temetro is in beta and under active development. Expect things to change.
temetro

Patient records

Everything a patient's chart holds, and how to create, edit, and transfer it.

The Patients page lists every patient in your clinic. Each patient also appears as record cards when you look them up in the chat.

The list paginates at 10 patients per page, so a large clinic stays quick to scan — use the page controls at the bottom, or the search box (which jumps back to the first page of matches). Each row's status is colour-coded: active patients show a green badge, admitted inpatients a blue one, and discharged patients a muted outline.

What a record holds

SectionContents
DemographicsName, age, sex, file number (MRN), phone, primary care provider, status
Blood typeThe patient's blood type (e.g. O+). Clinical — hidden from the reception role
AlertsImportant flags shown prominently — e.g. severe allergies, fall risk
VitalsBlood pressure, heart rate, temperature, SpO₂, when they were taken — with small trend charts
AllergiesSubstance, reaction, and severity
MedicationsName, dose, and frequency
ProblemsThe problem list, with "since" dates
LabsRecent results with abnormal flags and a trend chart
EncountersVisit history: date, type, provider, and a summary
FilesUploaded documents (PDFs, images, analyses) — preview or download them

The patient sheet also opens an Obsidian-style record graph in a full dialog (linking problems to visits) and lists those records as clickable entries.

Managing records

Creating a patient

  1. Click Add patient — on the Patients page or right from the chat input.
  2. Fill in demographics. The file number must be unique in your clinic; it's how you'll look the patient up later.
  3. Optionally add allergies, medications, problems, labs, and encounters — each section is a list you can add rows to.
  4. Optionally attach files (ID, insurance, prior records) — they upload once the patient is saved and appear in the Files section of the patient sheet.
  5. Choose a primary provider (the clinician responsible for this patient) and save.

Editing

Open a patient (from the list or by clicking a record card in chat) and click Edit. The same form opens with the current data filled in.

Who can edit what

Doctors, members, admins, and owners can edit full records. Reception can create and edit demographics only — clinical sections (medications, labs, problems, encounters) are not visible to them. Pharmacy and Lab can read records, and Lab can additionally append analysis results from the Lab dashboard. Details in Roles & permissions.

Transferring a patient

When care moves from one clinician to another, open the patient and use Transfer to pick the new primary provider. The transfer is recorded in the activity log.

Deleting

Deleting a patient removes their record from the clinic and is restricted to roles with delete permission (owner and admin). Like every change, it is recorded in the activity log.

Record history

The patient sheet shows a Record history section — an audit timeline of every change made to that chart (who did it, what they did, and when), newest first. It's drawn from the clinic activity log, scoped to this one patient, so you can see at a glance how the record evolved.

Exporting a summary

Click Download summary at the top of a patient's sheet to generate a clean, one-page clinical summary — demographics, allergies, problems, medications, vitals, labs, and recent visits. It opens a print-ready view; choose Save as PDF (or print) in your browser's dialog. Nothing leaves your server — the document is built in the browser.

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