Electronic health record with medical terminology expertise

The challenge

Medical records accumulate a large volume of information over time and use specialized clinical language. Quickly locating history, events, and related information can require extensive reading, especially when the history contains different ways of recording the same medical context.

The solution developed

CISP1 developed an AI layer capable of operating on authorized electronic health record content, understanding clinical terminology, and structuring relationships between relevant information. The application allows search, query, and contextual synthesis of history, supporting the professional in information recovery without replacing their clinical judgment. Unlike a solution focused on transcribing the consultation, this project acts on the clinical archive already recorded.

How the application works

• Accesses, upon authorization, medical record information.
• Interprets terms and specialized clinical context.
• Structures relationships between relevant information.
• Allows search, query, and contextual synthesis.
• Presents results for healthcare professional review.

Value for the operation

• Accelerates access to relevant clinical context.
• Improves the organization of extensive records.
• Reduces the effort to locate information in medical histories.
• Supports continuity of care with structured information.

Capabilities applied