AlphaChrono

A chronology of care, quoted from the record.

AlphaChrono turns thousands of pages of medical records into a timeline of care where every entry is a verbatim quote at the Bates page it came from, so a reviewing physician can check every line.

Ask about early access See how it works

In development. Early access by request.

Chronology Region: cervical spine · 3 of 212 entries
  1. 2019-02

    Chiropractic note · T. Harlan, DC

    Neck stiffness, intermittent.

    Partial date

  2. 2023-04-17

    Emergency department note · S. Meyer, MD

    Cervical strain.

  3. 2023-05-30

    MRI, cervical spine · P. Linde, MD

    C5-6 disc protrusion with left foraminal narrowing.

  4. 2023-05-31 to 2023-11-13
    Gap in care

    No records dated in this period.

DOE 001204MRI report · page 1 of 2

NORTHGATE IMAGINGMRI CERVICAL SPINE

Patient: DOE, JOHN
Date of service: 05/30/2023

Clinical history: Neck pain radiating to the left arm following motor vehicle collision.

Findings: Alignment is maintained. C2-3 through C4-5: no disc herniation or canal stenosis. C6-7: mild disc bulge without stenosis.

Impression:
1. C5-6 disc protrusion with left foraminal narrowing.
2. Mild degenerative change at C6-7.

Electronically signed: P. Linde, MD 05/30/2023

DOE 001204

Fig. 1A chronology beside its source page. Select a Bates number to open that page. This is a fictional record: the names, dates and pages are invented.

1Who it’s for

For physicians who review medical-legal records, and the attorneys who retain them.

A records production for one case can run to thousands of pages across dozens of files, in the order they were collected rather than the order care happened. The note that matters most might be a chiropractic visit from four years before the accident, filed on page 4,812 between two billing statements.

Before anyone can form an opinion, someone has to put that record in order. Ask a physician who does this work and you’ll hear that the reading is the slow part, not the medicine.

Physician expert witnesses

Work from the whole record in date order. Open any source page in one click, and cite the Bates number in your report without going back to the stack.

Attorneys and litigation teams

Give your expert a chronology they can check line by line, built from the production as it was produced, with the uncertain parts already marked.

2How it works

From the production to a chronology you can check.

  1. The production goes in as it was produced.

    PDFs, scans and faxes, in whatever order they arrived. Every page keeps its Bates number from start to finish. Bills, fax covers and duplicates are set aside so they don’t take up reading time, but no page is dropped: every one stays indexed and searchable.

  2. Clinical pages are read for findings.

    Complaints, exam findings, imaging results, procedures and treatment are taken as exact quotes. Each one is dated by the date of service, not the date the record was printed, and tagged by document type, author and body region.

  3. You review one chronology.

    Entries from every file are merged into a single timeline in date order, which you can filter by date, type, region or side. Select a Bates number and the source page opens beside the chronology, so you don’t lose your place.

3The rule

If it isn’t on the page, it isn’t in the chronology.

Every entry is a verbatim quote. Before an entry is shown, its quote is checked against the text of the page it cites. A quote that can’t be found on that page is left out and reported. It is never reworded to fit.

So any line in the chronology can be traced to its page in one click: by you, by the attorney who retained you, or by opposing counsel.

4Review flags

It tells you what it wasn’t sure about.

Medical records are inconsistent, and some of the scans are poor. Instead of smoothing that over, the chronology marks it for you to review.

Conflicting records
Two sources disagree about a date, a side or a finding.
Partial or unclear dates
A month with no day, or a date that may be when the page was printed rather than when care was given.
Poor scans
Text read from a low-quality image. Check the quote against the page by eye.
Unmatched terms
An abbreviation or term that couldn’t be matched to a standard clinical vocabulary. It is flagged for a person, never guessed.
Gaps in care
Stretches of time with no records. No single page states a gap; it shows only once the dates are in order.
Withheld pages
Pages marked as withheld or missing from the production.

5What it leaves to you

It puts the record in order. The opinion is yours.

AlphaChrono doesn’t interpret findings, weigh them against each other, or say what they mean for a case. It organizes what the record says and shows you where each line came from. Every medical judgement stays with the reviewing physician.

6Availability

In development

AlphaChrono is being built now and isn’t yet available for case work. If you review or prepare medical-legal records and would like to hear when early access opens, write to us.

Please don’t send records or patient information by email.