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Medical_Records_Complete.pdf

28 pages · 4.2 MB

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Analyzing your records

Extracting functional evidence from 28 pages using clinical NLP and policy mapping.

Initializing pipeline

Functional Evidence Inventory

Jane M. Doe

Case ID: urn:uuid:550e8400-e29b-41d4-a716-446655440000
Processed: · 254 findings across 18 RFC domains · 17 Blue Book matches

254

Findings

RFC Domains

Listing Matches

Extracted Findings

Exertional — Lifting

Unable to lift more than 5 pounds with right arm due to shoulder impingement secondary to MS spasticity. Marked weakness in right upper extremity documented on exam.

Marked limitation

p. 12 — Neurology Consult, Dr. Sarah Chen MD

“Patient demonstrates marked weakness in right upper extremity. Grip strength 8 lb right vs 42 lb left. Unable to sustain overhead reach beyond 15 seconds. Modified Ashworth Scale 2 bilateral upper extremities.”

0.90 Claude API extraction

Mental / Cognitive — Concentration

Concentration and sustained attention severely impaired; unable to maintain focus for more than 15 minutes per neuropsychological testing. Processing speed at 3rd percentile.

Extreme limitation

p. 23 — Neuropsychological Evaluation

“Testing reveals processing speed at 3rd percentile. Trail Making B time 248 seconds (severely impaired). MMSE 28/30 with concentration mildly impaired — serial 7s required multiple attempts. Word recall 2/3 at 5 minutes.”

0.85 Keyword + severity extraction

Postural — Stooping / Kneeling / Crouching

Cannot perform stooping, kneeling, or crouching. Walker-dependent ambulation documented at EDSS 6.0. Requires bilateral forearm crutches for all transfers.

Precluded entirely

p. 7 — Physical Therapy FCE Report

“EDSS 6.0 — requires walking aid for 100m. Patient unable to perform floor-to-stand transfer without bilateral upper extremity support. Stooping, kneeling, and crouching contraindicated per treating neurologist.”

0.90 Claude API extraction

Blue Book Listing Matches

LISTING 11.09 — Multiple Sclerosis 88%

Criteria met: Significant and persistent disorganization of motor function in two extremities, resulting in sustained disturbance of gross and fine movements, or gait and station.

See also: 12.04 Major Depressive Disorder (57%) · 12.02 Neurocognitive Disorders (57%)

Evidence Gaps

⚠ Evidence Gap Identified

No treating physician RFC opinion on file. Consider requesting form SSA-RFC-827 from Dr. Chen to document specific functional limitations and their medical basis.

Before and after

How MedEvidence AI changes your case prep workflow.

Without MedEvidence AI	With MedEvidence AI
Manual record review: 3–5 days	✓ Automated extraction: ~5 min
Medical summarizer: $500–2,000	✓ Per-case cost: $85
Generic narrative summary	✓ 254 cited findings, 18 RFC domains
No Blue Book mapping	✓ 17 Blue Book listing matches
No evidence gap flags	✓ Gaps identified before the hearing

Built by a medical student who reads these records. Every finding is cited to the exact page it came from.

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