Solution

Built

A consultation record a doctor can sign, and correct without overwriting.

Complaints, examination, coded diagnosis, prescription and orders, in one screen, on the chart the front desk already opened.

A doctor writing up a consultation at their desk immediately after seeing a patient.
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An electronic medical record is the clinical record one practice keeps about its own patients: the notes, the prescriptions, the results. It is distinct from an EHR, which is designed to be shared between providers.

What a consultation actually captures

Enough to be a real clinical record, and not so much that writing it takes longer than the consultation.

  • Chief complaints and examination notes against the visit
  • Coded diagnosis using ICD-10
  • Prescription with a searchable drug list showing price and stock
  • Laboratory orders raised in the consultation and tracked to result
  • Vitals, configured per hospital, visible in the chart
  • Documents attached to the patient and to the visit
  • Drug interaction, allergy and dose-ceiling checks(planned)
  • Voice dictation into the note(planned)

Signing, and correcting

A signed consultation is closed. When it needs correcting, as it does, the doctor states a reason, the version as signed is preserved, and re-signing records who changed what, when and why, field by field. Reopening a closed record is a separate permission from writing one, so a hospital can let every doctor write freely and still decide who may reopen.

  • Electronic signature, versioned and pinned to what it signed
  • Amendment with a mandatory reason and a field-level change record
  • Reopening a signed note is its own permission
  • Deleting a consultation, which is not available at any permission level, by design

How it runs

  1. 01

    Open the chart

    The patient is already checked in, so the chart opens with the treatment case, past visits, bills and documents in view.

  2. 02

    Write

    Complaints, examination, diagnosis. The save state is always visible, and it says whether the note is saved.

  3. 03

    Prescribe and order

    Drugs from your catalog with price and stock; tests from your test list. Both post to the pharmacy and laboratory queues.

  4. 04

    Sign

    The note closes. If it needs correcting later, that is an amendment with a reason, not an edit.

What this does not do

There is no drug database behind the prescription. The drug list is your hospital’s own catalog, and the software does not check interactions, allergies or dose ceilings yet. Those are scheduled. There are no specialty-specific clinical surfaces today either: no odontogram, no growth chart, no antenatal series. The architecture is built to add them as independent modules rather than as branches in the core, which is why they are not there yet.

The modules behind it

Questions we are asked

What is the difference between an EMR and an EHR?

An EMR is one practice’s own clinical record. An EHR is designed to be shared across providers, which in India means ABDM. We have built both sides; the sharing half is not certified.

Can a doctor edit a signed note?

Never in place. A signed note is corrected by amendment: the doctor states a reason, the signed version is preserved, and the change is recorded field by field. That is a deliberate design decision, not a limitation.

Does it work on a tablet?

It is responsive web, so yes. There is no native app, and there will not be one until the web Portal is shown to be insufficient for a specific role.

Are diagnoses coded?

Yes, with ICD-10. SNOMED CT and ICD-11 are planned scope.

Other solutions

See it running with your own workflows.

Book a walkthrough and we will map your clinic or hospital onto the platform, module by module.

Book a demoSee the modules