Tuesday · 21 Jul 2026

Good morning, Dr. Rao

Andheri West · live operational overview

64

Registered today

12%

18

Unreported studies

1 aged >24h

3.4h

Avg report TAT

−22 min

₹3.42L

Collections

₹28k due

9

Follow-ups due

this week

Throughput by modality

Study ageing · unreported

18 studies

FreshWatchBreach

Priority worklist

Patient	Study	Status

Who's on now

Operations

Worklist

Every study, colour-coded by modality and tracked from order to delivery.

Today

All modalities

Accession	Patient	Modality / Study	Referrer	Ageing	Status

Front desk

Patient registration

Register a patient, order studies, and auto-generate the invoice.

New registration

MRN auto-assigns on save

First name *

Last name *

Mobile *

For WhatsApp delivery & portal OTP

Date of birth

Sex

Blood group

Referring doctor

Referral type

Order studies

CT Chest — Contrast ✕ECG 12-lead ✕+ Add study

Invoice generates on save; consent & portal invite go out by WhatsApp.

Find existing patient

RS

Ramesh Shetty

MRN 40218 · M/58 · 3 studies

PK

Priya Kulkarni

MRN 40221 · F/34 · 1 study

Quick order sets

Whole abdomen USGChest X-Ray PACT KUBMaster health checkCardiac (ECG + 2D Echo)

Every report is stored and retrievable — including walk-ins. Unlike the current setup (where walk-in reports are saved loosely on a PC and can’t be pulled up later), each study is kept against the patient’s MRN, so a returning patient’s full history is one search away.

Front desk

Appointments

Slot availability across modalities and rooms.

Time	MRI	CT	USG 1	USG 2	X-Ray	ECG
09:00	Desai	Open	Kulkarni	Open	Walk-in	Nair
09:30	Desai	Shetty	Open	Open	Open	Open
10:00	Open	Open	Menon	Antenatal	Open	Open
10:30	Service	Open	Open	Open	Nair	Open

Patients self-book open slots in the portal; requests arrive here for one-tap confirmation.

Imaging · PACS

Universal viewer

Renders CT, MR, ultrasound, X-ray, mammography, ECG and documents — scoped to your access.

Studies for this patient

Showing what your role can access

Study details

Prior studies

14 Feb 2026CT Chest

03 Aug 2025X-Ray Chest

CompareLink prior →

Radiology reporting

Report editor

Ramesh Shetty · CT Chest with Contrast · draft ready for review

Templates & macros

CT Chest — NormalCT Chest — NoduleBI-RADSBlank

/normal-lungs/no-effusion/impression

Key images

Ax · Im 142

Cor · Im 61

Peer review / QA

RADPEER score2 · Concur, minor

Flag discrepancyRequest 2nd read

CT Chest — Contrast Enhanced

Ramesh Shetty · M/58 · MRN 40218

ACC 2026-CT-0912
21 Jul 2026

Clinical history

58M, smoker, persistent cough 6 weeks. Rule out mass.

Technique

Axial CT thorax after IV contrast. 1.25mm reconstructions in lung, mediastinal and bone windows.

Findings

Lungs clear; no focal consolidation, mass or nodule. No pleural effusion or pneumothorax. Central airways patent. No significant mediastinal lymphadenopathy. Heart size normal, no pericardial effusion. Visualised upper abdomen unremarkable. Bony thorax normal.

Impression

No CT evidence of intrathoracic malignancy. Routine follow-up advised in 3–6 months given risk profile.

Dictated · pending signature

Dr. Anjali Rao

MD Radiodiagnosis · Reg 2011/44/8821

How radiology reporting really flows: the radiologist / sonologist performs the scan and dictates; a typist types the report into the letterhead editor; the front desk prints it. The doctor reviews and their signature & stamp go on it — and the doctor often has no login of their own. X-ray is shot by a technician; sonography is performed by the doctor.

Imaging

Bulk upload & study mapping

Push from modalities via DICOM C-STORE, or drag whole folders to attach to orders.

Upload queue

6 files staged

Drop .dcm files, a DICOMDIR, ECG XML or PDF here

Auto-matched to orders by patient name + accession · HL7 & DICOM C-STORE supported

File	Matched order	Modality	Size	Status

Map incoming study types

Route incoming studies by AE Title or series description to the right modality & template.

Source pattern	Maps to
CT1_SIEMENS*	CT Chest / Abdomen
ECG.xml	ECG 12-lead
GE_VOLUSON*	US Abdomen / OB
MG_HOLOGIC*	MG Mammo bilateral

Delivery

Share & delivery

Reports & images to patients and referrers — WhatsApp, email or secure link.

128

Delivered via WhatsApp today

41

Referrer deliveries

3

Failed / undelivered

Ready to deliver

Patient	Study	Recipients	Channel
AF Aisha Fernandes40209	Mammography	Patient · Dr. Iyer	Not sent
SM Sanjay Menon40215	USG Pelvis	Patient	Sent 10:12
TN Tara Nair40219	ECG 12-lead	Patient · Dr. Rane	Failed

Revenue

Billing & invoices

Invoicing, payments, TPA, packages and GST.

Collected today

₹3,42,150

Outstanding

₹28,400

TPA pending

₹1,15,000

Refunds

₹2,200

Recent invoices

Invoice	Patient	Amount	Mode	Status

Invoice · INV-8841

Paid

Ramesh Shetty · 4021821 Jul 2026

CT Chest — Contrast₹8,500

ECG 12-lead₹300

Referral discount 5%−₹440

Subtotal₹8,360

GST 18%₹1,440

Total₹9,800

Discount authority: front desk may apply up to 10%; anything higher escalates to the Center Manager / Admin for approval. The limit is a per-role ABAC rule set in Roles & Permissions.

Continuity of care

Recall & follow-up

Auto re-posting at 3–6 months when a report advises follow-up.

Due & upcoming

Patient	Study	Interval	Due	Status
RS Ramesh Shetty40218	CT Chest	3–6 mo	18 Aug	Due soon
GN Geeta Naik39802	USG Thyroid	6 mo	02 Aug	Overdue
MV Mohan Verma39990	CT Renal cyst	3 mo	29 Aug	Scheduled

Recall lifecycle

Report advises follow-upInterval auto-detected from impression

Recall scheduledReminder window set at 3–6 months

WhatsApp reminder~14 Aug · one-tap re-booking link

Referrer notifiedCopy to Dr. Mehra to close the loop

Re-study registeredPriors auto-linked for comparison

Insights

Analytics

Modality mix, turnaround time, study ageing, referrals and revenue.

Studies (month)

4,182

9.2%

Revenue

₹82.4L

11%

Avg report TAT

3.4h

−22m

SLA breach rate

1.2%

within target

Modality mix

this month

Turnaround time by modality

Reg→AcquireAcquire→ReportReport→Deliver

Study ageing · unreported

0–2h2–24h>24h

Top referring doctors

DM Dr. MehraFortis	312	₹14.2L
DI Dr. IyerLilavati	248	₹11.8L
DK Dr. KapoorIndependent	190	₹9.1L

Operations

Availability & presence

Who's logged in right now, their status and current assignment.

9 available 4 in study 1 break

Status updates from logins, active studies and manual "on break" toggles. Teleradiologists appear here across all centers.

Administration

Staff & HR

Accounts, roles & permissions, rosters, attendance and leave.

Member	Role	Centers	Status	Access
AR Dr. Anjali RaoRadiologist · MD	Administrator	All (3)	On duty	Full
SV Suresh VoraCT/MRI Tech	Technician	Andheri	On duty	Acquire, upload
NP Neha PatilFront desk lead	Front desk	Andheri · Bandra	On duty	Register, bill
DM Dr. Vikram MehraReferrer	Referring doctor	Portal only	External	Own patients
RG Dr. Rahul GuptaTeleradiologist	Radiologist	Teleradiology	On break	Report, sign

Network

Centers & facilities

Map the modalities and services each location offers.

Andheri WestLive

Flagship

Studies today122

Staff on duty8

BandraLive

Satellite

Studies today64

Staff on duty4

ThaneOpening

Commissioning

Studies today—

Staff on duty2

Facility map · Andheri West

Modalities & imaging

Services

Tap a facility to toggle it on/off for this center — it drives what front desk can order and what patients can self-book.

Compliance

Audit log

Every access, edit, sign and share of patient data is recorded.

Time	User	Action	Record	Center
10:42:18	Dr. A. Rao	Signed report	ACC 2026-CT-0912	Andheri
10:39:04	N. Patil	Viewed images	MRN 40209	Andheri
10:31:55	System	WhatsApp delivered	ACC 2026-US-1180	Andheri
10:20:12	S. Vora	Uploaded study	ACC 2026-CT-0912	Andheri
10:04:41	Dr. V. Mehra	Portal login	Referrer portal	—

Configuration

Settings

Integrations, templates, delivery channels, theme and retention.

Appearance

Theme

Light or dark for the whole suite

Reading room

Viewer always uses dark for image fidelity

Locked dark

Integrations

WhatsApp Business API

Reports, images, invoices, recalls

Connected

HL7 / DICOM & HIS

ADT, ORM, ORU · MWL · C-STORE

Live

Report templates

28 templates across modalities

PACS storage & retention

Encrypted · 7-year archive

Front office · demand

Leads & CRM

Every enquiry from every source, with full activity history and advance-to-book conversion.

Leads today

110

Booked (advance paid)

38

Pending follow-up

54

Not responding

14

Conversion

34.5%

By source

DSA / channel partners get a scoped portal & per-lead payout tracking.

Lead pipeline

Lead	Source	Study	Last activity	Stage

PII masking is enforced by policy — mobile numbers show as •••• ••1180 unless the role's ability grants read Lead.phone. Every reveal is written to the audit log.

Front office · flow

Queue & tokens

Cut the 2.5–3 hour package wait — live tokens, per-station flow and wait-time tracking.

In queue now

17

Avg wait

42m

Longest wait

1h 58m

Served today

96

Phlebotomy

Now T-041

T-041

4 waiting · ~18 min

X-Ray

Now T-039

T-039

2 waiting · ~9 min

Ultrasound

Now T-036

T-036

6 waiting · ~52 min

ECG

Now T-044

T-044

0 waiting · ~0 min

Package patients — station progress

the digital version of the patient's paper file

Token	Patient	Package	Stations done	Waiting at	Elapsed
T-032	Akash Purohit	Master Health (12)	Phlebo ✓ · X-Ray ✓ · ECG ✓	Ultrasound	1h 22m
T-035	Sunita Rao	Cardiac (8)	Phlebo ✓ · ECG ✓	2D Echo	54m
T-041	Imran Shaikh	Diabetic (6)	—	Phlebotomy	12m

Floor Manager

On floor

Owns the patient's journey between stations — routes them to whichever room is free to cut idle time, and handles prep (e.g. water before an ultrasound).

RM

Ravi More

Floor Manager · 17 patients routed

Each package builds a station checklist from its tests — the digital replacement for the printed file that travels with the patient today, so findings collect against one record instead of loose paper.

Laboratory · LIS

Lab & accession

Sample accession, barcoding, department routing and a three-step sequence: junior tech accessions & enters, senior tech verifies against range, pathologist authorizes.

Accessioned (junior)

128

Range-verified (senior)

41

Pathologist authorized

73

QC re-run flagged

3

Result & authorization queue

junior → senior (range check) → pathologist authorize

Barcode	Patient	Department	Test	Value / range	Machine	Stage
LB-77201	Sunita Rao	Haematology	CBC · Hb	13.4 (12–15)	Auto · Sysmex	Authorized
LB-77202	Sunita Rao	Biochemistry	FBS	148 (70–110)	Auto · Cobas	Senior review
LB-77205	Imran Shaikh	Immunology	TSH	— manual —	Manual entry	Junior entry
LB-77210	Akash Purohit	Biochemistry	Potassium	6.9 (3.5–5.1)	Auto · Cobas	QC re-run

Auto vs manual per machine: integrated analyzers (Sysmex, Cobas…) push values straight in over HL7/ASTM; non-integrated machines are read and typed by the junior technician. Each instrument is configured one way or the other.

QC re-run loop: when a value is out of range, the pathologist decides if it's a true patient abnormality or a quality-control machine issue, and can send it back for a re-run — the request is logged.

Occupational health · camps

Corporate health & Form 7

On-site camps, vitals & examination capture, health cards and the statutory Form 7 fitness certificate.

Camp — Vertiv Energy Pvt Ltd

In progress

LocationPune plant

PackagePre-employment (age-banded)

Employees214 · 168 done

Examination capture

Height (cm)

Weight (kg)

BP

Pulse

Vision

Audiometry

Form 7 · fitness certificate

Statutory format

FORM 7

Certificate of fitness (Factories Act)

Vertiv Energy
21 Jul 2026

Employee-wise fitness with medical officer sign-off. Generated in the statutory format and issued to the company record (not individuals).

✓ FitUnfitFit with conditions

Graph & paper tests: audiometry and PFT produce graphs that are marked by hand, and ENT / medical-history use paper formats. These are scanned, attached, and merged with the typed results into one collated PDF per employee.

Send-outs

Outsourcing & referral labs

Send-out tests & teleradiology, PDF return upload, cross-check, and letterhead compliance.

Outsourced items

Patient	Test / study	Sent to	Letterhead	Status
Akash Purohit	Vitamin D	Metropolis	Partner letterhead	Awaiting PDF
Sunita Rao	Karyotyping	Agilus	Own + "outsourced to X"	Cross-check
Jitendra Desai	MRI second-read	Teleradiology · Dr. Gupta	Center letterhead	Returned

Legal rule enforced: an outsourced result is issued either on the partner lab's letterhead, or on ours only with a mandatory "This test was outsourced to …" remark. The system won't let it out otherwise.

Revenue · credit

B2B, TPA & corporate

Client rate cross-check, auto-generated consolidated invoices, a company payment portal and TDS.

Billed (month)

₹41.2L

Collected

₹28.9L

Outstanding

₹12.3L

TDS to file (by 5th)

₹1.1L

Client statements

Client	Type	Patients	Rate check	Amount	Status
Apollo Health	TPA	312	Matched	₹14.2L	Partial
Visit Health	TPA · B2C	208	2 mismatched	₹9.6L	Due
Vertiv Energy	Corporate	214	Matched	₹8.1L	Paid
Star Health	TPA	96	Matched	₹5.3L	Due

Company payment portal

Gateway live

Clients log in, see their patients, and pay through the gateway — auto-reconciled, no manual keying.

Apollo Health paid ₹6.4L

UPI · auto-reconciled · 312 patients cleared

GatewayRazorpay / UPI / NEFT

Auto-reconciliationOn

Revenue · accounts

Accounts day-book

The accountant's daily close: collections, expenses, refunds and referral payouts.

₹3,42,150

Collections

₹48,600

Expenses

₹2,200

Refunds

₹61,400

Referral payouts

Referral payout ledger

doctor-wise · payable

Doctor	Referrals	Rate	Payable
Dr. Mehra	42	15%	₹28,400
Dr. Iyer	31	12%	₹18,900
Dr. Kapoor	19	10%	₹14,100

Expenses today

Head	Note	Amount
Consumables	Contrast, films	₹22,000
Utilities	Power backup	₹9,600
Maintenance	CT AMC visit	₹17,000

Amend / void with audit: edits after day-close require a reason, are logged, and honour a configurable edit-window (their concern about editing cash entries after a month). On-prem/local deployments keep this fully offline-capable.

Per-receptionist daily close: at end of shift each receptionist reconciles their own collection (e.g. ₹10,000 across 10 patients), marks what is pending and why, and hands it over to Finance — a personal cash tally, not just the center total.

Insights

MIS report builder

Configurable reports — not "many reports, only one workable". Pick fields, group, filter, export.

Build

Report on

Group by

Date range

Columns

Patient ✓Test ✓Amount ✓ReferrerTATStatus ✓

PDFExcel ✓

Preview — Test-wise consolidated

test-wise rows (10 tests = 10 entries)

Date	Patient	Test/Study	Client	Amount	Status
21 Jul	Akash Purohit	CT Chest	Apollo	₹8,500	Done
21 Jul	Akash Purohit	ECG	Apollo	₹300	Done
21 Jul	Sunita Rao	CBC	Vertiv	₹350	Pending
21 Jul	Sunita Rao	2D Echo	Vertiv	₹1,800	Done

Insights · integrity

Analyzer reconciliation

Catch the "machine shows 1,000, software shows 750" gap — modality & analyzer counts vs system.

Analyzer count

1,000

System count

988

Unmatched

12

Match rate

98.8%

Unmatched runs

HL7 / ASTM interface log

Analyzer	Run ID	Time	Issue
Cobas c311	R-4471	10:14	No matching order
Sysmex XN	R-4459	09:52	QC flag
CT 1 · Siemens	A-0912	09:34	Images w/o accession

Growth

Field force · PRO tracking

Marketing reps developing referring doctors — GPS check-in, daily targets, new-doctor capture.

Reps in field

6 / 8

Visits today

72

Monthly target

78%

New doctors

+11

Today's visits

Rep	Doctor visited	Area (GPS)	Outcome	Time
A. Kadam	Dr. Sharma (Ortho)	Andheri E ✓	Sample assured	10:05
A. Kadam	Dr. Fernandes (GP)	Andheri E ✓	Follow-up	10:48
P. Naik	Dr. Rao (new)	Bandra W ✓	New doctor added	11:20

Rep check-in / out

AK

A. Kadam

In · 09:12 · 8 visits

PN

P. Naik

In · 09:30 · 6 visits

Reps use the mobile PRO app; location is captured at each doctor visit.

Access control

Roles & permissions

CASL-style abilities — RBAC (role → what) plus ABAC (conditions on attributes: company, center, ownership, discount limit, time).

Tenant hierarchy

scope flows downward — each tier only sees what sits beneath it

Super Admin · Platform (Trovera)→ Company Admin · all centers→ Center Manager · one center→ Staff · scoped users

Roles

Abilities — Administrator

action × subject, with ABAC conditions

Policy (CASL abilities)

Test a permission

can(action, subject, attrs)?

Action

Subject

Record company

Record center

Owned by user?

Discount asked (%)

The same policy is enforced in the UI (hiding what you can't do) and at the API — abilities travel with the token, so a hidden button is also a blocked request. Data is tenant-aware from the ground up: every record carries a company + center, so one company can never see another's.

Try the discount rule: set the role to Front desk, subject Discount, and a value above 10% — it returns Needs approval and escalates to the Center Manager. Front desk is capped; managers are not.

Configuration

Masters

The backbone: clients & rate cards, packages, referring doctors, and the test/study catalogue.

Clients & categories

Client	Category	Rate card	Centers
Regular / Walk-in	Retail	List price	All
Apollo Health	TPA	TPA-A (−18%)	All
Vertiv Energy	Corporate	CORP-VER	1 (visit)
Visit Health	TPA · B2C	TPA-B	All

Package builder

Package name

Sex variant

Age band

Age/sex variants prevent registration errors — e.g. ECG included only for 35+.

Tests

CBC ✓Lipid ✓ECG ✓Chest X-Ray ✓+ add

Referring doctors

Doctor	Hospital	Payout %	Relation flag
Dr. Mehra	Fortis	15%	—
Dr. Iyer	Lilavati	12%	Self (no payout)

Test / study catalogue

Test / study	Modality/Dept	Sourcing
CT Chest	CT	In-house
Vitamin D	Biochemistry	Outsourced · Metropolis
Karyotyping	Genetics	Outsourced · Agilus

Trust & safety

Security & data protection

Auth, session & device control, PII masking, export auditing and telephony — the controls raised in the field.

Authentication & sessions

OTP / 2FA login

Employee-code or mobile → OTP, matching current practice

Enforced

Device locking

One user → one device; new device needs approval

On

Concurrent-login limit

Block simultaneous sessions; force single active session

Limit 1

Private-network / VPN access

Admin & export surfaces off the public domain

VPN-only

Data-loss prevention

PII / mobile masking

Numbers show as •••• ••1180; reveal is ABAC-gated & logged

On

Export / download audit

Who exported which dump, how often, OTP per record

Tracked

Telephony · virtual numbers

Ozonetel/JustDial-style masking & click-to-call; staff never see raw numbers

Ready

Recent exports & sensitive access

every download / reveal is here

Time	User	Action	Scope	Device	Flag
10:42	N. Patil	Export CSV · worklist	Andheri · 86 rows	DSK-14	OK
10:31	Dr. Mehra	Reveal Lead.phone	1 record	MOB-referrer	OK
10:05	ex-user?	Bulk export attempt	1,200 leads	unknown	Blocked

Invoice	Study	Amount	Status
INV-8841	CT Chest + ECG	₹9,800	Paid
INV-7120	CT Chest	₹9,500	Paid