# Competency to Stand Trial Record Review > Record review for competency evaluations: jail medical and psychiatric records, prior hospitalizations and earlier competency reports, cited to the page. Canonical page: https://medrecords.ai/solutions/competency-to-stand-trial-record-review/ --- New — **Missing Records Detection:** flags every visit, provider, and date missing from the file. [See how →](https://medrecords.ai/product/missing-records-identification/) [Home](https://medrecords.ai/) ›[Solutions](https://medrecords.ai/solutions/) › — Competency to Stand Trial COMPETENCY TO STAND TRIAL RECORD REVIEW ## 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. [Test a file ](https://medrecords.ai/test-a-file/?src=competency-to-stand-trial-record-review) [Book a demo](https://medrecords.ai/demo/) Click any row → the source page it cites Competency record digest · Case #IME-4812 documented Adams, Timothy · defendant record 342 pp / 2 packets received logged 11 duplicate pages removed free p.140 — wrong patient quarantined Pages 342 Documents 27 Cited 100% ### 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. The standard and the referee The rulebook - Dusky v. United States, 362 U.S. 402 (1960): sufficient present ability to consult with counsel with a reasonable degree of rational understanding, and a rational as well as factual understanding of the proceedings - The forum’s competency statute and its restoration clock, bounded by Jackson v. Indiana, 406 U.S. 715 (1972), which limits commitment to the period needed to determine whether capacity is likely to be restored - Sell v. United States, 539 U.S. 166 (2003), where restoration by involuntary medication is at issue and the medication history in the chart becomes the evidence - The AAPL practice guideline for the forensic psychiatric evaluation of competence to stand trial, which sets what the report has to address The referee - The criminal court, which finds the defendant competent, incompetent and restorable, or incompetent and not restorable - The opposing evaluator, retained or court-appointed, reading the same jail chart - The state forensic hospital receiving a restoration order, which reads the medication and behavioural record it was sent A restoration order issued without the prior hospitalization records in the file From 10¢ to as low as 5¢/page here, duplicates free Competency record digest · Case #IME-4812 cited 100% Packet — 342 pp / 2 packets · 11 deduplicated — logged Psychiatric history — Hospitalizations, diagnoses, prior evaluations — cited Medication administration — What was ordered against what was given — cited Prior competency findings — Date, evaluator, outcome, restoration course — flagged Digest delivered · cited 100% · no competency opinion How it works ### 3 steps between the record and the evaluation. 01 #### 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. 02 #### 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. 03 #### 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. The boundary, in writing ### 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. Audit trail · Case #IME-4812 exportable 08:12 — Packet received · 342 pp / 2 packets — system 08:31 — 11 pages deduplicated — system 08:44 — p.140 flagged — wrong patient — system 08:54 — Competency record digest complete · digest delivered · cited 100% — system 09:20 — Competency record digest reviewed · citations verified — reviewer 09:26 — Competency record digest exported · report structure assembled by the evaluator — reviewer Every access logged · file deleted 30 days after delivery Why Medrecords AI ### The rules the platform never breaks. EVERY LINE CITED CASE #IME-4812 · ADAMS, T. 342 pp 2/14 — ER visit, right knee p.4 4/18 — arthroscopic surgery p.61 p.140 — wrong patient quarantined Medrecords AI Read every page · cite every line #### 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. Powered by the platform ### 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. IN ACTION · 870 pp / 4 custody episodes, read in full ](https://medrecords.ai/product/ocr/) [ #### Medical Chronology Hospitalizations, arrests, medication starts and behavioural incidents assemble on one timeline, so decompensation is visible rather than asserted. IN ACTION · first contact → current custody, one timeline ](https://medrecords.ai/product/chronology/) [ #### Verifiable AI Citations Every entry in the digest links to its page, so a finding challenged on appeal is answered without rereading the chart. IN ACTION · digest → cited 100% ](https://medrecords.ai/product/citations/) [ #### Medical Summary Reports It exports into the evaluator’s report structure or the court’s own competency report form. IN ACTION · digest → report structure ](https://medrecords.ai/product/summaries/) [ #### 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. IN ACTION · 40 charts → duplicate visit notes collapsed to 1 record each ](https://medrecords.ai/product/medical-record-deduplication/) [ #### 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. IN ACTION · prescribing pattern cross-checked → gaps flagged before submission ](https://medrecords.ai/product/missing-records-identification/) [ #### 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. IN ACTION · prescribing pattern → likely hearing questions mapped (beta) ](https://medrecords.ai/product/cross-exam-simulator/) FAQ ### Competency record review, answered. No. The Dusky opinion requires an examination by a qualified evaluator, and the finding is the court’s. We assemble the cited record underneath: psychiatric history, medication actually administered, custody behaviour and prior findings. Because they diverge constantly in custody, and the difference often explains the presentation at interview. An evaluator told the defendant is on an antipsychotic reads the file differently once the administration record shows two-thirds of the doses were refused or missed. Yes. The record is the record. A court-appointed evaluator, a defence expert and a prosecution expert are all working from the same chart, and the cited digest does not change with who ordered it. No. Medrecords AI does not retrieve records from providers or facilities. You bring the records you already have — review starts in minutes from upload. Retrieval vendors take days; you can keep yours and still cut the review to minutes. ### 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. [Test a file ](https://medrecords.ai/test-a-file/?src=competency-to-stand-trial-record-review) [Book a demo](https://medrecords.ai/demo/) [See every case type we process →](https://medrecords.ai/solutions/case-types/)