DOCUMENTATION QUALITY · 19 September 2026
Clinical note completeness and unsupported claims
A note can include every required fact and still contain an invented one. Calling it “100% accurate” because it filled a checklist hides the second half of the problem.
Two questions, two measures
Did the note preserve clinically relevant information, and did it add anything not established in the evidence?
Those measures must stay separate. A note with seven of seven facts and two unsupported claims has full checklist coverage. It does not have perfect accuracy.
What this snapshot shows
For the six-English-consultation subset (the main table now covers all completed tests), including chest pain, Hanah fully covers 83 of 87 criteria, with two flags. Preve covers 81 fully, with two flags. Heidi covers 78 fully, with three flags. Each offers a different trade-off; none of these columns cancels out another.
Avoid a false precision
A flag is a finding, not a percentage. One invented negative and one invented medication instruction may have very different consequences. An unweighted count does not measure that clinical severity, and our single-assistant review is not an independent clinical assessment.
The useful next question is not “who has the biggest percentage?” It is “which facts were preserved, which claims lack support, and would those errors matter in this workflow?”