You stay with the patient.We hold the record.
Chart, consent, imaging and billing in one entry — and 24 compliance modules behind it, each traced to the CCOA or HIA clause it implements, each exportable the day a regulator asks.
A. Mbeki
PT-04182 · 1987-03-11
Consent to touch captured 09:14 — before the entry, in the same flow.
Lower-back pain, 4 days. Worse on rising. NPRS 6/10, down from 8.
L4–L5 restriction, paraspinal guarding. SLR negative bilaterally.
Mechanical low-back pain. M54.5 · ICD-10-CA
Diversified adjustment L4–L5. Home extension protocol. Review in 7 days.
- 09:14:02
consent.captured
Consent to touch · lumbar
j.park
- 09:14:02
soap.opened
Visit 0412 · case MVA-118
j.park
- 09:21:47
soap.signed
Locked · hash 9f2c…a41e
j.park
- 09:21:47
retention.set
Floor 2036-09-17 · CCOA s.7
system
- 09:22:10
invoice.drafted
From visit · payer WCB
system
No row is deletable. Every line cryptographically bound.
In use by clinics across Alberta
One per CCOA / HIA obligation, from uptime to research ethics — each with its own evidence export.
Computed per chart from SP 5.4 and enforced at the record. Deletion before the floor is blocked.
Published chart-load objective per SP 5.5 #11, measured in production against every status component.
Per date range, in one operation — the evidence pack a regulator, insurer or practice visit asks for.
Consent lives inside the note.
A SOAP entry does not finalise without signposting and consent to touch for that visit. A configurable exam library, ICD-10-CA, validated outcome measures — and imaging that lands on the chart.
- Scoped decline recorded with the alternative offered
- CCPA consent version locked into the record
- AB-2 / AB-4 fresh per visit, copied fields marked
- Requisition and report on the same case
Bounded at save time.
Red, orange and yellow flags from intake. A restricted-activity register that checks Y-strap, CBCT, vaccination and psychosocial entries. A boundary checkpoint on sensitive contact.
Invoices come from the visit.
A line matches a signed encounter, its date, its patient, the schedule rate and one payer. Prepayment capped at $1,000.
IMA, PIA, HIA officer — before the first patient.
Onboarding is gated. The Information Manager Agreement is verified against Appendix 4, the Privacy Impact Assessment renders from a live fact graph, and access requests run against statutory deadlines.
- Drift in a warranted fact opens a finding; dependent features fail closed
- §62 designation and §63 public policies before the first record
- OIPC package signed and byte-stable
The recurring obligations, on a schedule.
IPC, equipment and support-staff policies, critical events with corrective actions, competence credits with evidence, fitness to practice, and the 30-day conclusion of care.
Available, attributed, exportable.
Read-only fallback on outage, offline capture with reconciliation, an append-only audit log where every line has a name on it — and an export per patient, user and time range.
- Public status page with incident history
- Monthly automated chaos test
- Quarterly restore test on record
24 modules. One record.
Every module implements a named obligation and ends in an evidence export. This index is the complete scope; each entry links to its section.
Foundation
3 modulesPrivacy core
4 modulesClinical safety
5 modulesCommunication & quality
4 modulesPractice operations
5 modulesAI governance
1 moduleSpecialist tracks & house rules
2 modulesFrom the first door to the last export.
- 08:00A. MbekiMVAConsent due
- 08:30R. OseiWCBAB-2 due
- 09:00L. FontaineSelf-payReady
- 09:30T. BraunExtendedReady
One page. No tabs, no second login, no hunting for the chart.
The door opens. The day is in front of you.
One overview. No tabs, no logins, no hunting for the right chart. Outstanding consent and due forms sit on the entry, not on a sticky note.
Red · Night pain, unremitting · weight loss
ReferredReferral sent 09:02 · family physician
Orange · Disclosed PTSD history
Decline recordedReferral declined · MSK-only plan signed
Yellow · Fear-avoidance beliefs
Plan adjustedPlan adjusted · avoid passive-only care
Chaperone considered · patient companion present
Sign blocked until every red or orange flag carries a referral or a recorded decline.
The intake has been screened before you walk in.
Red, orange and yellow flags from the intake form, with the action beside each one: referral sent, decline recorded, plan adjusted. Without the action, the encounter will not sign.
- Study
- Lumbar spine · 2 views
- Issued
- 2026-09-17 09:31
- Filed to
- Case MVA-118
Clinically significant finding — follow-up queued
One requisition. One report. One chart.
Imaging requisitions and reports land in the chart the moment they’re issued — with a clinically-significant-finding flag and a follow-up queue. When you reopen the case later, the story is whole.
- 01AInitial assessmentC$95.00
- 02CAdjustment · lumbarC$55.00
Drafted from the visit. No second data entry.
Billing happens beside the work.
Invoices come out of the visit, not out of a second data entry. MVA, WCB, self-pay — every path stays tied to the same trail.
- Patient
- PT-04182
- Range
- 2024-01-01 → 2026-09-17
- Users
- All (7)
- Rows
- 1,284
Per patient, per user, per time range — with no spreadsheet in the middle.
The day ends without a sprint.
A regulator request becomes a chart question, not a spreadsheet one: per patient, per user, per time range — signed and exported in minutes.