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AI GovernanceProduct prototype

Clinical Documentation Intelligence

A human-supervised AI review system for documentation quality, time-based billing integrity, coding support, and explainable compliance findings.

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Clinical Documentation Intelligence project overview

01 / The problem

What needs to change

Clinical notes can contain incomplete justification, inconsistent time details, or weak support for billed services, creating avoidable review work and compliance risk.

02 / The approach

A focused path through the complexity

The system separates structured extraction from compliance reasoning, combines model output with deterministic time and documentation checks, and requires traceable evidence for every finding.

03 / Key capabilities

What the system is designed to do

  • API and spreadsheet-based assessment ingestion
  • Two-stage extraction and compliance reasoning pipeline
  • Deterministic time, code-fit, and documentation checks
  • Confidence thresholds, citations, and human review actions
  • Reanalysis, audit logs, metrics, search, and administration

04 / Architecture

Technology and system shape

  • Queue-oriented Azure Functions processing pipeline
  • Tenant-partitioned document storage model
  • Versioned prompts, schemas, and configurable rule sets
  • Static review dashboard with live API and local development modes
  • Role-aware administration and callback notifications

05 / Results

What the repository demonstrates

  • The prototype implements ingestion, analysis, evidence, review, reanalysis, administration, and operational metrics as one coherent workflow.
  • Low-confidence or weakly supported output is surfaced for human attention instead of being treated as an automated decision.

06 / Lessons

What the work teaches

  • Deterministic rules and model reasoning are complementary when each owns the part it can explain best.
  • Confidence is useful only when it changes workflow behavior and directs human review.

07 / Screenshots

Approved visuals

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