The coordination record
that should have existed.
For MFM consultants managing complex medication decisions, CiteNote proves what evidence you reviewed and what recommendation you made — before the patient leaves your office.
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 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, or malpractice carrier, we want to talk.