aibilly_backend_code/docs/context/clinical_context.md

IamBilly Backend: Clinical Context (Spine Surgery)

The MVP is focused on high-volume spine surgery procedures.

Procedure Templates

The system supports 6 core spine templates, with a focus on:

1. ACDF Single Level (Anterior Cervical Discectomy and Fusion)
2. Lumbar Fusion

These templates pre-load standard CPT/ICD code pairs, which the surgeon can then modify via dictation if deviations occurred during the surgery.

Clinical Entities

The extraction layer is optimized for:

• Diagnoses: ICD-10 codes.
• Procedures: CPT codes + Modifiers (-59, -LT/RT, -51).
• Laterality: Left, Right, Bilateral.
• Anatomy: Specific spinal levels (e.g., C3-C4, L4-L5).