Abstract: Embodiments of the present disclosure provide a cloud-based integrated charting system that utilizes a universal mapping service across services and clients to provide insights for the provider into customizations made by clients. Additionally, the system provides content building tools that enable clients to customize content to update models provided by the provider. A mapping service maps model codes corresponding to model concepts to a plurality of standard based concept codes corresponding to client domain specific customized concepts for an ontology of the one or more ontologies. A workflow recommendation is provided that enables a user to chart data and includes the model concepts comprising charting elements. Accordingly, the data is stored in a client database in accordance with the client domain specific customized concepts. Since the model concepts are mapped to the client domain specific customized concepts, the workflow recommendation can be prepopulated with data from the client database.

Abstract: Systems and methods provide for implementation of a messaging protocol that provides security necessary for clinical messaging while also providing scalability needed to properly function within a clinical setting. The messaging protocol provides for federation of messages across messaging domains with a direct target address or via a role or group endpoint address that resolves to one or more target addresses. The messaging protocol also provides the ability to include content other than text in messages.

Abstract: Methods, systems, and computer-readable media are disclosed herein for improved state identification and prediction in computerized queries. In an aspects, a neural network model is trained via word embedding, using a plurality of workflows having a plurality of steps as input training data. The model may be searched using a string to locate and identify semantic matches as potential results, where the potential results correspond to a specific step and/or a particular workflow. Markov chaining may also be performed, using the potential results, in order to predict one or more additional results, where the additional results correspond to a specific succeeding step within a particular workflow, in some aspects. The results and predicted steps may be displayed.

Abstract: Systems, methods and computer-readable media are provided for monitoring patients and quantitatively predicting whether an event such as a significant change in health status meriting intervention, is likely to occur within a future time interval subsequent to computing the prediction. Medical data for a patient is collected from one or more different inputs and used to determine time series data. From this, a forecasted numerical value is computed for one or more physiologic parameters associated with the patient, which may be used to further monitor the patient and facilitate decision making about a need for intensified monitoring or intervention to prevent or manage physiologic or hemodynamic deterioration. An evolutionary algorithm, such as particle swarm optimization and/or differential evolution, may be used to determine the most probable value of the physiologic parameter(s) at one or more future times.

Abstract: Methods are provided for the surveillance and monitoring of a patient's medical care when the patient is treated at two or more medical organizations having different medical record systems. Patient information is received from a first medical organization and populated into an active risk assessment array that monitors the patient's risk for developing a particular disease or condition. Patient information is then received from a second medical organization and populated into the array. It is determined that actionable criteria have been met, and in response, a notification or alert is sent to the medical organizations indicating that the patient is at risk.

Abstract: Systems, methods and computer-readable media are provided for applying performance data (e.g., Electronic Clinical Quality Measures (eCQM), Pay-for-Performance (P4P) measures, Meaningful Use (MU) measures) to a fantasy league health exchange. In aspects, a set of patient data for patients is determined. The set of patient data corresponds to a time interval of treatment of the patients by a population of clinicians. In addition, performance data is determined. The performance data corresponds to the population of clinicians and is based on the set of patient data and the time interval. Further, a provider ranking is determined using a classification model determined from the performance data and from explanatory attributes. The provider ranking can be used to forecast or project future performance results for selected individual or group providers. Further, the provider rankings can be used for draft picks, roster submission, or bets placed in a fantasy league exchange system.

Abstract: A system, methods, and computer-readable media are provided for the automatic identification of patients having an elevated near-term risk of pulmonary function deterioration or respiratory distress. Embodiments of the invention are directed to event prediction, risk stratification, and optimization of the assessment, communication, and decision-making to prevent respiratory events in humans, and in one embodiment take the form of a platform for wearable, mobile, untethered monitoring devices with embedded decision support. Respiratory information is obtained over one or a plurality of previous time intervals, to classify a likelihood of events leading to an acute respiratory decompensation event within a future time interval. In an embodiment, the risk prediction is based a plurality of nonlinearity measures of capnometry information over the previous time interval(s), and the risk for an acute respiratory decompensation event determined using an ensemble model predictor on the nonlinearity measures.

Abstract: Systems, methods, and devices are provided for responding to requests received from users in a healthcare facility, and for generating alerts based upon criticality detected in received verbal utterances. A personal assistant device (PAD) may receive a verbal request for information. The identity of the requestor may be verified and a response to the request may be received by the PAD. In some cases, prior to audibly outputting the response, it may be determined whether the response contains protected health information (PHI). Upon determining that the response contains PHI, the presence of persons other than the patient in proximity to the PAD and/or security of the location of the PAD may be evaluated prior to audibly outputting the response. Additionally, alerts having a heightened criticality may be generated when a received verbal utterance is determined to have a heightened criticality.

Abstract: Technologies are provided for determining an individual's likelihood of relapsing into prior behavior subsequent to a treatment for a mental health or addiction disorder, and in some instances predicting a likelihood time frame for such a relapse. Target subjects having a risk of addiction relapse, non-adherence to a treatment program, or absconding, may be automatically identified based on a multiplicative-regression model for relative survival (MRS) that is developed for predicting risk or likelihood of relapse or non-adherence. Further, in some embodiments, a leading indicator of near-term future abnormalities may be provided thereby proactively notifying supervisory personnel responsible for the person and providing such personnel with timely notice to enable effective corrective, preventive, or trend-modifying maneuvers to be undertaken.

Abstract: Methods, systems, and computer-readable media are disclosed herein that provide a comprehensive view that reveals all or nearly all possible method dependencies that are present in client workflows. In aspects, when computer code for a particular method is going to be edited, other methods are identified that have upstream or downstream dependencies relative to the particular method. The methods that will be affected based on the computer code editing can be presented in a user-interactive graphical user interface that facilitates exploration of upstream and downstream dependencies.

Abstract: Methods, systems, and computer-readable media are disclosed herein that provide a comprehensive view that reveals all or nearly all possible method dependencies that are present in client workflows. In aspects, when computer code for a particular method is going to be edited, other methods are identified that have upstream or downstream dependencies relative to the particular method. The methods that will be affected based on the computer code editing can be presented in a user-interactive graphical user interface that facilitates exploration of upstream and downstream dependencies.

Abstract: Methods and systems for processing of voice input to identify intents and mapped standard terminologies are provided. Using natural language processing, an intent of a voice input is identified. The intent is utilized to identify a standard terminology that maps to the intent. The standard terminology is utilized to identify information relevant to the standard terminology in a patient's electronic health record.

Abstract: Decision support technology is provided for use with patients who may be prone to a cardiovascular condition such as acute coronary syndromes. A mechanism is provided to determine a patient's risk for experiencing a cardiovascular ischemic event at a future time interval based on temporal patterns determined using physiological parameters of the patient such as serum or blood uric acid and/or C-reactive protein (CRP). A forecast or score may be determined indicating whether or not temporal patterns merit intervention to prevent occurrence or reoccurrence of ischemic events, or for determining adherence to or efficacy of treatment or preventive interventions. Based on the forecast or score, appropriate response action such as automatically issuing an alert or notification to a caregiver associated with the patient, may be determined, recommended, or implemented.

Abstract: A stroke detection system analyzes images of a person's face over time to detect asymmetric changes in the position of certain reference points that are consistent with sagging or drooping that may be symptomatic of a stroke or TIA. On detecting possible symptoms of a stroke or TIA, the system may alert caregivers or others, and log the event in a database. Identifying stroke symptoms automatically may enable more rapid intervention, and identifying TIA symptoms may enable diagnostic and preventative care to reduce the risk of a future stroke.

Abstract: Systems, methods and computer-readable media are provided for determining conformity to performance of meaningful use measures in human health care delivery. A Bayesian Markov Chain Monte Carlo statistical process is utilized to achieve reliable estimates for such measures despite the small subgroup sample sizes accruing during each measurement period. One embodiment utilizes zero- and one-inflated beta regression that is robust against moderate prevalence of zero or one counts in the numerators for such measurements and determinations of statistical associations with such factors as clinician, care venue, and patient attributes. Based on the determined conformity, a notification is provided to provider clinicians or organization management indicating the conformity and, in some instances, a degree of conformity.

Abstract: Systems and methods are provided for the problem of automatic, algorithm-guided estimation of insurance loss ratio, claims frequency, the probability of excess claims, and other insurance policy performance characteristics for an individual insured or for groups of insured individuals. A time-series-derived Bayesian power spectrum weight is calculated from the frequency of temporal pattern-specific values in terms of intensities at various frequencies of the power spectrum computed from credit utilization ratio (CUR; outstanding balance of debt, as a percentage of credit line available) time-series obtained by the insurer by ‘soft pull’ inquiries submitted periodically to credit-rating agencies, and provides an opportunity to capture and measure the relative magnitude of frequent or unexpected changes in consumer liquidity.

Abstract: A system, method, and computer-readable media are provided for facilitating clinical decision making, and in particular, decision making based on a third party's clinical situation by determining and providing useful, up-to-date information, such as patient-related information to a decision maker. In one embodiment, a user first identifies an information item concerning a patient. Based on that item, a set of related information items is determined and prioritized, and a reference pointer, which identifies the set of related information, is generated. The reference pointer is communicated to the user's mobile device. Subsequently, the user's mobile device requests information from the set of information items associated with the reference pointer, and provides information authorization information. Following authentication of the user's credentials, updates of information from the set of information items may be communicated to the user's mobile device as they become available.

Abstract: Embodiments relate to systems and methods that retrieve dialogue data associated with a plurality of utterances. The plurality of utterances include a first utterance. The systems and methods further determine that a target concept, of the dialogue data, is in a first dialogue segment associated with the first utterance. Additionally, the target concept is determined based on the first utterance in the first dialogue segment having a highest weight for relevancy to a knowledge domain. Further, the methods and systems determine a dialogue goal comprising the target concept. Due to the dialogue goal comprising the target concept, a structured link associating the target concept to the dialogue goal is generated.

Abstract: Technologies are provided for determining a likelihood or risk of a human patient for developing pressure injury based on patterns of movement by the patient determined using a specialized measurement support surface. Some embodiments automatically ascertain whether patterns of movements of a human subject, whose weight is supported on the support surface, exhibit sufficient frequency and variability of activity such as will confer either certain health benefits or expose the individual to certain health risks, such as development of pressure ulcers in the load-bearing skin and soft tissues. The measurement support surface can include a contact layer, a pressure-measuring layer having an air bladder subjacent to the measurement support surface, and a substrate layer with a density and stiffness to mechanically isolate the pressure-measuring layer from ambient vibrations transmitted through a floor, furniture, or other intervening articles upon which the measurement support surface is mounted.

Abstract: Methods, systems, and computer-readable media are provided for blending data. The system may identify user behavior patterns such that relevant correlations are learned by the system and suggested to a user automatically. The system may also analyze each available data set to identify both present and potential correlations to suggest to a user. This provides an efficient means for the system to automatically narrow a compilation of data sets into a filtered group of suggested data sets for a user. Put another way, the system gathers data on user behavior and known correlations and uses various methodologies to generate new data sets to be automatically compared and catalogued.