Case Study

Clinical Document Intelligence

60-80% improvement in case detection. Starting with data buried in unstructured clinical documents.

The Situation

A regional health plan needed to identify patients matching complex risk criteria — across thousands of clinical documents including PDFs, scanned records, and handwritten clinical notes. The volume was too large for manual review. Traditional keyword search broke down against clinical abbreviations, inconsistent provider terminology, and unstructured data that standard analytics workflows couldn’t read. 

 

The downstream impact was real: HCC gaps were being missed, RAF scores weren’t reflecting true member acuity, and clinical teams had no scalable way to surface the evidence they needed. 

What We Built

Hybrid AI Pipeline

Combined OCR, clinical NLP, vector search, and structured filters into a single end-to-end system — capable of reading, understanding, and searching clinical documents the way a trained coder would, but at machine speed. 

Medical-Domain Embeddings

Applied domain-specific embeddings to normalize clinical entities across conditions, medications, and procedures — so the system understood that “DM2,” “Type 2 diabetes,” and “insulin-dependent diabetes” all mean the same thing. 

Workflow Engine

Built a production-grade ingestion, indexing, and retry engine with full audit trail — exposing results through both a REST API and a web-based analytics dashboard accessible to clinical and coding teams. 

60–80% — Case Detection
Improvement in relevant case identification
40% — Search Accuracy
Improvement in search result accuracy
<2s — Query Latency
Sub-second cohort discovery at scale

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Want to see what this looks like for your population?

Talk to an Onyx expert about applying clinical document intelligence to your risk adjustment or care gap program.