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The workflow spine

One visit. Five stages.
Nothing dropped between them.

Most hospital software is a stack of screens that each know a fifth of the story. NexaMed is a spine: every stage writes to the same record, and every team reads from that one, so a handoff stops being a place where things go missing.

09:02 → 11:26

Follow the record down the spine.

One morning, told straight. Riya is illustrative — the mechanics under each stage are not.

09:02 · Stage 01

Check-in

The visit starts in her hand, not at a counter.

Riya checks in from her phone and watches her queue position move. The front desk is looking at the same number she is — not a copy of it that someone updates when they get a moment.

  • Walk-ins and appointments both check in from the app
  • Queue position is live for the patient and the desk at once
  • No token slip to lose, no clipboard, no repeated questions

09:04 · Stage 02

Aira intake

She describes it in her own words. It arrives as a chart.

Chest discomfort, three days, worse when she walks. She says that in the language she thinks in, and Aira turns it into structured symptoms, duration, and severity, then routes her to General Medicine before anyone has picked up a pen.

  • Natural speech, in the language she actually speaks
  • Symptoms, duration, and severity come out structured
  • The visit routes itself to the right department

09:18 · Stage 03

Consultation

The doctor opens a visit that's already prepared.

Her structured intake and her history are on screen before she sits down, so the consultation starts at the problem instead of at 'so, what brings you in?'. The chest X-ray is ordered from inside the same note.

  • Structured symptoms and history attached before the visit opens
  • Investigations and prescriptions ordered without leaving the note
  • Each order becomes a tracked state, not a line in a register

09:41 · Stage 04

Radiology

A radiologist reads it, writes it, and signs it.

The study arrives attached to the order and the clinical context. Dr. Mehta opens it in a session locked to her, writes the findings and the impression herself, and signs. The signature is what releases it — there's no path around her.

  • Order, images, and context open as one record
  • The review session locks to one radiologist
  • Proprietary analysis provides a labelled second read before sign-off

11:26 · Stage 05

Release

The report reaches her, not the counter.

The signed report lands in her app with a notification. Payment reconciles against Razorpay, the audit trail records who released what and when, and the visit closes as one record you can still read end to end next year.

  • She's notified the moment it's signed — no trip back
  • Payments reconcile automatically against the visit
  • The whole visit stays queryable as one connected story

Next step

Run your own case down the spine.

Bring something real from your OPD — ideally the messy one that breaks your current system — and we'll walk it from spoken symptom to signed report.