Clinical record and draft notes
ReadyThe transcript comes from the clinician’s own device. The system writes a draft following the clinic’s own template — and you can write the templates yourselves, so the note looks like yours, not like ours.
The system
A status is given for every part. We do not call anything finished before it has been through an ordinary working day in a real clinic.
Σ Singularities
Everything hangs on a client id, not on a name. Names are spelled differently, repeat themselves and get married; an id does not. Booking, messages, documents, video consultations, notes and reports all point to the same person.
A client with a clinical record cannot be deleted. That is not an oversight: record material must be kept for five years, and deletion is prohibited. A course of treatment is closed instead.
The clinician is a singularity in the system too — not a licence. Every clinician has their own key, and two clinicians in the same clinic cannot read each other’s material.
R Relations
The transcript comes from the clinician’s own device. The system writes a draft following the clinic’s own template — and you can write the templates yourselves, so the note looks like yours, not like ours.
Services with duration and price, opening hours per weekday, closed days, and a sick-leave button that cancels the day, closes the calendar and writes to the clients offering a new appointment.
In the browser, without an account and without a download. The client is chosen in the clinical record before she is let in, so that the consultation hangs on the right person. Recording only when the client presses yes herself.
Built from the appointment, the CPR number and the service code. It works out the age on the day of treatment, keeps an eye on the ceiling of 7,200 kroner over a rolling twelve months, and refuses to send anything incomplete.
Earned, booked ahead, lost to cancellations and no-shows, shrinkage in per cent — and occupancy, which is the figure no one else shows: how large a part of the open time was actually used.
The whole clinical record as HTML, CSV and JSON with checksums. One note per page, in one folder per client, readable in a browser in ten years without our software.
A one-time code to phone or e-mail, and a lookup in the client register before anything is created. A name on its own never merges two clinical records — that takes a confirmed contact detail. That is what decides whether a booking system creates duplicates or not.
A cancelled appointment becomes a gap, and the gap is passed on — one offer at a time with an expiry, after the clinic itself has had twenty minutes to take it. The queue and the ones passed over are on the screen with a reason, so that it is not a black box.
Eight sessions with Tryg, case number, expiry date. The authorisation is an object, appointments attach themselves to it, and word is given before the last session — not afterwards. We have not seen it anywhere else, because it is a European problem.
Whoever writes is not a client yet and has no key. The message is written encrypted with the psychologist’s own key all the same, and never goes through an e-mail. A CPR number in the field is refused with an explanation instead of stored. The notification — in the app or by text message — says that there IS something, never what.
iPhone and Android from one codebase. Four screens: the day, the enquiries from the website, the message threads and the phone’s notifications. No clinical record and no notes — everything the app does not fetch is something that cannot be read by someone who finds the phone.
The clinic and the client can write to each other. The content is never in the text message; it carries only a link that requires her own code. And the screen can tell apart «written», «notified», «opened by the client» and «did NOT arrive» — because a message that looks sent without being sent is the most expensive error in the category.
Five recipients, each with its own limit: an employer may not be given a diagnosis, not even if the client asks for it. The limit is on the screen while one writes, not as a warning afterwards — and the letter is written into the clinical record, because that question is asked two years later. PDF without any dependencies.
A voucher, not a document. Consecutive numbers without gaps, a series of its own per CVR number — two psychologists in the same clinic are two businesses — and no «edit» button anywhere: if you change your mind, a credit note is made, and it gets the next number itself. A receipt the client has sent to «danmark» exists in the world.
«When was it she talked about her mother?» Notes, drafts, raw transcripts, letters and messages at once. «sleep» finds «sleep problems», and every find carries its source — a quotation from a raw transcript is something that was said, not something anyone has signed.
Φ Emergence
The first two are the reason Anotera is not a clinical record system with speech recognition added on. They are also the ones that do not exist yet — and that is what it says, until they do.
A systematic review of the single session — not only the cases one remembers to bring to supervision oneself. The purpose is not to judge the clinician, but to make patterns visible that no one can see one session at a time.
The client’s network drawn from the sessions, in genogram notation, so that a supervisor can read it. Every connection can be clicked back to what was said, and guessed connections look guessed.
A sheet for the hour in which a case is presented to someone who does not know it. It calls for one question — a supervision hour without a question turns into a conversation about the case — and enters the figures itself. Always anonymised, with no way to leave it out. Afterwards the clinical record states THAT the case has been in supervision — not what the psychologist said about themselves.
Both can be put on the home screen. The client sees her appointments, moves them, cancels, stands on the waiting list and writes to the clinic. The clinician has the day, the card before the session and the approval of the note in their pocket. The shell is cached, the data never is: a cached appointment is a cancelled appointment that looks right.
Delivery
The clinic logs in in one place: its own address at Anotera. What the clients are to see — booking, my appointments, video consultation, an answer to an offered time — is delivered from there in the way the clinic needs.
The clinic creates itself and is up straight away. Booking with a code by text message, my appointments, video consultation and console sit on the clinic’s own subdomain. No website necessary — the address is the website.
Læs videreThe clinic points its domain at Anotera. The same pages, the same console, the clinic’s own name in the address bar. The certificate is fetched by itself the first time someone opens the address.
One line on the page the clinic already has, and the booking and my appointments are drawn there — in the clinic’s own page, with the clinic’s own style around them. Only the website the clinic has entered itself is allowed.
Læs videreName, address on the web, the psychologist’s name and a mobile number. A code by text message, and the clinic exists — with its own key, shown once. Anotera sees it afterwards and can close it. The check comes after, not before.
Læs videreOperation
The system runs on servers in Germany. The clinic has its own separate area, and the separation is not a filter in a query — it is in the file system, with one validated path to each folder.
There is no app for the clinician to install: everything is in the browser behind the clinic’s own key. The client’s app comes to iOS first.
How data is handled