Specialty
Plastic and Reconstructive Surgery
Reconstruction is a sequence of operations spread across a year. The consent, the photographs and the graft that make sense of that sequence are usually held in three different places, and one of them is somebody personal phone.

Impact and action
The staged plan.
- A plan of six operations over a year exists in a consultant head and in a letter written after the first of them.The plan runs as a long procedure with a step for each stage, an owner, and an overdue flag when a stage slips.Cadence
The photograph, and the consent that governs it.
- Clinical photographs are taken on a personal device and shared over a consumer messaging application, outside the record and outside consent.The image is attached to the patient and the visit it belongs to, and the consent that permits it is a form with a formal sign-off step, locked when it is finished.GlyphAtlas
The graft, the implant and the dressing.
- High value consumables are written on a theatre sheet and priced afterwards, and the difference returns as a deduction.Each is captured as it is used, and the charge is the same object as the record of using it.ForgeVault
The burn that arrives at night.
- A burn or an assault carries a register entry and a police intimation that gate the discharge, and the discharge gates the claim.The register is a locked, versioned form on the record, and the discharge it gates runs as a tracked process.GlyphAtlas
A year of surgery documented visit by visit is a year nobody can read back.
What holds it together
The sequence is the record, and it needs one owner.
One timeline.
Atlas holds the diagnoses, the notes, the uploaded files, the images and the completed forms as one record for the patient, and decides who may see or edit each part of it.
And one theatre schedule.
Nexus maintains the digital twin of the hospital, so the theatre, its equipment and the team on shift are objects a stage can be scheduled against rather than names on a list at the desk.