Automating Clinical Documentation with AWS Bedrock Claude Sonnet 3.5

Modern healthcare systems face mounting documentation burdens: clinician time is consumed by writing and formatting notes; inconsistency in structure; delays in recording; risks of errors; and challenges maintaining compliance, especially when using varied sources (voice recordings, structured forms, unstructured text etc.). OneData Software’s solution, built on AWS Bedrock powered by Claude Sonnet 3.5, addresses these challenges through AI-driven clinical documentation automation.

Here’s what OneData’s solution does:

1. Intelligent Ingestion & Data Capture o Collects input from multiple channels: voice-to-text (dictations), structured forms, free-text physician notes, EHR entries, medical devices, etc. o Uses natural language understanding + OCR / image-processing where needed to extract text from scans, charts, graphs.

2. Prompt Orchestration & Template-driven Generation o Orchestrates prompts that guide Claude Sonnet 3.5 to produce consistent output structure (e.g., SOAP notes, history & physical, discharge summaries). o Leverages domain-specific templates so that generated documents conform to healthcare best practices and institutional standards.

3. Schema Validation & Compliance o Validates output against predefined schemas (e.g. JSON / XML) to ensure required fields are present, formats are correct. o Includes checks for clinical correctness, grammar/coherence, and compliance (HIPAA, local data privacy laws), ensuring patient data security.

4. Quality Assurance & Explainability o Offers human-in-the-loop review options when needed (e.g. specialist oversight). o Provides traceability: which inputs fed into which parts of the output; justification or citations for extracted or inferred content.

5. Integration & Workflow Automation o Integrates with existing EHR/EMR systems, document management systems, clinical databases. o Automates workflows: e.g. draft creation, clinician review, corrections, finalization, version control.

6. Performance, Speed & Scalability o Leverages the efficiency of Claude Sonnet 3.5 in Bedrock to process large batch volumes or real-time pipelines (e.g. note generation during rounds). o Monitors throughput, latency, error-rates; scales with usage.

7. User-friendly Interface & Customization o Allows clinicians/admins to define or tweak templates, glossaries, preferred style/tone. o Dashboard for tracking documentation status, pending reviews, compliance metrics.

Value / Benefits • Significant reduction in clinician documentation time and clerical burden. • Improved consistency and quality of clinical records. • Faster turnaround of discharge summaries & notes, reducing delays in care transitions. • Reduced errors from missing or inconsistent information. • Enhanced ability to audit, verify, and comply with regulatory requirements. • Cost savings from reduced manual work and fewer reworks or corrections.