Specialty

Hepatology

A cirrhotic patient is a decade of laboratory results, and every decision that matters turns on how those results have moved rather than on what they read this morning. In most hospitals the direction of travel is reassembled by hand, out of a plastic folder the family carries between visits.

An ultrasound console and its probe in an examination room. — The scan is an event. The disease is a slope, and a slope needs a record that survives a decade.

Impact and action

The score.

MELD and Child-Pugh are worked out on the corner of a case sheet, from values read off three separate reports.The score is a form with its own calculator and its own validation, filled once, locked when it is finished, and kept with the version of the form that produced it.Glyph

The trend.

Liver panels arrive as separate reports over years, and the direction of travel exists in the consultant memory of the last visit.A result lands on the record it was ordered from, and the longitudinal view is read out of those same records with the source of every figure named.ForgeFalcon
Variceal surveillance is booked in one book, reported in another, and reconciled by whoever notices.The procedure is an order with a state, tracked from placement to completion, and its report returns to the order that asked for it.ForgeAtlas

The workup.

A transplant assessment runs across cardiology, psychiatry, infectious disease, imaging and the laboratory, tracked on a photocopied checklist.The assessment runs as a long procedure with an owner for every step, and a step falling behind is flagged as overdue while somebody can still move it.Cadence

Over years

A chronic record has to outlive the people who kept it.

One tool holds the health information.

Atlas is the only tool permitted to hold a patient health record, and every other tool asks Atlas for it rather than keeping a copy. A decade of results therefore has one home, one access history and one answer to the question of who has read it.

Atlas

And one account holds the money.

Vault prices the same clinical event against cash at the counter, a corporate credit book, a third-party administrator or a scheme package, so a long illness produces one account with one trail behind it.

Vault