Capture raw context
Paste shift notes, dictate observations, or import structured vitals. Before anything is sent to a model, a redaction pass strips names, DOBs, MRN-like patterns, SSNs, phone numbers, and ambiguous date strings. The redacted version is shown to you for review.
REDACTED, DOB REDACTED [PATIENT_A] [DOB_REDACTED]
AI synthesis
The redacted context is sent to an enterprise LLM with a strict nursing-documentation system prompt. Output formats: SBAR, narrative, focus note, handoff. The provider is wrapped behind a single interface, so swapping to Azure OpenAI / AWS Bedrock under your own BAA is one config change.
The diff view
AI-generated tokens are highlighted in light blue. The moment you edit a span, it turns green. You see what is AI vs. what is human before you sign anything.
Patient reports 7/10 substernal chest pain radiating to the left arm, onset approximately 30 minutes prior to assessment.
Approve & Sign
The Copy and Export buttons stay greyed out until you tick the attestation checkbox and click Approve & Sign. On click, the server computes a SHA-256 hash binding the AI output, your final text, your verified license, your user ID, IP, and timestamp. The chart locks. The audit log gets an immutable row.
hash: f81d4fae-7dec-11d0-a765-00a0c91e6bf6 …