V3ra Platform · Pulse Running today

Pulse

Every arrival, ranked by who needs it most.

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Runs on VAS, the system underneath every V3ra product
In the first minutes

Five things Pulse settles in the first minutes of an encounter.

Each one shown as the platform shows it.

The vitals, as taken
102bpm

The heart rate, flagged against where it should sit.

The waveform and the vital signs, the heart rate flaggedPlatform · synthetic patient
Risk by system
55%cardiovascular

Acuity for each body system, with what is driving it.

At-a-glance acuity by body systemPlatform · synthetic patient
The level
ESI 2high acuity

Immediate physician evaluation, set at the door.

The clinical summary with its ESI levelPlatform · synthetic patient
The scores
7 · 5 · 1NEWS2 · HEART · qSOFA

Validated scores beside its own composite.

Risk stratification beside the validated scoresPlatform · synthetic patient
Every step, timed
08:47critical troponin

Each step on one timeline, and the result that could not wait.

The signal timeline from triage to the critical troponinPlatform · synthetic patient
The board

One board, every level in view.

Every name in the queue carries its ESI level, and the queue filters and sorts by it. The vitals sit across the top as they are taken, and the encounter’s six steps run down the side, from intake to billing.

The clinical dashboard: the queue, the vitals strip, the analysis and the workflowPlatform · synthetic patient
In and out

What it reads, and what it returns.

Everything Pulse works from is already in the encounter. Everything it gives back is something a clinician can act on.

It reads
  • Vitals, as they are takenPressure, heart rate, temperature, oxygen and breathing rate, each with its trend.
  • The patient’s own accountThe complaint in their words, the symptoms, how it started.
  • The historyEarlier visits, social and family history, medications and allergies.
  • The recordRefreshed from the EHR the hospital already runs.
It returns
  • An ESI levelOne to five, set as the patient arrives.
  • Acuity by body systemWith what is driving each one.
  • What cannot be missedThe diagnoses to rule out first.
  • Validated scoresNEWS2, HEART and qSOFA beside its own composite.
  • Tests to orderECGTroponinBNPCMPCBCD-Dimer
  • A disposition to chooseDischargeObserveAdmitTransfer
Two levels, one flag

When two triage levels disagree, it says so.

Pulse sets the level two ways, from its reasoning and from its rules engine, and marks the encounter when they part. Here the reasoning says ESI 2 and the engine says ESI 4, and the mismatch is on the screen for the clinician to see.

ReasoningESI 2
Rules engineESI 4

Cross-check mismatchshown to the clinician

The triage level panel: AI ESI-2, engine ESI-4, cross-check mismatchPlatform · synthetic patient
The scores

Validated scores, beside the reasoning.

Its own composite never stands alone. NEWS2, HEART and qSOFA sit next to it, each in its own band.

NEWS27Medium
HEART5Moderate
qSOFA1Low
The risk stratification panel the three scores come fromPlatform · synthetic patient
The timeline

Triage that keeps the time.

From the moment someone arrives, Pulse keeps the encounter in order: the level it set, what changed, and the result that could not wait.

Signal timeline
The signal timeline: triage, vitals, ECG, labs, the critical troponin
Platform · synthetic patient
The first thirty-three minutes

08:14

Triage arrival. ESI 2 assigned.

  1. 08:14
  2. 08:18
  3. 08:22
  4. 08:29
  5. 08:47
Arrival
ESI-2, high acuityPlatform · synthetic patient
Vitals
The vitals with the heart rate flaggedPlatform · synthetic patient
Acuity
Acuity by body systemPlatform · synthetic patient
Differential
The ranked differential with ICD-10 codesPlatform · synthetic patient
The callout
The critical troponin and its calloutPlatform · synthetic patient
The clinician decides

It proposes. A physician decides.

Pulse sets the level and ranks the differential. The physician confirms it, and the confirmation is written to the encounter beside what Pulse proposed.

  • Every diagnosis shows its evidenceEach line of the differential opens onto what supports it.
  • Grounded in the literatureThe analysis names the peer-reviewed sources it drew on.
  • The answer is keptAccepted or not, the physician’s response stays on the record.
What Pulse proposes
The analysis panel: the ranked differential, the recommended tests and Diagnosis ConfirmedPlatform · synthetic patient
What the physician answered
Physician feedback: accepted, the recommendation confirmedPlatform · synthetic patient
Where it runs

On the platform today. In the Pod as it is built.

The same triage behind a clinician’s screen, and inside an enclosure the patient steps into.

Running today

The V3ra Platform

Pulse runs on the clinical dashboard: the queue, the level, the scores and the record, on one screen.

The clinical dashboard with the queue and its levelsPlatform · synthetic patient
Clinical Intelligence
In development

The Intake Pod

In the Pod, Pulse triages on its own as the patient steps in. The enclosure is in development; none has been manufactured.

A render of the Intake Pod, its door openRender
The Intake Pod
Arrival to claim

One encounter, written once.

The queue it lands in, the steps it keeps, the differential it ranks, and the codes it hands to Sync, each open in turn. How Sync checks the claim

01Arrives
The patient queue: each arrival with its ESI level beside the namePlatform · synthetic patient

Every arrival lands in one queue, its ESI level beside the name.

02The steps
The workflow: intake, triage, vitals, analysis, diagnosis, billing complete, beside the visit's billing summaryPlatform · synthetic patient

Six steps on one record, intake to billing, beside what the visit bills.

03Differential
The ranked differential, each diagnosis with its ICD-10 codePlatform · synthetic patient

The differential ranked, each diagnosis with its ICD-10 code and its weight.

04Hands on
The codes arriving in Sync, marked as drafts from the analysisPlatform · synthetic patient

The codes go on to Sync as drafts a coder can edit. Nothing is typed twice.

V3ra Platform · Pulse

See it set the level, start to finish.

One encounter, from arrival to the codes it hands to Sync, on the platform as it runs today.

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