Clinical Documentation Agent: Structure Your Data
Converts unstructured clinical data (free-text notes, voice recordings, scanned documents) into structured, coded, billable entries in the EHR.
Key Capabilities
- Legacy Note Conversion - Transforms old free-text notes into structured data
- Voice Note Processing - Converts provider voice memos into chart entries
- Scanned Document Extraction - Pulls data from scanned hospital discharge summaries
- Problem List Management - Auto-updates active problem list based on encounters
- Medication Reconciliation - Identifies discrepancies between patient-reported and chart meds
- NLP-Powered Extraction - Advanced natural language processing for data extraction
- FHIR Resource Creation - Generates standards-compliant structured data
- Code Mapping - Maps to SNOMED CT, ICD-10, and RxNorm terminologies
Impact
Data Entry Reduction
80%
Coding Accuracy
99%
Historical Data
Unlocked
Quality Improvement
Significant
Technical Details
Integration & Features
- Standards
- SNOMED CT, ICD-10, RxNorm mapping
- Integration
- Document management systems and EHRs
- Data Format
- FHIR-compliant structured data output
- Processing
- Real-time NLP-powered data extraction
Security & Compliance
- HIPAA Compliant
- SOC 2 Type II Certified
- Real-time processing and logging
- End-to-end encryption
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