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The floor

Ten rooms, one record.

An EMR isn’t a form you fill in. It’s the floor of a working clinic — notes written, prescriptions signed, claims leaving for Alberta Health and assessments coming back — with every screen in the building watching the same thing happen.

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  • Direct to Alberta Health, no gateway
  • Every screen updates live
  • Notes, Rx and claims in one record
Live 09:41 Simulation
Rooms 0 in progress
  1. AC Dr A. Chen
  2. PR Dr P. Raman
  3. MO Dr M. Oyelaran
  4. JW Dr J. Whitfield
  5. NH Dr N. Haddad
  6. EL Dr E. Lindqvist
  7. RS Dr R. Sandhu
  8. YN Dr Y. Nakamura
  9. OB Dr O. Bakare
  10. FC Dr F. Costa
Assessed back 0

Claims descend · assessments return

The note

Every line knows where it came from.

An AI that writes your notes is only useful if you can always tell which words were yours. Run the lens down this one and watch the note tell you.

Olivia Grant Tue 12 Nov · 10:15 · Dr A. Chen Sample note
History summary

Two prior visits this year, both musculoskeletal. No headache history on file. Allergy: penicillin, rash. No current prescriptions.

AI is assistive only
SHeadache for three days, occipital, dull, no aura. Worse through the afternoon, better on waking. Taking ibuprofen 400 mg occasionally, no relief. OBP 128/84. HR 72. Afebrile. Neurological exam intact, no focal deficit. Neck supple. ATension-type headache. Migraine less likely given the absence of aura, photophobia or nausea. PRegular sleep schedule and hydration. OTC analgesic as needed, maximum five days a week to avoid rebound. Review in three weeks, sooner if red flags.
AI draft Doctor From intake Signed by Dr A. Chen · 10:41
  • 01

    The prescription is a code, not a string.

    Two characters and the drug lookup starts — debounced, cached, and with a guard that throws away results for a search you have already typed past. Pick a match and it carries a real concept identifier. Type something it doesn’t know and it stays honest free text rather than pretending to be coded.

  • 02

    The allergies are in the room.

    On the chart, beside the prescription, not two clicks away in a tab nobody opens under time pressure. Penicillin sits at the top of this note because it is the single most useful thing to have seen before writing anything.

  • 03

    One encounter can hold a family.

    A group booking opens one encounter with a separate record per person, each keyed to their own patient ID. Four people, four charts, one visit — and nothing written on one of them lands on another.

The claim

Three codes travel. You choose which three.

Alberta lets a claim carry up to three diagnostic codes, primary first. Put four on the encounter and every service line still picks its own three — so the software has to know which three, per line, and say so before it sends anything.

Encounter diagnoses 4 on file · 3 can travel
  1. 1 780.5 Sleep disturbance
  2. 2 346.90 Migraine, unspecified
  3. 3 401.9 Hypertension, unspecified
  4. 4 272.4 Hyperlipidaemia
Service lines Alberta SOMB
  1. 03.04A Comprehensive assessment 1× — 2,1 346.90780.5—
  2. 03.03A Repeat assessment 1× — auto 780.5346.90401.9
  3. 03.03A Repeat assessment 2× CMGP 3 401.9——

272.4 never travels. It is on the encounter, it is in the record, and no line on this claim asked for it — which is what a cap of three looks like when you can see it.

Not every patient has a health number.

  • Standard

    A valid provincial number

    Nine digits, checked for structure before the claim is built rather than after Alberta Health rejects it. If it fails, the message says which record to look at.

  • Good faith · newborn

    No number, on purpose

    A newborn who hasn’t been registered yet, or a patient seen in good faith. The number is left deliberately blank on the claim record, the good-faith indicator is set, and the patient’s identity travels on a separate segment instead.

  • Reciprocal

    From another province

    The out-of-province registration number goes in at positions 62 to 73 and the recovery code for their home province at 190 to 193. Quebec is excluded, because Quebec doesn’t take part in the reciprocal arrangement — so the software says so rather than filing something that will bounce.

And it argues with you before it sends. Missing billing identifiers, a province that isn’t Alberta with no reciprocal registration, a visit that already has a submitted claim — all of it is surfaced on the encounter while you can still do something about it. Then you either mark it ready for the next batch, or build a batch and upload it now.

The portal

The patient reads what you wrote.

Not a summary of it. Not a version with the clinical language taken out. Watch what happens to a note between the room and the kitchen table.

1 / 6

You write it

In the room, in your own language, in the chart. Nobody has read it yet.

You sign it

The whole chart locks. From here it is a record rather than a draft — every later change keeps the original and says who made it.

It leaves your desk

Not a copy, not an extract, not a letter generated from it. The record itself, crossing.

She reads it at nine that evening

At her kitchen table, hours after she has forgotten half of what you said out loud. Level 3 open notes — the Mayo Clinic standard, and the strictest of the three.

Line for line, nothing taken out

Same words, same order, same assessment you would have written if she were never going to see it. Visibility is configurable per item where a result genuinely needs a conversation first — the default is open, and the exception is logged.

So you write it for her

That is the honest part. Notes written to be read by the person they are about come out clearer, less hedged, and less full of shorthand nobody outside the building understands — which turns out to be better for the next clinician too.

Olivia Grant · Encounter signed 10:41
Assessment & plan

ATension-type headache.

Migraine less likely given the absence of aura, photophobia or nausea.

PRegular sleep and hydration.

Over-the-counter analgesic as needed, maximum five days a week to avoid rebound.

Review in three weeks, sooner if red flags.

Dr A. Chen
21:04
Your visit · 12 Nov

ATension-type headache.

Migraine less likely given the absence of aura, photophobia or nausea.

PRegular sleep and hydration.

Over-the-counter analgesic as needed, maximum five days a week to avoid rebound.

Review in three weeks, sooner if red flags.

Dr A. Chen · signed 10:41
0words removed 0words rewritten 5of 5 lines matched

The whole point

It was one record the whole time.

Not an EMR that exports to a billing system that syncs to a portal. One record, and four different people looking at it — which is why nothing on this page needed to be reconciled with anything else on this page.

  1. The encounter the room
  2. The note signed, attributed
  3. The claim to Alberta Health
  4. The patient same words
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