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Medical records, in the order they happened.

Anamnesis reads a stack of medical-legal records and returns a dated chronology for the physician expert. Every line is quoted word for word from the page and carries its Bates number, so it can be checked in seconds.

See a sample chronologyHow it works

From a stack of pages to a chronology

  1. Records arrive out of order.

    A family practice, a grocery store's incident report, an urgent care visit, two orthopedic follow-ups. Real cases run to thousands of pages, with no index.

  2. It reads every page and points at the lines that matter.

    Complaints, findings, imaging, diagnoses, and what the patient denied.

  3. Each line is cut from the page, word for word.

    Code cuts the quote, not the model, so nothing is paraphrased. Each one keeps its Bates number.

  4. Then everything goes in the order it happened.

    Dates come from the page itself. The physician reads the history in minutes and can check any line against its source.

Point at a line in the chronology, or tap it, to see the exact words it was cut from.

Lakeview Family Practice

OFFICE VISIT

Patient: Marcus Bell DOB: 04/17/1985 Visit Date: 02/11/2023

Provider: David Rowe, MD

CC: Low back pain x 2 wks

S: Pt reports achy low back pain for approx 2 wks after lifting furniture. Pain 5/10, no radiation. No numbness or weakness. Has been taking ibuprofen.

O: BP 130/82 HR 78. L-spine: TTP L4-L5 paraspinals bilat, SLR neg bilat, flexion limited to 65 deg. Neuro: strength 5/5, DTR 2+ symmetric.

A: Lumbar strain — S39.012A

P: Ibuprofen PRN, stretching handout. F/u PRN.

Signed: D. Rowe, MD 02/11/2023

Records certified: 07/08/2024

BELL 000104

Harbor Fresh Market

CUSTOMER INCIDENT REPORT

Report No. Date of Incident Time Completed By Title

HFM-24-0173 05/09/2024 14:15 S. Park Store Manager

Location: Produce aisle, near misting display, 410 Mill St, Fairview, CO

Floor Condition: Wet (runoff from misting display) Wet-floor sign: None observed at time of incident

Customer

Name DOB Phone

Bell, Marcus T. 04/17/1985 (303) 555-0199

Narrative

Customer was walking through the produce aisle and slipped near the misting display. Customer fell and stated he "put my right hand out to catch myself." Customer complained of right wrist pain. Customer denied hitting his head and denied back pain at that time. Manager offered to call an ambulance. Customer declined and stated his wife would drive him to Fairview Urgent Care. Customer left the store at 14:40.

Witnesses

Name Role Statement

Nakamura, Joy Produce clerk "He went down hard. The floor was soaking wet there."

Manager Signature: S. Park Date: 05/09/2024

Printed: 06/03/2024 09:40 Page 1 of 1

Fairview Urgent Care

URGENT CARE PHYSICIAN NOTE

Patient: BELL, MARCUS T MRN: 00731904 DOB: 04/17/1985

Date of Service: 05/09/2024 Arrival: 15:20 Provider: A. Mehta, MD

Chief Complaint

Left wrist pain after fall

HPI

39 y/o M presents by private vehicle approx 1 hr after slipping on a wet floor at a grocery store and falling onto his outstretched left hand. Pt reports left wrist pain 7/10 with swelling. Denies head strike, denies LOC, denies back pain, denies numbness or tingling.

PMH

None. Denies prior wrist injury.

Medications

None

Allergies

NKDA

Physical Exam

Vital Value

BP 136/84

HR 84

RR 16

Temp 98.2 F

SpO2 99% RA

General: NAD, A&O x3

L wrist: swelling and TTP over distal radius, ROM limited by pain, cap refill < 2 sec, sensation intact

R wrist: Normal

Back: No TTP thoracic or lumbar spine

Imaging

X-ray L wrist 3 views: Transverse fracture of the distal radius, minimally displaced. No intra-articular extension.

Assessment / Plan

1. Closed fracture of distal radius, left — S52.502A

2. Volar splint applied

Rx: ibuprofen 600 mg PO q6h PRN

Ortho referral within 1 week. Return precautions given.

Electronically signed: A. Mehta, MD 05/10/2024 08:05

Printed: 07/02/2024 11:30

BELL 000101

Summit Orthopedics

FOLLOW-UP VISIT

Patient: Marcus Bell DOB: 04/17/1985 Date: 05/16/2024

Provider: Lena Ortiz, MD Referred by: A. Mehta, MD

S: L wrist pain 5/10, improved in splint. Pt now c/o low back pain x ~5 days, achy, 4/10, no radiation. Pt states he was moving boxes at work on 5/13 and back "got worse after that." Taking ibuprofen.

O: L wrist: swelling decreased, TTP distal radius, cap refill normal. L-spine: TTP L4-L5 paraspinals bilat, SLR neg bilat, flexion limited to 60 deg.

X-ray L wrist reviewed: distal radius fracture, no interval displacement.

A:

1. Closed fracture of distal radius, left — S52.502D

2. Low back pain — M54.50

P:

- Short-arm cast applied today

- Continue ibuprofen PRN

- Recheck 5 wks; PT referral if back pain not improving

Signed: L. Ortiz, MD 05/16/2024

BELL 000102

Summit Orthopedics

FOLLOW-UP VISIT

Patient: Marcus Bell Date: 06/20/2024 Provider: Lena Ortiz, MD

S: L wrist pain 1/10. Back pain mostly resolved, 1/10.

O: Cast removed. L wrist: mild stiffness, minimal TTP, flexion 55, extension 50.

X-ray L wrist: healing distal radius fracture with callus formation, alignment maintained.

A:

1. Closed fracture of distal radius, left, healing — S52.502D

2. Low back pain, improving — M54.50

P: Home exercise program for wrist ROM and grip. RTC PRN.

Signed: L. Ortiz, MD 06/20/2024

BELL 000103
  1. 2023

    Feb 11, 2023 at Lakeview Family Practice

  2. 2024

    May 9, 2024 at Harbor Fresh Market

  3. May 16, 2024 at Summit Orthopedics

  4. Jun 20, 2024 at Summit Orthopedics

What it will not do

A physician signs their name to the chronology. These rules are written into the code and checked by tests on every change.

It never writes evidence in its own words.
A model may point at a line. Code cuts the quote from the page, character for character, and checks it again before it is shown.
It never guesses a date.
Dates are read from the page by code. A date it had to work out is marked as worked out, with the reason.
It never decides what the evidence means.
No verdicts on causation and no judgement of whether a claim holds up. The attorney's account is kept apart from the record.
It never drops a page quietly.
Pages it could not read, or read only in part, are listed for review with the reason.

Why the name

In Greek, anamnesis means recollection. In medicine it is the patient's history, as the patient tells it. The rings in the mark grow out from a single point the way a tree lays down its years: one event, then everything after it, in order.

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