toolkit (NLTK) is a Python package that can be used for NLP. The Natural language toolkit (NLTK) is a collection of Python packages built specificallyfordetectingandtaggingcomponentsofspeechin natural language text such as English. Neural Networks: A neural network is an artificial intelligence strategy for teaching computers to analyze data in a manner inspired by the human brain. It is a form of deep learning that employs interconnected nodes or neurons in a layered structure that bear a resemblance to our brain. It generates an adaptive system that computers can utilize to learn from their mistakes and continuously improve. 3. CONCLUSIONS As new variants of the Covid-19 virus are emerging, dread is rising in people for the safety of their lives. Even though there are various norms and regulations implemented, the severity of the situation should not be neglected. Though proper precautions are maintained,peoplestill havea fearof going to hospitals, risking their chances of getting infected. This work will help create a healthy and safe environment without going through the fear and risk of getting infected. People who are finding it difficult to afford the hospital bills can also be benefitted from this project. Our model has been designed to work smoothly based on mentioned features such as functioning of the webpage, prediction through inputs, and implementation of chatbot. The accuracy reached forthe chatbotmodel isabout95.52%. For future scope, we want to improve our chatbot facility by adding features such as translationsothatpeoplewhoaren’t comfortable in English language can also use the chatbot with ease. We would also like to add a chtbot for mental health care. REFERENCES [1] M. Polignano, F. Narducci, A. Iovine, C. Musto, M. De Gemmis and G. Semeraro, ‘HealthAssistantBot: A Personal Health Assistant for the Italian Language’ in IEEE Access, vol. 8, pp. 107479-107497, 2020, doi: 10.1109/ACCESS.2020.3000815. [2] M. Young, The Technical Writer’s Handbook. Mill Valley, CA: University Science, 1989. X. Ren, G. Spina, S. De Vries, A. Bijkerk, B. Faber and A. Geraedts, ‘Understanding Physician’s Experience With Conversational Interfaces During Occupational Health Consultation’ in IEEE Access, vol. 8,pp.119158-119169, 2020, doi: 10.1109/ACCESS.2020.3005733.
  • 4. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 09 Issue: 05 | May 2022 www.irjet.net p-ISSN: 2395-0072 © 2022, IRJET | Impact Factor value: 7.529 | ISO 9001:2008 Certified Journal | Page 1631 [3] R. Oruche et al. ‘Evidence-Based Recommender System for a COVID-19 Publication Analytics Service’ in IEEE Access, vol. 9, pp. 79400-79415, 2021, doi: 10.1109/ACCESS.2021.3083583. [4] Kavitha, B. R., and Chethana R. Murthy.’Chatbot for healthcare system using Artificial Intelligence’ Int J Adv Res Ideas Innov Technol 5 (2019): 1304-1307. [5] Linder, Courtney. The Effects of a Healthcare Chatbots; Language and Persona on User Trust, Satisfaction, and Chatbot Effectiveness. Diss. Clemson University, 2020. [6] Divya, S., Indumathi, V., Ishwarya, S., Priyasankari, M. and Devi, S.K., 2018. A self-diagnosis medical chatbot using artificial intelligence.Journal ofWebDevelopment and Web Designing, 3(1), pp.1-7.