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Abel · for the medical back office

Every action, with a screenshot.

Abel works in your EMR the way your staff do — the same screens, the same clicks. The console records each step, so you can check any one of them.

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↓ One fax, start to finish — ten frames

I filed the lab result to Jane Q. Sample’s chart under Labs, marked it for Dr. Whitfield to review, and texted them that two values are out of range.

yesterday 6:14 PM39s$2.50file the result and tell the doctor v7ran because the fax arrived

  1. 01Opened the fax2s
  2. 02Read the page5s
  3. 03Signed in to eClinicalWorks3s
  4. 04Looked the patient up2s
  5. 05Opened the chart5s
  6. 06Attached the document · fixed mid-run3s
  7. 07Filed it under Labs9s
  8. 08Marked it for the ordering provider3s
  9. 09Read the chart back5s
  10. 10Checked the fax inbox2s
eClinicalWorks — Patient Hub
SAMPLE, JANE Q · Documents
Attach document to chart
SourceFax 4471 (2 pages)
PatientSAMPLE, JANE Q
Date08/22
CancelAttach

06 · attached the document · the recording opens anchored here

01One fax

One fax, start to finish.

A lab result came in at 6:14 in the evening. Here is every step Abel took, and the screen it was looking at when it took it. Ten frames, in the order they were recorded.

Fax 4471 — laboratory report, 2 pages

Received 6:14 PM from Regional Laboratory

Text message to Dr. Whitfield

Sent 6:16 PM · delivered

  1. eClinicalWorks — Fax Inbox
    Inbox / Unassigned
    OpenAssignPrintDelete
    ReceivedFromPagesStatus
    6:14 PMREGIONAL LABORATORY2Unread
    5:52 PMORTHO ASSOCIATES4Unread
    5:31 PMVALLEY IMAGING1Unread
    4:58 PMREGIONAL LABORATORY3Unread
    01

    Opened the fax

    Fax 4471 arrived at 6:14 PM from Regional Laboratory. Nobody had opened it.

    succeeded

  2. eClinicalWorks — Fax 4471 · page 1 of 2

    LABORATORY REPORT

    PATIENT: SAMPLE, JANE Q DOB: 03/14/1972

    ORDERING PHYSICIAN: Whitfield, R., MD

    COLLECTED: 08/22 · REPORTED: 08/22 · ACCESSION 77-2210

    TestResultRef rangeFlag
    Sodium139135 - 145
    Potassium5.93.5 - 5.1H
    Creatinine1.90.6 - 1.2H
    Glucose9670 - 99
    02

    Read the page

    Two pages, a lab result for Jane Q. Sample, ordered by Dr. Whitfield. Potassium and creatinine are both above the reference range.

    succeeded

  3. eClinicalWorks — Sign in

    eClinicalWorks

    Userabel.service
    Password••••••••••
    Login
    03

    Signed in to eClinicalWorks

    Reused the session that was already open from this morning instead of signing in again.

    succeeded

  4. eClinicalWorks — Patient Lookup
    Lookup / by name and date of birth
    Last nameSample
    Date of birth03/14/1972
    PatientDOBAccountPCP
    SAMPLE, JANE Q03/14/197200-4471Whitfield, R., MD
    04

    Looked the patient up

    One patient matched on last name and date of birth. There was no second candidate, so it carried on.

    succeeded

  5. eClinicalWorks — Patient Hub
    SAMPLE, JANE Q · 03/14/1972 · PCP Whitfield, R., MD
    SummaryEncountersLabsDocumentsOrders
    DocumentCategoryDateStatus
    Referral letterCorrespondence07/30Reviewed
    Radiology reportImaging06/11Reviewed
    Insurance cardAdministrative02/03Filed
    05

    Opened the chart

    The Documents tab of that patient’s chart. The result was not on it yet.

    succeeded

  6. eClinicalWorks — Patient Hub
    SAMPLE, JANE Q · Documents
    Attach document to chart
    SourceFax 4471 (2 pages)
    PatientSAMPLE, JANE Q
    Date08/22
    CancelAttach
    06

    Attached the document

    The Attach button was not where it was last time. Abel found it, attached the fax, and wrote down that the screen had moved.

    fixed mid-run

  7. eClinicalWorks — Patient Hub
    SAMPLE, JANE Q · Documents / new
    CategoryLabs

    Imaging

    Labs

    Correspondence

    Administrative

    07

    Filed it under Labs

    Labs — the category this practice files every lab result under.

    succeeded

  8. eClinicalWorks — Patient Hub
    SAMPLE, JANE Q · Documents / new
    CategoryLabs
    Assign toWhitfield, R., MD
    ActionMark for review
    Save
    08

    Marked it for the ordering provider

    Assigned to Dr. Whitfield, marked for review, saved.

    succeeded

  9. eClinicalWorks — Patient Hub
    SAMPLE, JANE Q · Documents
    SummaryEncountersLabsDocumentsOrders
    DocumentCategoryDateStatus
    Laboratory reportLabs08/22For review
    Referral letterCorrespondence07/30Reviewed
    Radiology reportImaging06/11Reviewed
    09

    Read the chart back

    Opened the Documents tab again and read it. The report is on the chart, under Labs, dated today, waiting for review. A step that cannot be read back is not finished.

    succeeded

  10. eClinicalWorks — Fax Inbox
    Inbox / Unassigned
    OpenAssignPrintDelete
    ReceivedFromPagesStatus
    5:52 PMORTHO ASSOCIATES4Unread
    5:31 PMVALLEY IMAGING1Unread
    4:58 PMREGIONAL LABORATORY3Unread

    Fax 4471 is no longer in this list.

    10

    Checked the fax inbox

    Fax 4471 is out of the inbox. Nothing was left sitting there for someone to find in the morning.

    succeeded

Abel runs in one practice today. Every screen, message and name on this page is a drawing of the console rather than a capture of a real chart — the patient, the doctor, the staff, the fax and the values on it are all invented.

02The audit trail

The same run, written down line by line.

Behind the frames is the log the frames were cut from — every event the run wrote, in order, with its own clock. This is the record, not a summary of it.

  1. 18:14:02run started replay · file the result and tell the doctor · v7
  2. 18:14:02browser session opened
  3. 18:14:08opened the fax fax 4471 · 2 pages
  4. 18:14:14read the document answered in the declared shape · 4.1s
  5. 18:14:21read the page lab result · 2 values above range
  6. 18:14:25whose result is this ordering provider is on this practice’s roster
  7. 18:14:29eClinicalWorks sign-in reused this morning’s session
  8. 18:14:34signed in to eClinicalWorks
  9. 18:14:41which patient one candidate on name and date of birth · no second match
  10. 18:14:47looked the patient up
  11. 18:14:56opened the chart documents tab
  12. 18:15:03healed at "attached the document" the Attach control had moved; found it and carried on
  13. 18:15:12attached the document fixed mid-run
  14. 18:15:21filed it under Labs
  15. 18:15:29marked it for the ordering provider assigned · for review
  16. 18:15:36read the chart back the document is there, under Labs, dated today
  17. 18:15:44text message sent Dr. Whitfield · delivered
  18. 18:15:50checked the fax inbox fax 4471 is no longer in it
  19. 18:15:50result recorded fax 4471 · filed · for review
  20. 18:15:50replay complete one fix — this version was not certified
Every run, including the quiet ones
The runs where nothing went wrong are in the list too. A record you only keep for the exceptions is a record you cannot check.
The judgment calls, marked as judgment calls
Where Abel had to read something and decide — whose result this is, which patient — the log says so, and says whether the answer came back in the shape it had to.
Repairs recorded as repairs
A run that had to fix a step to finish says so on its own line, and it does not certify that version. The next clean run does that.
What each run cost to do
Carried on the run itself. There is no invoice to reconcile against a number nobody can see.

03When it stops

It asks when it isn’t sure. It never guesses.

The fax after that one never got filed. Two patients in the chart share the name and the date of birth printed on the page — so Abel stopped, and the run says who it asked.

I stopped before filing this one. Two patients match the name and date of birth on the page, so I asked instead of picking one.

yesterday 6:31 PMhalted safely — nothing was writtenasked a person

eClinicalWorks — Patient Lookup
Lookup / by name and date of birth
Last nameSample
Date of birth03/14/1972
PatientDOBAccountPCP
SAMPLE, JANE Q03/14/197200-4471Whitfield, R., MD
SAMPLE, JANE Q03/14/197200-8130Okafor, T., MD

2 matches

the screen Abel was looking at when it asked

Front desk · Marisol

Fax 4489 is a lab result for a Jane Sample, DOB 03/14/1972.

Two patients in the chart have that name and that date of birth. I have left the fax where it is rather than guess.

Which account is it — 00-4471 or 00-8130?

the message it sent · 6:31 PM · delivered

The work goes back to your staff
Nothing was written and nothing was moved. The fax is still in the inbox, exactly where it would have been if Abel had never looked at it.
The text goes to whoever handles this
Not to a distribution list. Abel works out who at the practice this belongs to and asks that person, so the question reaches someone who can answer it.
The answer finishes the run
Reply to the text and the fax gets worked. The answer lands in the record next to the question Abel asked, so the two are read together afterwards.

04The limits

What Abel never does without you.

The console is only worth reading if the boundaries are real. These are the ones you can hold us to, and every one of them is visible in the record.

It doesn’t guess at a patient
When two people in the chart match what is printed on the page, it stops and asks. A document on the wrong chart is not a small mistake, and speed is not worth it.
It doesn’t take on work you haven’t shown it
Abel runs the procedures you have walked it through, on the documents those procedures cover. Everything else stays on your staff’s list exactly as it is today.
It doesn’t quietly rewrite the job
A task runs the same steps every time. When a screen has moved, Abel repairs that step so the run can finish, and the recording says it did — but changing what the procedure IS takes a session with you.
It doesn’t do the irreversible part on its own
Sending to a patient, submitting to a payer, deleting a record — by default Abel prepares that work and stops. You decide, task by task, where the line sits.
It doesn’t decide anything clinical
It files the result, routes it, and tells the right person it is there. What the result means is the provider’s call, and it always was.
It doesn’t go anywhere you haven’t signed it in
Abel works with the logins you give it, in the systems you name. There is no other door into your practice.

05Pricing

One price, and the receipts to check it against.

Flat, month to month. Every run carries what it cost, so you can read the console and the invoice against each other — the invoice will not have moved.

Flat rate

$1,000/ month

per practice, per month

Book a demoOpen a sample console

No setup fee, no charge per seat, no charge per fax. Month to month.

  • Every task you teach it, and every run of every task
  • The console, for everyone at the practice you give it to
  • The recording of each run — frames, log, and what it cost
  • Abel repairing its own steps when a screen changes
  • A working session with us for each new task

Next step

Read a run before you believe any of this.

Twenty minutes, one task of yours, and the recording it leaves behind is the whole argument.

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