Intake workbench/Review queue/b1f4b615

voice-dictation.example

MIC · created May 17

Approved

Source · context

Source type

voice

Example slug

voice-dictation

Model

claude-opus-4-7

Tokens · cost

4,324(1,547 in · 2,777 out) · $0.2315

Latency

29.60 s

Created

5/17/2026, 4:13:15 AM

Extracted

5/17/2026, 4:13:44 AM

Target resident

Committed to Margaret Holsworth

Extracted entities · 13

clinical

Plan — Social work consult

Social worker to evaluate next day for formal depression assessment

95%

O0400D· Psychological/Social Services

RN plan stated in dictation

Approved

clinical

Plan — MD notification

Findings to be communicated to MD on rounds

93%

O0600· Physician Examinations / communication

RN plan: discuss with MD on rounds

demographics

Patient identifier

Mr. Lopez, Bed 8A

95%

A0500· Legal Name

Opening line of dictation

Approved

derived

PDPM Depression indicator (provisional)

Likely positive — ≥4 PHQ-9 symptom domains endorsed at clinically significant level pending formal scoring

72%

pdpmDepression· PDPM Nursing component depression end-split

Derived from D0150A, B, C, D positive endorsement in dictation

Rejected · low confidence (triage)

psych

Symptom duration

At least 2 weeks (per patient report of sleep disturbance duration)

85%

D0150· PHQ-9 symptom frequency/duration context

Patient reports 2-week duration of insomnia; mood symptoms described as 'lately'

psych

Psychosocial support / family visit planned

Spouse visiting next day; patient ambivalent about benefit

90%

F0400· Resident psychosocial/activity preferences and supports

Patient stated wife visiting tomorrow, unsure if it'll help

psych

PHQ-9 #4 Feeling tired or having little energy

Present — low energy, tired even after rest

94%

D0150D· Feeling tired or having little energy

Patient reports low energy, fatigue despite rest

psych

PHQ-9 #3 Trouble falling/staying asleep or sleeping too much

Present — ~3 hours sleep nightly for past 2 weeks

95%

D0150C· Trouble falling or staying asleep, or sleeping too much

Patient reports sleeping only ~3 hrs/night x 2 weeks

Approved

psych

PHQ-9 #9 Thoughts of being better off dead or self-harm

Denied — patient explicitly denied SI when asked directly

96%

D0150I· Thoughts that you would be better off dead, or of hurting yourself

Direct SI screen — patient denied, 'not at that point'

Approved

psych

Observed tearfulness

Patient cried briefly during interview

95%

D0500· Staff Assessment of Resident Mood (observational indicators)

RN observation during dictated interview

Approved

psych

PHQ-9 #2 Feeling down, depressed, or hopeless

Present — patient states 'feeling really down lately', cried during conversation

94%

D0150B· Feeling down, depressed, or hopeless

Patient self-report of feeling down; observed crying

psych

PHQ-9 #1 Little interest or pleasure in doing things

Present — 'lost interest in usual activities, doesn't want to watch his shows'

93%

D0150A· Little interest or pleasure in doing things

Patient statement re: loss of interest in activities/shows

psych

Resident mood interview feasible

Yes — engaged in 10-min conversation, answered questions including SI screen

92%

D0100· Should Resident Mood Interview be Conducted

RN spoke with patient for ~10 minutes, patient answered direct questions

Ontology preview

O0400DMDS Section O

Social worker to evaluate next day for formal depression assessment

Psychological/Social Services

cite: MDS RAI Manual v1.18.11 ch 3-O

A0500MDS Section A

Mr. Lopez, Bed 8A

Legal Name

cite: MDS RAI Manual v1.18.11 ch 3-A

D0150CMDS Section D

Present — ~3 hours sleep nightly for past 2 weeks

Trouble falling or staying asleep, or sleeping too much

cite: MDS RAI Manual v1.18.11 ch 3-D

D0150IMDS Section D

Denied — patient explicitly denied SI when asked directly

Thoughts that you would be better off dead, or of hurting yourself

cite: MDS RAI Manual v1.18.11 ch 3-D

D0500MDS Section D

Patient cried briefly during interview

Staff Assessment of Resident Mood (observational indicators)

cite: MDS RAI Manual v1.18.11 ch 3-D

5 primitives ready to commit