The coordination record
that should have existed.
For physicians who coordinate complex care. For attorneys who need to prove it.
Built for high-risk obstetrics. In Pennsylvania alone, OB malpractice premiums run $100–200K per physician per year. CiteNote creates the record that changes claim outcomes.
Coordination happens.
Proof doesn't exist.
Every year, thousands of high-risk pregnant patients are discharged after complex medication decisions — transplant immunosuppression, fetal antiarrhythmics, anticoagulation — with no verified record that the right questions were asked.
The chart says "transplant aware." That is not a legal defense. CiteNote creates the record that should have existed.
Evidence retrieval
Queries FDA DailyMed, PubMed, LactMed, and specialty society guidelines (SMFM, AHA, AAN, ACR) for the specific drug-indication pair.
Structured synthesis
Four-domain clinical analysis: placental transfer, maternal outcomes, neonatal outcomes, and evidence gaps — with honest confidence tiering.
Ownership assignment
Generates specific, operationally precise questions for each consulting specialty team and notifies them via SMS or email.
Cryptographic seal
SHA-256 signed packet with a tamper-evident verification endpoint. Any modification after signing produces a different hash.
The discovery question that determines case value.
CiteNote coordination records are timestamped, cryptographically sealed, and physician-attributed. They answer the question directly: was the coordination documented, or wasn't it?
The PENDING banner, the specialist questions, and the response record are visible in a single URL — no chart review required. Any modification to the packet after signing produces a different hash. Non-repudiation is built in.
Request a sample packet for a case type you are currently litigating.
See a sample coordination packet →What evidence was available at the time of the clinical encounter — FDA label, PubMed literature, specialty society guidelines, LactMed
Which specialist teams were contacted and what specific questions were transmitted to each
Whether answers came back before care concluded — the PENDING or COMPLETE status is part of the sealed record
Who attested — physician name, role, and timestamp are covered by the SHA-256 signature and cannot be altered
The analogy
"S&P doesn't do the investing — it certifies that financial instruments meet a standard of accountability. CiteNote does the same for clinical coordination."
The technical term
"Non-repudiation: cryptographic proof that a coordination event occurred, that cannot be altered after the fact. No EMR progress note provides this. A CiteNote packet does."
I spent seven years at Princeton and Stanford discovering that pregnancy doesn't fail from a single cause — it fails when systems stop talking to each other. Coordination is everything, and medicine works the same way. When a high-risk patient has a transplant, a fetal arrhythmia, a clotting disorder — her outcome depends on whether the right specialists talked, reviewed the right evidence, and made a plan together. Right now, that coordination happens by phone call and text message, leaving no record of what was reviewed, no proof of what was decided, and no way to know if the standard of care was met. CiteNote makes that coordination visible, verifiable, and defensible — for the physicians who deserve credit for doing it right, and for the patients whose lives depend on it.
Request a 15-minute demo
We're launching our first clinical pilot with Philadelphia MFM practices. If you're an MFM physician, practice administrator, malpractice carrier, or attorney, we want to talk.