Mental state, risk and scales — in one chart, kept confidential.

The visit is made of psychiatric sections: complaint, history, mental state examination, risk assessment, diagnosis and plan. Every section also has a free-text field, so doctors can write the way they are used to.

• History: previous episodes and admissions, self-harm and suicide attempts, psychotropic medicines, alcohol and substance use, family psychiatric history, social history
• Mental state: appearance and behaviour, speech, mood and affect, thought form and content, perception, cognition, insight and judgement; a normal mental state fills in with one click
• Risk assessment: suicidal ideation, plan, intent and access to means, risk to others, safeguarding, overall risk level and a safety plan
• Diagnosis with an ICD-10 code; a plan with the psychotherapy modality (CBT, DBT and more) and follow-up; visit summaries and referral letters as PDFs

Scales are scored during the visit and saved to the patient's chart; results are plotted, so the response to treatment shows at a glance. PHQ-9 and GAD-7 answers the patient gave before the visit are recorded on the chart as patient-reported scores when the visit starts.

If your clinic switches it on, the patient fills in a psychiatry questionnaire in the portal before the visit — about 10 minutes, including PHQ-9 and GAD-7. If the patient reports thoughts of self-harm, the portal shows them straight away what to do: call 112 if they are in danger. 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 mood and safety and for signs of mania, 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 PHQ-9 or GAD-7 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.

Another clinic sees the patient's visits with you only with the consent the patient gave to that clinic; every consent is recorded with the version of its wording. Without consent, only what safety needs — allergies and recently prescribed medicines — is taken into account when a prescription is checked. Every opening of the chart is written to the audit log. Lock-screen notifications and email subjects never carry clinical details.

Psychiatric care runs over months. Follow-ups the doctor asked for but nobody booked land on a recall list, and a freed slot is offered to patients on the waitlist. Cash-desk shifts, discount limits, doctor commissions and revenue by doctor live in the same system. Allergies and drug interactions are checked automatically when a prescription is written.