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Context-Aware Extraction (CAE)1.2.6

CAE Product Release Notes

Release Date: October 2026

About

Context-Aware Extraction (CAE) is a family of domain-specific APIs that analyze full unstructured clinical notes and return clinically appropriate, coding-relevant structured outputs. Unlike sentence-level extraction approaches that evaluate each sentence independently, CAE leverages document-level understanding across multiple sections and sentences to resolve clinical problems and procedures to their most specific coded representations.

This approach reduces manual review, improves coding specificity, and delivers higher-fidelity structured data for downstream coding, revenue cycle, CDI, analytics, and AI workflows.


What's New in Our Latest Release

  • Introduced the CAE Procedure endpoint.
  • Added document-level procedure extraction and normalization.
  • Added support for CPT, HCPCS, ICD-10-PCS, and SNOMED CT mappings.
  • Added procedure-specific context handling, including laterality, body site, approach, and technique.
  • Expanded explainability support across procedure outputs.

Supported Domains

Problem Domain

  • Document-level problem extraction and normalization
  • ICD-10-CM focused coding support
  • Evidence-based explainability

Procedure Domain

  • Document-level procedure extraction and normalization
  • Procedure status identification (performed, historical, ordered)
  • Support for laterality, body site, approach, and technique when documented
  • Mapping to IMO Lexicals, CPT®, HCPCS, ICD-10-PCS, and SNOMED CT®
  • Evidence-based explainability

Model Evaluation Results

CAE v2.0.0 was evaluated using a 100-note gold standard dataset designed to represent real-world clinical documentation. Performance is reported using Precision, Recall, and F1 Score, where F1 balances both precision and recall.

Evaluation Area Precision Recall F1 Score
Overall Problem Extraction 74.2% 72.6% 73.4%
Overall Procedure Extraction 77% 86% 80%

Release Notes

Date Description
October 2026 Added the CAE Procedure endpoint, enabling document-level procedure extraction, normalization, explainability, and mappings to CPT, HCPCS, ICD-10-PCS, and SNOMED CT.
June 2026 Initial Release