Spine
Cervical, thoracic, lumbar. Posture, ROM, neuro screen, special tests.
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 and plan, reasoned against the regulatory chain.
The clinical half of every WC visit is the exam and the plan. The physician performs the exam; Chiron reasons the plan against it — checking the proposed treatment against MTUS (California) and ACOEM (national) at point of care, and composing work restrictions in a structured vocabulary that exports to the DWC form and the employer modified-duty letter at once. Body-region-specific templates and carry-forward keep the physician’s time on judgment, not typing.
Smart exam templates
By body region, with carry-forward.
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.
Chiron reasons the proposed plan against MTUS and ACOEM in real time — grounded in retrieval over 26 authentic California DWC guideline documents published by the Division of Workers’ Compensation (dir.ca.gov), the real texts rather than a paraphrase. 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 — the record that survives utilization review.
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 — all from the same structured object. No transcription, no drift, no risk of inconsistency between surfaces.
A note to the reader