The jail chart arrives unsorted, and the evaluation is next week.
Competency to stand trial record review services assemble what a Dusky evaluation rests on: jail medical and psychiatric records, prior hospitalizations, medication administration history and any earlier competency reports, all page-cited. The competency opinion belongs to the evaluator and the finding to the court.
The standard is one sentence from 1960. The court applies it.
We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In competency to stand trial evaluations, both are already published.
3 steps between the record and the evaluation.
Send the file as it arrived
Jail medical and mental health records, medication administration records, prior psychiatric hospitalizations, earlier competency reports, police reports and school records, in any format.
Get the digest back, page-cited
One timeline of psychiatric history, medication actually administered rather than merely ordered, behavioural incidents in custody, and every prior competency finding with its outcome.
The evaluator opines and the court finds
The Dusky opinion is the evaluator’s. The finding is the court’s. The digest is the cited record both are working from.
A cited record, not a competency opinion.
We assemble and cite what the record documents. We do not evaluate the defendant, score a competency instrument, opine on rational understanding or ability to assist counsel, or recommend restoration. Those belong to the evaluator and the court.
Medication administration records are the entries most often skimmed and most often decisive. An order written is not a dose given, and the digest carries the two as separate cited columns rather than as one line of summary.
The rules the platform never breaks.
EVERY LINE CITED
HIPAA, under a signed BAA
Every file is handled under our Business Associate Agreement, from the first byte.
Never trains a model
Your records are never used to train any AI model — ours or anyone else's.
Every line cited
If we can't cite it, we don't say it. Every sentence links to its source page.
Deleted after delivery
Files are deleted 30 days after delivery, with a full audit log of every access.
7 capabilities behind every competency record digest.
The competency record digest is one deliverable of the same platform that reads, sorts, and cites the whole record.
Medical Records OCR
Jail charts arrive as scans of scans. Every page is read, including the handwritten segregation and observation logs.
Medical Chronology
Hospitalizations, arrests, medication starts and behavioural incidents assemble on one timeline, so decompensation is visible rather than asserted.
Verifiable AI Citations
Every entry in the digest links to its page, so a finding challenged on appeal is answered without rereading the chart.
Medical Summary Reports
It exports into the evaluator’s report structure or the court’s own competency report form.
Medical Record Deduplication
Forty charts pulled from multiple practices and EHR migrations carry their share of duplicate visit notes. Each is matched and collapsed to one canonical record, so the prescribing pattern is read once per real encounter.
Missing Records Identification
A prescribing pattern read across 40 charts is only as sound as the file behind it. When a chart references a visit, refill, or referral that never made it into the production, the gap is flagged before the pattern goes to the board.
Cross-Exam Simulator (beta)
A board investigator or defense counsel builds a case from the chart abstraction. This beta tool maps the questioning a physician facing that hearing is likely to face on the gaps and pattern in their own record. A rehearsal tool, not legal advice.
Competency record review, answered.
Send one file. We'll tell you what we can read.
No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so.