Sympnotic User Manual

1. What is Sympnotic?

Sympnotic is a hospital-branded clinical intake system designed to help hospitals collect patient information before doctor consultation.
It supports nurse-assisted kiosk intake, patient voice conversation, AI-supported pre-examination summaries, triage hints, and doctor-room report review.
The system is owned and operated by the hospital. Realigns provides the technology platform.

Reduce waiting time by collecting patient information before the doctor sees the patient.
Help nurses identify urgent, warning, mild, and waiting cases earlier.
Prepare structured reports so doctors can review the patient condition faster.
Support multilingual patient intake for hospitals serving local and international patients.

Hospital Admin: Manages hospital settings, staff accounts, kiosks, departments, rooms, reports, and system configuration.
Doctor: Opens assigned or department patient reports before or during consultation.
Nurse: Assists patients at kiosks, enters vitals, confirms patient information, and observes urgent/warning patients.
Reception Staff: Can help with token, appointment, patient routing, and doctor assignment when enabled.
Kiosk User: Patient-facing intake interface, usually used with nurse assistance.

Configure hospital name, address, phone, branding, and OpenAI API settings.
Create doctor, nurse, reception, and hospital admin accounts.
Register kiosks and assign them to hospital locations or departments.
Monitor reports, kiosk activity, staff usage, and audit logs.
Ensure the system is used according to hospital policy and local medical regulations.

Patient selects language from the kiosk start screen.
Nurse helps the patient start the clinical intake session.
AI Intake Assistant asks structured pre-examination questions.
Patient explains the main problem by voice or manual input.
Nurse enters vitals such as temperature, blood pressure, heart rate, oxygen saturation, respiratory rate, and pain score.
The system generates a pre-examination report and saves it for doctor review.

The AI Voice Intake Assistant helps collect patient history in a professional clinical style.
It may ask about symptom start time, severity, duration, associated symptoms, allergies, medicines, pregnancy status, travel, and past medical history.
The AI must not be treated as a doctor. It is an intake assistant that prepares information for licensed hospital staff.
The nurse should stay with the patient and help if the patient cannot speak clearly, cannot use the kiosk, or needs urgent care.

Urgent: Patient may need immediate nurse or doctor attention. Examples include chest pain, breathing difficulty, severe bleeding, unconsciousness, seizure, stroke-like symptoms, or very abnormal vitals.
Warning: Patient may not be immediately critical but should be prioritized. Examples include high fever, persistent vomiting, severe pain, pregnancy concern, abnormal blood pressure, or concerning symptoms in elderly/child patients.
Mild: Patient appears stable from provided intake and can usually continue through the normal queue.
Wait: Patient appears stable or has an unclear/non-urgent complaint and can wait according to hospital queue policy.
Final triage decision always belongs to hospital clinicians.

For urgent cases, nurse should immediately alert doctor or emergency team according to hospital policy.
For warning cases, nurse should recheck vitals, keep patient under observation, and prioritize review.
For mild cases, nurse should complete intake and keep patient in the normal queue.
For wait cases, nurse should confirm the complaint is not incomplete or unclear.

Doctor opens the report from Doctor Queue or Admin Reports.
The report shows patient identity, age, sex, token, chief complaint, vitals, medical history, allergies, medications, pregnancy/travel details, nurse notes, triage reasons, and AI conversation transcript.
Doctor must verify the information directly with the patient or nurse before diagnosis, treatment, investigation, admission, referral, or discharge.
The report can be printed or saved as PDF if hospital policy allows.

Admin Reports shows all saved patient intake reports.
Reports are sorted by priority: urgent first, then warning, mild, and wait.
Hospital admin can search by token, patient name, status, triage reason, or nurse action.
This dashboard helps hospital management monitor patient flow and clinical intake performance.

Each kiosk sends heartbeat status to the system.
Admin can monitor active or inactive kiosks, current URL, assigned location, device information, and last heartbeat.
If a kiosk is inactive or deactivated, hospital staff should inspect the device or network connection.

Patient reports are hospital-owned records.
Realigns is the technology provider and does not own hospital patient data.
Hospital admin is responsible for access control, staff permissions, data retention, backup policy, and regulatory compliance.
OpenAI API keys should be stored server-side only and must never be exposed in browser JavaScript.

Confirm hospital settings and branding.
Create at least one doctor, nurse, and admin account.
Register one or more kiosks.
Submit a test patient from kiosk.
Confirm report appears in Admin Reports and Doctor Queue.
Open doctor report and verify triage status, nurse action, transcript, vitals, and print/PDF layout.
Test urgent example carefully using safe test wording, such as “patient reports chest pain and breathing difficulty,” and confirm the system marks urgent.

Sympnotic is not a diagnostic device by itself.
It should not be used to replace emergency triage staff.
It cannot guarantee correctness of patient-provided information.
Voice recognition accuracy depends on browser, microphone, language, accent, and environment.
Final clinical responsibility always remains with licensed hospital professionals.