Patient history
Review available clinical information before documenting care.
Medical clinical record
A medical clinical record that structures every consultation
Centralize patient history and structure general consultations with reason, history, examination, assessment, diagnosis, plan, and instructions.
Clinical information with a clear structure
Organized consultation
Separate reason and history, examination, assessment or diagnosis, plan, and instructions.
Prescriptions and files
Keep patient documents and prescriptions within the clinical workflow.
Role-based access
Viewing and management depend on the permissions assigned to the team.
A record that follows the general consultation
- 01
Review history
Open the patient and consult the available clinical information.
- 02
Document care
Record the reason, history, examination, assessment, and diagnosis.
- 03
Define the plan
Complete the plan, instructions, and relevant documents.
Medical clinical record questions
How is a consultation structured?
The record organizes the reason and history, examination and findings, assessment or diagnosis, plan, and instructions.
Can it store files and prescriptions?
Yes. Files and prescriptions are part of the clinical capabilities available for the patient.
Does it include specialty-specific forms?
The first version focuses on general in-person consultations and does not include specialty-specific forms.