Clinical Command Center

Unified patient journey, clinical, operational, coding, and financial intelligence.

Maria Thompson MRN-00482157 ENC-260813-5824 Cardiology Inpatient
Active Patients
128
ED 34 • Inpatient 71 • L&D 23
Discharge Ready
18
6 awaiting medication reconciliation
Clinical Alerts
7
2 high priority
Coding Review
11
3 documentation gaps

Patient Flow

Live hospital pathways
PatientPathwayCurrent StateRiskNext
Maria ThompsonEmergencyAdmitted / CardiologyHighEcho + medication review
Alicia GrantLabor & DeliveryPostpartumStableMother + newborn discharge
Robert ChenPlanned AdmissionPost-op RecoveryWatchPT evaluation
Evan BrooksEmergencyED ObservationWatchRepeat troponin
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Judy™ Clinical Interface
Online • Role-aware
Good evening. I can summarize a patient, explain the current journey state, review diagnostic and medication coding, or identify discharge blockers.
Try: “What is blocking Maria Thompson’s discharge?”

Clinical Intelligence

High priority
Possible CHF exacerbation

Maria Thompson • BNP elevated • edema documented • weight +3.2 kg.

Sepsis screen incomplete

ED patient has fever + tachycardia; lactate ordered but not resulted.

Maternal-newborn link active

Mother and newborn records linked with separate identifiers.

Coding Intelligence

Clinical + medication + finance
ICD-10-CMI50.23 suggested
RxNormFurosemide mapped
CPT/HCPCSEcho service detected

Discharge Intelligence

18 candidates
6 medication reconciliations

Potential blocker to same-day discharge.

4 pending transport

Rehab/post-acute placement coordination.

3 documentation gaps

May affect coding and reimbursement readiness.

Patient Access & Registration Intelligence™

Hospital front door
Arrival
Identity Verification
Encounter Creation
Clinical Routing

Registration Intelligence

Ready
Identity Match

No identity check performed yet.

MRN

Will retrieve existing MRN or create a new patient identifier.

Encounter

Encounter has not been created.

Consent & Coverage

Insurance, guarantor, and consent review pending.

Clinical Route

Emergency Department selected. Registration will hand off to triage.

Judy™ at Registration

Front-desk intelligence
Multilingual intake

Judy can explain forms, ask intake questions, and support the patient's preferred language.

Duplicate-record prevention

Judy can surface probable patient matches before a new MRN is created.

Missing-data detection

Flags missing payer, guarantor, consent, emergency-contact, or demographic information.

Pathway routing

Routes the completed encounter to ED triage, direct admission, or Labor & Delivery.

Emergency Registration

Treatment-first capable
Rapid encounter creation

Minimal demographics can create a temporary encounter so care is not delayed.

Unknown patient workflow

Supports temporary identity until verified later.

Planned / Direct Admission

Pre-arrival ready
Pre-registration

Insurance, consent, procedure, admitting physician, and arrival instructions can be completed before arrival.

Scheduled care routing

Routes to surgery, procedure, inpatient unit, or other destination.

Labor & Delivery Registration

Maternal pathway
Maternal encounter

Creates or retrieves the mother's patient record and pregnancy encounter.

Newborn record after birth

Creates a separate newborn patient record linked to the mother without mixing medical records.

Patient Selection

Choose a patient to load the complete journey

Active Patient Journey

Maria Thompson
Maria Thompson • MRN-00482157

68-year-old patient admitted through the Emergency Department and currently on the Cardiology Unit.

Journey Intelligence

High priority
Primary blocker

Echo result is not finalized.

Secondary blocker

Home medication list differs from inpatient medication list.

Recommended next action

Complete reconciliation, confirm oral diuretic plan, verify follow-up appointment.

Likely disposition

Home with cardiology follow-up if stable overnight.

Current care team / unit

Cardiology Unit • Hospital Medicine + Cardiology

Related Patient / Care Relationship

None active

Clinical Notes Intelligence™

Patient + encounter-specific

Cross-Note Intelligence

Judy synthesis

Add Clinical Note

Prototype interaction

Private Physician Notes

Not part of formal chart

Diagnostic Coding

Patient encounter
Coding safety rule

Displayed codes are demonstration candidates only. Final ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and medication terminology must be validated against current authoritative code sets and the documented encounter.

Procedure Coding

CPT / HCPCS / ICD-10-PCS

Documentation Integrity

Human review required

Judy™ Coding Assistant

Patient-specific

Medication Intelligence

Patient encounter
Terminology safety rule

Exact RxNorm/NDC identifiers must be resolved from the exact drug, strength, dose form, route, and package context. Judy may explain verified codes but must not invent identifiers.

Medication Safety & Reconciliation

RxNorm / NDC context

Departmental Intelligence

Departments involved in the selected patient’s care

Financial Coding Intelligence

Patient encounter

Revenue & Billing Readiness

Encounter-specific
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Judy™ Clinical Interface
Conversational orchestration layer
I can answer role-appropriate questions across clinical data, patient flow, coding, medications, departments, and discharge status.

Suggested Judy Commands

Demo
“Summarize Maria Thompson.”

Clinical summary plus journey state and blockers.

“Show medication discrepancies.”

Medication reconciliation and safety review.

“What codes need review?”

Diagnostic, medication and financial coding candidates.

“Who can discharge today?”

Journey and operational intelligence across the hospital.

Judy™ Care Coordination Engine

Patient-flow orchestration
Current Patient State

Cardiology Unit • Inpatient • Discharge planning in progress

Judy’s Next Objective

Resolve echo interpretation and medication reconciliation before discharge.

Active Care Tasks

0 open

Judy™ Coordinator

Action-oriented interface
I am following this patient’s care journey. I can route a task, request a department review, track acknowledgments, and tell you what is blocking the next transition.

Department Hand-offs

Live status

Patient Movement

Journey progression

Coordination Intelligence

Judy synthesis

NOFA Clinical Data Hub™

EHR-agnostic integration layer
EHR Connector

Epic / Oracle Health / MEDITECH / other clinical systems.

FHIR + HL7 Layer

Normalized clinical exchange and event ingestion.

Department Feeds

Lab, radiology, pharmacy, ADT, scheduling, billing.

Identity & Relationship Graph

Patient, encounter, clinician, location, mother/newborn, referral, caregiver relationships.

Role-Based Intelligence

Security concept
Least-privilege access

Judy and intelligence modules should only expose data permitted for the authenticated role.

Auditability

Every AI-generated recommendation, code suggestion, and data access can be logged.