Sheet 01 · Before the visit
Digital Health Declaration
Status: Built Still in testing, not yet in use. As of 30.09.2026.
In plain words
The patient confirms details already on file, answers a short list of health history questions on a phone and signs. A person reviews the flagged answers.
Title block
- Status
- Status: Built Still in testing, not yet in use.
- Engine
- Engine: no AI The question set is data; flags are rules.
- Human check
- A person reviews flagged answers and countersigns separately.
Data touched · Reviewed
- Data touched
- The patient's own answers and identity details already on file.
- Reviewed
- 30.09.2026 · Rev A
Runs on hardware Dr. Karni controls. As of 30.09.2026. Designed by me. Built with AI coding assistants.
Step 1 The form on a phone
Step 2 The signed page
Step 3 Review and countersign
Text version
Step 1: a phone shows Sample A's details already on file and questions, each answered yes or no. Step 2: the signed page, with a checksum strip along its foot and one answer flagged. Step 3: a review queue where a person countersigns on a separate page.
What it does
A link or QR code shown in the clinic opens a health history form on the patient's phone. Details already on file are confirmed rather than retyped, and the patient answers a short list of health history questions.
Follow-up detail opens only where an answer is yes. The patient signs with a finger.
Each submission is filed as a PDF that carries a checksum, and a person reviews flagged answers in a queue and countersigns separately. It is automation, not AI.
How it works
- A link or QR code shown in the clinic opens the form on the patient's phone.
- Details already on file are confirmed, not retyped.
- Yes/no questions; detail opens only after a yes.
- The patient signs with a finger, and a PDF with a checksum is filed.
- A person reviews flagged answers and countersigns separately.
What it will not do
- Assess the answers. Flags are rules for a person to review, not a clinical judgement.
- Change a signed declaration. A countersignature is a separate page.
- Send anything by itself. A person shares the link.
For colleagues
The question set lives in one data file, so a change to the questions is a new version rather than a code change. The countersignature is a separate addendum; it does not edit the patient's signed page.