Three Platforms. One System.
Anesthesia Documentation, From OR to Invoice
iPhone and iPad both support the full clinical workflow — Pre-Op, Intraoperative, and Post-Op. The iPhone's one-finger design keeps both hands near the patient; the iPad's richer layout shows more at a glance. Web handles billing, administration, and analytics. One record flows through all three surfaces — no re-entry, no translation, no manual handoffs.
Platform Overview
Three Surfaces, One Case Lifecycle
Intraoperative Capture
iPhone
Anesthesiologists and CRNAs
Primary intraoperative charting surface. Dark display for OR safety. 72px touch targets for gloved hands. Two-Tap Rule enforced on every critical action. Offline-first with AES-256 local encryption.
Pre-Op, Post-Op, Supervision
iPad
Supervising Anesthesiologists
Three-column supervision dashboard. Real-time multi-case monitoring. Pre-op intake and post-op chart completion.
Billing and Administration
Web Dashboard
Billing Teams and Practice Leaders
15-screen administrative workspace. Claim generation, rejection management, parity comparison, provider analytics, and payer rule configuration.
See the App
Workflow Preview
Each workflow phase runs on iPhone and iPad. Toggle between devices below. Use the arrows or swipe to step through the key screens.
Patient A — OR 3
General Adult
Active
Patient B — OR 5
MAC
Pending
Patient C — OR 1
Spinal
Scheduled
01 / 04
Pre-Op Case Schedule
Today's OR list loads automatically from the HL7 schedule feed. Sync status updates in real time — no manual refresh, no clipboard.
The OR Interface
iPhone: Intraoperative Capture
- Two-Tap Rule — every critical action in 2 taps or fewer
- 72px touch targets — usable with surgical gloves
- ASTM D4774 drug color coding on every medication button
- Haptic feedback confirms every successful medication log
- Warm Clinical Hold — screen locks during active case, FaceID to resume
- 8-second undo window — reverse fat-finger errors before they enter the audit log
- Barcode scanning — AVFoundation medication lot capture
- Photo memos — app-controlled camera, encrypted storage, never Camera Roll
Patient A — OR 3
General Adult
Active
Patient B — OR 5
MAC
Pending
Patient C — OR 1
Spinal
Scheduled
8-Second Undo Window
Fast Correction. Permanent Record.
Medication logs display an undo banner for 8 seconds. During this window, the provider can reverse the action with no audit entry created. After 8 seconds, the event is permanent and corrections require FaceID authentication and a reason code.
Why This Matters
Balances speed (instant correction of fat-finger errors) with auditability (all permanent records are traceable).
ASTM D4774
Drug Safety Built Into the Interface
Every medication button in AIMS carries its ASTM D4774 class color. 8 standardized drug classes. 0 keyboard entries required during intraoperative management.
Color coding follows ASTM D4774 — each class matches the standardized syringe label color.
The Supervision Surface
iPad: Pre-Op, Post-Op, Supervision
- Real-time multi-case supervision dashboard
- 30-second auto-refresh keeps the board current
- Pre-op: demographics, allergies (bold red), anesthesia plan, preset templates
- Post-op: case summary, clinical review, chart completion checklist
- HL7 v2 scheduling feed — cases auto-populate from schedule
- Handoff acknowledgment with FaceID confirmation
HL7 v2 Integration — your scheduling system
Cases auto-populate from the OR schedule via HL7 v2 MLLP. Patient demographics and procedure assignments flow in with the case.
The Back Office
Web Dashboard: Billing and Administration
- Billing queue with KPI cards and batch claim generation
- Remediation workspace — field-level rejection correction
- Parity dashboard — AIMS vs. legacy system unit comparison
- 30-day analytics with provider and payer breakdowns
- Session management with remote kill capability
- MFA-protected access for all billing staff
Claim Readiness
Compliance
Tamper-Evident Audit Log
Algorithm
HMAC-SHA256
Hash-chained append-only
Retention
7 Years
Full event history retained for legal and regulatory review
Event Classes
- Access — information read (case viewed, report downloaded)
- Mutation — data write/update (billing corrected, case status changed)
- Privileged — security-critical (admin override, session kill, token theft)
- Integration — external system (HL7 received, remittance processed)
- Submission — regulatory (claim submitted, 837P archived)
Correction Model
“Corrections create new events with correction_of references to the original. The original is never altered. Every correction records the provider identity, timestamp, and FaceID confirmation.”