Smart exam templates
Exam & plan →Body-region-specific exam templates with structured visit context, carry-forward from prior visits, prior-value diff hints.
Decision support. ChironAI OM drafts and structures every WC artifact for the treating physician. The physician edits, attests, and signs every report, analysis, and form before it leaves the practice. ChironAI does not make a regulatory clearance claim; see Disclosures.
ChironAI OMFull capabilities inventory
What ChironAI OM does, organized by the five jobs of a WC physician.
Every WC visit asks the doctor to be five things at once: clinician, forensic investigator, regulatory clerk, billing manager, expert witness. ChironAI OM is organized around those five jobs and the physician signs every output.
Clinician
Diagnose, treat, apply guideline-aware care.
MTUS / ACOEM alignment
Treatment plan checked against MTUS (California) and ACOEM (national) guidelines at point of care. Deviation surfaces with rationale.
Structured work restrictions
Restrictions composed in a structured vocabulary, exported to the DWC form and the employer modified-duty letter simultaneously.
Forensic investigator
Determine work-relatedness. Apportion industrial and non-industrial cause.
AOE/COE causation analysis
Causation →Arising-out-of and course-of-employment narratives under California Labor Code §3600. Multi-Digital-Employee coordination when the case demands legal-evidence framing.
Apportionment
Industrial vs non-industrial apportionment with source-grounded reasoning across the longitudinal history. Versioned and audit-trailed.
Must-review-before-final
Architectural gate at the data layer for every causation analysis. Physician signs before any payer or attorney sees it.
Confidence escalation
When reasoning quality falls below threshold, additional specialist consultation triggers automatically before the analysis is finalized.
Regulatory clerk
Author DWC reports. Track deadlines. Survive audit.
DWC Form 5021
DWC reporting →Doctor’s First Report of Occupational Injury or Illness. 5-day deadline computed with the California holiday calendar.
PR-2 progress reports
45-day cadence or material-change trigger. Auto-drafted from the consultation context; physician edit on every section before signature.
PS/MMI under §4061
Permanent and Stationary determinations triggered by clinical milestone, deadline-tracked, physician-attested.
AB 3030 attestation
Every AI-assisted report carries the generative-AI disclosure. Non-dismissible by design; persists through the signed PDF.
Business-day deadline arithmetic
California business-day calculation with the state holiday calendar. Daily 07:00 cron surfaces approaching and overdue reports per practice.
Form mapper visualization
Every section of every form rendered visually before sign-off, with field-level provenance back to the source consultation data.
Interactive · DocumentationBefore / after
The same visit. Two ways. Twenty-four minutes versus six.
Toggle between the raw, time-stamped notes a clinician types in the moment and the structured SOAP note the F5/reasoner produces — every clause source-grounded back to the intake field, the vital signs, or the ECG that warrants it. Stylised illustration, not a real patient.
With ChironAI™Clinician documentation time: ~6 minutes
Subjective
A 78-year-old male with hypertension, type 2 diabetes, and prior CABG (2018) presents with intermittent palpitations of two-week duration.
from intake question 4Reports a single pre-syncopal episode standing from a chair the day prior to evaluation.
from intake question 7Denies chest pain, dyspnoea, fevers, or recent immobilisation.
from intake ROS 2–6
Objective
Vital signs at 11:23: HR 122 irregularly irregular, BP 138/86, SpO₂ 96% on room air, temperature 37.0 °C.
from VS 11:2312-lead ECG at 11:28 demonstrates an irregularly irregular rhythm with absent P-waves and a narrow QRS complex.
from ECG 11:28Pulmonary examination clear bilaterally; no peripheral oedema; cardiac auscultation confirms irregular rhythm.
from exam fields
Assessment
New-onset atrial fibrillation with rapid ventricular response is the leading working diagnosis, consistent with the rhythm-strip morphology and the structural cardiac priors.
from differential rank 01Atrial flutter with variable conduction is held as a secondary consideration pending full 12-lead review.
from differential rank 02CHA₂DS₂-VASc score 3 (HTN, DM, age ≥ 75); HAS-BLED 1 — anticoagulation is indicated.
from risk-stratification panel
Plan
Rate control: IV metoprolol if blood pressure tolerates, with continuous telemetry monitoring.
from rate-control protocolAnticoagulation: apixaban once acute coronary syndrome is excluded; troponin pending.
from anticoagulation guidanceCardiology consult requested at the time of admission.
from consult request 11:34Disposition: admit to telemetry, NPO until cardiology evaluates, follow up in the morning.
from disposition field
Draft note, pending clinician review and signature. Every clause traces back to its source field. Document hash captured at signature time.
Billing manager
Code to the fee schedule. Track the pay rule. Compute penalties and interest.
Eligibility and routing engine
WC, MPN, and care-pathway rule families with versioned determinations. §4600 predesignation check. §4616 MPN verification with weekly sync from public data.
Claim-type determination
Industrial, denied, delayed, first-aid, non-industrial. Determined from the consultation context and surfaced inline.
§4603.2 pay rule tracking
45-day payment rule timing surfaces in the operations dashboard. Penalty and interest computation when the rule is missed by the payer.
Expert witness
Build a defensible record. Sit for deposition with the evidence trail intact.
Versioned causation analyses
Every analysis is versioned. Forensic reconstruction of the reasoning path is always possible.
Source-grounded narratives
Every statement traces back to the source field that produced it. Defensible under cross-examination.
Audit-chain integrity
Tamper-evident HMAC + previous-hash audit log on every action. Document signatures cryptographically verifiable.
A note to the reader