Attunement

Attunement

Where every
clinical report
begins.

Where every
clinical report
begins.

Attunement ingests faxed referrals, medical records, handwritten assessments, and interviews, and gives clinicians one editor to verify and sign the report.

Get started for free
History of Presenting Problem

Mr. Doe is a 72-year-old retired accountant referred by his primary care physician for evaluation of memory decline. He reports misplacing items and repeating questions over the past 18 months, which his daughter first noticed in 2023. A brain MRI showed mild generalized atrophy, and he scored 23/30 on the MoCA, losing most points on delayed recall.

He described getting lost driving to a familiar store and endorsed low mood since retirement, with a PHQ-9 total of 9.

Source documentChronology5 entries · 5 sourcesReferral order · primary carep. 1 of 2Clinical interview · transcript04:12Informant questionnaire · daughterp. 2 of 4MRI brain without contrastp. 1 of 2MoCA · cognitive screen01/14/2025 · 23/30Clinical interview · transcript11:47PHQ-9 · patient self-report05/02/2025
Hover a citation to see where it came from
HISTORY OF PRESENTING PROBLEM — CHRONOLOGY
2023
Daughter first notices repeated questions.
informant form p.2
01/14/25
PCP visit; MoCA 23/30, delayed recall 1/5.
MoCA p.1
03/05/25
MRI brain: mild generalized volume loss.
MRI brain p.1
04/02/25
Referred for neuropsychological evaluation.
referral order p.1
05/02/25
Clinical interview; 18 months of memory change.
interview 04:12
REFERRAL FOR NEUROPSYCHOLOGICAL EVALUATION
Date
04/02/2025
Referring provider
R. Sample, MD · Internal Medicine
Reason for referral
Progressive memory complaints; please evaluate for neurocognitive disorder.
Relevant history
Hypertension, hyperlipidemia. MoCA 23/30 on 01/14/2025.
Questions
Diagnosis, severity, driving safety, recommendations
CLINICAL INTERVIEW — 05/02/2025
03:58
ClinicianWhat made you decide to come in now?
04:12
PatientI keep misplacing things, my keys, my glasses. And my daughter says I ask the same questions. It's been about a year and a half.
04:40
ClinicianHas anything changed with driving or getting around?
11:47
PatientLast spring I got turned around driving to the hardware store. I've gone there for twenty years.
12:10
ClinicianHow has your mood been since you retired?
12:18
PatientFlatter, I'd say. Less interested in things.
CLINICAL INTERVIEW — 05/02/2025
03:58
ClinicianWhat made you decide to come in now?
04:12
PatientI keep misplacing things, my keys, my glasses. And my daughter says I ask the same questions. It's been about a year and a half.
04:40
ClinicianHas anything changed with driving or getting around?
11:47
PatientLast spring I got turned around driving to the hardware store. I've gone there for twenty years.
12:10
ClinicianHow has your mood been since you retired?
12:18
PatientFlatter, I'd say. Less interested in things.
INFORMANT QUESTIONNAIRE — COMPLETED BY DAUGHTER
Relationship to patient
Daughter
How often do you see the patient?
3–4 times a week
When did you first notice changes?
Around spring 2023, asking the same things twice
Biggest concern right now
Driving + remembering his meds
Changes observed (check all that apply)
Repeats questionsMisplaces itemsGets lostWord-findingPersonality changeMood change
IMAGING CENTER — MRI BRAIN WITHOUT CONTRAST
Exam date
03/05/2025
Indication
Memory loss
Findings
No acute infarct, hemorrhage, or mass. Scattered mild periventricular white matter changes.
Impression
Mild generalized volume loss, slightly greater than expected for age.
Comparison
None available
COGNITIVE SCREENING · FORM B Name Mr. DoeEducation 16Date 1/14/25
Visuospatial / Executive
1A2B3C4D5E Trails
Copy cube
121234567891011 Clock (ten past eleven)
4/5
Naming
umbrella
kettle
anchor
3/3
Memory
Read list; patient repeats. Two trials. Recall after 5 minutes.
RIVERCANDLEGARDENBUTTONPURPLETrial 1✓✓✓Trial 2✓✓✓✓
No pts
Attention
Forward 3 1 7 9 4 ✓   Backward 5 8 2 ✓
Serial 7s from 100 93  86  79  72  66
5/6
Language
Repeat two sentences ✓ ✗   Fluency, 1 min 12 words ✓
2/3
Abstraction
Similarity: shirt – sock clothes ✓   piano – drum instruments ✓
2/2
Delayed recall
RIVERCANDLEGARDENBUTTONPURPLEFree recall✓
1/5
Orientation
Date ✓Month ✓Year ✓Day ✓Place ✓City ✓
6/6
Mock form for illustration. Add 1 point if ≤ 12 yrs education.Total 23/30
PHQ-9 — SCORE SUMMARY
Completed 05/02/2025Respondent Patient
DomainScore
Little interest or pleasure2 / 3
Feeling down1 / 3
Sleep2 / 3
Tired / low energy2 / 3
Appetite0 / 3
Feeling bad about yourself1 / 3
Concentration1 / 3
Total9 / 27
Items 8–9 scored 0. Total 5–9 = mild.
Source-linked
Every claim traces back to the underlying record.
Clinician-controlled
Review, edit, and approve everything before it leaves your hands.
HIPAA-Compliant, Built for high-stakes reporting
Designed for workflows where accuracy and provenance matter.

Attunement in action.

Attunement in action.

Start with the raw record. End with a report you can review, edit, and trace back to the source.

Start with the raw record. End with a report you can review, edit, and trace back to the source.

Trusted by teams across clinical care and research

Less prep work for every case.

Attunement does the assembly. Your team checks the evidence. The clinician makes the calls.

Each referral question becomes its own filters, so your team sees only the events that answer it.

More case capacity

Less prep per case, so your team handles more volume.

Faster turnaround

Records to review-ready draft in fewer steps.

Less operational overhead

Less time organizing records and drafting histories.

More consistent reports

A structured start for every case. Clinicians make the final call.

More cases, without more overhead.

More cases, without more overhead.

Less manual report prep, so your team moves cases faster and more consistently.

Book a workflow demo

Built for sensitive case data.

Built for sensitive case data.

Attunement is designed for organizations handling medical records and other sensitive case information.

  • HIPAA-compliant
  • BAA available for organizations
  • Your case data is not used to train models
  • Role-based access controls
  • Defined retention and deletion policies
  • HIPAA-compliant
  • BAA available for organizations
  • Your case data is not used to train models
  • Role-based access controls
  • Defined retention and deletion policies

Rolling out Attunement

Rolling out Attunement

Bring a case. See what your team would review.

Bring a case. See what your team would review.

Book a workflow demo

Attunement

partners@attunement.ai

Product

For organizations

For clinicians

Medical-legal

Company

About

Blog

Contact

Resources

Newsletter

Privacy

Cookies

© 2026 Attunement. All rights reserved.

Built in San Francisco