Auscultation, spirometry and scales — in one chart.

The visit is made of pulmonology sections: complaint, history, vital signs, respiratory 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: cough and sputum, haemoptysis, breathlessness, wheeze, chest pain, night-time symptoms and what triggers them
• History: tuberculosis history, exacerbations and admissions in the last 12 months, vaccinations, last chest X-ray or CT; smoking (cigarettes a day, years, pack-years, hookah and e-cigarettes), occupational and home exposures — dust, asbestos, mould, birds and more
• Respiratory status: inspection (chest shape, accessory muscles, cyanosis), palpation, percussion and auscultation for the left and right side separately; a normal exam fills in with one click. Vital signs record the oxygen flow during the SpO₂ reading
• Spirometry right in the status: FEV1, FVC, FEV1/FVC, % predicted, bronchodilator response, interpretation and GOLD grade; peak expiratory flow and diurnal variability
• Diagnosis with an ICD-10 code — asthma, COPD, pneumonia, tuberculosis, interstitial lung disease, sleep apnoea and more; a plan with the inhaler device, technique check, written action plan, oxygen therapy, smoking cessation and pulmonary rehabilitation; visit summaries and referral letters as PDFs

mMRC records the grade of breathlessness and CURB-65 rates the severity of pneumonia. Scales are filled in during the visit, saved to the patient's chart and plotted, so the course of breathlessness in a COPD patient shows at a glance. Doctors keep their own templates and copy a section from the previous visit in one click.

If your clinic switches it on, the patient fills in a pulmonology questionnaire in the portal before the visit — about 5 minutes: the complaint, breathlessness, cough and phlegm, night-time symptoms, triggers, past conditions, TB and TB contact, flare-ups in the last year, medicines including inhalers, smoking, work and home exposures. If the patient reports severe breathlessness right now, blue lips or coughing up pure blood, the portal tells them not to wait for the visit and to call 112. If they report a cough for more than two weeks with fever, night sweats or weight loss, the portal asks them to tell reception when they arrive — they may be given a face mask to protect others. 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 asthma, COPD and pneumonia, so the patient gets in writing when to call 112 and when to contact the 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.

Asthma and COPD need regular check-ups for years. 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.