Almost every self-presenting patient waits, and almost every one of them has a phone in their pocket. That time is currently unused. We think it could be spent gathering the history, so that the triage assessment can begin with it already in hand.
Triage necessarily condenses history-taking into a few minutes, often at the start of a shift that is already stretched. Because there is no shared record of what a patient has already described, the same ground tends to be covered again at each handover, and detail that might have mattered can surface late.
There is nothing to train on and nothing to install, and no clinical step changes. The system works only in time that currently carries no clinical activity.
Reception issues a one-time link at check-in, by text or email. It opens immediately in any browser, with no download and no account.
A compassionate, single-question-at-a-time conversation gathers chief complaint, symptom timeline, medications, allergies, and relevant history. The link is not tied to the patient's own phone, so a family member can contribute from their own device, and an ambulance crew or rural nurse can complete it with the patient en route, so that the summary arrives before the patient does.
The triage nurse sees a structured intake summary before first contact. Each subsequent clinician can see what was already collected, so the same ground need not be covered again.
The conversation and the interface run in the language the patient chooses: te reo Māori, Samoan, Tongan, Fijian, Hawaiian, and 35 others. A patient who is more precise about their symptoms in their first language gives the clinician a better history. We are looking for native speakers to review the quality of these conversations.
Margaret arrives with her daughter. She registers and takes a seat. Her daughter, who manages her medications and knows her history, opens her phone.
A link arrived on her daughter's phone. Over the next 25 minutes, together, they answer a series of simple guided questions. When the pain started. Whether it has happened before. It has: three weeks ago, lasting ten minutes, and it resolved on its own. Current medications. A penicillin allergy noted since childhood.
Nothing about the clinical workflow changed. The difference is only that the history was ready when the nurse was.
Each role sees the information relevant to their function, and no more. The data is structured rather than freeform, and clinical decisions remain entirely with the clinician.
Arrives at the bedside with a structured intake summary already prepared. Focuses on clinical assessment, such as vital signs and physical observation, rather than data entry.
Reviews a complete pre-structured history before entering the cubicle. Prior episodes, current medications and allergy flags are surfaced rather than buried in a handwritten note.
Issues a one-time access link at check-in. Manages the waiting room queue with live encounter status. No clinical data is visible, only what is needed for patient flow.
Reviews the medication list and documented allergies in a dedicated view. Clinical notes are not visible.
Reception, triage nurse, ED doctor and administrator views are built and running. The pharmacist view is designed but not yet built. We would rather show the plan than imply a screen that does not exist. See the full status of every component.
It does not replace triage. Vital signs, physical observation, and clinical judgement are irreplaceable. The tool adds to the time before triage; it does not modify triage itself.
It does not diagnose or advise. The conversation collects and structures what the patient already knows. Clinical interpretation remains entirely with the clinical team.
It does not change clinical workflow. Every clinical process remains the same. The tool operates in a window that currently has no clinical activity.
It does not require another app. A one-time link. No download. No account. No barrier. If the patient has a phone and a browser, it works.
We are at the research and early development stage. Clinical perspective, whether from nurses, doctors, or anyone who works with ED patient flow, would be more useful to us right now than anything else.
We are not selling anything at this stage. A conversation would be welcome.