Watch how findings, dictation, and a 3,000-page record corpus flow through the AMA Guides 6th Edition decision tree to produce a citation-anchored draft.
01 — Inputs
Physician dictation, the carrier's record corpus, and the carrier's question list flow into the engine in any combination of formats.
02 — Processing
The engine assigns the diagnostic class, scores grade modifiers, and anchors every value to a specific Guides table row and record page.
03 — Output
A state-compliant Word document is produced in under 10 minutes, ready for physician review and attestation.
Three example IME drafts. Each citation links a clinical claim to a specific record page and AMA Guides table row.
Sightwork clinical protocol · page 1 of 14
Subject
Evaluation date
01
The claimant presents with chronic cervical pain following a workplace injury sustained on March 14, 2024 [Record p.78]. MRI imaging dated April 22, 2024 demonstrates a right paracentral disc herniation at C5-C6 with associated nerve root impingement [Record p.412].
02
Class 1 — disc herniation with resolved radiculopathy [Table 17-2]. Class default impairment value: 6% Whole Person Impairment.
03
GMFH (Functional History): 2 — Pain Disability Questionnaire score in the 41-60 band [Table 17-6, Record p.89]. GMPE (Physical Exam): 1 — guarded movement noted on cervical flexion-extension [Table 17-7, Record p.1205]. GMCS (Clinical Studies): 2 — MRI confirms right paracentral C5-C6 herniation with nerve root contact [Table 17-9, Record p.412].
04
Net adjustment: 0. Final grade: C (default). Whole Person Impairment: 6% [Section 17.3c]. State declaration rendered per TX 28 TAC §127.130.
From the moment your case enters the engine to the moment a draft lands in your inbox.
Dictation transcribed
Voice ingested with speaker-aware diarization. Medical terminology preserved.
Records ingested
Up to 3,000-page PDF corpora chunked, indexed, and held in working context.
Anatomy verified
Body region, laterality, and AMA Guides chapter scope established.
Class assigned
Diagnostic class selected from the regional grid table for the affected body region.
Modifiers scored
GMFH, GMPE, GMCS scored against record evidence with each value page-anchored.
Net adjustment computed
Modifier discount rule applied. Final grade and Whole Person Impairment calculated.
Carrier questions answered
Each carrier question echoed verbatim and answered with anchored evidence.
State declaration rendered
TX 28 TAC §127.130 / NY WCB §137 service block / CA §4628 perjury declaration.
Draft generated
Word document produced in under 10 minutes. You review every line and attest.
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