AI Assistance

Surgical CAPD worklist

Surgical CAPD is computer-assisted physician documentation for the OR. Close documentation gaps, sign the note, and jump into Elastic for gen_ai tokens, EHR-pull errors, and Fabric-style pipeline events.

LLM observability Observability Search Security

LLM observability

Note draft quality

Open a case to insert CAPD language. Token, model, and latency ride the same gen_ai spans as the signed note.

Signed notes index

Filed notes land in surgical-capd-notes on AI Assistants.

Search operative notes

Security

Who reads CAPD notes

Bulk note opens from billing.svc belong in SIEM, not APM.

Unusual EHR access Security alerts

Observability

Worklist → Sign & file traces

Each case card opens documentation. Sign & file writes logs and an APM waterfall on vincari-capd.

OR-4412

Documenting

OR 3 · 07:30 · Elena Vargas, MD

Primary total knee arthroplasty

Rivera, Ana · 67F · MRN SYN-104882

CAPD completeness62%

3 documentation gaps

OR-4418

In OR

OR 1 · 09:15 · Priya Nair, MD

Laparoscopic cholecystectomy

Chen, Marcus · 54M · MRN SYN-110204

CAPD completeness28%

2 documentation gaps

OR-4421

Coding hold

OR 5 · 11:00 · James Okonkwo, MD

ACDF C5–C6

Okafor, Tessa · 61F · MRN SYN-098331

CAPD completeness74%

2 documentation gaps

OR-4404

Filed

ASC 2 · 08:00 · Sofia Almeida, MD

Phacoemulsification with IOL, right eye

Patel, Ravi · 72M · MRN SYN-121009

CAPD completeness96%

Ready to file

OR-4430

Pre-op

OR 6 · 13:30 · Gregory House, MD

Robotic-assisted radical prostatectomy

Brooks, Helen · 58F · MRN SYN-117550

CAPD completeness12%

1 documentation gap

What Elastic is doing here

LLM observability

Note draft tokens, model, and latency

gen_ai spans on the same CAPD trace as EHR pulls and Fabric jobs.

Observability

Sign & file writes logs plus the APM waterfall

CAPD suggestions, EHR pulls, and note.signed share one trace.id in Serverless Observability.

Signed operative notes are indexed for retrieval

Sign & file dual-writes note text to surgical-capd-notes on the AI Assistants search project.

Security

Who is allowed to open this operative note

billing.svc reading the ACDF note is a detection, not a documentation timeout.

service.name = vincari-capd