{"api":{"name":"api.sb","description":"Business-as-Code surface for Startups.Studio","home":"https://api.sb","docs":"https://api.sb/docs","version":"1.0.0"},"$context":"https://api.sb/$context","$type":"FoundingHypothesis","$id":"https://api.sb/founding-hypotheses/fh%3Aw3-29-1071-dwa-documenting-information%3At-low%3Av1","links":{"self":"https://api.sb/v1/founding-hypotheses/fh%3Aw3-29-1071-dwa-documenting-information%3At-low%3Av1","canonical":"https://api.sb/founding-hypotheses/fh%3Aw3-29-1071-dwa-documenting-information%3At-low%3Av1","pool":"https://api.sb/v1/founding-hypotheses"},"foundingHypothesis":{"id":"fh:w3-29-1071-dwa-documenting-information:t-low:v1","lens":"AIService","type":"founding-hypothesis","click":{"rubricScores":{"C8_lensFit":0,"C7_magicLensFit":1,"C4_competitorHonesty":1,"C6_crossSlotCoherence":1,"C1_customerSpecificity":1,"C2_problemFrictionRealism":1,"C9_killCriteriaAttestability":1,"C3_approachEngineCoverability":1,"C5_differentiationLoservilleEscape":1},"upperRightLoserville":true},"cellRef":{"id":"work-contexts.org.ai/w3-29-1071-dwa-documenting-information","stableHash":"wcc:29-1071:dwa-documenting-information:document:w3:v1"},"problem":{"slotStatement":"Physician assistants spend 2+ hours of after-clinic 'pajama time' reconstructing procedure notes, H&Ps, and supervising-physician co-sign packets from fragmented scratch notes, and when payers or state boards audit, the chart cannot show which element of MDM or scope-of-practice each line was justified by."},"approach":{"oneSentence":"A PA-encounter scribe pipeline that binds each charted line to the CMS E/M element, scope-of-practice rule, and supervising-physician co-sign event it derives from, producing a review-ready note the CMO can defend line-by-line in a payer or board audit."},"customer":{"icpShape":"US multi-specialty physician groups and ambulatory surgery centers with 50-300 providers employing physician assistants, where the buyer is the Chief Medical Officer or VP of Clinical Operations who signs the documentation-tooling PO and the daily user is the staff Physician Assistant charting encounters and procedure notes","beachheadShape":"EarlyMajorityWorkflow: PA-heavy orthopedic and dermatology specialty groups already under payer scrutiny for E/M documentation downcoding"},"archetype":"startup-archetypes.org.ai/AIService-UsageMetered","beachhead":"EarlyMajorityWorkflow: PA-heavy orthopedic and dermatology specialty groups already under payer scrutiny for E/M documentation downcoding","competitors":{"substitutes":[{"name":"Epic SmartPhrases + Dragon Medical One dictation","category":"status-quo"},{"name":"DeepScribe / Abridge ambient AI scribes","category":"AI-native horizontal"},{"name":"Outsourced offshore medical-scribe services (ScribeAmerica, iScribes)","category":"human alternative"},{"name":"Athenahealth / eClinicalWorks built-in documentation assistants","category":"incumbent"}]},"studioThesis":"T-LOW","killThreshold":{"K":8,"M":30,"N":7,"rubricItemSet":["C1_customerSpecificity","C2_problemFrictionRealism","C3_approachEngineCoverability","C4_competitorHonesty","C5_differentiationLoservilleEscape","C6_crossSlotCoherence","C7_magicLensFit","C8_lensFit","C9_killCriteriaAttestability"],"verdictPolicy":"all-load-bearing-pass-and-overall-ge-X","loadBearingItemSet":["C1_customerSpecificity","C2_problemFrictionRealism","C3_approachEngineCoverability","C4_competitorHonesty","C5_differentiationLoservilleEscape","C6_crossSlotCoherence","C9_killCriteriaAttestability"],"verdictPolicyVerbatim":"KILL unless every load-bearing rubric item passes per workbook AND overall pass-rate ≥ 7/9 (CASCADE.md §4 Stage 9 commit threshold)."},"lifecycleState":"Active","differentiation":{"twoByTwo":{"xAxis":"Evidence trace per charted line (free-text narrative ↔ each sentence linked to its CMS E/M element + PA scope-of-practice citation + co-sign timestamp)","yAxis":"Supervising-physician co-sign workflow depth (scribe hands off a Word-like draft ↔ co-sign queue embedded in the EHR inbox with element-level attestation)","winningQuadrant":"Every PA note line carries a primary-source CMS/state-scope citation and lands in the supervising MD's EHR co-sign queue pre-checked against the state PA practice act","loservilleEscape":true,"loservilleQuadrant":"Ambient scribes like DeepScribe that dump a fluent free-text narrative back into Epic with no per-line element trace and no PA-specific co-sign routing, leaving the CMO unable to answer a RAC audit line by line"}},"unmetRequirements":[],"pricingArchitecture":"usage-meter"},"actions":{},"options":{},"relationships":{"runtimeUnit":"https://api.sb/v1/runtime-units?startupRef=startup%3Afh%3Aw3-29-1071-dwa-documenting-information%3At-low%3Av1","brand":"https://api.sb/v1/brands?startupId=startup%3Afh%3Aw3-29-1071-dwa-documenting-information%3At-low%3Av1","listing":"https://api.services/listings?foundingHypothesisRef=fh%3Aw3-29-1071-dwa-documenting-information%3At-low%3Av1","cell":"https://api.sb/v1/cells/work-contexts.org.ai/w3-29-1071-dwa-documenting-information","thesis":"https://api.sb/v1/theses/T-LOW"},"meta":{"level":"L0","scopes":[]},"user":{"requestId":"a0575a4b68e80555","edgeLocation":"a0575a4b68e80555","geo":{"country":"US"},"ua":{"browser":"Claude"}},"references":{"total":0,"limit":25,"page":1,"links":{"self":"https://api.sb/v1/founding-hypotheses/fh%3Aw3-29-1071-dwa-documenting-information%3At-low%3Av1/references"},"items":[]}}