Abdominal exam, liver and scales — in one chart.

The visit is made of gastroenterology sections: complaint, history, vital signs, gastrointestinal status, diagnosis and plan. Complaint, history, status and plan also have a free-text field, so doctors can write the way they are used to.

• Complaint: pain site and character, relation to meals, bowel habit and stool frequency, alarm features — bleeding, difficulty swallowing, unintentional weight loss and more
• History: previous endoscopies and colonoscopies, H. pylori status, viral hepatitis, painkillers and blood thinners, weight change, family history of bowel and stomach cancer, alcohol
• Gastrointestinal status: general (jaundice, pallor, tongue, oedema), abdominal inspection, palpation (Murphy's and rebound signs), percussion and ascites, auscultation, liver, spleen and gallbladder, stigmata of chronic liver disease, rectal examination; a normal exam fills in with one click
• Diagnosis with an ICD-10 code — reflux, ulcers, gastritis, Crohn's disease, ulcerative colitis, IBS, coeliac disease, hepatitis, cirrhosis, pancreatitis and more; a visit can't be completed without complaint and diagnosis
• A plan with dietary advice (gastroprotective, low-fat, low-FODMAP, gluten-free, lactose-free and more) and planned endoscopic procedures; doctors' own templates and one-click copy from the previous visit; visit summaries and referral letters as PDFs

Child-Pugh is scored from five items — bilirubin, albumin, INR, ascites and encephalopathy — and shows class A, B or C; the Bristol scale records stool form as one of seven types. Results are saved to the patient's chart and plotted, so the course of cirrhosis and the response to treatment show at a glance.

If your clinic switches it on, the patient fills in a gastroenterology questionnaire in the portal before the visit — about 5 minutes: the complaint, where the pain is, the link to meals, bowel habit, alarm signs, past conditions and operations, previous endoscopy, H. pylori, painkillers and blood thinners, and family history. If the patient reports vomiting blood, black stools or severe tummy pain that won't ease, the portal tells them not to wait for the visit and to call 112; for signs such as weight loss or difficulty swallowing it reminds them to tell the doctor at the start of the visit. Nobody reads the questionnaire before the visit — the doctor sees the answers during the visit and moves them into complaint and history in one click; what the doctor wrote is never overwritten.

When the visit is completed, the doctor shares a plan with the patient: the follow-up date, tasks and warning signs. There are ready-made lists for tummy pain and gut bleeding, liver disease, and after an endoscopy or colonoscopy, so the patient gets in writing when to call 112 and when to contact the clinic. At the doctor's request the patient keeps a weight diary in the portal and decides whether to share it with your clinic. With medication reminders the patient logs doses taken and skipped, and the doctor sees this on the chart for medicines your clinic prescribed. Nobody watches any of this in real time — the doctor reviews it at the visit.

Patients with hepatitis, cirrhosis and inflammatory bowel disease come back for regular check-ups. Unbooked follow-ups land on a recall list, and a freed slot is offered to the waitlist. Cash-desk shifts, discount limits, voluntary insurance registries and doctor commissions live in the same system. Allergies and drug interactions are checked automatically when a prescription is written — including what other clinics prescribed.