Preop Risk Eval
Facility-appropriateness screening

Dictate patient history

Speak the history — it's transcribed on-device and sorted into the right fields for you to review.
— or paste / type a narrative —
Preparing…

📝 Review what was heard

Full transcript (editable)
Re-parsing uses the edited transcript above. Applying never overwrites fields you've already filled — comorbidities are added, free-text is appended. Always double-check before generating the report.
⚙ Speech model & diagnostics
Speech model — accuracy vs. download size
First use downloads the speech model once over Wi-Fi (Tiny ~40 MB · Base ~130 MB · Small ~250 MB); after that it works offline. Switching the model re-downloads on the next dictation. Mic permission is requested only when you tap Start.

Demographics & case

Sex
BMI
Urgency
Anesthesia planned
Expected post-op disposition
Surgical approach
Baseline dependence
Code status
Used so office-hours-only coverage gaps (nights / weekends) are visible in the report.

Active problems / comorbidities

Selected
No comorbidities selected yet. Tap a chip below, or search.

Functional status

Can climb 2 flights of stairs?

Anesthetic & surgical history

Malignant hyperthermia history
Severe PONV / adverse anesthetic reaction
Prior anesthetic records available?

Airway · sleep · aspiration

Mallampati
Limited neck extension
STOP-BANG factors present (adults)
Tap each STOP-BANG criterion the patient meets. The count and items are sent so OpenEvidence can score OSA risk; BMI>35 / Age>50 / Male can be inferred from the demographics above but tap them to be explicit.

Medications

Quick-flag perioperative-relevant meds
Flagged meds are called out separately in the report because they change perioperative management (hold timing, aspiration / OSA risk, glucose).
High-impact med detail (for hold/bridge planning)
On SGLT2 inhibitor?

Allergies

Cardiac workup & key labs

leave blank if not done
Labs

Other recent workup

value + date

Facility context

always in report
Critical access hospital — fixed capabilities
CCU can provide: mechanical ventilation, vasopressors, intermittent hemodialysis, CRRT
CCU cannot provide: ECMO, IABP / mechanical circulatory support, cardiac cath / PCI (no cath lab on site)
Cardiology: office hours only — no after-hours or STEMI/cath capability on site
OB / OR: low-risk only  ·  General surgery: available
Orthopedics / ENT: office hours only
Vascular: AV fistulas & angiograms; takes call but rarely on site  ·  ED: 24/7
CRRT availability
Anesthesia staffing today
Pediatric-capable anesthesia?
Congenital cardiac anes?
After-hours anesthesia coverage?
PICU / peds inpatient?

Generated report

read-only · for OpenEvidence
⚠ Out of date — you edited the form after generating. Regenerate before copying.
📋 Version history · v—
Decision-support drafting aid for clinician use — not a medical device and not a substitute for clinical judgment.
Runs entirely in your browser · works offline · no data leaves this device.