palmERDifferential that respects probability and risk
Most Serious and Most Likely panels generate alongside the MDM. The differential is anchored, not exhaustive.
The hardest section of the chart, done in seconds.
Paste your chart (HPI, vitals, exam, labs, imaging, consults) and the MDM Assistant returns a complete medical decision making note: differential diagnosis, risk stratification, justification for orders and disposition, and documentation that supports the appropriate E/M level.
From raw chart to signed MDM.
Output
Can't miss
- Pulmonary embolism
- Acute coronary syndrome
- Aortic dissection
Most likely
- COPD exacerbation
- Pneumonia
- CHF exacerbation
Ready to sign
Review, edit, and sign
The chart goes in
Everything you have charted so far (HPI, exam, results, consults), pasted as is. The more context you provide, the better the note.
The reasoning, structured
The MDM comes back organized: differential weighed, risk stratified, orders and disposition justified, shared decision-making documented.
The Clinical Analysis sidebar
Can't Miss and Most Likely differentials and Clinical Insights generate alongside the MDM: a second set of eyes on the case before you sign.
Everything in. Nothing re-entered.
No forms, no dropdowns, no re-typing what the EMR already knows. The assistant reads the whole paste (history, vitals, exam, labs, imaging, EKGs, consults) and builds the note from the full clinical picture.
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Reasoning, not boilerplate.
The note walks through which diagnoses you considered, why you ordered what you ordered, and how you reached the disposition. Risk stratification, data review, shared decision-making, and return precautions: documented explicitly, specific to this patient.
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Edit it, then sign it.
Every line stays yours to change. Update the note as results land (troponin came back at 0.8, update the MDM), tighten the differential, add what only you knew about the case, and sign. The complexity you managed is fully documented.
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Where the MDM lives in your workflow.
The MDM Assistant is the flagship of the suite, the reason palmER exists. The HPI and Exam Assistants get the easy parts out of the way; the MDM Assistant does the hard part well.
It works best in Chart View, with Clinical Insights open alongside it.
What the assistant builds, case by case.
Reasoning, not boilerplate
Why you ordered what you ordered. Why you consulted who you consulted. Why this disposition. Specific to the patient.
E/M-aware structure
Documents the elements the level of care requires, without the padding that gets a chart kicked back.
Versioned
Version history per MDM, kept side by side so you can compare tones, lengths, or approaches before you sign.
Your next MDM, seconds away.
Start a free 30-day trial, no credit card required, paste tonight's most complex chart, and read what comes back. Edit it, sign it, and take the rest of the shift back.