Before the visit — step 1 of 5
Nobody retypes the referral.
History, medications and coverage arrive from the record exchange and fill the chart themselves. Duplicates are folded on the way in, and every field says where it came from.
- Referral
- Dr. Osei · cardiology consultFax
- History
- HTN · T2DM · smoker, quit 2019HIE
- Medications
- Metformin 500 mg · Lisinopril 10 mgHIE
- Coverage
- Cascade Mutual PPO · verifiedPayor
Two sources sent the same medication. Kept once, both cited.
An illustrative visit. Every name in it is fictional.
As the record lands — step 2 of 5
Every risk flag says why.
A readiness score appears as the record loads, with the findings that produced it listed underneath. You can disagree with it, because you can see what it read.
- HbA1c 8.1%Lab · Tuesday
- On anticoagulantMedication list
- Prior reaction to contrastNotes, 2024
Every band shows the data that drove it: a flag you can argue with.
At the point of signature — step 3 of 5
The wrong drug doesn't get signed.
Prescribe against a recorded allergy and the signature is refused until a reason is entered. The rule sits in the database, so no screen can skip it.
Amoxicillin 500 mg · three times daily
- A reason, recorded
- The allergy list shown, attached to the override
A database rule, not a popup. Checked again at the bedside, logged either way.
On their phone — step 4 of 5
The patient gets three things to do.
A short list in their own language, ticking itself off as they confirm. You see what they've read, and it escalates when nobody answers.
- Nothing to eat after midnight
- Pause metformin 48 hours before
- Confirm your ride home
Seen · yesterday 6:12 pm
Across the group — step 5 of 5
Every site on one screen.
Sorted by which patients are ready, not by which building they're in. The screen looks the same with one practice on it or twenty-three.
- Site 01
- Site 02
- Site 03
- Site 04
- Site 05
- Site 06
- Site 07
- Site 08
- Site 09
- Site 10
- Site 11
- Site 12
- Site 13
- Site 14
- Site 15
- Site 16
- Site 17
- Site 18
- Site 19
- Site 20
- Site 21
- Site 22
- Site 23
The board keeps its shape from one practice to twenty-plus. Illustrative sites shown.