Decision support. Smart exam templates and structured work restrictions are decision-support reference for the treating physician, who performs the exam, sets the restrictions, and signs the chart. ChironAI does not make a regulatory clearance claim; see Disclosures.

ChironAI OMExam and plan

Exam templates that compose with the regulatory chain.

The clinical half of every WC visit is the exam and the plan. ChironAI’s exam templates are body-region-specific, carry-forward-aware, and MTUS / ACOEM aligned at point of care. Work restrictions output in a structured vocabulary that exports to the DWC form and the employer modified-duty letter simultaneously.

Smart exam templates

By body region, with carry-forward.

Spine

Cervical, thoracic, lumbar. Posture, ROM, neuro screen, special tests.

Upper extremity

Shoulder, elbow, wrist, hand. Provocative tests by region.

Lower extremity

Hip, knee, ankle, foot. Gait, weight-bearing, joint-specific tests.

Head and neck

Cranial-nerve screen, neuro, neck ROM, occupational hearing/vision.

Chest and torso

Cardiopulmonary, abdominal, occupational chest exposures.

Mental health screen

PHQ-9, GAD-7, PTSD screen where occupationally relevant.

Structured visit context carries forward from the prior visit. Prior-value diff hints surface changes since last evaluation. The clinician’s time goes to clinical judgment, not retyping.

MTUS / ACOEM alignment

Guideline check at point of care.

California’s Medical Treatment Utilization Schedule (MTUS) and the ACOEM Practice Guidelines together define the standard of care for occupational injuries under workers’ compensation. Treatment that deviates from MTUS requires explicit rationale and faces utilization-review challenge.

ChironAI’s treatment-planning posture checks the proposed plan against MTUS and ACOEM in real time. Deviation surfaces inline with the published guideline citation and the rationale that warrants the deviation. The physician decides whether to proceed; the system documents the reasoning either way.

Structured work restrictions

Restrictions that move through the regulatory chain unchanged.

Lifting

Maximum weight (lb), frequency (occasional/frequent/constant), reach (floor to overhead).

Posture

Sitting, standing, walking with duration limits per hour and per shift.

Manual handling

Pushing, pulling, gripping, fine manipulation with force and frequency parameters.

Environmental

Climbing, ladders, heights, confined spaces, hazardous-environment exposures.

Cognitive

Sustained attention, complex decision-making, supervisory responsibility limits.

Restrictions composed once, exported to the DWC form, the PR-2, the employer modified- duty letter, and the patient-facing instructions \u2014 all from the same structured object. No transcription, no drift, no risk of inconsistency between surfaces.

A note to the reader

See how the exam composes with the rest of the WC visit.