Changelog-Medical content

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The latest changes in medical content:

• Creation of new symptoms: Vomiting, unable to drink ; Vomiting, lasting less than 48 hours ; Vomiting, lasting more than 48 hours ; Dry lips; Muscle weakness, sudden onset; Tailbone pain; and conditions: Toddler's diarrhea; Dementia early onset.
• Expansion of Vomiting, unspecified (S); Diarrhea, unspecified (S); Rabies (C) to pediatric population.
• Review and optimization of Decreased fluid intake, at least 12 hours (S); Black-coloured stool (S); as well as tuples for Increased thirst (S); and Reported ovarian stimulation, in the past 10 days (S) for Female infertility (C).
• Optimization of the interview flow related to Diarrhea, more than 4 stools a day (S); Diarrhea, more than 6 stools a day (S); Skin wound, contaminate (S); and Tetanus-prone wound (S).
• Optimized triage recommendations for interview related to Headache, recurrent, more than a month, worse than previous episodes.
• Reclassification of Decreased skin turgor and Prolonged capillary refill time as professional-only symptoms.
• Removal of Cognitive disturbances (S); Transient ischemic attack (C).

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The latest changes in medical content:

• Creation of a new Dizziness grading system, defining three severity levels: Dizziness, mild (S), Dizziness, severe (S), and Dizziness, unbearable (S).
• Creation of Dizziness, first time episode (S), Dizziness, no improvement (S), Consciousness disturbances, acute, severe (S), Paresthesia, saddle area (S), _Difficulty organizing tasks or activities, functional dependency (S), Impaired memory, difficulty finding words (S), Vaginal discharge, watery (S).
• Review of Dizziness, unbearable (S), Dizziness, recurrent (S), Nystagmus (S), Common cold (C), Acute otitis media (C), Audible wheezing (S), Brain abscess (C), Oral lichen planus (C), Mild cognitive impairment (C), and Migraine (C).
• Optimization of triage levels in interviews related to Dizziness, Consciousness disturbances, Jaundice, Pneumonia, Sepsis, as well as Abdominal pain, epigastric in patients with Prior myocardial infarction and Diagnosed coronary disease.
• Optimized interview flows related to Back pain (S), Oral lichenoid reaction (S), Headache, unilateral, Headache, generalized, Chest retraction, Skin wound, Fetal membranes rupture, as well as Bruxism with Impaired vision, sudden and recent onset.
• Removal of Nystagmus, horizontal (S).

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The latest changes in medical content:

• Reconstruction of durations and episodicity of headaches, including Headaches (S) described as: single episode, recurrent, less than a month, recurrent, more than a month, lasting less than 4 hours, lasting between 4 to 72 hours, lasting more than 3 days.
• Creation of Headache, recurrent, more than a month, worse than previous episodes (S), HPV infection (RF), Hallucinations, at present (S), Unusual behaviour (S), Impaired memory, repetitive questions or statements (S), Impaired memory, loss of autobiographical memory (S).
• Reviewed and optimized medical concepts incl.: Bruxism (C), Brain tumor (C), Roseola (C), Feeling of vaginal fullness (S), Impaired memory (S), Impaired memory, forgetting names of friends and family (S)
• Reviewed and optimized interview flows related to e.g.: Migraine and Tension-type headaches, tuples with Headache symptom, Fever, continuous, Fever, relapsing after 24 hours, Fever, periodic, days or weeks, Common viral respiratory conditions in young adults, Respiratory distress symptoms, Respiratory distress, after trauma, Dyspnea, Impaired memory, Hallucinations, trauma-related psychological conditions.
• Removal of Headache, sudden worsening, Headache, sudden onset, Headache, waking up from sleep (for adults), Klüver-Bucy bitemporal syndrome, Budd-Chiari Syndrome, Legionellosis, Personality changes, Impaired memory, alcohol-related amnesia, Perseveration, Confabulation as well as Myelofibrosis, and Mononeuritis multiplex among teenagers.

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The latest changes in medical content:

• Optimization of triage levels for: Dyspnea, on exertion; Shallow breathing; Dyspnea, with flare-ups and remissions; Dyspnea, started less than 1 hour ago and Dyspnea, lasting 1 to 24 hours; as well as Bradycardia; Fever, unresponsive to treatment; Fever, continuous; Heel drop test; Respiratory distress, after trauma.
• Review of Intravenous drug use (RF); Overdose of prescribed medication, unspecified (C); Serious overdose of prescribed medication (C); tuples related to substance use; Speech and language impairment (S); Recent ovarian stimulation (RF); Ovarian hyperstimulation syndrome (C).
• Creation of Recent contact with the blood of another person (S); Dyslipidemia (RF); Plaster cast problem, unspecified (S); Plaster cast problem, unpleasant smell (S); Plaster cast problem, discharge from under a plaster cast (S); Infection under plaster cast (C), Plaster cast concerns (C).
• Improvement of Postinfectious cough (C).
• Improvement of interview flow and user safety in interviews related to Reflex syncope; Plaster cast issues; Fever, especially regarding its dynamics and response to treatment; Systemic scleroderma; Mixed connective tissue disease; Cervical strain; Abdominal mass; Increased abdominal girth; Abdominal pain; Hemoptysis; Bleeding from mouth; Bleeding gums; and Abdominal pain, not associated with menstrual cycle.
• Improvement of epidemiological aspects of Respiratory distress, after trauma; Skin wound, major bleeding; Skin wound, minor uncontrollable bleeding; Dysphagia, severe; Vascular compromise, limb, related to trauma; Loss of consciousness, after trauma; Confusion, after trauma.
• Broadening the symptomatology of Endometrial polyp (C).

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The latest changes in pediatrics content:

Main focus: Dyspnea, Diarrhea and Vomiting

• Review of severity scale of Dyspnea
• Review of medical concepts: Abdominal pain; Improper hand hygiene; Gastric symptoms, after gluten ingestion and related concepts; Obstructive jaundice; Epiglottitis;
• Review of interview logic for Viral gastroenteritis in interviews without gastric symptoms; Diminished appetite in relation to Dehydration and Decreased fluid intake;
• Creation of new tuples for Diarrhea, more than 6 stools a day;
• Creation of new medical concepts: Vomiting, fecal matter; Diarrhea, intermittent;
• Optimization of question and synonyms of Diarrhea;
• Optimization triage results for Unresolved choking; Dehydration; and Food allergy.

Other changes:

• Improvement of triage outputs for Diabetes mellitus type 2; Migraine.
• Review of 20 of the most common tuples in overtriage results

The latest changes in adult content:

Main focus: Dyspnea

• Creation of new medical concepts: Dyspnea, breathing with effort at rest; Dyspnea, due to other causes; Dyspnea, without exertion;
• Review of medical concepts: Dyspnea, during daily activities; Chest pain; Dizziness;
• Optimization of triage results for Dyspnea, during daily activities; Dyspnea, after few minutes of walking; Dyspnea, on exertion, and Shallow breathing;
• Optimization of interview logic for Dyspnea and Blood oxygen saturation level.

Other changes:

• Review of medical concepts: Headache; Back pain; COVID-19; Post-COVID-19 syndrome; Delusional thinking; Hallucinatory experiences; Misplacing things;
• Creation of new medical concepts: Cervical tumor;
• Optimization of interview logic for Amenorrhea, primary.

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The latest changes in pediatrics content:

Main focus: Dyspnea

• We did a general review of: Dyspnea;
• We added new equivalent-symptoms of Dyspnea and new question groups for those newly created symptoms.

Other changes:

• We added an extra option, "don't know", to several question groups;
• We’ve created several new concepts, including: Central venous catheter; Vaping; and new children symptoms for Chest retractions;
• We improved how questions are queued in regards to injuries, avoiding the repetition of further questions about location after a location is reported, as well as improving the following concepts: Recent invasive procedure; Calf hypertrophy; and Decreased fetal movements;
• We reviewed the following concepts: Nasal flaring; Diarrhea; Transilluminable scrotum; Phimosis; Paraphimosis; and Expiratory grunting, which we created new tuples for.

The latest changes in adult content:

Main focus: Toxicology and Cough-related issues

• We’ve created several concepts, including: Serious overdose of prescribed medication; Overdose of prescribed medication, unspecified; Cough caused by airway irritants; Cough, irritant-induced;
• We've reviewed and improved the flow of interviews in regards to Toxicology context as well as reviewing the concepts: Pharyngeal pain; and ACE inhibitor-induced cough.

Other changes:

• We’ve created a new symptom, Bleeding from mouth, to better differentiate such bleeding source cases from Hematemesis; as well as several other concepts, including: Hair loss, bald patches; and Mediastinal tumor;
• We've improved the way we ask about Heel drop test result and added instructions for users on how to properly perform the test; gynecological interviews, specifically by changing the way we ask about Pre-menstrual age; and the concepts: Non-specific chest pain; and Chest pain, recurrent;
• We've reviewed the symptoms of anemia that are caused by Abnormal uterine bleeding;
• In Mental Health, we reviewed: substance-induced psychological disturbances.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Improving the concerns with the most feedback from our clients;
• We created many new concepts to better assess the severity of eye injuries as well as new content related to foreign bodies entering the eyes and the damage that those foreign bodies can cause;
• We improved Decreased fetal movements by adding new symptoms associated with it and allowing end-users to report it in the second trimester. New concepts were also added to: Foreign body aspiration; and Rectal bleeding;
• We improved the synonyms of head injury-related concepts to help users better differentiate between them;
• We reviewed our Ophthalmology section, as it was the focus of several updates recently.

Noteworthy concept changes:

• We’ve created several new concepts, including: Permanent mobility limitation; Convergent strabismus; Divergent strabismus; Abducens nerve palsy; Oculomotor nerve palsy; Trochlear nerve palsy; and Eye burn injury, as well as multiple associated concepts;
• We improved: Abdominal and pelvis mass;
• We reviewed the following concepts: Cough; Nausea; Fever; Dermatological changes; Sepsis; Facial nerve palsy; Eye tumor; and, in the Infants category, Periorbital cellulitis.

The latest changes in adult content:

General improvements:

• Main focus: conditions manifested by prolonged Cough, as well as feedback from clients;
• We've created a new symptom, Vaginal bleeding, - along with several accompanying symptoms - that can now be selected by users at the start of an interview in situations where the source of bleeding remains unclear;
• We've improved our Asthma content with three new symptoms: Asthma inhaler usage; Improvement after asthma inhaler usage; and Lack of improvement after asthma inhaler usage;
• We've reviewed and made plans to reconstruct our Toxicology content, enriching it with the ability to report more types of drug overdoses;
• Other improvements and bug fixes.

Noteworthy concept changes:

• We’ve created several concepts, including: Non-asthmatic eosinophilic bronchitis; Upper airway cough syndrome; Upper airway cough syndrome; Blood clots in urine; Tumor of heart; and Generalized neoplastic disease;
• We’ve improved several concepts, such as: Dyspnea, lasting between 1 day and 4 weeks, sudden worsening; Dyspnea, lasting more than 4 weeks, sudden worsening; Blood oxygen saturation, sudden worsening; Anaphylaxis; and Diabetic ketoacidosis;
• We reviewed: Dyspnea, as well as its related symptoms; Pertussis; and Pulmonary embolism;
• In Mental Health, we reviewed and improved: Current mood, normal; Current mood, elevated; Current mood, depressed; Episode of elevated mood; Episodes of depressed mood; Mood swings; Self-injurious thoughts and behaviours; Suicidal thoughts; Suicidal intent; Active suicide attempt; Suicidal attempt in the past; and Suicidal tendencies;
• In Mental Health, we improved: Acute stress reaction;
• In Mental Health, we reviewed: Orthorexia nervosa, especially in regards to the elderly population.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Ophthalmology and outputs associated with Cough;
• We reviewed several concept combinations (tuples) for: Dyspnea; and Cough, as well as the concepts associated with them;
• We reviewed the relationship between pain-related symptoms and Conjunctivitis, as well as revisiting their hierarchy to see if improvements could be made;
• We remodeled concepts involving eye movements and related disorders.

Noteworthy concept changes:

• We’ve created several new conditions, including: Demodicosis; Subconjunctival hemorrhage; Eyelid trauma, as well as a related risk factor; and Severe dehydration;
• We created the symptom: Hyphema;
• We improved: Wheezing, and its associated concepts; Compromised immune system; and Frequent infections;
• We reviewed the following concepts: Non-serious eye injury; Facial bones fracture; Retinal detachment; Cataract; Nystagmus; and Leukocoria.

The latest changes in adult content:

General improvements:

• Main focus: Oncology and results related to Cough;
• We've created a new condition, Myometrial tumor, to encompass more specific conditions such as Uterine fibroids, Leiomyosarcoma, and Adenomatoid tumor, which all share a similar symptomology;
• We've created Hypercalcemia of malignancy to account for one of the complications of neoplasm and Neutropenic fever as one of the complications of chemotherapy;
• We've added new risk factors that improve the interview flow by clarifying the time of oncological disease onset, including: Ongoing malignant neoplasm; History of malignant neoplasm; and History of cured malignant neoplasm in childhood;
• Other improvements and bug fixes.

Noteworthy concept changes:

• We’ve created several concepts, including: Tumor of oral cavity; Penile tumor; Tumor of lip; and Prolonged postinfectious cough;
• We’ve improved several concepts, such as: Central cyanosis; and Postinfectious cough;
• We reviewed: Bladder cancer; Prostate tumor; and Ovarian tumor;
• In Mental Health, we created new concepts like: Unspecified feeding or eating disorder; Serotonin syndrome; and Neuroleptic malignant syndrome;
• In Mental Health, we created more symptoms related to eating disorders such as: Sensory food aversion; Food neophobia; Dietary restrictions due to cultural or religious reasons; and Reluctance to eat certain foods;
• In Mental Health, we improved: Speech and language impairment;
• In Mental Health, we reviewed: Hyperventilation syndrome.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Oncology and Hematology;
• We did an extensive review of adrenal conditions (mainly Cushing's syndrome and Conn's syndrome) and created new symptoms to improve how these conditions interact with adrenal tumors;
• We created a condition, risk factor, and symptom for: Human bite;
• We re-evaluated our approach to: Oncology;
• We improved aliases and phrases across several question groups to improve user understanding;
• We clarified compartments of Burn, and its related symptoms;
• We’ve rebuilt: Ocular motility disorder; Strabismus; Exophthalmos; and Unilateral enophthalmos, as well as concepts related to those concepts.

Noteworthy concept changes:

• We’ve created several new conditions, including: Head and neck tumor; Acute lymphoblastic leukemia; Carcinoid syndrome; and Oral lichenoid lesion;
• We created the risk factor: History of Helicobacter pylori infection;
• We improved: Croup; Type 1 Neurofibromatosis; Tremors; Seizures; Purpura; Petechiae; Purpuric rash; and Pregnancy;
• We reviewed: Breast cancer; Bone neoplasm; Kidney cancer; and Gastric cancer.

The latest changes in adult content:

General improvements:

• Main focus: Oncology;
• We've added new combinations of concepts (tuples) to Pneumonia, making interviews that involve the condition or its related concepts safer for elderly patients with non-obvious symptoms;
• We've researched and improved tuples associated with symptoms such as Dyspnea and Cough. Further improvements related to the creation of new conditions associated with chronic cough have been planned;
• Other improvements and bug fixes.

Noteworthy concept changes:

• We’ve created several new conditions including: Chemotherapy-induced peripheral neuropathy; and Tumor of pharynx;
• We’ve created a new risk factor: Presence of a stoma.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Oncology and Hematology;
• We've created several concepts to cover issues related to eyelid twitching, including: Eyelid myokymia; and Benign essential blepharospasm;
• We created a new symptom to improve the relationship between Retinoblastoma and other ophthalmic issues: Leukocoria;
• We've improved several headache exacerbation factors and how Impaired memory, and its children, perform when it comes to pediatric patients;
• We've reviewed the global sensitivity rates of subjective symptoms in infants and little children.

Noteworthy concept changes:

• We’ve created several new conditions, including: Unspecified lymphadenopathy; Chest tumor; Abdomen and pelvis tumor; and Vitreous floaters;
• We’ve adapted the following concepts to our pediatric populations: Neurofibromatosis type 1; Neurofibromatosis type 2; Vitamin B12 deficiency anemia; Folate deficiency anemia; Acute myeloid leukemia; Non-Hodgkin lymphoma; Hodgkin lymphoma; Immune thrombocytopenia; and Melanoma;
• We reviewed: Compromised immune system;
• In Mental health, we improved Eating disorders and reviewed: Developmental fears; and Dementia, as well as its related concepts.

The latest changes in adult content:

General improvements:

• Main focus: Oncology;
• We created several risk factors related to oncological treatment, including: Ongoing or recently completed chemotherapy; and Ongoing or recently completed radiation therapy;
• We've created a new condition that will allow us to take care of the most common side effects reported by patients during chemotherapy: Complication of chemotherapy;
• Other improvements and bug fixes.

Noteworthy concept changes:

• We’ve created several new conditions including: Drug-induced liver injury; Actinic keratosis; Radiation-induced dermatitis; and Radiation-induced cystitis;
• We improved the condition: Prolactin-releasing pituitary tumor;
• We've improved the following condition within the context of complications of chemotherapy: Dilated cardiomyopathy;
• We reviewed the following conditions: Endometrial tumor; and Endometrial polyp.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Limb pain interview outputs;
• We've created more concepts relating to limb pain;
• We've improved acute limb ischaemias; cold-related conditions; and concepts related to Dehydration;
• We've reviewed the questions for and improved the UX of, as well as adding advanced relationships to symptoms from, the Dermatological changes family of concepts;
• We've reviewed cut-offs for blood glucose level and the levels of wound contamination;
• In Infants; we added more knowledge and possibilities for patients with Capillary refill time evaluations;
• In Teenagers, we've adapted: Amenorrhea, secondary;
• In pediatric populations, we've reviewed, adapted, and enabled several rheumatic conditions such as: Spinal osteoarthritis; Rheumatoid arthritis; Psoriatic arthritis; and Reactive arthritis;
• In Mental health; we rephrased questions relating to toxicology.

Noteworthy concept changes:

• We’ve created the condition: Premature ejaculation;
• We’ve created the symptoms: Impaired vision, temple pain; and Blisters of skin, hemorrhagic bulla;
• We improved: Anisocoria; Reflex syncope; Foreign body ingestion; and Foreign body aspiration;
• We reviewed: Urticaria; Edema; Dyspnea; and Mosquito bite in children;
• In Mental health, we enabled several concepts for pediatric populations including: Seasonal affective disorder; Delusions; Acute and transient psychotic disorder; Depressive disorder with psychotic features; and Dysthymia.

The latest changes in adult content:

General improvements:

• Main focus: Gynecology;
• We created content related to abortions, including risk factors Pharmacological abortion in the last month and Procedural abortion in the last month; as well as the conditions: Incomplete induced abortion; Normal course of abortion; and Septic abortion;
• We've improved concepts related to: Miscarriage;
• We've improved the tuples associated with the symptom: Postpartum vaginal bleeding, increasing intensity;
• Other improvements and bug fixes.

Noteworthy concept changes:

• We’ve created new conditions: Lochia; Ovarian hyperstimulation syndrome; and Vaginal bleeding after gynecological procedure;
• We’ve created new risk factors: Recent ovarian stimulation; Recent hysterectomy; Recent procedure on cervix; and Transvaginal procedure on uterus in the last 2 weeks;
• We improved: Lactational mastitis; and Plugged milk duct;
• We’ve reviewed and improved: Burned skin; Chills; and Prostatitis;
• We reviewed: Postpartum endometritis.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Sexology;
• We've created multiple new symptoms concerning the quality of semen;
• We've improved triage outputs in concepts related to Dehydration. The visibility of important questions was also elevated;
• We've improved the relationship between Petechiae and Purpuric rash. We've also identified potential improvement areas between the two concepts;
• We've improved the relationship between: Cryptorchidism; Inguinal hernia; and Retractile testis;
• We've improved patient safety in cases of active bleeding with coexistent worrisome symptoms;
• We've improved: the way we handle weight changes in teenagers; how we ask questions about symptoms that can trigger syncope; how we ask questions about injury location; how often toxicological symptoms cases appear; and when intimate and politically sensitive concepts appear within the interview;
• We've researched the topic of human infertility and prepared to develop content about it.

Noteworthy concept changes:

• We’ve created the following conditions: Compulsive sexual behavior disorder; Erectile dysfunction; Hypoactive sexual desire disorder; Gender dysphoria; Female orgasmic disorder; Male orgasmic disorder; and Penetration disorder;
• We’ve created the symptom: Edema, forearm;
• We improved: Difficulty achieving orgasm; Hemolytic-uremic syndrome; Thorax injury; and Reflex syncope;
• We've researched the need for creating: Vomiting, less than 48 hours;
• In pediatric populations, we reviewed: Methanol poisoning; Chest pain, subsides during rest; and Hymenoptera bite.

The latest changes in adult content:

General improvements:

• Main focus: improving alcohol misuse interviews;
• We've improved how headache durations are structured to gain a better understanding of whether the patient is dealing with acute or chronic episodes;
• We've improved how we handle cases of elderly patients with chest pain and elderly patients suspected of having: Hypertensive crisis;
• We've improved the interview flow in areas focusing on sexual health;
• We reviewed cases related to Dehydration, especially among seniors;
• Other improvements and bug fixes.

Noteworthy concept changes:

• We’ve created a new condition: Gallbladder tumor;
• We’ve created a new symptom: Alcohol overuse;
• We’ve created new risk factors: Chronic heavy alcohol use in the past; Alcohol consumption, binge drinking; Alcohol consumption, heavy drinking; Alcohol consumption, risky drinking; Alcohol consumption less than 24 hours ago, small amount; Alcohol consumption less than 24 hours ago, large amount; and Alcohol consumption in the last month;
• We’ve reviewed and improved: Acute streptococcal pharyngitis; and Hemolytic crisis;
• We reviewed: Ectopic pregnancy; Psychological abuse; and Wound infection, along with its related concepts.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Neurology and visual impairments;
• We've created new concepts to better describe Electric shock;
• We've improved the hierarchy of Impaired vision-related concepts. Many new concepts were created to improve user experience, triage recommendations, and assessment accuracy. The created concepts focus on onset, changes in visual fields, type, characteristics, and unusual phenomena;
• We've added several improvements to Foreign body aspiration, especially to improve its relationship to Foreign body ingestion;
• We've distinguished Anisocoria, lasting less than 3 days from Anisocoria, 3 days or more to improve triage outputs;
• We've conducted a comprehensive review of Tremors, improving its relationship to Seizures and revisited the relationship between those concepts and Facial muscle spasms. We also improved Asthma, as it pertains to Seizures;
• We've performed research about Mechanical back pain in pediatric populations. We also reviewed evaluations of Back pain and its related concepts in pediatric populations.

Noteworthy concept changes:

• We’ve created: Skin wound, animal scratch;
• We improved: Acute hepatitis B; Acute hepatitis C; Headache; Teething; Common cold; Hypoglycemia management; Decreased fluid intake; Vascular compromise; Headache, series over a period of time; Chest pain; Burn; Loss of consciousness; and Dermatological changes, entire body;
• We adjusted the following concepts to pediatric populations: Fatigue, worsening exercise tolerance; and Cellulitis;
• We reviewed: Tension-type headaches; Nasal catarrh; and Chronic sinusitis;
• In Mental Health, we enabled: Binge eating disorder.

The latest changes in adult content:

General improvements:

• Main focus: Gynecology and chest pain complaints;
• We’ve created new tuples the improve the triage of Chest pain in young adults without any suspicious cardiological indications;
• We’ve improved Reduced mobility of body parts to make a more accurate distinction between reasons for such a state: Muscle weakness; Pain in limb; and Reduced range of joint motion;
• We’ve improved the triage of different lower limb scenarios for: Edema;
• We’ve reviewed Chest pain in the context of Costochondritis and Intercostal neuralgia;
• We’ve reviewed Gastroesophageal reflux disease, with a particular focus on improving its relationship to Chest pain;
• We’ve reviewed and improved the question group: Muscle weakness, face location;
• In Mental Health, we reviewed psychological symptoms of alcohol overuse and better adjusted them in somatic conditions;
• Other improvements and bug fixes.

Noteworthy concept changes:

• We've created new concepts: Hormonal IUD-related complications; Non-hormonal IUD-related complications; Intrauterine contraception, hormonal; Intrauterine contraception, non-hormonal; Heavy menstrual bleeding; Nosebleed, uncontrollable; and Hypertensive urgency;
• We’ve improved the following concepts: Myocarditis; Hypertensive crisis; Dyspnea; and Diabetes mellitus type 1;
• We’ve reviewed: Fetal membranes rupture; Third trimester pregnancy; and Acute hepatitis C.

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The latest changes in pediatrics content:

General improvements:

• Main focus: general review and alignment of Adult and Pediatric medical content;
• We've improved the epidemiology of conditions from Australia and Oceania;
• We’ve improved the traumatological and non-traumatological causes of: Skin wound;
• We've adjusted the questions of symptoms related to abnormal blood pressure for infants as well as adjusting content related to falls from body height to pediatric populations;
• We've revised triage outputs for cases related to mild abdominal pain.

Noteworthy concept changes:

• We’ve created: Shingles on the face; and Hydrocephalus;
• We improved: Foreign body aspiration; Foreign body ingestion; Edema, entire face; and Adverse event following immunization;
• We enabled the following concepts for pediatric populations: Narcolepsy; and Monkeypox;
• We adjusted the following concepts to pediatric populations: Jaundice; Hepatitis A; Hepatitis C; Cloudy urine; Enlarged veins; Cholesteatoma; Red eye; and Toxocariasis;
• We reviewed: Vascular compromise; Frequent sneezing of newborn; Tick bite; Fly bite; Kissing bug bite; and Tick-borne encephalitis.

The latest changes in adult content:

General improvements:

• Main focus: the consequences of Alcohol consumption and hepatological problems;
• We’ve finished organizing the division of Abnormal menstruation-related symptomatology and expanded it with new symptoms;
• We’ve created the symptoms Harmful pattern of use of alcohol and Hazardous alcohol use to better reflect the psychiatric consequences of alcohol misuse;
• Other improvements and bug fixes.

Noteworthy concept changes:

• We’ve refined Alcohol withdrawal syndrome and replaced one general condition, Alcoholic liver disease, with these more granular ones: Alcohol hepatitis; Alcohol-associated steatotic liver disease; and Alcohol-associated cirrhosis of the liver;
• We’ve updated the following hepatological conditions: Primary sclerosing cholangitis; Malignant hepatic mass; Benign hepatic mass; and Gilbert's syndrome;
• We’ve improved: Toxocariasis.

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The latest changes in pediatrics content:

General improvements:

• Main focus: concepts related to cold exposure;
• We added several new symptoms related to cold exposure, like Skin necrosis, and conditions, like Frostbite and Frostnip, as well as improving various conditions related to this theme, such as: High altitude sickness; and Raynaud's disease;
• We improved nipple-related concepts, skin wounds, neurological red flags in children, and the differences between Abscess and dermatological diseases that might be complicated by infections, like: Burn; Erysipelas; Cellulitis; and Diaper dermatitis;
• In Mental Health, we reviewed symptoms related to somatic issues and symptoms related to psychological disturbances with the aim of separating the two sets of symptoms, unified the various concepts that referred to sexual dysfunctions, and improved anxiety-related symptoms that were related to eating disorders as well as: Delusions, hypochondriacal.

Noteworthy concept changes:

• We improved: Diabetes, type 1; Diabetes, insipidus; Barking cough; Cervical acceleration-deceleration syndrome; Diarrhea, more than 6 stools a day; Fever, absent now but present in the last 72 hours; Seizures; Epilepsy; and Apathy;
• We evaluated: Bulging fontanelle; Fever; Cough; and Nasal catarrh.

The latest changes in adult content:

General improvements:

• Main focus: Muscle weakness and the consequences of Alcohol consumption;
• We reviewed and improved symptoms in the area of Muscle weakness, with a specific focus on clarifying the symptom type, extent, and duration;
• We reviewed and improved Alcohol consumption, significantly improving the overall flow of the psychiatric interview as well as certain elements such as: Substance induced psychological disorder; Panic disorder; and Generalized anxiety disorder;
• We made minor improvements and bug fixes.

Noteworthy concept changes:

• We added durations to: Jaundice.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Burns;
• We've developed and improved content related to breastfeeding and formula feeding - both on the mother's and child's side;
• We addressed complaints from new mothers about how to properly deal with the pain and discomfort that follows the miracle of life - including Infantile colic;
• We made huge changes in content related to burns. Many new conditions and symptoms were added to help patients who suffered from thermal injuries;
• We've updated wounds and improved how we determine tetanus vaccination status;
• We made several changes regarding hernias and postoperative issues to improve the patient experience;
• We improved risk factors related to newborns. Now there will be different assessments for preterm babies and for those with fetal growth restriction;
• We developed and improved dermatological changes that were symmetrical in nature;
• We made several neurological improvements in toddler content. There were also changes related to preschool and school attendance;
• We created new types of positive symptoms in Mental Health;
• In Mental Health, unspecified mood disorders were taken into account in interviews concerning affective conditions;
• In Mental Health, we simplified symptoms of alcohol misuse.

Noteworthy concept changes:

• We created: Perioral dermatitis;
• We improved: Sprained ankle; Achilles tendinitis; Scapula fracture; and Mandible fracture;
• We improved: Acute Otitis Media; Mastoiditis; Earwax blockage; Edema, face; Urticaria; Dyspnea; Injury locations; Diarrhea; Dermatological changes, intertriginous; Seizures; Achilles tendon rupture; and Blood in stool;
• We've reviewed and improved somatic complaints among teenagers, especially: Chest pain; and Malaise;
• We reviewed Fever and its possible patterns;
• In Mental Health, we started treating Suicidal attempt as a risk factor when determining the potential for health-related disturbances in the future.

The latest changes in adult content:

General improvements:

• Main focus: Traumatology; Liver; and Hepatology;
• We improved thorax-related injuries;
• We researched how to precisely ask users about different magnitudes of muscle weakness and how to translate it to our Paresis content. We also reviewed the symptoms of Paresis and cleared out any inappropriate connections;
• We made the ranges for blood sugar more granular, which allows us to identify and triage diabetes complications better;
• Other improvements and bug fixes.

Noteworthy concept changes:

• We created Decompensation of liver cirrhosis, allowing us to identify and give care advice to patients who are affected by this disease;
• We created: Hepatitis E;
• We improved knee injuries by adding a few synonyms that helped distinguish between Knee dislocation, Sprained knee, and Knee contusion. The following symptoms were added: Audible popping in knee during injury; Knee injury, twisting; and Direct trauma to the anterior knee;
• We improved: Acute jaundice;
• We reviewed: Hepatitis A; and Primary Biliary Cholangitis;
• We reviewed Infectious mononucleosis, with a particular focus on how it involves the liver;
• We reviewed the epidemiology of: Acute hepatitis; Hepatitis B; and Hepatitis C.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Traumatology;
• We reviewed how head injury interviews worked in Pediatrics, with a special focus on Braincase fracture;
• We’ve updated Patient Education articles for Wounds;
• We made several changes in Dermatology - including the creation of various new symptoms like: Dermatological changes, multiple; and Dermatological changes, single;
• We made major improvements to Anaphylaxis - including the creation of several new risk factors like: Contact with allergen; and Potential severe allergic reaction. We also reviewed its various tuples and other related issues. We did this in order to improve the safety of patients with severe allergic reactions;
• In Mental Health, we focused on improving the safety of patients who show self-harm symptoms, including: Adjustment disorder; and Depression.

Noteworthy concept changes:

• We created a new symptom: Headaches, sudden worsening;
• We made minor changes to: Post-traumatic pleuritic chest pain; and Absence seizures;
• We made significant improvements to Molluscum contagiosum;
• We improved various concepts, such as: History of foreign body in genital area; Chest pain; Dyspnea; Vomiting; Limb pain; and Headache.

The latest changes in adult content:

General improvements:

• Main focus: Traumatology and emerging triaging issues;
• We created new symptoms describing a wound's depth, severity, and seriousness;
• We reviewed Unstable Angina Pectoris in young people and the tuples that are used in triaging it.

Noteworthy concept changes:

• We created: Inhalation injury;
• We improved: Third-trimester pregnancy.

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The latest changes in pediatrics content:

General improvements:

• Main focus: Traumatology;
• We reviewed the incidence and symptomatology of the most common upper body injuries, namely those to the wrist, forearm, elbow, arm, shoulder, and head. Triaging processes and interview flows were rechecked during this review and improved wherever needed;
• We’ve updated certain topics related to exposure to COVID-19 in Children;
• In Mental Health, we mainly focused on improving Adolescence-related nonspecific behavioral disorders.

Noteworthy concept changes:

• We’ve improved several topics associated with COVID-19-related Multisystem Inflammatory Syndrome in Children as well as improving the quality of the interviews for Anaphylaxis and Dehydration.

The latest changes in adult content:

General improvements:

• Main focus: Skin mass and Skin wound;
• We created new symptoms in terms of skin mass cohesiveness, soreness, color, character, and localization. Several of the old symptoms have been either replaced or disabled as a result. These changes were necessary to make the way we approach concepts associated with Skin mass simpler and more systematic;
• New symptoms were created to improve wound assessment. These new symptoms will help to improve and differentiate the levels of wound acuteness, contamination, and character;
• We made several minor adjustments in the area of injuries and chest pain complaints.

Noteworthy concept changes:

• In Mental Health, we improved Postpartum depression and Postpartum psychosis in postpartum patients.

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The latest changes in pediatrics content:

• We focused on improving our Traumatology section.
• We reviewed and improved concepts related to: Hand injury; Finger injury; Nail injury; Neck injury; Nose injury; Ear injury; and Lip injury.
• We created the following conditions: Neck contusion; and Protracted bacterial bronchitis.
• We created a new question group - consisting of questions about limping, stumbling while walking, and the inability to stand on either foot - for: Walking.
• We created a new condition, Protracted bacterial bronchitis, which often explains prolonged cough symptoms in children.
• To better reflect signs of respiratory distress in children, we’ve created a new symptom: Nasal flare.
• We improved infant allergic reaction interviews, bee sting cases, and cases indicative of increased intracranial pressure.
• In Mental Health, we reviewed the children’s questions for: Anhedonia.
• In Mental Health, we conducted research regarding the implementation of sexology-related content.
• In Mental Health, we improved the differentiation between: Fear of social interactions; and Social isolation.

The latest changes in adult content:

• We focused mainly on improving our Burns section.
• We created the following conditions: Falls; Thoracic radiculopathy; and Lumbosacral radiculopathy.
• We reviewed the following condition in order to make it more in line with our new approach to burns: Electrical injury.
• We reviewed and improved: Bipolar disorder.
• To allow us to differentiate between the different types of burns, we’ve created the following Skin burn symptoms: Skin burn, thermal; Skin burn, chemical; Skin burn, electrical; and Skin burn, another cause.
• To better differentiate the severity of the burn, we’ve improved: Skin burn, superficial; Skin burn, partial-thickness; Skin burn, full-thickness; Skin burn, deep tissues; Skin burn, covering less than 10% of body surface; Skin burn, covering between 10 and 20% of body surface; and Skin burn, covering more than 20% of body surface.
• We’ve also created new localized burn symptoms, including: Skin burn, face; Skin burn, hand; Skin burn, foot; Skin burn, genitalia or perineum; Skin burn, major joint; and Skin burn, other location.
• We divided Nonmenstrual vaginal bleeding or spotting into more precise symptoms: Abnormal uterine bleeding, nonmenstrual; Abnormal uterine spotting, nonmenstrual; Abnormal uterine bleeding or spotting, postmenopausal; Abnormal uterine bleeding, pregnancy; and Abnormal uterine spotting, pregnancy.
• We also created the following symptoms: History of falls from a standing height; Trouble with urination, after injury; Trouble with defecation, after injury; Eye pain, unilateral; and Eye pain, bilateral.
• We created new risk factors: Recent fall from standing height; and Possible methanol consumption, past 72 hours.
• We reviewed the following risk factors: Recent burn; and History of burn.
• In Mental Health, we reviewed the symptoms: Social isolation; and Fear of social interactions.
• In Mental Health, we improved a question for: Anhedonia.
• In Mental Health, we conducted research about the psychiatric conditions of 2-3 year olds.
• We made other minor fixes and improvements.

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The latest changes in Patient Education:

• We’ve added new articles for: Hashimoto’s thyroiditis, Crohn’s disease, Gingivitis, Pertussis, Foot contusion, Scoliosis, Pediculosis capitis, Hydrocele testis, Sunburn, Postinfectious cough, Eye injury, Nocturnal enuresis, Cryptorchidism, Heterochromia, Chronic heart failure, Cluster headaches, Patellofemoral pain syndrome, Laryngopharyngeal reflux, Post-traumatic stress disorder, Specific phobia, Local allergic reactions to insect bite or sting, Gilbert’s syndrome, Meteorosensitivity and meteoropathy, Spider bite, Burnout, and Mood disorder, unspecified.

The latest changes in pediatrics content:

• We focused generally on improving our Fever, Seizures, and Traumatology sections.
• We created the following conditions: Secondary postpartum hemorrhage; and Status epilepticus.
• We reviewed the following condition: Clavicle fracture.
• We reviewed the evaluations for the following conditions: Pyelonephritis; and Oral herpes.
• We reviewed the evaluations for and made improvements to Dehydration as well as all of the other infectious diarrheal diseases.
• We improved the following conditions: Raynaud’s phenomenon; Dry eye disease; and Genital injury.
• We improved and created a new risk factor for: Paronychia.
• We activated the following conditions in the pediatric age group: Furuncles; Carbuncles; and Cutaneous abscesses.
• We created new symptoms: Tremors, triggered by touch, cold, or loud sound; Cough, no improvement in time; Fever, continuous; Fever, relapsing in 24 hours; Fever, periodic, days or weeks; Limping; Dermatological changes, perianal region; Fever, absent now but present in the past 72 hours; Resolved choking; New neurological deficit, after trauma; and Visual impairment, after trauma.
• We created new symptoms, with related question groups, for: Fever, intermittent; and Fever, no admission of antipyretics.
• We improved the following symptoms: Bedwetting; Seizures; Loss of consciousness; Purpuric rash; Petechiae; Red-colored stool; symptoms that cause “red spots on skin”; and Bone and joint deformations.
• We reviewed the evaluations of: Nausea; and Vomiting.
• We replaced Trauma-related neurological symptoms with: Serious injury - red flags.
• We reviewed and improved: post-traumatic breathing symptoms.
• We reviewed and improved the question groups for: History of epilepsy; and Trauma-related red flags.
• We created new tuples for: Pelvis injury.
• We improved the following tuple: Eye pain & Eyes sensitive to light.
• In Stomatology, we created the following condition: Oral mucocele.
• In Stomatology, we created the following symptoms: Toothache, provoked; Toothache, unbearable; and Oral lesions, located in the anterior part.
• In Mental Health, we created the following condition: Developmental fears.
• In Mental Health, we reviewed the following condition Obsessive-compulsive disorder.
• In Mental Health, reviewed and improved the condition: Anxiety disorder with panic attacks.
• In Mental Health, we created the symptom: Rigidity and intolerance to change.
• In Mental Health, we reviewed the following symptoms: Consciousness disturbances; Fear of social interactions; and Social isolation.
• In Mental Health, we reviewed the symptoms of and created a symptom for: Active suicide attempt.
• In Mental Health, we reviewed risk factors related to psychological stress or trauma.

The latest changes in adult content:

• We focused on improving our Gynecology and Traumatology sections, as well as improving the user experience overall.
• We created the following conditions: Non-specific chest pain; Neuroborreliosis; Knee contusion; Contusion of lower leg; Decreased fetal movement; Secondary amenorrhea; Secondary postpartum hemorrhage; Premature rupture of membranes; Preterm labor; IUD-related complications; Cellulitis; Foreign body in vulva or vagina; Foreign body in anus; and Foreign body in esophagus.
• We reviewed and improved the following condition: Tetanus.
• We reviewed, adjusted, and simplified the questions for Covid-19 to better reflect the current epidemiological situation.
• We divided Late Menstrual Period into: Menstrual period late, less than 1 week; Menstrual period late, 1 to 3 weeks; Menstrual period late, between 3 weeks and 3 months; Menstrual period late, 3 to 12 months; and Menstrual period late, more than 12 months.
• We divided the Pregnancy condition into: First-trimester pregnancy; Second-trimester pregnancy; and Third-trimester pregnancy.
• We created a new symptom: Miscarriage.
• We improved the following symptoms: Neck pain, acute; Neck pain, subacute; and Neck pain, chronic.
• We improved the symptomatology for lower limb edemas.
• We created the following risk factor: C-section.
• We started to improve risk factors associated with surgery.
• In Mental Health, we: reviewed the Panic Disorder condition; created the Active suicide attempt symptom; and improved the preciseness of the language.
• We made other minor fixes and improvements.

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The latest changes in Patient Education:

• We’ve added new articles for: Functional ovarian cyst, Peptic ulcer, Hyperthyroidism, Diabetes mellitus type 2, Trichomoniasis, Urge urinary incontinence, Varicose veins of lower extremities, Perimenopause, Stye, Bartholin’s cyst, Onychomycosis, Sprained wrist, Cutaneous cyst, Ganglion cyst, and Postpartum blues.

The latest changes in pediatrics content:

• We focused on improving the condition Dehydration, including the question group Signs of dehydration, and all of its related concepts.
• We reviewed the following condition: Pertussis.
• We improved the following conditions: Phimosis; Herpangina; Testicular torsion; and Herpetic gingivostomatitis.
• We added a new triage level and tuples to: Migraine.
• We activated the following conditions in the pediatric age group: Genital injury; Acute HIV infection; Chronic HIV infection; and Paraphimosis.
• We improved the following symptoms: Dyspnea; and Fever, higher than 104°F or 40°C.
• We created new symptoms and a question group for: Red-colored stool.
• We created a new symptom: Firm testicle.
• We activated the following risk factors in pediatric age groups: Weight gain.
• In Stomatology, we created a condition, Oral blisters, and distinguished it from: Blisters of skin.
• In Mental Health, we reviewed the following conditions: Specific phobia; and Social anxiety disorder.
• In Mental Health, we reviewed the following symptoms: Avoidance behaviour and its children symptoms; and Fear of object, situation, or action.
• In Mental Health, we created the following symptoms: Fear of social interactions; and Fear of eating in someone else’s presence.

The latest changes in adult content:

• We focused on improving the condition Dehydration and any related medical concepts to it.
• We improved and created new symptoms for: Back pain.
• We investigated and improved the following condition: Chest pain.
• We improved the interview flow for content related to sexual health.
• We created a new condition: Electric shock.
• In Psychiatry, we reviewed Involuntary repetitive behaviors and created two new conditions: Specific phobia; and Social anxiety disorder.
• We have improved the triage accuracy for emergency situations related to childbirth and the postpartum period.
• We made other minor fixes and improvements.

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The latest changes in Patient Education:

• We’ve added new articles for: Acute streptococcal pharyngitis, Shingles, Scabies, Sprained ankle, Nevus simplex, Solar lentigo, Hypnic jerks, Beeturia, Rotor syndrome, Transient watery stools of breastfed, Frequent sneezing of newborn, Nursing blister, Adverse event following immunization, Retractile testicle, and Nocturnal emission. A full list of Patient Education coverage can be browsed here.

The latest changes in pediatrics content:

• We reviewed over 71 tuples and symptoms in total, including concepts in Traumatology and Psychiatry.
• We improved the following conditions: Acute streptococcal pharyngitis; and Mechanical back pain.
• We created a new condition: Stevens-Johnson syndrome.
• We evaluated the interview flow for: Testicular torsion.
• We improved a symptom: Progressive ischemia.
• We created a new explication: Seizures, reflex.
• We created a new tuple: Prolonged capillary refill time.
• We created a new symptom: Weight faltering, in newborns.
• We reviewed the following symptom: Drug consumption, in the past 4 weeks.
• We reviewed the evaluations for: Amenorrhea, secondary; Ill appearance; and Ill appearance, strong parental concern.
• We changed the hierarchy and seriousness of: Red-colored stool.
• In Stomatology, we created a condition, Symptomatic apical periodontitis, and worked on the development of: Vesicular exanthema of mouth.
• In Mental Health, we added a new question group for Anxiety, activated General anxiety disorder, and reviewed the following symptoms: Anxiety; Anxiety attack; and General anxiety.
• We researched: Patterns of fever; Designer drugs; and Anxiety with panic attacks.

The latest changes in adult content:

• We’ve added two types of ADHD: Hyperactive; and Inattentive.
• We’ve replaced Acquired immunodeficiency syndrome (AIDS) with two separate conditions: Acute HIV infection; and Chronic HIV infection.
• We reviewed over 60 symptoms, triage tuples, and conditions.
• We made other minor fixes and improvements.

Please note: We've updated the medical data related to a symptom's search functionality in an effort to improve the sorting of concepts for end-users.

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The latest changes in Patient Education:

• We’ve added new articles for: Seborrheic dermatitis, Sprained knee, Rib fracture, Facial contusion, Toe contusion, Thigh contusion, Recent-onset constipation, Roseola, Sprained finger, Teething, Plugged milk duct, External ear injury, Thorax contusion, Nail injury and Post-concussion syndrome.

The latest changes in pediatrics content:

• We reviewed the following conditions: Conduct disorder; Psychological abuse; and Adverse event following immunization.
• We created new conditions: Transient tic disorder; Night-waking in early childhood; and Oppositional defiant disorder.
• We activated: Low BMI; Burnout: and Acute stress disorder.
• We improved and created new symptoms for: Clavicle fracture.
• We improved and evaluated: Roseola.
• We’ve created a new tuple: Abscess & Fever.
• We’ve created new symptoms: Difficulty waiting turns; Excessive verbosity; Deceiving; Breaking the law; Rebellious behavior; Self-injurious behavior, no intent to cause harm; Self-injurious thoughts or behaviors; Involuntary repetitive behaviors, motor; and Involuntary repetitive behaviors, vocal.
• We reviewed the following symptoms: Contentiousness; Irritability; Math, reading, and writing difficulties; Dysphagia, severe; and Decreased fluid intake.
• We reviewed the evaluations for: Decreased head circumference.

The latest changes in adult content:

• We’ve created new conditions: Schizoaffective disorder; Cyclothymia; and Emotional instability.
• We reviewed a condition: Bipolar disorder.
• We improved an interview question for: Mood swings.
• We reviewed over 70 symptoms, triage tuples, and conditions overall.
• We continued to develop our mental 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: Acute urticaria; Motion sickness; Oral candidiasis; Constipation, unspecified; Sun allergy; Tick bite; Eyelid twitch, unspecified; Phimosis; Vomiting, unspecified; Shoulder contusion; Wrist and hand contusion; Psoriasis; Visual disturbance, unspecified; Mild hypoglycemia; and Sleep related leg cramps.

The latest changes in pediatrics content:

• We reviewed the following condition: Acute cannabinoid intoxication.
• We created new conditions: ADHD, inattentive type; ADHD, hyperactive type; and Infantile hypoglycemia.
• We reviewed and adapted Migraine to account for toddlers.
• We’ve adapted the following conditions to account for children: Hemolytic anemia; and Dry eye disease.
• We’ve added new symptoms: Restlessness; Excessive motor activity; Difficulty organizing objects; Failure to provide details; Difficulty organizing tasks and activities; and Physical aggression towards others.
• We improved the existing symptom: Cradle cap; Seborrheic dermatitis; Enterobiasis; Glossitis; Onychomycosis; Oral herpes; Painful ovulation; and Teething.
• We reviewed the following symptoms: Impaired concentration; and Difficulty with everyday tasks.
• We removed and replaced the symptoms of: Agitation.
• We improved and activated a symptom in pediatric age groups: Last tetanus immunization over 5 years ago.
• We created a new tuple: Fever, between 100.4 and 104°F or 38 and 40°C & Bleeding gums.
• We adjusted the question group for: Sleep disorders.
• We connected Recent upper respiratory tract infection to Costochondritis.

The latest changes in adult content:

• We’ve created a new condition: Burnout.
• We reviewed and improved the following conditions: Bacterial meningitis; Viral meningitis; Nephrolithiasis; Peritonsillar abscess; Tumor lysis syndrome; Lumbar vertebra fracture; Hip dislocation; Alcohol withdraw syndrome; Pericarditis; Myocarditis; and Unstable angina pectoris.
• We reviewed the conditions: General anxiety disorder; and Anxiety disorders with panic attacks.
• We created new symptoms: Exhaustion related to work; Sense of ineffectiveness; and Lack of attention to detail.
• We reviewed the following symptoms: Anxiety attack; and General anxiety.
• We created new evidence: Bunion; and Cloudy urine.
• We made other minor fixes and improvements.

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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.

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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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If you are interested in the Patient Education premium feature, please contact your dedicated Customer Success Manager.

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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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If you are interested in the Patient Education premium feature, please contact your dedicated Customer Success Manager.

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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 (opens in a new tab) of pediatrics as safe in 96.7% of the cases.

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Please note, that pediatrics content is not included in already existing client contracts with Infermedica. Cost of implementing pediatrics content varies between our current and new customers.

If you are already using Infermedica API talk about pricing with our support team.

If you are considering using Infermedica API talk about pricing with our sales team.

Medical Device Regulation compliance for EU users

To comply with the newest update of the regulatory framework in the European Union (Medical Device Regulation, we have prepared a supporting process for API clients who would like to stay with the certified Infermedica API version for a period longer than Infermedica’s new API release cycle:

• The last available API version (3.3) was frozen on 25th of May, 2021 and will be maintained without any changes. The maintenance will only cover bug fixing and technical issues. For more details, please contact our support team.
• The last version of the medical content database was frozen on 25th of May, 2021. The maintenance will only cover technical issues and language hotfixes without adding new symptoms and conditions, translations, or even bug fixes.

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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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Soon, we’ll present the biggest update to our medical content – pediatrics content! That means this is the last time our Medical Content Update covers Adults only (+12yr) and our next changelog will be adjusted accordingly to better visualize the changes.

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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 (opens in a new tab) – 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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Model

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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Model

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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Model

We've refined medical concepts related to common injuries.

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Model

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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Model

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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Model

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 names. Lab tests are still in development and will be available soon.

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Model

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

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Model

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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Model

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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Model

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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Model

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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We're excited to begin this year with a major update of the Infermedica API.

Model

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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We’re constantly improving. From now on we’re going to post all changes here. All updates are divided into two groups:

• Model – all changes affecting the medical concepts (conditions, symptoms, risk factors and lab testsbeta
  Lab tests are still in development and will be available soon.
  ). We’ll let you know what has been added, deleted or updated.
• API – all amendments in the Inference Engine and other algorithms.

Check out what’s new and update your application’s code, if necessary.

Model

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