In date order · cited to the page
2019-03-11pp. 214, 236, 248
Lumbar MRI: L4-L5 disc desiccation
2023-08-02pp. 512, 541
Lumbar X-ray: alignment maintained
2023-09-19pp. 604, 847
Lumbar MRI: L4-L5 disc protrusion
2024-01-08pp. 873, 901
Operative report: L4-L5 decompression
2024-06-27pp. 1102, 1126, 1140
Left shoulder MRI: supraspinatus tear
ORTHOPEDIC MEDCHRONQME · AME · IME · peer review

Take more panels without lowering your standard.

The orthopedic record analysis platform for med-legal review. Every operative note, every imaging study by modality and date, and every pre-injury finding is extracted, placed in order, and cited to the page. The opinion stays yours; the assembly work doesn't.

Built by Gemini Legal
Technology & legal support services for law firms since 2004
Quick recap

The evaluator still reads the full record and owns the opinion. ChartInsight removes the assembly and citation work around it.

What it does
Orthopedic record analysis. It extracts operative history, imaging by modality and date, PT episodes, earlier versus later pathology, MMI and work-restriction entries, and documented WPI findings. Every entry is cited to its source page.
Who it's for
Orthopedic surgeons, neurosurgeons, and PM&R physicians doing QME and AME panels, defense-side IMEs, and records-only peer review or utilization review. Spine QME included.
How it processes records
OCR reads scanned, digital, and photocopied pages, including handwritten notes. Duplicate progress notes are collapsed into one entry. Every entry points back to its page in the source PDF, which is never altered.
Security
HIPAA-compliant. SOC 2 Type II. AES-256 at rest, TLS 1.3 in transit. No training on customer data.
What you get for Orthopedics

Capture what matters for orthopedic med-legal review.

ChartInsight extracts the orthopedic chronology and structures the evidence an evaluator reaches for. Operative history, imaging studies, PT episodes, and prior-dated records are organized and cited before you open the record.

Operative history as a structured entry
Each operative note is extracted with procedure, surgeon, facility, level, and date, and the postoperative course follows in order. The entry links to the operative report page, so you never have to hunt for it twice.
Imaging in date order, with the study summarized
Each imaging study lands in the chronology on its own date, naming the modality, body region, and provider, and summarizing the finding as reported. A 2019 lumbar MRI reads as a 2019 study rather than one more note beside the post-op film.
PT episodes and functional progression
Physical therapy is grouped into episodes with visit counts, modalities, attendance, functional change, and discharge reasons, instead of a hundred near-identical visit notes to tabulate by hand.
Prior records held in the same timeline
Earlier-dated records, including prior degeneration, prior surgery, and earlier imaging, appear in the same timeline as records from after the claimed injury, so apportionment evidence is easy to locate rather than buried. Relevance can be marked per row, and those marks carry into the export; the pre-injury determination is yours.
MMI, P&S, and work restrictions in one timeline
Restrictions, releases, permanent-and-stationary dates, and functional capacity entries are extracted as chronology entries with their dates and source pages, wherever in the file they were recorded.
Documented WPI findings, organized for your analysis
Range-of-motion measurements, neurologic findings, and WPI values as documented in the record are structured and cited, ready for the evaluator’s application of the AMA Guides 5th Edition.
One evaluator, three queues

The same record work, three ways.

Panel evaluations, defense-side IMEs, and records-only review all demand the same command of the record and the same page-level citations. The evidence layer is the same in each.

Primary
QME & AME panels

ChartInsight organizes the documented evidence relevant to diagnosis, causation, apportionment, MMI/P&S, work restrictions, and impairment from the full file, with page citations behind every entry. The opinions are yours.

Defense side
IMEs for carriers and counsel

Prior QME, AME, and treating reports sit in the same timeline as the treatment record. They are dated and cited, so you can see changes over time and check one account against another.

Records only
Peer review & UR queues

High-volume records-only work where treatment history, imaging, and PT episodes have to be located quickly and cited exactly. It is not a substitute for a physical evaluation.

Imaging chronology

An MRI is not just another note.

Imaging lands in the chronology in date order. Each entry summarizes the study, names the provider, and cites its source page, so the earlier lumbar MRI sits in the same timeline as the post-injury one instead of six volumes away.

Medical chronologyIllustrative example
2019-03-11
Bayview Imaging
Lumbar MRI: L4-L5 disc desiccation, no herniation described.
2023-08-02
Coast Orthopedic Imaging
Lumbar X-ray: lumbar alignment described as maintained.
2023-09-19
Bayview Imaging
Lumbar MRI: L4-L5 disc protrusion with described nerve-root contact.
2024-01-08
Dr. R. Vance, Coast Surgical Center
Operative report: L4-L5 decompression.
2024-06-27
Coast Orthopedic MRI
Left shoulder MRI: partial-thickness supraspinatus tear described.
Prior studies appear in the same timeline as post-injury records, so apportionment evidence is easy to locate rather than buried. The original PDF is never altered.
How it works

From records to defensible packet in three steps.

01

Upload the full file

Drag in the PDFs as they came to you, at any size and in any condition. Every page is processed, not a sample. Processing runs in the cloud, so you can work other cases while it finishes.

02

Review with citations

Open the record; the chronology, operative history, imaging timeline, and medications are ready. Every entry is one click from its page in the built-in viewer.

03

Export a packet-ready file

Editable DOCX or PDF, with page-anchored citations preserved. Or ask a follow-up question about the record in Research Assistant.

Accuracy, measured

The findings are already in the file. Getting all of them out is the hard part.

We compared 433 processed records against the expert human summaries written for the same charts. Reading the same pages, the index surfaced 1,318 clinician-documented findings the summaries did not mention, including exam signs, imaging results, procedures, and prescriptions. Of those findings, 113 were procedures, including surgeries, injections, nerve blocks, and electrodiagnostic studies. The summaries were good. Long records simply hide things on page 412. You still read the record; you read it knowing what is in it.

The 433-record study
92%of records had AI-only valued information the expert summary missed
1,318clinician-documented findings recovered

Semantic review of 433 processed records, each compared against its expert human Medical Summary. Synonyms counted as present; negated, hypothetical, and contradicted items excluded. Full methodology in the 433-record study.

Questions reviewers ask

What we hear most.

If your question isn't here, ask in your demo. We'd rather over-explain than under-promise.

No. ChartInsight extracts, organizes, and cites the record. Diagnosis, causation, apportionment, MMI/P&S, work restrictions, and impairment remain the evaluator’s findings, built from a full review of the file. What the product removes is the assembly and citation work, not the review.
Security & compliance

PHI handled the way reviewers expect.

No model training on customer data. HIPAA-compliant program operated by Gemini Legal. Records isolated to your account, encrypted at rest and in transit. Active attestations available on request.

Explore our Trust Center
HIPAA
compliant
SOC 2
Type II
AES-256 · TLS 1.3
at rest and in transit
No training
on customer data
For the doctor reading the case

Run an orthopedic QME, AME, or IME through ChartInsight.

Upload the file and get operative history, imaging in date order, PT episodes, and earlier-dated records held in the same timeline as the records that follow the claimed injury. Every entry source-linked and audit-ready.

HIPAA-compliant, encrypted at rest and in transit No training on customer data Guided onboarding with a real account manager

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