Abstract: Medical related quality of care information is extracted and edited for reporting. Patient records are mined. The mining may include mining unstructured data to create structured information. Measures are derived automatically from the structured information. A user may then edit the measures, data points used to derive the measures, or other quality metric based on expert review. The editing may allow for a better quality report. Tools may be provided to configure reports, allowing generation of new or different reports.

Abstract: Systems and methods for automated processing of medical information in electronic patient medical record databases, wherein billing information (e.g., diagnosis codes, procedural codes) is automatically extracted from electronic patient medical records through comprehensive analysis of clinical information included in the patient medical records using a knowledge base of domain-specific criteria. The extracted billing information can be automatically processed for purposes of, e.g., medical claims correction, medical claims billing, quality assurance of recorded billing information, or claim reimbursement tracking.