Our Technology

Innovative Medical AI & FHIR-Native Cancer Registry Technology.

The AI layer that turns pathology, imaging, and clinical feeds into the values your registry actually needs.

NeuralFrame was founded in 2017 to rethink how cancer data moves through hospital systems. From day one, we built around a specific problem: the data a cancer registry needs isn’t sitting in one place, in one format, on one document. It’s spread across pathology reports, addendums, imaging studies, clinical notes, and treatment records — each written at different times, by different people, for different purposes. Legacy registry software asks registrars to reconcile all of that by hand. KACI does the reconciliation first, and asks registrars to validate the work.

The engine behind this is what we call the Cancer Episode Enginer — KACI’s AI layer that combines findings across specimens, addendums, and treatment timing to produce NAACCR-compliant values rather than raw extracted text. A single biomarker value that requires reading five pathology documents in sequence, understanding which one supersedes which, and applying NAACCR timing rules — that’s the kind of work KACI does before a registrar ever sees the case. The registrar validates, corrects, and signs off. Every value is logged with its source document, its reasoning, and the registrar who approved it.

The impact shows up in registrar productivity. When we analyze usage data from our industry-leading cancer registry product, KACI. The time savings on case abstraction are substantial — not because registrars are doing less careful work, but because they’re no longer starting from a blank case. KACI’s automatic abstraction frees Oncology Data Specialists to focus on complex analysis and reporting instead of hunting through synoptic reports and unstructured medical documents:

KACI was built with AI as its foundation, not as a bolt-on. Our team of clinicians, systems engineers, and AI specialists engineered the platform from the ground up around a deep understanding of how AI integrates with cancer data, which is fundamentally different from how AI integrates with general clinical data. The result is a platform that feels seamless to registrars, defensible to auditors, and coherent to the cancer program administrators, CMIOs, and Chief AI Officers signing off on it.

 

HL7v2 and FHIR. Whatever Your EHR Speaks, KACI Listens.

Integration is table stakes. What we do with the data after ingestion is the difference.

Fast Healthcare Interoperability Resources (FHIR). standard, developed by HL7, is the backbone of modern healthcare IT. By utilizing FHIR-native architecture, NeuralFrame ensures that your data is not just stored, but is actionable and interoperable.

Cancer programs don’t get to choose how their EHRs send data, so KACI is built to take it however it arrives. HL7v2 ORU messages stream in from pathology and radiology systems in real time. FHIR DocumentReference and clinical resources fill in the context — treatment history, clinical notes, medication orders, imaging findings. Both paths are core, and both feed the same engine.

What actually matters for a cancer registry is what happens next. Raw ingestion is a commodity. Turning an HL7v2 stream into NAACCR-compliant reportable values, reconciled across specimens and timing, validated by a registrar, and logged for audit, is not. That’s where KACI earns its place in your cancer program.

CasefindingKACI ingests pathology reports in real time through HL7v2 and identifies candidate reportable cases before the daily batch job your legacy system runs at 3 AM has even started. Cross-referenced against clinical and billing data from the EHR, duplicate and non-reportable cases are filtered automatically, not missed and not cluttering the registrar’s queue either. Typical Casefinding time reduction: more than 80%.

ODS Workflow ImprovementAfter searching patient records, the Casefinding process captures and pre-populates circa 40% of the data fields, reducing manual input time and eliminating transcription errors. Since gains in this area impact the entire ODS team, even a conservative estimated efficiency gain of 12% delivers significant economic benefit.

Follow-upFollow-up processes that require manual effort are expensive and prone to backlog. KACI integrates multiple EMR resources, including external resources such as Epic’s Care Everywhere, to update Date-of-Last-Contact. The integrated Social Security Death Index (Death Master File – DMF) provides timely updates for expired patients. According to the NCRA Workforce Study, Follow-up at the average hospital requires 2.5 FTE per 6,000 new diagnoses. KACI reduces Follow-up labor by 80-90%.

Registry Management Hospital workflows that employ manual processes cost significant registry management time. KACI’s EMR integration reduces QA issues, saving management time. In addition, KACI’s QA dashboards allow ODS’s to self-check. KACI integrates case assignment and abstract notes to eliminate spreadsheets. Users can save up to 90% of case review time.

A Strategic Partnership for the Future.

The ever-expanding cloud.

NeuralFrame is more than a software provider; we are a strategic partner for the largest healthcare organizations in North America. We help institutions future-proof their registry requirements by providing a scalable, cloud-based data backbone.

Our expertise in applying advanced medical language models and leveraging the power of FHIR enables these organizations to unlock the full potential of their data. Here are some of the ways we are helping our customers to adapt and thrive in the rapidly evolving healthcare landscape:

BillingGenerate accurate, detailed patient billing through automated data capture.

Patient OutcomesMonitor outcomes and treatment responses for life-science research.

Data WarehousingProvide rich, structured datasets to academic analytics departments via nightly SQL-ready exports.