Changelog

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The latest changes in Patient Education:

• We’ve added new articles for: Iron deficiency anemia, Oral herpes, Painful ovulation, Rotavirus infection, Chlamydial genitourinary infection, Acute bronchiolitis, Molluscum contagiosum, Hand foot and mouth disease, Wound dehiscence, Lactational mastitis, Wound infection, Foreign body in nose, and Foreign body in ear.

The latest changes in pediatrics content:

• We improved the existing conditions: Adjustment disorder; Post-traumatic stress disorder; and Sexual abuse.
• We’ve added a new symptom: Dermatological changes on buttocks.
• We’ve improved the existing symptom: Post-nasal drip; Itchy throat; and other symptoms difficult to be confirmed or excluded among the youngest children.
• We reviewed the following conditions: Joint pain, unspecified; Choledocholithiasis; Infectious mononucleosis; Polycystic ovary syndrome; Diaper dermatitis; Infant dyschezia; and Elbow contusion.
• We reviewed the following symptoms in a pediatric context: Avoidance behavior; Avoidance behavior, trauma related; Re-experiencing trauma; Trauma or stressor related disturbances; and Dissociative amnesia of trauma.
• We evaluated: Methanol poisoning; Ulcer, sore, or abscess near the anus; Herpetic gingivostomatitis; Growing pains; and Tetanus.
• We researched: Burn; Social maladjustment; Impaired social functioning and related symptoms; as well as Tinea pedis.
• We created new symptoms and a question group for: Epilepsy.
• We created a new question group for: Speaking difficulties.
• We reviewed the evaluations for: Discomfort while speaking, maxillo-facial.
• We created question groups for and reviewed in a pediatric context: Red eye location; Psychological trauma, time; and Types of psychological trauma.
• In Stomatology, we reviewed the symptom: Facial pain, unilateral.
• We added new explications for Pediatric risk factors from RF screen.
• We reviewed NEVER or ALWAYS connections in selected conditions in infants.

The latest changes in adult content:

• We’ve added new conditions: Trichilemmal cyst; Acute stress reaction; Acute and transient psychotic disorder; and Delusional disorder.
• We re-added the condition: Psychotic depression.
• We reviewed the condition: Ross River disease.
• We improved the conditions: Severe hypoglycemia; and Superficial thrombophlebitis.
• We added new symptoms: Bloody diarrhea; Hypervigilance; and Exaggerated startle response.
• We improved the following symptoms: Hallucinations; Delusions; Manic behaviors; and Paresis.
• We reviewed and improved the condition: Viral gastroenteritis.
• We’ve improved the following risk factors: High BMI; and Psychological stressors.
• We did conceptual work on: General anxiety.
• We made other minor fixes and improvements.

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The latest changes in Patient Education:

• We’ve added new articles for: Celiac disease, Influenza, Impetigo contagiosa, Acute otitis media, Otitis externa, Infectious mononucleosis, Heat and sun-related illness, Chronic constipation, Insomnia, Dental trauma, Chronic obstructive pulmonary disease exacerbation, Erythema infectiosum, Bacterial gastroenteritis, Cervical radiculopathy, and Croup.

The latest changes in pediatrics content:

• We added new conditions: Obsessive-compulsive disorder; Supracondylar humerus fracture; Respiratory Syncytial Virus infection; and Antibiotic associated diarrhea.
• We improved existing conditions: Hemoptysis; Warts; Systemic lupus erythematosus; Reflex syncope; Costochondritis; and Breast asymmetry in adolescence.
• We improved existing symptoms: Vomiting duration; and Joint deformation, post traumatic.
• We added new evaluations to: Infective endocarditis; and Achilles tendinitis.
• We reviewed: Weight faltering; Infective endocarditis; Enterobiasis; Bacterial and viral gastroenteritis; Diabetic ketoacidosis; and Appendicitis.
• We created a new risk factor for the condition: Chronic cannabinoid use.
• We evaluated: Blood in stool; Loss of consciousness; Dizziness, unbearable; Nasal congestion, worsening after brief improvement; Blepharitis; and Edema, periorbital.
• We researched: Anorexia nervosa; and Fear of dying.
• We activated a Sleep disturbances question group for Pediatrics.
• We reviewed Measles and created a new symptom for it: Dermatological changes, preceded by fever or other symptoms of respiratory tract infection.
• We activated and reviewed Pain in upper limb, and its children, in the youngest age groups.
• We activated and reviewed the Join pain location question group in Pediatrics.
• We created and reviewed Knee pain, and its related concepts, in Pediatrics.
• We improved the nosology of Hemoptysis.
• We wrote an instruction for: Vascular compromise.
• In Stomatology, we reviewed the condition: Mandible fracture; researched Trismus; and created and reviewed a new symptom: Sublingual hematoma.

The latest changes in adult content:

• We’ve added new conditions: Substance-induced psychological disturbances; Ganglion; Skin Cyst; and Mood disorders, unspecified.
• We reviewed: Hypovolemic shock; Depressive disorder; History of neoplasm; Postpartum depression; and Functional ovarian cyst.
• We added new symptoms: Episodes of depressed mood, drug induced; Depressed mood, peripartum; Baby blues; Postpartum depression; Postpartum psychosis; and Delusions of grandeur.
• We have new symptomatology for Elevated mood.
• We researched and updated existing symptoms: Hallucinations; and Delusions.
• We divided Pain of the upper limb into Acute pain of the upper limb and Chronic pain of the upper limb.
• We created a new risk factor: Long contact with wet soil.
• We made other minor fixes and improvements.

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The latest changes in Patient Education:

• We’ve added new articles for: Acute bacterial rhinosinusitis, Acute bronchitis, Acute cystitis, Atopic dermatitis, Benign paroxysmal positional vertigo, Contact dermatitis, Degenerative disc disease of the lumbar and sacral spine, Gastritis, Gastroesophageal reflux disease, Geographic tongue, Glossitis, Growing pains, Hangover, Hemangioma, Hemorrhoids, Hip contusion, Infant dyschezia, Infantile colic, Irritable bowel syndrome, Kidney stones, Migraine, Miliaria, Milk spots, and Myocardial infarction.

The latest changes in pediatrics content:

• We added new conditions: Acute upper gastrointestinal bleeding; Psychological abuse; and Sexual abuse.
• We improved existing conditions: Asthma exacerbation; Insertion of foreign bodies; Gastrointestinal infections; Clavicle fracture; Upper limbs injuries; Erythema infectiosum; Immune thrombocytopenia; Fractures and contusions; Mechanical back pain; Lumbar vertebra fracture; Onychomycosis; and Conduct disorder.
• We improved an existing risk factor: Sexual intercourse in recent months.
• We improved existing symptoms: Diarrhea; Toothache; Edema; Hymoptysis; Urticaria; Edema, scrotum; and Dermatological changes, entire body.
• We added new evaluations to: Achilles tendinitis; Scarlet fever rash; Major depressive disorder; Epistaxis; Acute otitis media; von Willbrand disease; Diaper rash; Influenza; and Major Depressive Disorder.
• We reviewed: Scarlet fever rash; Dehydration; Decreased motivation; Achilles tendinitis; Dry, cracked skin, bleeding occasionally; Suicidal tendencies; Nursing blister; Headache, unilateral; Asthma exacerbation; and Hemolytic-uremic syndrome.
• We reviewed and improved tuples content so that it more accurately reflects their seriousness.
• We created new symptoms: Allodynia and Dermatological changes, lips.
• We reviewed the question Constipation and created a question group for Tremors, location.
• We changed the name of Battered child syndrome to Physical abuse and clarified the differences between the various abuse types.
• We activated Dermatological changes, aggravated by stress in infants.
• We activated History of anaphylactic reaction in pediatric age groups.
• We improved the nosology of Seizures and Febrile seizures.
• In Stomatology we added three new conditions: Oral lesions, lasting more than 3 weeks; Oral lesions, lasting less than 3 weeks; and The tongue blade bite test.

The latest changes in adult content:

• We’ve added new conditions: Baby blues; Postpartum depression; and Postpartum psychosis.
• We improved: COVID-19; Monkeypox; Legionellosis; Rotavirus; Diabetic Ketoacidosis; Obsessive-Compulsive Disorders; Insertion of foreign body; Tetanus; Tremors; and Diarrhea, more than 6 stools a day.
• We divided Lyme disease (Borreliosis) into: Erythema Migrans (early localized Lyme disease); Neuroborreliosis (early disseminated Lyme disease); and Late Borreliosis.
• We created two new conditions: Intracranial haematoma and Narcolepsy.
• We made other minor fixes and improvements.

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The latest changes in Patient Education:

• Patient Education is now available in an additional language: Polish.
• We’ve added new articles for: Minor head injury, Generalized anxiety disorder, Rheumatoid arthritis, Pneumonia, Sciatica, Ischemic stroke, Asthma exacerbation, Hypothyroidism, Major depressive disorder, Vulvovaginal candidiasis, TIA, and Asthma.

The latest changes in pediatrics content:

• We added new conditions: Dengue fever; Q fever; Japanese encephalitis; Acute Hepatitis C; and Choledocholithiasis.
• We improved existing conditions: Foot contusion; Upper limb tenderness; Mandible fractures; Pyelonephritis and other urinary infections in infants; and Common cold in infants.
• We changed various injuries including: electrical, eye, shoulder, back, elbow, forearm, and arm.
• We reviewed: Femur fracture; Acute otitis media; Scarlet fever rash and its evaluations; Prolonged capillary refill time (in teenagers); and Recent alcohol consumption (in school-age children).
• We created a new symptom: Tenderness of the spine.
• We reviewed the question Sexual intercourse in recent months and created a heart rate question group in pediatric populations.
• We improved the nosology of Cognitive disturbances and Consciousness disturbances.
• In Stomatology we added two new conditions: Dental abscess and Median rhomboid glossitis.

The latest changes in adult content:

• We’ve added new conditions: Monkeypox; Acute cholangitis; Larynopharyngeal reflux; Local allergic reactions to insect bite or sting; Marine injury; Poorly controlled hypertension; Tick bite; Tick-borne encephalitis; and Trachoma.
• We reviewed: Migraine and Hemorrhagic stroke.
• We updated COVID-19, with further symptomatology adjustments to the clinical presentation of Omicron variants and second boosters.
• We divided insect bites per insect inflicting the bite and per continent to achieve the best accuracy possible.
• We researched how to enrich our interview in sexual health content.
• We made other minor fixes and improvements.

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The latest changes in Patient Education:

• We’ve added new articles for: Intercostal neuralgia, Irregular menstruation in adolescence, Unspecified joint pain, Lip injury, Lower leg contusion, Menopause, Minor skin injury, Nausea and vomiting in pregnancy, Neonatal jitteriness.

The latest changes in pediatrics content:

• We added new conditions: Acute cannabinoid intoxication and Spider bite.
• We improved existing conditions: Clavicle fracture and Thorax contusion; Toe dislocation and Toe fracture; Piriformis syndrome; Tibiofibular fracture; Back and pelvis contusion; Lumbar vertebra fracture; Thoracic vertebra fracture; Scapula fracture; Rib fracture; Lower leg contusion; Post-traumatic seizures; Battered Child Syndrome; External ear injury; and Ovarian torsion.
• We improved symptoms: Edema; Seizures; Suspicious mole or birthmark; and Cyanosis.
• We improved tuples: Audible wheezing, and Contact with allergen.
• We added a question group for Different types of burn.
• In the stomatology section, as well as improving the condition: Oral herpes, we added a new condition: Primary herpetic gingivostomatitis, and a new symptom: Oral lesions, larger than 1 cm.

The latest changes in adult content:

• We added common viral etiologies of gastroenteritis and upper respiratory tract infections: Rotavirus infection, Adenoviral respiratory disease, Adenoviral enteritis.
• We re-reviewed the COVID-19 symptomatology, to ensure accordance with the meta-analysis that described the Omicron sub variants.
• We investigated insect-borne conditions in different parts of the world, including conditions related to insect bites, with careful consideration for the differences in etiologies and prevalence worldwide.
• We’ve restructured our heart failure section: Chronic heart failure, Acute heart failure, Exacerbation of chronic heart failure (Left-sided, Right-sided and Bilateral heart failure are now obsolete).
• We added safety questions for Signs of dehydration in interviews that mention vomiting and/or diarrhea.
• We also: added a group of questions about urine color; reviewed Cholecystitis; reviewed Brain tumor; reviewed over- and under triage cases.

API 3.9 is here!

With it we are introducing internal security improvements that are making the user data and interview process even more resilient.

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The latest changes in Patient Education:

• Patient Education is now available in an additional language: German.
• We added new articles for: Primary dysmenorrhoea, Geographic tongue, Glossitis, Growing pains, Gynecomastia, and more. A full list of Patient Education coverage can be browsed here.

The latest changes in pediatrics content:

• We added new conditions: Snakebite, Ross River fever, Congenital Zika infection, Traumatic oral ulcer, and Orbital cellulitis.
• We added new symptoms: Tooth migration, Oral lesion, single, Oral lesion, smaller than 1 cm, Jaw pain, worse in the morning, and Jaw pain, associated with touch.
• We added new risk factors: Indigenous Australian heritage, and Insect bite.
• We reviewed: Pain in lower limbs, Erythroderma, Dyspnea, Excessive UV exposure, Interdental black triangles, and more.
• We reduced overtriage for: Growing pains, Common cold, Migraine and Trismus.

The latest changes in adult content:

• We reviewed: Peripheral vascular disease, and Hemorrhagic stroke.
• We added diseases relevant to the population of Australia, New Zealand, and Oceania: Ross River disease, Japanese encephalitis, and Snakebite.
• Many infectious diseases typically occurring on the Australian continent were reviewed: Scrub Typhus, Dengue Fever, Leptospirosis, Hookworm infection, Amebiasis, and Zika virus infection.
• We introduced risk factors dedicated to a more accurate diagnosis of the indigenous people of Australia.
• More specific entities in the area of liver and bile ducts diseases were introduced: Acute hepatitis C instead of Hepatitis C, Choledocholithiasis instead of Cholestasis C (the latter will be further expanded in the upcoming releases).
• We have divided memory impairment into acute and chronic.
• We added new risk factors relevant to hematologic conditions: Chronic exposure to herbicides and Chronic exposure to insecticides.
• We reviewed and updated COVID-19 prevalence and symptomatology in relation to most recent research updates.

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Newest changes in Patient Education:

• Patient Education is now available in three languages: English, Arabic, and Latin American Spanish.
• We added new articles for: Edema in pregnancy, Viral gastroenteritis, Tension-type headaches, Lactose intolerance and Hypotension. A full list of Patient Education coverage can be browsed here.

Newest changes in pediatrics content:

• We added new conditions: Recent-onset constipation, Chronic fatigue syndrome, Bruxism, and Hearing loss, unspecified.
• We added new symptoms: Excessive tooth wear, Toothache, due to trauma, Oral lesions, painful, Oral lesions, trauma-related, Dysphagia, severe, Dermatological changes, ears and more.
• We reduced overtriage for: Rotor's syndrome, Gilbert's syndrome, Postinfectious cough and Thigh contusion.
• We reviewed: Oral lesions, well-demarcated borders, Ear barotrauma and related symptoms, wrist contusions and injuries, Granuloma annulare, Vitiligo, Alopecia, and many more.
• We reduced overtriage, improved UX and interview flow for Minor head injury.

Newest changes in adult content:

• We added new conditions: Complicated ovarian cyst, Ovarian torsion, Orbital cellulitis, Mild Hypoglycemia, and Severe hypoglycemia.
• We added new symptoms: Ability to manage hypoglycemia, Headache, unspecified location, History of hypoglycemic episodes, Blood glucose level, not measured, and more.
• We added a new risk factors: Contact with the blood of another person, Diagnosed ovarian mass, and History of burn.
• We introduced a question regarding blood glucose levels for more comprehensive diabetes management.
• We reduced overtriage by carefully disabling unnecessary tuples and lowering base triage where possible (i.e., Acute cystitis and Prostate enlargement).
• We implemented a granular division of Erythema affecting the limb.
• We adjusted COVID-19 interviews to the current epidemiological situation.

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The latest changes in pediatrics content:

• We added new conditions: Eyelid twitch; Nocturnal emission; Malnutrition; Retractile testicle; Milk stasis; Aphthous stomatitis; Glossitis; Motion sickness.
• We added new symptoms: Loose filling; Toothache, on percussion; Crenated tongue; Visual impairment; Burrows.
• We added a new tuple: Cough and dyspnea, sudden worsening.
• We improved: Lyme disease, Abdominal pain in Angioedema, Pilonidal cyst and its evaluations with dermatological symptoms, as well as patient safety in Food allergy.
• We improved triage for: Dysplasia of the hip, Acute rhinosinusitis, Acute bronchitis, Hip contusion, Von Willebrand disease, Acute laryngitis and Croup, and Foreign bodies in natural body openings.
• We reviewed: Periodontitis, Abdominal pain in gynecological conditions, Teething, and epidemiology of Trichinosis.

The latest changes in adult content:

• We added new conditions: Eyelid twitch, Alopecia, Vitiligo, Constipation, unspecified, Unspecific hearing loss, Granuloma annulare, Motion sickness, Heterochromia, Lipoma, Milk stasis, and Trigeminal neuropathy.
• We added 18 new symptoms related to the created conditions.
• We added a new risk factor: Consumption of raw or undercooked meat, as well as improved connections between the 12 most common risk factors.
• We resolved the overtriage related to the Hypertensive Crisis.
• We reviewed: Thyroid Cancer, Hepatitis A, bugged cases, and other conditions.

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Newest changes in pediatrics content:

• We added new conditions: Nephrotic syndrome, Nausea and vomiting in pregnancy, Frequent sneezing of newborn, Hypnic jerks, Stork bite birthmark, Transient watery stools of newborn, Gastrointestinal complaints after iron intake, and Bloating after certain food.
• We added new tuples for Glomerulonephritis and Diabetes mellitus type 1.
• We improved stomatology with new symptoms and risk factors relevant for Poor oral hygiene and Toothache associated with touch.
• We reviewed: Fetal Alcohol Syndrome, Teething, Sprained knee, Stye, Influenza, Migraine, and Atypical pneumonia.
• We evaluated triage level of Covid-19 in infants.

Newest changes in adult content:

• We added new conditions: Pelvic organ prolapse, Meteorosensitivity and meteoropathy, Restless legs syndrome, and Solar lentigo.
• We added new symptoms: Vaginal bulge, Vaginal fullness, Restless legs, nocturnal, and Muscle cramps, nocturnal.
• We added a new risk factor needed for Meteorosensitivity and meteoropathy: Weather sensitivity.
• We linked over 300 conditions to symptoms describing skin changes on arms or legs.
• We made 120 connections between the most common risk factors and reviewed appertaining diseases according to the newest scientific findings.
• We added types of diabetes (I, II, or other) as separate risk factors to reflect different complications for each subtype.

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Newest changes in pediatrics content:

• We added a new condition: Dentin hypersensitivity.
• We updated diseases of dirty hands with new risk factors and reviewed conditions.
• We improved Toothache with new risk factors and symptoms.
• We reviewed: Gingival recession, Pulpitis, Dental caries, Consciousness disturbances, and more.

Newest changes in adult content:

• We updated risk factors for Unbalanced vegetarian diet.
• We reviewed prevalence and symptomatology within COVID-19.
• We added a risk factor: Recent upper respiratory tract infection.
• We added new concepts: Erythema nodosum, Tinea corporis, Tinea cruris, and more.

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Newest changes in pediatrics content:

• We added new conditions: Orchitis and epididymitis, Genital injury, Postimmunization reaction, and Sun allergy.
• We added new risk symptoms: Erythema, neck; Erythema, chest, and Erythema of the limbs, symmetrical.
• We improved: differentiation in Enlargement of the neck, risk factors for Keloid, Elevated blood pressure symptoms, Ulcerative colitis exacerbation, and more.
• We reviewed: Acute sinusitis, Chronic UV exposure, the most common dermatological conditions, and more.

Newest changes in adult content:

• We recognized the issue with eating disorders in seniors - Malnutrition was created, other eating-related conditions (Anorexia, Bulimia) are adjusted accordingly.
• We improved diagnostics around syncopes - connecting more symptoms to the Reflex Syncope allowed for lowering the triage in mild, classic cases.
• We added new concepts: Epigastric tenderness, Sight defect, Opioid withdrawal syndrome, Cardiogenic syncope, and many more.
• We've improved the differentiation of diseases related to Enlargement of the neck, such as Enlarged lymph nodes, Neck edema, and Goitre.

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Newest changes in pediatrics content:

• We added new symptoms: Tenderness in the scrotum, Dry mucous membranes, Fascination with death, and Catastrophising.
• We added new risk factors: Family history of Helicobacter pylori infection and Use of visual display terminals.
• We added Fever & Petechiae as a new tuple.
• We improved: Epilepsy in teenagers, Acute otitis media, differentiation between Pneumocystis jiroveci and Atypical pneumonia, and triage level in Vomiting after each meal.
• We reviewed: COVID-19 vaccination status in children, Pharyngeal swelling bilateral, Active wound bleeding, Pilonidal cyst, Dysplasia of the hip, Achilles tendon rupture, and Ear barotrauma.
• We changed the common name for body temperature 37 - 38 °C to Subfebrile temperature between 98.6 and 100.4°F or 37 and 38°C.
• We fixed Pain in the upper limb in trauma-related interviews and much more.

Newest changes in adult content:

• We finished dermatology-related restructuring: we improved symptomatology, reviewed epidemiology, conditions, and more.
• We upgraded the COVID-19 pack and updated incidence, booster shots, waning immunity, children’s vaccinations, and long covid re-check.
• We added new conditions: Muscle fever (DOMS, delayed onset muscle soreness), Crohn’s Disease Exacerbation, and Ulcerative Colitis Exacerbation.
• We fixed bugs, multiple symptoms-condition connections, and expanded test cases.

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Newest changes in pediatrics content:

• We added new conditions: Salicylate poisoning, Pesticide poisoning, Herbicide poisoning, Heavy metal intoxication, Carbon monoxide poisoning, Alcohol poisoning, Methanol poisoning, Acute stimulant overdose, Temporomandibular joint disorders, Acute opioid toxicity, Temporomandibular joint disorders, Acute opioid toxicity, and Infant dyschezia.
• We added new tuples in dermatological content and new question groups with toxicological risk factors.
• We improved: differentiation in Seizures, Tremors and Chills in newborns and infants, and definitions in Wound and ulcer.
• We reviewed: Minor skin injury and triage level in Neonatal jaundice.
• We reduced overtriage.

Newest changes in adult content:

• Over 60 concepts (conditions, symptoms, tuples) that were causing overtriage were thoroughly reviewed and corrected.
• We added new symptoms: Beeturia, Postinfectious cough and more.
• We improved differentiation between Wound and Ulcer, COVID-19 prevalence in fully vaccinated individuals, and much more.

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Newest changes in pediatrics content:

• We added new conditions: Enlarged tonsils, Postinfectious cough, Irritable bowel syndrome, Death cap poisoning, Painful ovulation, Idiopathic thrombocytopenic purpura, Relapsing fever, Dental fluorosis and Labor Fetal, alcohol syndrome.
• We improved: Flatfoot, Gestational diabetes, gastrointestinal symptoms in MDD, abdominal trauma and urinary tract symptoms, triage level in genital injuries, hormonal contraceptives in teenagers, and more.
• We added z new symptom: Unsuccessful antibiotic therapy.
• We evaluated: Umbilical hernia, Hemolytic-uremic syndrome, ophthalmological symptoms, and triage level in Ulcers on skin and Cyanosis.

Newest changes in adult content:

• Because the COVID-19 pandemic has popularized the usage of pulse oximeters among patients, we decided to add questions regarding blood oxygenation levels to the interview. Tracking and inputting blood oxygen saturation will result in more adequate triage recommendations.
• We are continually expanding our dermatological content: a new condition, Pityriasis Rosea, was recently added.
• We developed a more intuitive way of asking about changes in the location of dermatological conditions.
• We reviewed Molluscum Contagiosum, Dermatological changes, spreading, aortic aneurysm, and Dermatological changes, spreading, aortic dissection.
• We remodeled and simplified Vaginal bleeding symptomatology.
• We added a new condition, Gynecomastia (in males), and a new risk factor: Congenital heart disease.

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Newest changes in pediatrics content:

• We added new conditions: Rickets, Foreign body in the nose, Foreign body in the ear, Cluster headaches, Periosteal tumor, Ingrown toenail, Erythema toxicum, Keloid, Tinea versicolor, Herpangina and Umbilical granuloma.
• We reviewed: Impetigo, triage in Acute hypnotic toxicity cases, and evaluations of Testicular torsion, Pregnancy, Streptococcal tonsillopharyngitis and Vomiting.
• We added: Congenital heart disease as a risk factor.
• We added new triage tuples for Pyelonephritis.
• We also worked on other improvements in traumatology and general maintenance.

Newest changes in adult content:

• We added new conditions: Epiglottitis and Diabetic foot, Wound dehiscence, Wound infection, Ingrown Toenail, Herpangina.
• We added new symptoms: Dermatological changes, hot to the touch, Dyspnea, sudden worsening.
• We added a nw risk factor: Atrial Fibrillation and History of pulmonary tuberculosis.
• We reviewed: Balanoposthitis and Burns.
• We improved dermatological interview: we are better at collecting evidence regarding Rash, Burns, Impetigo and wound vs ulcer distinction in Dermatology.

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Newest changes in pediatrics content:

• We added content for the following conditions: Gynecomastia, Ectopic pregnancy, Hemorrhagic disease of the newbornand, Corns and callosities,Acute hypnotic toxicity, Acute porphyria, Cardiac tamponade, Learning disability, Proctitis and Nephrolithiasis.
• We improved differential diagnosis between Viral and Bacterial meningitis, and proposed a better hierarchy for Bruising and Vaginal Discharge symptoms.
• We revised a lot of content, including: Wheezing, mouth injuries, and measurable symptoms (e.g. Tachycardia, Hypertension).
• We reviewed the oldest conditions in the context of recent changes.

Newest changes in adult content:

• We added duration differentiation of the Limb paresis and Facial muscle paresis.
• We also refined several stroke-related symptoms.
• We added a new condition: Post-COVID-19 syndrome and new risk factors crucial to this condition.

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Newest changes in pediatrics content:

• We added new conditions: Diabetic Ketoacidosis, Hepatitis A and Hepatitis B.
• We did a technical review of pediatrics symptoms, which resulted in a list of improvements. Among changes are: several new risk factors dedicated to the pediatrics population, refined Fever and Eye Discharge classifications, and updated symptoms related to teenagers’ sexuality.

Newest changes in adult content:

• We continued our journey of improving stroke-related interviews. We have redesigned the interview flow around Paresis and Muscle Weakness. This way, we gather more structured and relevant data, which enhances the performance of Stroke, TIA, and other neurological conditions.
• We modeled COVID-19 vaccinations into our diagnostic algorithm. From now on, the differential diagnosis between COVID-19 and other infectious diseases is dependent on the user’s vaccination status, thus it is more accurate.
• We introduced questions about the duration of fever: less than 48h, 3-5 days, more than 5 days. It allows for an easier distinction between acute infectious diseases, malignancies, and rheumatic conditions.
• We added an option to filter out intimate questions and complicated questions (see: API 3.4 update).
• We added minor fixes and improvements.

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Here comes one of the biggest updates of Infermedica’s medical content - we proudly present pediatrics content!

• From now on, our content is simultaneously developed for children of all ages and adults. The summarized number of medical concepts for pediatrics and adults is: 742+ conditions, 1362+ symptoms, and 150+ risk factors.
• Over 200 of the most common pediatric conditions were added to our medical content base. A part of them coincides with what previously functioned for adult users, with the difference in the insides - variations in the course of the disease depending on the age of the end-user were implemented. Newly added pediatrics conditions cover now over 90% of Global Burden of Diseases (GBD) listed for OECD countries.
• Along with the expansion of supported age groups, we changed the way that questions are asked. In pediatrics, those are designed to be answered by parents or caregivers on behalf of younger patients.
• A great number of unique symptoms and over 1,300 new medical concepts were created, tailored to meet the needs of children.
• The external physicians assessed the triage recommendations of pediatrics as safe in 96.7% of the cases.

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Below, you will find a new batch of updates from Infermedica’s medical team:

• In the few upcoming releases, the medical team emphasizes stroke-related issues. This time, we have improved the hierarchy of Paresthesias for a more extensive neurological interview and enriched the symptomatology of Ataxia to differentiate between acute and chronic causes.
• We have reinstituted and improved the performance of diarrheal diseases associated with antibiotics - specifically Clostridium Difficile-associated diarrhea and Antibiotic-associated diarrhea.
• For more precise differentiation between laryngological conditions, from now on we inquire about the duration of Stuffed nose symptoms.
• Conditions like Baker’s cyst and Increased Intracranial Pressure were reviewed. More Triage Tuples were added.
• The prevalence and symptomatology of COVID-19 were rechecked and adjusted to the current epidemiological situation.

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Here comes the pack of updates prepared by Infermedica’s medical team:

• We have introduced Triage Tuples - pairs of symptoms or risk factors, which trigger a higher triage recommendation when they occur together in the interview. For example: Hypertension and Pregnancy, III trimester separately do not yield medical evaluation. Combined in one interview, however, they call for emergency care. All of the triage tuples are based on trusted triage protocols.
• The medical team has introduced the distinction between Viral Rhinosinusitis and Bacterial Rhinosinusitis for a more precise diagnosis, triage, and recommendation for the patient.
• We have enriched the interview regarding Vomiting. From now on, the engine will differentiate better between reasons for Chronic Vomiting and Acute Vomiting.
• Conditions like Hepatitis A, Hepatitis B, Hepatitis C, Primary Dysmenorrhea and Premenstrual Syndrome have been reviewed in accordance with the newest guidelines.
• Other minor reviews, guidelines checkups and bug fixes.

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Here comes the medical content update from Infermedica’s doctors!

• We have included COVID-19 into our main diagnostic engine. This means that diagnosing and triaging for COVID-19 will be possible not only on our dedicated COVID-19 Risk Assessment tool but also in our other solutions (Symptom Checker, Call Center Triage, and Chatbot).
• We keep expanding the collection of the conditions affecting teenagers: Multisystem inflammatory syndrome in children, Kawasaki disease, Flatfoot, Growing pains, Nocturnal enuresis, Vitamin A deficiency, Muscular dystrophy and Perthes disease.
• For more accurate triage, we started distinguishing between light rectal bleeding, commonly associated with hemorrhoidal disease, and severe rectal bleeding that demands a prompt medical evaluation.
• The medical team has created a question group regarding blood pressure, which has simplified and organized the information intake.
• Minor bug fixes and maintenance.

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Our medical team is working hard on the very special functionality of our diagnostic platform. The long-awaited update and introduction of triage tools for the pediatric population is coming soon. Stay tuned for the release date!

In the meantime, we want to present you with a couple of improvements to our medical knowledge base. Here are the essentials!

• We have implemented a system for the diagnosis of arrhythmias in the symptom checker. The team has introduced four new conditions, which will ensure a proper and safe triage recommendation for patients with heart rhythm problems:
  • Arrhythmia with a fast heart rate (Stable tachyarrhythmia)
  • Severe arrhythmia with a fast heart rate (Unstable tachyarrhythmia)
  • Arrhythmia with a slow heart rate (Stable bradyarrhythmia)
  • Severe arrhythmia with a slow heart rate (Unstable bradyarrhythmia)
• We are warming up for the introduction of the children's pre-diagnosis and triage functionality. We have reviewed and enriched our set of teenage-specific conditions. The prevalence and symptomatology of many diseases in this group have been double-checked. The team has also introduced a handful of new concepts specific for this age group, like Irregular menstruation in adolescence, Learning disability, and Frequent tobacco smoke exposure.
• We are adding complementary explanations to the most complex medical concepts, like health assessments. Our goal is to give users a broad context of the question, explain challenging medical concepts, and provide short instructions on performing some health assessments, such as measuring the heart rate.
• We continue to enrich our medical knowledge base with common health concerns. We have added Atypical Pneumonia to our set of respiratory conditions. Doctors have reviewed the risk factors associated with excessive alcohol consumption, along with Anaphylaxis and ACE-induced cough.

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During this pandemic, Infermedica is labouring hard making enhancements to its product line. Here’s what’s new!

• We have expanded the dyspnea division: Dyspnea, on exertion, Dyspnea, after a few minutes of walking, Dyspnea, at rest. This change allows for more accurate patient triage.
• Our urological database content has been improved and expanded. The medical team added Phimosis and Paraphimosis, and additionally reviewed Urethritis, Orchitis and Epididymitis, male and female infertility symptoms.
• Furthermore, STDs were updated (we added Chlamydial genitourinary infection and reviewed Gonorrhea and Genital herpes).
• Our gynecological coverage has grown. We introduced a new condition, Painful ovulation.
• To improve the overall accuracy and interview flow, we rebuilt our Edema structure and clarified questions concerning Paresthesia. Additionally, its connections to diseases were readjusted.
• In the psychiatry field, we focused on self-harm behavior. 4 new symptoms were created: Self-injurious thoughts and behavior, Self-injurious behavior, recent, Self-injurious behavior, recent, major, Self-injurious behavior, recent, minor.
• Risk factors concerning common social issues were reviewed: Obesity, Chronic heavy alcohol use, Recent excessive alcohol consumption

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It’s springtime! See the latest updates from the Infermedica team.

• We have introduced new timeframes for Diarrhea symptoms: diarrhea lasting for less than two days; diarrhea lasting between two days and two weeks; diarrhea lasting over 2 weeks. Thanks to this change, the engine is better at differentiating between acute and chronic bowel diseases.
• The gynecological team has split Vaginal bleeding symptom into more granular ones; in non-pregnant women; in pregnancy, light, heavy, painless – to ensure the system recommendation is tailored to every woman’s personal health situation.
• To improve the overall accuracy of our diagnostic algorithm, we are continually enhancing our statistical graph by adding new connections between symptoms and conditions. We considerably expanded the net of connections of Headache and Abdominal pain symptoms.
• We keep on expanding our database of acute, urgent conditions. From now on, we cover thromboembolic incidents (Acute lower limb ischemia, Acute upper limb ischemia), urgent obstetrics conditions (Placenta praevia, Placental abruption), and additional types of trauma (Blunt abdominal trauma, Penetrating abdominal trauma).
• The team has also addressed the common populational illnesses, like Acute stress reaction or Male infertility and Diabetic nephropathy.
• Last, but not least, the whole Infermedica team has released the COVID-19 Risk Assessment – triage application based on the official guidelines established by WHO.

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New Year, new update from Infermedica! What’s new:

• From now on, we can distinguish between Viral and Bacterial gastroenteritis. Thanks to that, recommendations and diagnoses are more accurate.
• We have expanded our collection of day-to-day ailments, like Cervical strain or Unspecific joint pain.
• The team of doctors has updated anemia catalog for improved differential diagnosis between Iron deficiency anemia, Hemorrhagic anemia, Folate deficiency anemia, Aplastic anemia, Pernicious anemia, Vitamin B12 deficiency anemia, Hemolytic anemia and Sickle cell anemia.
• The team has refurbished & revived the conditions that occur in South America and Africa, like the Zika virus and the Chikungunya virus.
• The pregnancy-related database of diseases keeps growing. Gestational diabetes and Folate deficiency anemia were added.
• We continue Infermedica’s simple-language commitment. Over 120 questions were reviewed and made easier to understand by the user.

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Autumn is here! The season ushers in a big pack of updates from our team:

• We’ve revolutionized the injuries-related interview. Our customized in-house system, based on established call center triage standards, ensures safe and accurate triage and diagnosis.
• Our products are now capable of providing 5 different pre-clinical triage, based on the severity of the symptoms and conditions - Self-care, Consultation, Consultation within 24 hours, Emergency care and Emergency care with ambulance.
• The Medical team has revised the most common conditions in general practice ensuring their compliance with the latest guidelines and clinical practice.
• We’ve simplified a large number of questions making them clear and concise for every patient. Approximately 250 concepts underwent a meticulous review.
• Our doctors have restructured the psychiatric symptomatology database. With the new, improved symptoms, like Consciousness Disturbances, (both acute and chronic), Fatigue and Cognitive Disturbances, the interview related to psychology and psychiatry is smoother and on point.
• We’ve added gender-appropriate symptoms related to sexually transmitted diseases.

What else have we been working on?

• Expansion of our Fever symptoms range. The symptom Fever greater than 104 °F (40 °C) was added for improved triage and efficient diagnosis of infectious diseases.
• Differentiation between benign bone pain related to common illnesses and pain that may be a cause for concern.
• Other minor fixes and enhancements facilitating diagnostic interview flow.

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Let’s start the summer with a bunch of updates.

• Pregnancy-related content:
  • Now we ask every pregnant woman about her gestational age (which trimester she’s in).
  • Medical team has added Eclampsia, HELLP syndrome and Intra-amniotic infection.
• Current model contains new everyday life diseases, such as Ingrown fingernail, Reflex syncope, and Epistaxis.
• We are now better at recognizing neurological conditions, since we’ve reviewed Seizures, Loss of consciousness and Dizziness.
• As a result of routine quality check, we have enhanced the performance of Hypertensive Urgencies.
• We’ve expanded our psychiatric content by adding Gambling addiction.
• We’ve verified our rarest diseases. The quality of these diagnoses has improved, as we’ve simplified a subset of hard to diagnose conditions.
• We've identified an issue with a risk factor p_22 named Recent travel to Southwestern Asia and subsequently decided to remove it. Please make sure your applications use up-to-date risk factors.

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Check out the latest bunch of updates and improvement from our team:

• We have added some conditions to address common injuries and ailments, i.e. Mechanical back pain, Minor head injury, and Nail injury.
• Our clients' feedback revealed a demand for non-specific, mild complaints, such as cough, abdominal pain, diarrhea, as they are often diagnosed in the primary care setting. We have added them to our knowledge base.
• We have revisited Fever symptoms hierarchy and ensured their quality.
• The medical team has improved the diagnostic reasoning behind the ischemic heart diseases, such as Stable and Unstable Angina Pectoris, Prinzmetal Angina, and Myocardial Infarction.
• We have structured symptoms describing the duration of Chest Pain and location of Paresthesia for even smoother user experience.
• From now on, we ask more precise questions about Palpitations, taking into account the duration and recurrence of symptoms.
• We have enhanced Head trauma risk factor. Now, there is a clear distinction between recent and old head injury.
• There’s more and more gynecology in our knowledge base! For instance, now we can diagnose a patient in Labor.

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A maintenance release that focused on improving underlying statistical models.

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Let's welcome the New Year with an update!

• We have been working hard to considerably expand our medical knowledge base. As a result we have added even more common medical problems, including:
  • Exacerbations of chronic respiratory diseases, namely Asthma and Chronic obstructive pulmonary disease.
  • Injuries, traumas and wound complications.
  • Common dermatological ailments, like Corns and callosities, or Suspicious mole.
  • A handful of symptoms, like Nail biting or Unbearable abdominal pain.
• We have structured a hierarchy of Paresthesia symptoms.
• Data science team has added over 35 new risk factors enriching our epidemiological reasoning.
• Minor improvements to our triage recommendation logic.

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We continue our review of questions to simplify them and make them more understandable.

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We’ve just released a huge model update:

• We’ve edited hundreds of questions that are asked by the inference engine, making them more understandable for users.
• Current model contains new gynecological and traumatological conditions and symptoms.
• We are now better at recognizing and diagnosing headache episodes.

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Another technical release improving accuracy of our diagnostic model.

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A maintenance release that focused on improving underlying statistical models.

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First of all, we've refined underlying connections in the database. Other updates contain:

• New items called “metasymptoms”. When patients describe their symptoms they frequently use phrases like “body aches” or “stomach ache on the right side”. That’s why we’re introducing metasymptoms – observations that are not precise enough to be treated as proper symptoms. Metasymptoms, like symptoms, are available via /search and /parse, so you don't need to change your code.
• Another rearrangement of renal conditions.

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Learn about changes in Abdominal pain and more.

• We've improved the structure of symptoms related to a duration of abdominal pain. Now, the model is better at dealing with complexity of total duration and periods of pain. Besides, questions are simpler and more user-friendly.
• Abdominal pain has new child symptoms. They are related to the character of abdominal pain and its radiation to back.
• We’ve created Postpartum period as key risk factor for Postpartum depression.
• We've added Skin mass greater than 1 cm in diameter (parent symptom for three detailed types of lumps). We’ve removed other four skin-related symptoms.

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Hello in 2018! Let’s kick off the new year sharing some news.

• We’ve rearranged renal conditions and created new item called Acute kidney injury.
• We’ve added new symptoms: Edema, hip joint and Joint pain, during hip movement. As a result, we have improved hip conditions.
• We continue to simplify and rephrase difficult questions.

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The biggest change in this update is Physical injury – the new master risk factor. What do you need to know about it?

• Physical injury does not influence conditions probability, but it can make the interview more accurate.
• We recommend using Physical injury as a potential trigger for subsequent questions about injury-related risk factors.
• If Physical injury is set to present, it prompts a multiple-choice question about underlying risk factors.
• If Physical injury is set to absent, all injury-related risk factors are automatically set to absent too.
• All risk factors related to physical injuries are available on the Diagnosis page.

Other updates:

• We’ve added Tinea capitis condition together with its most typical symptom, Broken hair.
• We’ve replaced Red rings with light centers on skin with more specific Erythema migrans. As a result, we’ve created new parent symptom called Annular skin lesions.
• We continue to simplify symptoms related to dermatological changes.
• Tons of questions are now more user-friendly.

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We've refined medical concepts related to common injuries.

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We have introduced a few, but significant changes, including:

• We've added three new conditions, including Ruptured eardrum (together with Bleeding from ear as a typical symptom).
• We've removed Acute viral tonsillopharyngitis and Rotavirus infection. From now on, the API will return Acute pharyngitis and Gastroenteritis respectively.
• Now, you can handle the diffused abdominal pain with a new Abdominal pain, diffuse symptom.

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We've proofread, corrected and simplified the concepts' names and questions. Furthermore, new symptoms and conditions have been added. Finally, Dermatological changes, penis and Dermatological changes, vulva were merged into one: Dermatological changes, located in the genital area.

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We're exited to share with you hundreds of updates. Now, most of symptoms and many conditions are available in plain language (common_name field). In addition:

• We've added important valve disease.
• The endocrinological conditions were removed – because patients can't tell a difference between them.
• We've updated some dermatological symptoms. Now, patients should understand and distinguish them easily.
• We've removed abbreviations from the lab tests[beta]
  Lab tests are still in development and will be available soon.
  names.

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We focused on simplifying medical concepts and making question easier to understand.

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We've continued to refine the structure of our conditions, symptoms and risk factors. We've minimized a rate of over-confidence of rare conditions.

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We've added new conditions and removed a few overlapping and non-relevant diseases. The accuracy of the model has been re-tested and improved for the common primary care and emergency situations. We've continued refinements of the structure of symptoms and risk factors.

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We added question groups for pain intensity of head and abdomen. We also improved filtering of pre-menopausal symptoms and conditions. A few new conditions have been added and some questions rephrased.

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We're continously extending our model. The structure of conditions was cleaned up (e.g meningitis was removed because its subtypes – like viral meningitis – already exist). Besides, we added some conditions and improved the translations.

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Major update of the model. Introduced new conditions, symptoms and risk factors with a focus on acute medical problems. The structure of symptoms and relations has also been refined. Symptom groups has been cleaned up and reorganized.

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Many new relations have been added and refined in the underlying model. Please make sure you also read through the list of removed elements.