Departments

31 departments, each set up for its own work

• Radiology

  Modality and region, CT dose (CTDIvol, DLP), BI-RADS, TI-RADS, LI-RADS and Lung-RADS categories, and a DICOM viewer with measurements.

• Surgery

  ASA class, three-stage surgical safety checklist, operative-site and incision maps, blood loss, drains, Clavien-Dindo complications, implant LOT.

• Neurology

  GCS items with summed total, cranial nerves by side, MRC power and reflex grades, modified Rankin, dermatome sensory map.

• Paediatrics

  Weight, length and head circumference on growth curves by age, typed percentiles, Apgar, newborn examination, milestones, Tanner stages, immunisation status.

• Psychology and psychiatry

  PHQ-9 and GAD-7 filled item by item and summed, mental state examination, psychoactive substance use, mood and anxiety trend.

• Gynaecology

  Obstetric history, due date and gestational age from LMP, pelvic ultrasound measurements, Bethesda Pap and HPV results, colposcopy cervix map.

• Gastroenterology

  Gastroscopy or colonoscopy with Los Angeles, Prague, Forrest and Mayo grades, polyps mapped and counted, biopsies, calculated MELD.

• Endocrinology

  HbA1c, fasting glucose and TSH with trends, waist-to-hip ratio, thyroid lobes and TI-RADS, 10 g monofilament, Wagner ulcer grade.

• Oncology

  TNM staging with edition, biomarker results, treatment intent and line, CTCAE grades, RECIST lesion map summing target diameters, ECOG trend.

• Orthopaedics

  Goniometer range of motion, MRC power and special tests by side, pain map, upper and lower limb fracture maps.

• Urology

  IPSS total, PSA and Qmax with trend, post-void residual, prostate map, urine dipstick.

• Neurosurgery

  GCS with summed total, pupils, Karnofsky and modified Rankin, spinal levels, lesion and craniotomy maps, operative details, implant LOT.

• Laboratory

  Analyses requested and resulted in six categories, reference ranges by sex and age, out-of-range values flagged, a verification queue.

• General practice

  Long-term conditions, repeat medication and review date, screening due, recall date, entered SCORE2 risk, blood pressure and weight trends.

• Emergency

  Five-level triage priority, wait to assessment, ABCDE primary survey, GCS, interventions, injury and burns maps with summed TBSA, disposition.

• ENT

  Audiogram plotted from thresholds per ear, Weber and Rinne, tympanogram, Dix-Hallpike, House-Brackmann, Brodsky and Mallampati grades.

• Dentistry

  Odontogram by tooth surface, six-site periodontal chart with bleeding and plaque percentages, DMFT from the chart, occlusion, TMJ, anaesthetic LOT.

• Pulmonology

  FEV1, FVC and PEF with the FEV1/FVC ratio calculated, breath sounds by zone, lung map, six-minute walk, AHI, pack-years.

• Cardiology

  ECG strip from an attached CSV with calipers, Levine murmur grade, pulses and oedema by side, ejection fraction trend, NYHA.

• Reception

  The front desk finds or registers the patient and adds walk-ins to the waiting-room queue.

• Dental laboratory

  Orders from client clinics naming the patient, work stages across stations, a drag-and-drop workflow board, delivery deadlines and calendar.

• Aesthetic medicine

  Fitzpatrick phototype, Glogau photoageing, consent, product LOT, injection maps of the face with product, units and LOT per point.

• Physiotherapy

  Session count, goniometer range of motion, therapy modalities, posture and gait, walking aid, pain before and after with trend.

• Dermatology

  Morphology, size and ABCDE features, dermatoscopic pattern, PASI calculated from regional scores, lesion body map, borders traced on photographs.

• Speech therapy

  Sounds in error, fluency and stuttering severity, intelligibility, MLU, maximum phonation time, diet texture, session goals and home programme.

• Ophthalmology

  Visual acuity, refraction, intraocular pressure trend, pupils and motility, slit-lamp and fundus findings per eye, cup-to-disc ratio, spectacle prescription.

• Make-up artist

  Occasion, venue light, base shade, brands and products used, patch test date, client sensitivities and what to repeat next time.

• Haematology

  Haemoglobin, white cell and platelet counts with trends, ferritin, B12, folate, INR, aPTT, D-dimer, transfusions, palpable lymph node map.

• Addiction treatment

  Main substance and route, last use, treatment episode type, medication for dependence, last screen and result, withdrawal notes, social circumstances.

• Geriatrics

  Falls in the last 12 months, mobility aid, pain map, continence, regular medicine count, medication review, living situation, advance wishes.

• Nursing care

  Care setting and plan review, mobility level, skin check, wound map with length and width, dressings, food and fluid intake.

9 veterinary departments

• General veterinary practice

  Species and microchip on file, weight chart, vaccinations and parasite treatments with next due dates, printable vaccination certificate.

• Veterinary surgery

  Shared veterinary exam form, with no anaesthesia or procedure section yet: mucous membranes, capillary refill, hydration, pain score, treatment given, recheck date; post-operative room stays.

• Veterinary dentistry

  Shared veterinary exam form, with no dental chart yet: mouth and teeth marked normal or abnormal, findings pinned on the body map, treatment given.

• Veterinary dermatology

  Shared veterinary exam form: skin and coat marked normal or abnormal, findings pinned with size on the species body map.

• Veterinary diagnostic imaging

  Shared veterinary exam form: tests and imaging requested, findings, differential diagnoses, prognosis and recheck date.

• Veterinary laboratory

  Laboratory board: analyses requested and resulted by category, reference ranges the lab enters itself, out-of-range values flagged.

• Hospitalisation and boarding

  Rooms with hospitalisation or boarding stays, admission and discharge, alongside the shared veterinary exam form.

• Exotic animals

  Species list covers ferrets, guinea pigs, chinchillas, birds, reptiles and fish; shared exam form and a body map, from several sides, for each species.

• Horses and farm animals

  Group files counting head seen, affected and died; milk and meat withholding dates after vaccinations and parasite treatments.