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Case Study

Healthcare Firm Automates Clinical Notes with Generative AI on AWS

About the Customer

The customer is a US-based healthcare services company that supports physician practices across the country. It offers clinical documentation tools, transcription, medical billing, and electronic health record (EHR) integration. Its services take routine paperwork off providers’ plates and help them get paid faster for the care they deliver. Because it works with sensitive patient conversations, accuracy and regulatory compliance are central to everything it does.

Challenge

Our Customer's Key Business Objectives

The company turns recorded patient conversations into documentation for its physician clients. To scale this work, it set out to build an AI-driven foundation that converts raw dialogue into structured clinical and billing outputs.

Their key goals included:

Key Amazon Web Services Used

  • Amazon Bedrock
  • Amazon Comprehend Medical
  • AWS Lambda
  • Amazon API Gateway
  • Amazon Simple Storage Service (Amazon S3)
  • Amazon DynamoDB
  • Amazon CloudWatch

Third-Party Tools

  • Deepgram
  • Streamlit
Solution

How Cloudelligent Accelerated the Customer’s Objectives

Cloudelligent designed and implemented an AI-powered documentation and clinical reasoning system for the company. The solution moved its standard audio transcription process to an event-driven retrieval-augmented generation (RAG) architecture on AWS.

1


Automated Orchestration and Retrieval Pipeline

Cloudelligent built an event-driven pipeline on AWS Lambda to orchestrate the end-to-end documentation logic. The solution connects to the company’s existing Deepgram transcription platform through Amazon API Gateway. Each incoming transcript triggers a multi-stage workflow that ingests the data and passes it to the processing engine. Repeatable automation replaces manual administrative steps and delivers results in seconds.

2


AI-Driven Clinical Knowledge and Indexing

A clinical knowledge base was created by bringing official CMS guidelines and palliative care references into a structured RAG architecture. Amazon Simple Storage Service (Amazon S3) provides secure storage, while Amazon DynamoDB manages prompts and configuration. The system indexes these domain-specific datasets for fast, accurate retrieval. The pipeline then merges regulatory guardrails with live transcript data on every request.

3


Clinical Reasoning and Medical Entity Extraction

With retrieval in place, Cloudelligent added Generative AI logic using Amazon Bedrock and Amazon Comprehend Medical. Amazon Comprehend Medical extracts key medical terms, dosages, and conditions from each conversation. Large language models (LLMs) on Amazon Bedrock combine these insights with patient context. The result is structured, billing-ready SOAP notes generated automatically.

4


Testing Enablement and Operational Handover

A lightweight Streamlit interface was deployed for rapid testing and demos. Stakeholders use it to tune prompts, validate clinical outputs, and track token usage in real time. Amazon CloudWatch provides session logging and dashboards for full observability. Knowledge transfer sessions ensured a smooth handoff and a reusable blueprint for future production phases.

Results & Benefits

The Value of Our Cloud-Native Solutions

Cloudelligent delivered a validated, secure Generative AI framework that turns patient conversations into billing-ready documentation. The engagement was scoped as a Proof of Concept (PoC) focused on technical feasibility. It confirmed the core capabilities needed for a future production rollout. Key outcomes include:

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