Occupational health · Clinical intelligence layer

The determination,
not just the note.

Archvex reads the note your physician just signed and drafts the fitness-for-duty determination your employer client is waiting on — mapped to that job's actual physical demands, routed to a live employer case record, and indexed so the fourth injury at the same loading bay never goes unnoticed.

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archvex — determination queue EMR feed connected

Note signed — lumbar strain, no radiculopathy. Patient is a Forklift Operator, Bay 7, Braeburn Logistics. Draft the work status determination.

@NoteReader

Parses the signed encounter. Extracts mechanism, body region, objective findings, and ICD-10 S39.012A. Discards everything the employer isn't entitled to see.

@DemandMatch

Pulls the job profile from the Job Demand Graph — Medium: 20–50 lbs occasional, frequent stooping, occasional overhead reach, seated vibration exposure.

@Restrictor

Drafts restrictions against essential functions only, on the DOT exertion axes: no lifting >15 lbs floor-to-waist, no repetitive trunk rotation, 14 days, review 12 Sep.

@Bridge

Routes to the employer case board on signature. Flags to the clinic director: third lumbar case, Bay 7, 06:00 shift, six weeks.

Determination drafted in 11s — held for physician review and signature. Nothing sends until it's signed.

Work status Post-offer DOT recert Surveillance due

The problem

Deciding what a worker can safely do takes four minutes. Writing it down takes twenty — and nobody is reading the injuries against each other.

$58.8B

Annual US employer cost of serious non-fatal workplace injuries.

Liberty Mutual Workplace Safety Index 2025

$47,316

Average workers' compensation claim, 2022–23 accident years.

NCCI, via NSC Injury Facts

−33%

Projected net reduction in US occupational medicine physicians, 2015–2025.

ACOEM workforce projection

2 Mar

Annual deadline for case-level OSHA 300/301 electronic submission.

29 CFR Part 1904

How it works

Three stages between
a signed note and a
cleared shift.

Archvex sits on top of the EMR you already run. No migration, no data project, no eighteen-month implementation. Paste a note on day one; wire the HL7 feed when you're ready.

Integration & data handling

IngestFEED LIVE

10:42:07 ORU^R01 received — encounter 88214

10:42:07 body region lumbar · mechanism overexertion

10:42:08 employer matched Braeburn Logistics

10:42:08 role matched Forklift Op · Bay 7

10:42:09 PHI partitioned — employer scope set

Read the encounter

The signed note arrives by HL7, FHIR, secure document drop, or paste. Archvex extracts findings and mechanism, matches the employer account and role, and separates clinical detail from what an employer may lawfully receive.

DetermineAWAITING SIGNATURE

Work status: Modified duty

Lift · floor–waist: 15 lbs max

Trunk rotation: None repetitive

Overhead reach: Occasional OK

Duration: 14 days

Review: 12 Sep

flag job profile v3 · verified 41d ago

Draft the determination

Restrictions are written against the job's real demand profile on the standard DOT exertion axes — capability and limitation, never diagnosis. Where the profile is stale or the note is ambiguous, Archvex says so instead of guessing.

Route & indexDELIVERED 11s

Employer portal: HR notified

Light duty match: Inbound scan

OSHA recordable: Yes · DJTR

WK 22LUMBAR · BAY 7WK 28

Deliver and remember

On signature the determination reaches the employer's case board immediately — no fax, no follow-up call. The same record is indexed against the job profile, so clustering by site, shift, and body region surfaces on its own.

What we believe

A licensed clinician signs every determination. Archvex drafts, shows its reasoning, flags what it isn't sure of — and never decides.

Capabilities

One graph underneath
everything else.

The determination is only as good as the job data behind it. Archvex builds and versions a structured physical demand profile for every role at every employer account — corrected by your clinicians, verified by the employer, and reused on every case that follows.

Ask about the graph

Job demand graphv3 · 41d

Role: Forklift Op · Bay 7

Strength rating: Medium

Occasional: 20–50 lbs

Frequent: 10–25 lbs

Stooping: Frequent

Respirator: Not required

Light duty avail.: 4 roles

Job Demand Graph

Every role mapped to the DOT strength and postural taxonomy that carriers, courts, and the SSA already use — versioned, so you can always show which profile a past determination was written against.

Employer case boardHR VIEW

R. Alvarez: Modified · 12 Sep

T. Okafor: Full duty

M. Duarte: Off work · 3d

J. Whitlock: Pending exam

scope restrictions only — no diagnosis

audit every view logged to clinic

Employer Bridge

HR sees status, restriction, and which of their own light-duty roles the worker can fill — the moment it's signed. They never see diagnosis or clinical notes. Access is role-based and logged back to your clinic.

Pattern engineCLUSTER · MED

site Braeburn · Bay 7

signal 3 lumbar strains · 06:00 shift · 6 wks

mechanism repetitive lateral rotation

baseline 2.4× this account's own rate

confidence moderate — n=3, widen window

action ergonomic review, Bay 7 layout

Pattern Engine

Clustering by employer, site, shift, and body region against each account's own baseline. Alerts state their confidence out loud — a three-case signal is never dressed up as a certainty.

What you get

Four commitments the product is built around.

Clinician-in-the-loop

Archvex never auto-signs. Every determination is held for physician review, and every restriction traces back to the finding and job demand that produced it.

Built on the DOT taxonomy

Restrictions are expressed on the exertion and postural axes already used in 20 CFR § 404.1567 — legible to carriers, adjusters, and counsel without translation.

No EMR migration

Five integration tiers, from full HL7/FHIR down to pasting a note. Pilots start in a week, not a quarter, because nothing has to be ripped out first.

The data wall holds

Employers receive capability and restriction. Not diagnosis, not notes, not treatment history. The ADA confidentiality line is enforced in the product, not in a policy document.

Founder

Tejas Bhovad

Founder

Occupational health is the most documentation-dense corner of medicine, and the least served by software.

Every other clinical setting treats the note as the deliverable. Occupational health doesn't. Here the note is raw material — what the employer actually buys is a determination: can this person do this job, safely, today, and under what conditions. That artifact is written by hand, in a template, twenty to thirty times a day, by a specialty whose workforce is shrinking.

Archvex exists because that gap is narrow enough to build against and wide enough to matter. The EHR stores the determination. The ambient scribe writes the note. The safety platform logs the incident. Nobody produces the determination itself, and nobody connects them to each other — which is why the fourth injury at the same loading bay is usually the first one anyone notices.

The moat was never going to be the model. It's the job demand data underneath it — and the fact that a physician's signature still has to sit on top.

founder@archvex.online LinkedIn

Trust & data

Your buyer's licence is on the line. Ours is the honesty about what this does.

Archvex is a Business Associate under HIPAA and executes a BAA with every clinic before a single record moves. Clinical data stays partitioned from the employer scope by design — the employer surface is built to expose restrictions and clearance status and structurally cannot return diagnosis or note text. Every determination carries a full audit trail: who signed it, when, and against which version of which job profile.

HIPAA · BAA executed Encrypted in transit & at rest Role-based access Full audit trail US data residency Clinician-in-the-loop De-identification thresholds SOC 2 Type II · in progress

We publish what we can prove and label what we can't yet. Accuracy figures, time-saved medians, and cluster lead times come from measured pilots — not from a marketing estimate. If a number isn't on this site, it's because we haven't earned it yet.

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Thirty days. One site.
Your own notes.

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