ProductClinical Summarisation
Documentation
The whole patient story, summarised before the ward round.
Clinical Summarisation drafts patient histories, encounter summaries and discharge summaries from the record, so clinicians start with the full picture instead of paging through old notes.
- Admitted
- 4 days, medical ward
- Diagnosis
- Community-acquired pneumonia, right lower lobe
- Course
- IV ceftriaxone for 3 days, switched to oral therapy on clinical improvement. Afebrile for 48 hours before discharge.
- Discharge medicines
- Amoxicillin-clavulanate 625 mg 8-hourly to complete 7 days of antibiotics. Paracetamol 1 g as needed.
- Follow-up
- General outpatient clinic in 2 weeks.
SourcedEach line links to the ward round, prescription or nursing entry it came from
What it does
Summaries clinicians can trust and sign.
- Patient history summaryActive problems, current medicines, allergies and past admissions in one view, drawn from every entry in the record.
- Encounter summaryA short summary of each visit for the next clinician, the referral letter or the patient file.
- Discharge summaryDiagnosis, hospital course, discharge medicines and follow-up, drafted when the discharge decision is made.
- Shift handover summaryWhat changed for each patient since the last shift, for nurses and doctors handing over.
Watch
Clinical Summarisation in 30 seconds.
Safeguards
The clinician stays in charge.
Used by doctors at discharge and clinic review, nurses at handover, and records officers preparing referrals.
- Every line has a sourceEach statement links to the note, result or prescription it came from, so a clinician can check it in one click.
- Conflicts are shown, not resolvedIf the record disagrees with itself, for example two different allergy entries, the summary shows both and asks the clinician.
- Signed before it is filedA summary stays a draft until a clinician edits and signs it.
Other first-release tools