Turn clinician speech into structured FHIR R4 documentation in real time
by HealthData LabsThe Clinical NLP Documentation Assistant from HealthData Labs uses a fine-tuned clinical language model to transcribe ambient provider-patient conversations and extract structured entities: diagnoses (ICD-10), medications (RxNorm), procedures (CPT), and clinical observations (LOINC). The assistant generates FHIR R4 Composition (clinical note), Condition, MedicationStatement, and Observation resources automatically, then presents a draft for physician review and attestation. Deployed at 42 health systems, it has reduced average documentation time from 14 minutes to 4.5 minutes per encounter while improving completeness scores by 34%.
68%
-68%Documentation Time Reduction
+34%
Note Completeness Score
94.3%
Entity Extraction Accuracy
91.8%
ICD-10 Coding Accuracy
4.5 min
-68%Avg. Time Per Encounter
4.7 / 5
Clinician Satisfaction
HIPAA BAA included with all enterprise plans