The chart, if the red tape came down.
When I started, this is what I pictured. A blinking cursor. Type a name. Get the whole patient: every chart they have, every fill, every number from home, what’s due, and what’s coming.
No tabs. No fax. None of it is hard to build. The hard part is being allowed to see it.
Type a name below · then type TODAY to see what a practice actually gets
Every patient here is invented. The model’s weights are made up to show the shape of the idea; it is not validated and it is not medical advice. Nothing you type leaves this page.
Six pipes. All of them exist. Almost none of them reach the room.
Records in someone else's EHR
The specialist's note exists. Getting it is a request, a release, a fax, and a staff member who files it. Information-blocking rules say it should move; in practice it moves when someone chases it.
Hospital admit / ED alerts
Hospitals have had to send admit, discharge and transfer notices to the primary care team since 2021. Most of them land in a fax queue or a separate portal, days later, and never touch the chart.
Pharmacy fill history
The data that says a prescription was never picked up exists. It rarely reaches the clinician as a signal. You find out at the next visit, if they tell you.
Numbers from home
Home scale, cuff and glucometer readings only reach a chart inside a formal remote-monitoring enrollment, with its own consent, setup and billing rules. Outside that, the scale just sits in the bathroom.
What the payer already knows
The plan sees every claim from every provider. The practice sees a gap report, months later. CMS requires payers to open a provider-access API by January 2027.
Immunization registry
The pharmacy shot is in the state registry. Whether the chart asks the registry depends on the interface, the vendor and who set it up.
Which of these is information blocking, and which is just friction? Run it through the Access Map.
Every line names its source.
If you can't see where a fact came from, you can't trust it, and you can't fix it when it's wrong.
The model shows what it couldn't see.
A risk score that hides its missing inputs is a guess in a lab coat. Show the inputs. Show the holes.
The doctor still makes the call.
The screen tells you where to look first. It doesn't tell you what to do with the person in front of you.
This is the screen behind What Replaces the Visit: the continuous clinical surface, drawn as plainly as I can draw it.