Infrastructure for Medical Judgment

Helping medical judgment remember.

Causis turns thousands of pages of medical records into structured, sourced, defensible medical-legal opinions, and, for the first time, keeps what every opinion teaches.

We are building the infrastructure this field has never had.

Join the physician network  → See the engine

The Problem

Thousands of pages. Manual chronology. Isolated opinions. No institutional memory.
Courts depend on it. Insurers depend on it. Families depend on it. The system they trust forgets everything.

The field gets busier.
It rarely gets smarter.

The Infrastructure

One infrastructure.
Three layers.

Three layers of one platform, built in sequence. The Physician Workspace is the foundation; the Firm Workspace and the Medical Intelligence Network are built on top of it.

Causis · Physician WorkspaceEvery finding sourced
Earnest Clark DOI 2021·06·24 · WC IME · FL · 1,594 pages Ask CausisOpen draft
OverviewRecord ReviewChronologyExamDraftQ&AExport
154 encounters819 events254 findingsVerified against source
2021·05·18Pre-injury · 37 days before
Pre-injury encounter: no injury-related complaints documented.
1 provider · Baptist Health
1 encounter1 finding1/1 verifiedView findings
2021·06·24Day of injuryMMI
DOI emergency evaluation: initial clinical presentation following injury event.
2 providers · Records Films · Tan Ly, DO
2 encounters6 findings6/6 verifiedView findings
2021·06·29Post-injury · day 5
Initial chiropractic eval: multimodal treatment initiated for spinal complaints.
1 provider · Disc Injury and Spinal Care Clinic
1 encounter2 findings2/2 verifiedView findings

+ 151 further encounters, every finding sourced

Ask Causis · Full case
Tell me about his injury.
Motor vehicle accident on 06/24/2021; driver's side impact1. Seatbelt worn, airbags did not inflate2. The accident did not render him unconscious3.
Sources
[1] Encounter · driver of 2010 Ford at impact
[2] Encounter · airbags did not inflate
[3] Encounter · not rendered unconscious
Ask about this case…→
Causis · Firm Workspace · New matterTracked to delivery
Rodriguez v. Metro Transit
IME · ORTHOPEDIC SURGERY · FLORIDA
Match found
Recommended examiners · matched to the matter
Orthopedic surgeon · Tampa, FL
Board certified · 11 yrs medical-legal · deposition experience
96% matchAccepted
Orthopedic surgeon · Orlando, FL
Board certified · 8 yrs medical-legal
91% matchOutreach sent
Orthopedic surgeon · Miami, FL
Board certified · 14 yrs medical-legal
89% matchOutreach sent
Outreach sent automatically · acceptance tracked in hours
Matter timeline
●Assigned ●Records delivered ●Exam scheduled ●Draft ●Report delivered
Causis · Medical Intelligence NetworkLearning
Physicians
A network built in the thousands, every one credentialed, every one contributing.
Jurisdictions
FL · TX · CA · NY · PA and beyond, each with its own standards, informing the others.
Specialties
Orthopedics · Neurology · Psychology and more, each discipline's patterns carried forward.
ORTHO · FL PSYCH · NY NEURO · TX ORTHO · TX NEURO · FL
Every opinion retained Every pattern shared Every jurisdiction informed
Built end to end around a single principle

Never assert a clinical fact that is not in the evidence.

In a signed medical-legal document, a fabricated statement is the most serious failure possible. Every component of the platform is designed to enforce this discipline.

The Causation Engine

From 5,806 pages to a report worth signing.

The Causation Engine converts fragmented medical records into structured, evidence-grounded reasoning. The platform organizes the record and grounds every statement; the physician reviews, refines, and signs the opinion.

01

Reads the whole case.

Thousands of pages in a single intake: record indexes honored, messy uploads recovered, nothing dropped silently. Cases beyond 5,000 pages are routine.

02

Builds the chronology.

Every event dated, flagged against the injury, and traced to its exact source page. A working draft the physician owns, never a black box.

03

A workspace built for the review.

Records, viewer, and a grounded assistant on one screen. Highlight any finding and it becomes an evidence card in the case binder.

04

Answers only from the evidence.

Every answer is cited to the record, or the system states plainly that the information is not in the record. It does not speculate.

05

Captures the examination.

First-party findings, typed directly or extracted from uploaded exam notes. If no examination was performed, the report says so. The Engine cannot invent one.

06

Drafts in the physician's voice.

Learned once from an exemplar report, then every draft built to that structure and register. Edit freely, redraft any section with an instruction, and compare versions side-by-side before accepting. The system never overwrites your work without review.

07

The gate.

Export is blocked until every section is reviewed, every uncertainty resolved, and compliance passes. A non-compliant report cannot leave by accident.

IntakeNothing dropped
One intake · the whole case
5,806PAGES · 14 FILES
Index honored2 files flagged0 dropped silently
The clinical chronology · every entry sourced
2021·05·18
Pre-injury encounter, no complaints documented
Pre-injury · 37 days beforecited · p.0089
2021·06·24
DOI emergency evaluation, initial presentation
Day of injurycited · p.0114
2021·06·29
Chiropractic eval, treatment initiated
Post-injury · day 5cited · p.0203
2022·05·12
Cervical fusion performed
Post-injurycited · p.0421
154 encounters819 eventsEvery entry traced to source
Record review · three panes, one screen
Documents
p. 371 of 529
Assistant
Evidence card · saved to binder
HIGHLIGHTED · p.371 · CHRONIC INSOMNIA, TRAZODONE 50MG
Contradictions surfacedGaps in treatmentOne click to source
Ask Causis · grounded in this case only
Any imaging before the injury?
No lumbar imaging appears in the record before 2024·02·081. First imaging is the MRI of 2024·03·022.
[1] Records index · imaging log   [2] Radiology report · p.0147
What did the shoulder MRI show?
Not in the record. No shoulder imaging appears anywhere in the 5,806 pages of this file.
The system does not speculate beyond the record.
Every sentence citedHonest about coverage
The examination · what only the examiner can supply
Physical examination · first-party findings
Cervical ROM
Straight-leg raise
Motor strength
Captured by the examinerIf absent, the report says so
Or upload exam notesPDF, photo, or scan · findings extracted automatically
exam_notes_0714.pdf · 3 pagesExtracted · 11 findings
Type or extractRecords review kept distinctCannot be invented
The drafter · your structure, your register, your call
Exemplar · learned once
→
Draft · every case after
Edit freely Redraft with direction Compare side-by-side
> Tighten the causation paragraph. Keep my phrasing on apportionment.
Compared before acceptedNothing overwritten without reviewHigh confidence · locked1 uncertainty flagged
Pre-flight · export
✓All sections reviewed by the physician
✓Flagged uncertainties resolved
✓254/254 citations verified against source
✓Medical-legal compliance check passed
Export report · Word

Blocked until every check passes

Confidence markings travelTitled for the matter
One platform, every matter.
Matter type
IME

Independent medical examination: records, exam, and opinion, titled and structured for the matter.

Matter type
CME

Compulsory medical examination, handled as a first-class matter type with its own report structure.

Matter type
Record Review

Records-only opinions, built on the same sourced chronology and citation discipline.

Matter type
Deposition Prep

The opinion, its citations, and its confidence markings, organized and ready for examination.

The standards follow the jurisdictionFL · TX · CA · NY · PA · and expanding
The templates follow the specialtyOrthopedics · Neurology · Psychology · and growing

The Network

One network.
Two doors.

Physicians provide the clinical judgment; firms bring the matters. Causis connects the two, with every opinion grounded, cited, and reviewed before delivery.

For Physicians

Do more of the work only you can do.

Receive matters matched to your specialty and jurisdiction from firms in the network.
Hours returned to judgment, not assembly: the Engine reads, structures, and drafts; you review, refine, and sign.
Reports follow your template and your voice, and the final opinion remains yours. Currently in beta with founding specialists.
Join the physician network  →

We onboard a limited number of specialists each month.

For Firms

The right opinion, on time, built to withstand scrutiny.

The right examiner, matched to the matter in minutes rather than weeks.
Opinions grounded and cited to the source page, with a compliance gate between the draft and the deliverable.
Every matter tracked to delivery: assignment, records, exam, draft, report.
Talk to us

Complete opinions, delivered on schedule.

What changes for the physician.

Reading the record
30+ hrsPage by page, every page
Manual
~3 hrsTriaged by relevance, nothing dropped
With Causis
The chronology
8 to 12 hrsBuilt by hand, line by line
Manual
0 hrsWaiting for you, every entry sourced
With Causis
Citations
HoursHunted one by one, from memory
Manual
100%Traced to the page, automatically
With Causis
The first draft
6 to 8 hrsFrom a blank page
Manual
MinutesIn your voice, ready for review
With Causis

"The chronology alone changed how I work a case. Weeks of reading became a day of review, and every entry shows me exactly where it came from."

Founding Specialist · Orthopedic Surgery

"It refuses to guess. In this line of work, that is the entire ballgame. I sign the opinion knowing every sentence can survive a deposition."

Founding Specialist · Neurology, Brain Injury Medicine

Founding Physician Board

Causis is developed in partnership with practicing specialists in pulmonary and critical care medicine, neurology and brain injury medicine, psychology, and orthopedic surgery, who guide the clinical standards of the platform.

Dr. Said Soubra
Said Soubra, MD
Pulmonary & Critical Care Medicine
MBA, FCCP. Triple Board Certified
Licensed in TX, OH, OK, TN, VA
Dr. Jason Siegel
Jason Siegel, MD
Neurology, Brain Injury Medicine
Triple Board Certified, ABPN & UCNS
Founder, NeuroNow. Former Mayo Clinic Faculty
Dr. Ted Green
Ted Green, PsyD
Psychology, Assessment & Testing
Licensed Psychologist, MA & PsyPact
Faculty, Tufts University School of Medicine
Dr. Richard Blecha
Richard M. Blecha, MD
Orthopedic & Spine Surgery
Board Certified, ABOS
25+ years. Licensed in FL & TX

Trust & Security

A network of judgment. A wall between every case.

Every matter is isolated at the architecture level: per physician, per case. Records never move between matters. What accumulates across the network is methodological knowledge, never patient records, never case content.

These protections are enforced by the system architecture, not by policy alone.

HIPAABAAs in place
SOC 2Type II
AES-256At rest & in transit
What the network learns: patterns of judgment · never records, never case content
↑↑↑
Matter 24-0117 · Dr. ASealed
Matter 24-0248 · Dr. BSealed
Matter 24-0311 · Dr. CSealed
Every matter stands on the same foundation · enforced by architecture
Access loggingEvery record access logged · the audit trail is part of the product
EncryptionAES-256 at rest and in transit · authenticated channels only
HIPAAProtected health information end to end · BAAs with every covered party
Durable by designContinuous backups, checkpointed processing · a crash never loses a case
Records never cross between matters.Methodology accumulates across the network.

The future of medical judgment.

Every opinion strengthens the next.

Every physician contributes to the field.

Every institution benefits from judgment that remembers.

Join the physician network  → Talk to us

Contact

Talk to us.

Every note lands with the founding team directly. Choose the path that fits, and we will respond within two business days.

Your note goes directly to the founding team.
You will hear from us within two business days.

Which are you?

Choose one to continue.