Clinician Mobile Triage Device
Attending MD Active
9:41 AM
5G STAT
CareFlow Mobile
Queue Filter & Acuity Rank
4 Active
Santos, Juan
MRN #940-28168yo Male • DOB: 04/12/1958 • Room 304
Allergy: Penicillin
Droplet Isolation
Reassess: Due in 15m
Vitals Telemetry
Danger Zone: SpO2 < 90%
Heart Rate
104 bpm
Blood Pressure
142/88 mmHg
Temperature
37.8 °C
SpO2 Saturation
88% ↓
Chief Complaint:
"Substernal crushing chest pain radiating to left jaw; shortness of breath on 3L O2."
Evident Photo Camera OCR
Vision Active
OCR: PETECHIAL RASH
98.4% CONF
Clinical Orders & Literature
ICD-10 R23.3
Suggested Rx:
Ceftriaxone 2g IV STAT
PubMed: "Early Antibiotic Timing in Non-Blanching Petechial Rashes" (NEJM 2025; PMID: 38819201)
Flow 2: Doctor Triage Workbench
Attending MD Decision & Order Verification
Transmitted Patient Queue (Swipe / Select):
1 of 4 Selected
MedGemma AI Clinical Brief
Santos, Juan (Room 304)
98.4% AI Match
Ingested Flow 1 Facts:
HR 104 bpm • BP 142/88 mmHg • Temp 37.8°C • SpO2 88% ↓ (Danger Zone Alert)
AI Diagnostic Impression & ICD-10:
Acute Petechial Purpura Rash (ICD-10 R23.3)
Suggested STAT Recommendations:
- Ceftriaxone 2g IV STAT within 30 minutes
- STAT Blood Cultures x2 & CBC Panel
- High-Flow O2 Non-Rebreather Therapy
Literature Evidence: NEJM 2025 (PMID: 38819201) — Early IV Ceftriaxone within 30 min reduced sepsis mortality by 64%.
response { } Technical JSON Output
200 OK
{
"patient": "Santos, Juan",
"icd10": "R23.3",
"rx": "Ceftriaxone 2g IV STAT"
}
Condition Boxes
Tap to Expand Artifact
1. Photo
2. X-Ray
3. Lab PDF
Clinician Decision Sign-Off Framework:
Hospital Workstation Desktop Admin Software
Epic/Cerner EHR Compatible
ED Total Occupancy
114% (Surge)
28 Beds Occupied
Flow 2 Decisions
318 Approved
Synced to Epic EHR
Overdue Reassessments
2 Overdue
Oldest by 11m
PACS Image Matches
1,240
Vector Search Active
Department Bed Allocation & Condition Matrix Overview
Room 304 – Santos, Juan (68M)
ESI Tier 2
SpO2: 88% ↓ • HR: 104 bpm • Droplet Isolation
Room 307 – Cruz, A. (45F)
ESI Tier 3
Pain: 8/10 • Temp: 38.2°C • Contact Isolation
No X-Ray
Room 311 – Chen, M. (29M)
ESI Tier 4
Stable Vitals • Forearm Laceration
No X-Ray
Tetanus
Room 221 – Alex (4F Child)
ESI 1 STAT
Pediatric Stridor + Petechial Rash • SpO2: 84% ↓
Master Inbound Decision Audit Stream (HL7 FHIR R4 Provenance)
Gateway Listener Active| Clinical Event | Patient / MRN | Clinician User | EHR Status | Timestamp |
|---|---|---|---|---|
| Flow 2 Decision: 1. APPROVE Executed | Santos, Juan (MRN #940-281) | Dr. Reyes (Attending) | Approved & EHR Synced | 09:44:12 AM |
Status: Online • Connected to Local EHR Gateway
FHIR Server: Active • User: Dr. Reyes (MD)