Abstract: A stateless, on-demand semantic indexing and search service for a health information exchange is provided that anticipatorily fetches data from one or more external sources, extracts semantic concepts from textual documents, and serves an in-memory semantic search index to users to ease finding of relevant patient data across a set of distributed health record data sources. Clinicians may search for not only text, but for semantic concepts, and the search index is able to return relevant results regardless of whether the source information is located inside or outside the local electronic health record. Predictive algorithms may be incorporated to pre-fetch, semantically process and index data for patients likely to be searched in an upcoming time window. Activity indicators for clinicians and patients may be utilized to pre-fetch, semantically process, and index data.

Abstract: Systems, methods, and user interfaces infer data organization for display. An inference system learns patterns of how various healthcare items are typically grouped on a display so data can be aggregated and displayed in appropriate groupings to a clinician user. From a user perspective, it appears as though the display has been manually edited or a mapping has been created so that items are displayed in appropriate groups, even though neither editing nor mapping has been performed.

Abstract: In some examples, a word embedding is received. A word embedding includes a plurality of vectors in vector space. Each vector of the plurality of vectors represents a natural language word or other character sequence. Each vector is oriented in vector space based on a semantic similarity between each of the natural language word or other character sequence. A first distance is determined between a first vector and a second vector. A second distance is determined between a third vector and the second vector. Based at least in part on the first distance between the first vector and the second vector and the second distance between the third vector and the second vector, the third vector is moved closer or further away from the second vector. The moving is indicative of introducing a bias or removing a bias between the third vector and the second vector. This introducing or removing of bias supports more accurate and inclusive results from an application such as search of healthcare data, among other things.

Abstract: Methods, computer systems, and computer storage media are provided for providing real-time analysis and annotation of clinical documents in a distributed system. A clinical transformation session is opened at a clinical transformation server maintaining sessions for one or more editors and agents operating on a clinical document. Sequences of operations on the clinical document are stored at a memory accessible by the server. At least a portion of the clinical document is analyzed in real-time to provide annotations and other document modifications to each of the one or more editors having a session at the server. Parallel annotations or modifications are resolved and a synchronized view of the clinical document is maintained based on operational transformation.

Abstract: A stateless, on-demand semantic indexing and search service for a health information exchange is provided that anticipatorily fetches data from one or more external sources, extracts semantic concepts from textual documents, and serves an in-memory semantic search index to users to ease finding of relevant patient data across a set of distributed health record data sources. Clinicians may search for not only text, but for semantic concepts, and the search index is able to return relevant results regardless of whether the source information is located inside or outside the local electronic health record. Predictive algorithms may be incorporated to pre-fetch, semantically process and index data for patients likely to be searched in an upcoming time window. Activity indicators for clinicians and patients may be utilized to pre-fetch, semantically process, and index data.

Abstract: A method, computing device and computer program product are provided to define a level of assurance in one or more links between patient records that relate to the same person based upon external information. In the context of a method, one or more links are identified between a patient record associated with a person and pre-existing patient records. Each pre-existing patient record has a plurality of demographic attributes associated with a patient. The method identifies one or more links based upon an analysis of the demographic attributes of the person and the respective patients associated with the pre-existing patient records. The method receives external information regarding a relationship between the person and the respective patients associated with the pre-existing patient records or regarding confirmation of an identity of the person. The method also defines a level of assurance in the respective one or more links based upon the external information.

Abstract: Methods, computer systems, and computer storage media are provided for providing real-time analysis and annotation of clinical documents in a distributed system. A clinical transformation session is opened at a clinical transformation server maintaining sessions for one or more editors and agents operating on a clinical document. Sequences of operations on the clinical document are stored at a memory accessible by the server. At least a portion of the clinical document is analyzed in real-time to provide annotations and other document modifications to each of the one or more editors having a session at the server. Parallel annotations or modifications are resolved and a synchronized view of the clinical document is maintained based on operational transformation.

Abstract: Methods, computer systems, and computer storage media are provided for providing real-time analysis and annotation of clinical documents in a distributed system. A clinical transformation session is opened at a clinical transformation server maintaining sessions for one or more editors and agents operating on a clinical document. Sequences of operations on the clinical document are stored at a memory accessible by the server. At least a portion of the clinical document is analyzed in real-time to provide annotations and other document modifications to each of the one or more editors having a session at the server. Parallel annotations or modifications are resolved and a synchronized view of the clinical document is maintained based on operational transformation.

Abstract: Methods, computer systems, and computer storage media are provided for providing real-time analysis and annotation of clinical documents in a distributed system. A clinical transformation session is opened at a clinical transformation server maintaining sessions for one or more editors and agents operating on a clinical document. Sequences of operations on the clinical document are stored at a memory accessible by the server. At least a portion of the clinical document is analyzed in real-time to provide annotations and other document modifications to each of the one or more editors having a session at the server. Parallel annotations or modifications are resolved and a synchronized view of the clinical document is maintained based on operational transformation.

Abstract: Methods, systems, and computer-readable media are provided to detect incremental changes in clinical documents associated with a patient. A user selection is received indicating that a user wants to compare two or more clinical documents that are associated with the patient or authored by the same clinician, enabling the user to become up-to-date on the patient's care. A first clinical document and a second clinical document are identified. For the first clinical document and the second clinical document, differences are algorithmically determined. The first clinical document is transformed into a new representation of the first clinical document. Further, the second clinical document is transformed into a new representation of the second clinical document. One or more of the new representations of the first and the second clinical documents are displayed, assisting the user to quickly find and understand the differences between the documents.

Abstract: A method and system in a computing environment for inferring genetic findings for a patient is provided. The method includes receiving a request for genetic findings for a person from another application or a user. The method further includes inquiring as to whether the person has the genetic findings. If not, the method automatically provides inferred genetic findings for the person. The inferred genetic findings are calculated using genetic findings for family members of the patient, linkage analysis, haplotype analysis, semantic test results for the person and/or population genetics information.

Abstract: A method and system in a computing environment for inferring genetic findings for a patient is provided. The method includes receiving a request for genetic findings for a person from another application or a user. The method further includes inquiring as to whether the person has the genetic findings. If not, the method automatically provides inferred genetic findings for the person. The inferred genetic findings are calculated using genetic findings for family members of the patient, linkage analysis, haplotype analysis, semantic test results for the person and/or population genetics information.

Abstract: Computerized methods and systems for using user-attribute ontologies to calculate anonymity levels are provided. A semi-automated mechanism permits selective and optionally progressive exposure of demographic and clinical information to other members of a medical social network group that a member has joined. When a user decides to join a medical social network group (which may be based upon system suggestion or initiated of the user's own accord), he or she selects or creates a profile that has a statistically validated degree of anonymity, ranging from fully anonymous to fully transparent. Based upon a user's elected level of exposure, only certain data is exposed to the rest of the group's membership. Thus, the user is permitted to personally balance the tension between exposing a level of information that may render him or her personally identifiable and exposing enough information to obtain meaningful advice and/or camaraderie.

Abstract: A system and method for generating interactive visualizations of clinical relationships is provided. The method includes determining what entities have had some clinical contact with an entity of interest and collecting data regarding each entity and each entity's contacts with the entity of interest. The collected data can be filtered to remove unwanted entities and properties. Algorithms are applied to generate clinical relevance scores, which represent the relationship between the entities and the entity of interest. In addition, each entity is assigned components that allow for some executable behavior when an entity is selected in a display. Finally, the appropriate visualization is selected and a display of the relationships is generated.

Abstract: Processes implemented within a computer system for preventing atypical clinical events resulting from administering unsuitable clinical agent(s) are provided. Initially, the processes involve receiving a list of possible clinical agent(s) that may be administered to a patient during a medical procedure. The processes further involve acquiring heredity data associated with the clinical agent(s) by comparing the clinical agent(s) against a data set or the patient's medical records. If the heredity data indicates that the patient scheduled to receive the clinical agent(s) would experience atypical clinical events as a potential outcome, a warning that the clinical agent(s) should not be administered by a clinician is presented or reference information about the atypical clinical event is output. Accordingly, a preemptive determination of the atypical clinical events potentially occurring upon administering the clinical agent(s) to the patient is made.

Abstract: A method and system in a computing environment for inferring genetic findings for a patient is provided. The method includes receiving a request for genetic findings for a person from another application or a user. The method further includes inquiring as to whether the person has the genetic findings. If not, the method automatically provides inferred genetic findings for the person. The inferred genetic findings are calculated using genetic findings for family members of the patient, linkage analysis, haplotype analysis, semantic test results for the person and/or population genetics information.

Abstract: A computer-implemented method for facilitating placement of health care order entry is provided. The method includes receiving input indicative of a desired healthcare order. The order has certain terms therein that are normalized. The method also finds possible order matches for the normalized terms, and calculates a rough score for the possible order matches. The method refines the rough score with a rough score adjustment, and then ranks the found possible order matches from the most-likely to match the desired order to the least-likely based upon the refined rough score. These possible order matches can then be displayed to the user for selection.

Abstract: A method, system, and medium are provided for searching an electronic medical record. Search results are returned in response to a search query. The search query may be one or more designated medical concepts. The search results may be displayed according to a ranking that determines which search results are likely to be the most responsive to a query submitted by a particular clinician based on matching the most important clinical concepts in each document to the most important clinical concepts in the search query.

Abstract: A system and associated methods for orchestrating a collaboration session are disclosed. One method involves orchestrating a collaboration session between a requesting clinician and another clinician where information is exchanged electronically. According to the method, requests for collaboration sessions are received by a computer system from the requesting clinician, with a given request related to a piece of patient-focused clinical data. Each request is analyzed to build a roster of potentially available clinicians for collaboration. A collaboration session is then facilitated between the requesting clinician and one or more of the potentially available clinicians on the roster.

Abstract: A method and system in a computing environment for inferring genetic findings for a patient is provided. The method includes receiving a request for genetic findings for a person from another application or a user. The method further includes inquiring as to whether the person has the genetic findings. If not, the method automatically provides inferred genetic findings for the person. The inferred genetic findings are calculated using genetic findings for family members of the patient, linkage analysis, haplotype analysis, semantic test results for the person and/or population genetics information.