Clinical Documentation Intelligence
AI-EnhancedNatural Language Clinical Query
Ask any question about your patients using everyday language
AI Understanding of Your Query
Matched Patients (5)
Results processed from 2,463 patient records in 1.2 secondsRobert Johnson
52M • MRN: 129845 • Last A1C: 9.2
AI-Extracted Evidence:
- Diagnosed with Type 2 Diabetes (ICD-10: E11.9) on 04/15/2023
- Latest A1C was 9.2 on 01/12/2025 (increased from 8.5 on 09/30/2024)
- Missed follow-up appointment with Endocrinology on 03/20/2025
- Current medications include Metformin 1000mg BID and Glipizide 10mg daily
AI Clinical Insights
Patient shows worsening glycemic control and poor adherence to follow-up. Consider scheduling urgent telehealth appointment and medication review. Patient mentioned transportation difficulties in last visit note.
Maria Garcia
68F • MRN: 347621 • Last A1C: 8.7
AI-Extracted Evidence:
- Long-standing Type 2 Diabetes (ICD-10: E11.9) diagnosed over 15 years ago
- Latest A1C was 8.7 on 02/05/2025 (consistent with prior value of 8.6 on 11/12/2024)
- Missed follow-up appointment with Primary Care on 04/02/2025
- Also has diabetic neuropathy (ICD-10: E11.40) and stage 2 CKD (ICD-10: N18.2)
AI Clinical Insights
Stable but inadequate glycemic control; consider intensification of insulin regimen. Recent telehealth notes mention patient has difficulty with blood glucose monitoring due to vision issues. Consider in-home nursing evaluation.
AI Knowledge Exploration
Patient Cohort Analysis
Suggested Follow-up Questions
AI Processing Metrics
System performance and data sources
AI-Powered Clinical Documentation Features
Natural Language Understanding
Our DEfRAG technology extracts medical concepts, relationships, and context from unstructured clinical notes with 98.4% accuracy. Handles medical abbreviations, misspellings, and complex medical terminology.
Example: "Pt c/o SOB x3d, O2 sat 92% RA" is automatically understood as "Patient complains of shortness of breath for 3 days, oxygen saturation 92% on room air"
Clinical Knowledge Graph
Automatically builds a comprehensive patient knowledge graph connecting symptoms, diagnoses, treatments, and outcomes across the entire medical record, exposing hidden relationships and patterns.
Example: Automatically identifies that a patient's cough started 2 weeks after beginning an ACE inhibitor, even when documented in separate visit notes by different providers.
Dynamic D3R Question Answering
Using our D3R (Dynamic Dialogue-Driven Retrieval) technology, the system understands complex clinical questions in natural language and provides precise answers with evidence citations.
Example: "Show patients who were prescribed amoxicillin but reported a penicillin allergy" retrieves relevant cases across thousands of records in seconds.
Advanced AI Capabilities
Real-time Document Enhancement
Pt c/o HA x 2d, rates 8/10. Denies n/v. BP 148/92, HR 86, T 98.6. HEENT unremarkable except for mild photophobia. Neuro exam non-focal. Will try Toradol 30mg IM now and rx Imitrex. F/u 1wk or sooner prn.
Patient complains of headache for 2 days, rates pain as 8/10 severity. Denies nausea/vomiting. Vital signs: BP 148/92 (elevated), HR 86, Temperature 98.6°F. HEENT exam unremarkable except for mild photophobia. Neurological exam non-focal. Treatment plan: Toradol 30mg IM now and prescription for sumatriptan (Imitrex). Follow up in 1 week or sooner if needed.
Identified
Expansions
Elements
Longitudinal Patient Insights
AI-Generated Patient Overview
52-year-old male with 5-year history of poorly controlled Type 2 Diabetes (average A1C 8.7 over last 12 months). Concurrent hypertension (controlled with medication) and obesity (BMI 34.2). Adherence issues documented across multiple visit notes, with recurring transportation challenges mentioned by three different providers.
More Features in this Concept
- AI Clinical Decision Support Interface
- Multi-document Reconciliation View
- Personalized Clinical Summaries Generator
- Research Cohort Builder
- AI Document Analyzer Dashboard
- Predictive Insights Panel
- Clinical Knowledge Graph Explorer
- Voice-to-Documentation Studio Page
- AI-Enhanced Patient Timeline
- Documentation Quality Metrics Dashboard