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Hospital and laboratory archives · Test documents from multiple sources

AI System for Preparing Test Documents for Patient Files

We design a records assistant that prepares a document for the filing queue using patient, date and type fields without interpreting the result. The workflow checks the scanned test document, patient index, request date and document glossary against their sources, then prepares a filing-match suggestion. No record or operational step changes until a medical records officer has reviewed it.

Representative medical archive operations panel with a work queue, checks and an audit trail: test document matching queue
Test document matching queue Representative interface — contains no real data. Identities are masked. The panel does not produce a diagnosis or file records without a confirmed match.

The problem

In daily operations, a document may be added to the wrong patient file. When the scanned test document, patient index, request date and document glossary are spread across different screens, documents or team records, the issue may not be visible in time.

This fragmented data delays preparation of the filing-match suggestion and forces staff to search again for supporting information. Before deciding, the medical records officer must complete missing fields and verify conflicts one by one.

A common exception is that an identity field may be missing or illegible. If this context is not checked, an incomplete or incorrect workflow could place the document in another patient's file, so its output cannot be applied directly.

What we set out to improve

  • Number of match candidates rejected by the officer
  • Rate of outputs corrected or rejected by the medical records officer
  • Time between the source record and the review output

How the system works

  1. 01 Define the review scope and the authorised medical records officer role
  2. 02 Receive the scanned test document, patient index, request date and document glossary
  3. 03 Check source identity, date, version and data freshness
  4. 04 Extract identity, date and type fields
  5. 05 Separate exact and possible matches
  6. 06 Check the exception that an identity field may be missing or illegible
  7. 07 Place low-confidence or conflicting records in a separate human review queue
  8. 08 Write the source identity, rule, output and time to the audit trail
  9. 09 Have the medical records officer approve, correct, defer or reject the output

Methods we used

  • Cross-validation of OCR fields against identity and date rules
  • Source, format, version and mandatory-field checks for scanned test documents, the patient index, request dates and the document glossary
  • A missing-data warning instead of inference when inputs are absent or conflicting
  • Separate assessment of exceptions and the main rule
  • Joint retention of the source identity, rule result, filing-match suggestion and human decision

Where people stay involved

The system stops after preparing the filing-match suggestion. The medical records officer reviews the sources and the exception, then approves, corrects or rejects the suggestion. Direct application is disabled because a document could be placed in another patient's file; the system does not replace the officer's decision.

Data and security

Scanned test documents, the patient index, request dates and the document glossary are accessed with the narrowest permissions required for the role. Identity and sensitive fields are masked where possible, and only the necessary section rather than the entire raw file is sent to the model. Access, output and the medical records officer's decision are logged; production use does not begin until the organisation approves data retention and location.

Who this suits

A good fit

  • Organisations that receive external documents

Not a good fit

  • Organisations whose records contain no distinguishing patient fields

Frequently asked questions

Which inputs are used?

The workflow uses the scanned test document, patient index, request date and document glossary. If a required field is absent, it does not produce a definitive result and shows the missing source to the medical records officer for review.

At what point does a person decide?

The workflow stops when the filing-match suggestion is ready and waits for the medical records officer's approval. The officer can correct, defer or reject the output with a reason.

Is the output auditable?

The source identity, applied rule, exception, output and human decision are retained together. This makes it possible to review later how each source record led to a suggestion.

Project led by:DijitalPi

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