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Patient intake & AI Council

Fill the intake form. The four-AI council will analyze the case in parallel.

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Mode
Physician · clinical

Demographics

Vital Signs

Auto-capture
Import vitals from a device or camera
Beta
Web Bluetooth is not available in this browser. HR cuff / Pulse Ox / BP cuff / Glucose need Chrome, Edge or Opera. Camera rPPG is beta — estimate only, not a medical device.
Heart rate (bpm)
Systolic BP (mmHg)
Diastolic BP (mmHg)
SpO2 (%)
Temperature (°C)
Resp rate (/min)
Glucose (mg/dL)
GCS (3–15)
MAP (derived)
mmHg

Pain assessment

Intensity0/10
Body location (quadrants)
Pain map (front + back)
Tap any region to add it; grade 0–10 with the slider. Sent to all 4 AIs as part of the case.
Front
Head / faceNeck (anterior)Left shoulderRight shoulderLeft chestRight chestLeft upper armRight upper armUpper abdomenLower abdomen / pelvisLeft elbowRight elbowLeft forearmRight forearmLeft handRight handLeft thighRight thighLeft kneeRight kneeLeft shinRight shinLeft footRight foot
Back
Occiput (back of head)Posterior neckLeft shoulder (post.)Right shoulder (post.)Left upper backRight upper backMid back (thoracic)Left lumbarRight lumbarLeft buttockRight buttockLeft hamstringRight hamstringLeft knee (post.)Right knee (post.)Left calfRight calfLeft heelRight heel

Tap any spot on the body diagrams to add a pain point. You can grade each point 0-10 and add as many as needed (e.g. left chest 8/10, lumbar 6/10).

Pain Panel

22 items

Respiratory

10 items

Neurological

10 items

Gastrointestinal & Urinary

11 items

Previous history

Tick a condition then add detail (e.g. “Type II”, “uncontrolled”, “2 attacks/week”).

Clinical notes

Medical image (X-ray / scan)
Lab report (PDF)
Ready when you are
0 symptoms · pain 0/10
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