The ambulatory chart follows the patient when the acuity rises.
For organizations operating beyond the clinic: emergency department triage on the five-level Emergency Severity Index, real-time bed census, perioperative scheduling with the WHO surgical safety checklist, and inpatient orders on the same record as the outpatient visit. One patient. One chart. No duplicate registration.
Registration verifies identity and coverage and assigns the bed, with the patient's ambulatory chart immediately visible to the treating team — problems, medications, allergies, recent results and the last clinic note. No records request, no duplicate MRN, no clinical decision made without history that already existed in the building. An interactive bed map shows every unit by status: occupied, available, in turnover and blocked for maintenance. Transfers between units carry full traceability, discharge planning starts at admission rather than at noon on the day of, and occupancy, turnover and average length of stay update live in Intelligence™ instead of appearing in a report next month.
Triage runs on the Emergency Severity Index — the five-level algorithm used across U.S. emergency departments — combining acuity with expected resource use to determine priority. The tracking board shows every patient with their ESI level, elapsed time, current location and pending orders, and escalates when a patient exceeds the time target for their level. The flow runs end to end: triage, treatment, observation, then admission, transfer or discharge with instructions the patient can read in their language. EMTALA-relevant events — medical screening examination, stabilization and transfer documentation — are captured as part of the workflow, because the documentation is what proves the obligation was met.
Inpatient documentation continues on the outpatient chart: daily progress notes, nursing documentation by shift, consults with the response attached, and orders for medications, diet, activity and diagnostics with the same interaction and allergy checking as the clinic. Every entry is attributed and signed. Perioperative scheduling verifies surgeon, anesthesia, room, instrument and PACU availability before the case is booked, and the WHO surgical safety checklist runs digitally through sign-in, time-out and sign-out. Inpatient pharmacy connects to Supply™ for unit-based dispensing with lot traceability and automatic replenishment, and facility charges are captured for the 837I alongside the professional claim.
Built for U.S. ambulatory operations. Configured and ready from day one.
The ambulatory record is visible at admission. No duplicate MRN, no records request, no history left behind in the clinic system.
The U.S. standard emergency triage algorithm, with time targets per level and escalation when a patient exceeds them.
Interactive bed map by unit and status, transfers with traceability, and live occupancy and length-of-stay indicators.
Progress notes, shift-based nursing documentation, consults with responses, and signed attributed entries throughout the stay.
Surgeon, anesthesia, room, instrument and PACU verification before booking, with the WHO surgical safety checklist run digitally.
Unit-based dispensing through Supply™ with lot traceability, allergy verification and automatic par replenishment.
837I facility claims alongside 837P professional claims, with charge capture from the documented encounter.
Occupancy, length of stay, readmissions, ED throughput and time-to-provider — reported through Intelligence™.
No interfaces to build. No HL7 feeds to maintain. No per-transaction integration fees. Data flows between pillars from day one.
← Back to all pillars
A 20-minute walkthrough of the module in an organization like yours.