Real-time collaborative clinical document analysis and editing

One or more computer storage media having computer-executable instructions embodied thereon, that when executed, perform a method of real-time analysis and annotation of clinical documents in a distributed system, the method comprising:

• analyzing, by agents maintained by a clinical transformation server, at least a portion of a clinical document in real-time to provide inline annotations and other document modifications to each of one or more editors having a session at the clinical transformation server, the agents, the agents monitoring for one or more of:
• errors in the clinical document as compared to data available in an electronic health record (EHR), abbreviations banned or discouraged by JCAHO, errors in content or meaning based on a medical context, contradictory information, or phrases repeated from a previous clinical document;
• and
• utilizing operational transformation at the clinical transformation server, resolving parallel annotations or modifications of the inline annotations and other document modifications to maintain a synchronized view of the clinical document regardless of the order the inline annotations and other document modifications are received.

A computerized system comprising:

• one or more processors;
• and
• a non-transitory computer storage media storing computer-useable instructions that, when used by the one or more processors, cause the one or more processors to:
• analyze, by agents maintained by a clinical transformation server, at least a portion of a clinical document in real-time to provide inline annotations and other document modifications to each of one or more editors having a session at the clinical transformation server, the agents, the agents monitoring for one or more of:
• errors in the clinical document as compared to data available in an electronic health record (EHR), abbreviations banned or discouraged by JCAHO, errors in content or meaning based on a medical context, contradictory information, or phrases repeated from a previous clinical document;
• and
• utilize operational transformation at the clinical transformation server, resolving parallel annotations or modifications of the inline annotations and other document modifications to maintain a synchronized view of the clinical document regardless of the order the inline annotations and other document modifications are received.