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How Microsoft and OpenAI Are Helping Realize-365 Transform the Medical Record

Our partnership with Microsoft and OpenAI turns fragmented patient histories into structured, source-linked clinical intelligence, and it makes Realize-365 far more than an interface wrapped around a model.

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Microsoft and OpenAI logos side by side, representing the technology partnership behind Realize-365

Healthcare organizations are managing more patient information than ever before. Medical records continue to grow in size and complexity, while clinicians are expected to identify the information that matters quickly, accurately and within the context of each patient’s immediate needs.

At Realize-365, our goal is to make that information significantly easier to find, understand and use.

Our platform transforms fragmented, unstructured clinical records into structured, source-linked intelligence that healthcare professionals can explore through timelines, summaries, clinical perspectives and conversational search.

We continue to improve the platform substantially through our partnership with Microsoft and our integration of OpenAI’s advanced models. Having now moved to OpenAI’s most recent model, 5.6 Terra, within our platform environment, we are already experiencing improvements in reasoning, consistency, instruction following and the interpretation of complex clinical histories.

However, Realize-365 is not simply a brand wrapped around the existing functions of an artificial intelligence model.

More Than an AI Interface

Many AI products provide a new interface for summarization, document search or conversational questions. Realize-365 goes significantly deeper.

Together, Microsoft’s enterprise technology infrastructure and OpenAI’s advanced model capabilities allow us to collect fragmented information from across a patient’s history and transform it into a unified, structured and source-linked clinical record.

Information that may previously have been buried across thousands of pages, multiple providers, different systems and many years of documentation can be connected, organized and made accessible within a single platform.

But structuring and summarizing the record is only the beginning.

The same patient history can hold very different significance depending on who is reviewing it. A cardiologist, oncologist, surgeon, nurse or pharmacist will each need to understand that record from a different perspective.

Realize-365 can restructure the same underlying patient information around the priorities, terminology and questions relevant to each specialist.

We are not simply producing a shorter version of the medical record. We are creating clinical intelligence infrastructure capable of presenting the complete record through the lens of the person using it.

One Medical Record. Every Clinical Lens.

Microsoft: The Foundation for Enterprise Healthcare AI

Microsoft, through its Azure cloud platform, provides the technology foundation that allows Realize-365 to develop and scale in line with the expectations of modern healthcare organizations.

Through Microsoft Azure, we can operate within an enterprise cloud environment built to support security, resilience, regional deployment and high-volume data processing.

For Realize-365, the value of Microsoft extends far beyond cloud hosting. Microsoft provides an ecosystem through which we can continue strengthening our architecture, expanding our integrations and preparing the platform for adoption by healthcare organizations across different markets.

Its technology gives us the infrastructure required to process extremely large and complex medical records while maintaining the controls, traceability and reliability expected in clinical environments.

Microsoft’s partner ecosystem and commercial marketplace also create opportunities for healthcare providers to discover, procure and deploy Realize-365 through established Microsoft relationships. This can help reduce some of the traditional friction associated with adopting new healthcare technology.

Azure’s pricing model matters just as much to us. It allows us to scale processing capacity with demand instead of carrying the cost of oversized infrastructure, and those efficiencies flow directly through to our clients, helping us keep Realize-365 affordable for healthcare organizations of every size.

"Microsoft understands both the scale of our ambition and the responsibility that comes with applying artificial intelligence to clinical information. Their technology, expertise and partnership give us the foundation to keep improving Realize-365 and support healthcare organizations around the world. Just as importantly, their governance controls and pricing model allow us to pass genuine cost savings on to our clients while meeting the standards clinical information demands."
Amy Thourot, CEO of Realize-365

Microsoft’s approach to security, privacy and responsible AI is particularly important in healthcare. It allows Realize-365 to benefit from rapidly advancing artificial intelligence while maintaining the architectural and governance controls required for sensitive clinical information.

OpenAI: The Intelligence Driving Continuous Improvement

OpenAI provides the advanced model capabilities that help Realize-365 interpret complex clinical documentation and convert it into useful, accessible intelligence.

Clinical records are rarely neat or consistent. Important information may be distributed across hundreds or thousands of pages, repeated in different formats or documented through the perspective of multiple specialties.

Understanding those records requires more than identifying individual words or extracting isolated data points. It requires the ability to recognize context, connect related information and present it according to the clinical question being asked.

As OpenAI’s models continue to advance, Realize-365 benefits from improvements in reasoning, information extraction, instruction following and the interpretation of increasingly complex patient histories.

OpenAI’s pricing follows the same principle. As their models become more capable and more efficient, the cost of applying them to very large medical records continues to fall, and those savings are passed on to the organizations that use Realize-365.

Our move to 5.6 Terra is already improving multiple areas of the platform, including the quality and consistency of structured outputs, the ability to follow detailed clinical instructions and the clarity with which complicated medical histories can be presented.

"The most valuable improvement is not simply that the technology can process more information. It is increasingly capable of understanding why particular information matters within a clinical context. This allows us to provide clearer and more relevant perspectives for each clinical specialty while preserving the connection to the original source."
Sisira Sasidharan, Director of Clinical Resources at Realize-365

The model itself is only one part of the solution. Realize-365 combines OpenAI’s capabilities with purpose-built clinical workflows, structured data models, source traceability and an infrastructure specifically designed around the realities of medical records.

This is what enables the platform to move beyond general-purpose AI and deliver intelligence that can be applied meaningfully within healthcare.

Powerful Models, Responsible Infrastructure

The combination of Microsoft and OpenAI, two of the most trusted and established brands in global technology, allows Realize-365 to bring together two essential elements of healthcare artificial intelligence.

OpenAI provides the rapidly advancing intelligence needed to interpret, connect and organize complex information.

Microsoft Azure provides the enterprise infrastructure, security controls and global ecosystem needed to deploy those capabilities responsibly and at scale.

For the healthcare organizations we work with, that trust matters. Building on names they already know and rely on gives our clients confidence that Realize-365 is grounded in proven, responsibly operated technology.

Realize-365 brings these technologies together through a purpose-built clinical intelligence platform that does far more than summarize information. It connects fragmented patient histories, structures findings with traceability to their original sources and restructures that information around the specific clinical lens of the professional reviewing it.

Our role is not simply to place an AI interface over healthcare data. It is to ensure that information remains understandable, verifiable and relevant to the person using it.

A Platform That Continues to Improve

Artificial intelligence is developing at an extraordinary pace. Because Realize-365 has been built on Microsoft’s flexible enterprise architecture and integrates OpenAI’s latest model capabilities, those advances can translate into continuous improvements across our platform.

Every model upgrade gives us an opportunity to improve accuracy, consistency, speed and clinical relevance.

Every advancement within Microsoft’s cloud and healthcare ecosystem creates new possibilities for security, integration and global deployment.

Realize-365 is not a static product. It is a continuously evolving clinical intelligence platform, supported by two of the world’s leading technology organizations and guided by a clear purpose:

To ensure that the information already contained within the medical record can be found, understood and applied when it matters most.

One Medical Record. Every Clinical Lens.