For the physician who ordered the ECG

An answer attached to the trace, at the point of care.

The recording you ordered comes back with its measurements, its findings and its severity, and a signature you can rely on — because you know who read it and against which version of the rules.

Role in the system: DoctorHolds clinical authority

Request access How the pipeline works

What changes

What this means for doctors, specifically.

Each item below corresponds to something in the build: a screen, a permission or a guard. Nothing here is a study result — this build has no clinical evidence base, and inventing one would be the worst possible way to sell it.

Measurements you can check against the trace

The waveform and its measured interpretation are on one screen, so the evidence for a number is one glance away rather than in a different system.

Quality is stated before the finding

If the recording was not good enough to measure reliably, that is said first, in the same place the finding would have been. You are never shown a confident-looking measurement derived from an unusable trace.

Escalation you can see your name on

A finding that meets the escalation threshold becomes an alert with an acknowledgement state and a target time. Acknowledging is recorded against your name; leaving it unacknowledged is visible.

Sign-off that means something specific

A signature is bound by digest to the exact interpretation it covers. If anything about that interpretation changes afterwards, the signature no longer applies and the system says so.

What it removes

The arrangement this replaces.

Stated as problems rather than statistics, because they are the ones a reader recognises from their own week.

You ordered it and then waited

The result exists as a trace somewhere and a number in a list. Until a reader reaches it, the trace is uninterpreted and the care decision waits behind an unrelated queue.

A number without its context changes what you do

A corrected QT interval, an axis or a voltage is only meaningful against the lead, the calibration and the quality of the recording it came from. A single value in a results list strips all of that away.

Critical findings depend on somebody noticing

A severe finding sitting in a queue is a finding nobody has seen. Escalation that relies on a person refreshing a list is not escalation.

Permissions held

What this role can do, read from the access-control table.

Generated from the same permission table the API enforces, so it describes access that exists rather than access that was described. If a permission is added to this role it appears here; if one is removed, it disappears.

Doctor

10 permissions held

See patient demographics: Name, hospital number and encounter details, for patients in this facility.
See the study list and its metadata: Which recordings exist, when they were taken, and what state each is in.
View the waveform: The stored samples themselves, rendered on calibrated ECG paper.
Read interpretations: Measurements, findings and severity for a study, including anything a clinician has written.
Record a clinical review: State agreement or disagreement with the automated interpretation, with a note.
Sign an interpretation: Attach a named, digest-bound signature to the exact interpretation it covers.
Generate a narrative report: Produce the written summary, which describes validated findings and may not introduce new ones.
Transmit a signed study: Release a signed interpretation to another system over FHIR or HL7.
See critical alerts: The worklist of findings that need a person, and its acknowledgement state.
Acknowledge an alert: State that a person has seen it, so it is never left unattended.

Screens this role opens

Dashboard/dashboardECG Queue/queueCritical Alerts/alertsReports/reports

Navigation is filtered by permission rather than by role name, so a screen this role cannot open is rendered as a label explaining which permission it would need — rather than as a link that fails when it is clicked.

Separation of duties

What this role cannot do, and why that protects them.

Every access model is also a statement about accountability. These limits are the ones that make the audit trail worth having — and the ones that stop a signature meaning something it does not.

You cannot override an interpretation signed by another clinician. That requires the reviewing or cardiologist role, which is what keeps a disagreement a recorded second opinion rather than an edit.
You cannot transmit a study that has not been signed, because transmission is the point at which a clinical document leaves under a professional’s name.
You cannot change the analysis rules your own patients are read against; that is a governance decision, recorded by an administrative role.

Read together with the full pipeline

The limits above are enforced by the same rules that govern the pipeline described in how it works, and the regulatory position — including what this build does not establish — is stated on safety & limits.

Other audiences

This is one seat in the room.

The system is designed around the fact that the person who records an ECG, the person who reads it and the person accountable for the service are three different people.

Hospitals & clinics

What this is not

This is a demonstration-grade clinical system. It is not a medical device, it holds no regulatory clearance anywhere, and it has not been validated against a clinical dataset.

It does not diagnose and it does not replace clinical assessment. Every interpretation is decision support for a qualified professional, who reviews, overrides and signs it — and the record shows which professional.

No sensitivity, specificity, agreement or accuracy figure appears on this site, because none has been established for this build. Any such figure would be invented. Read the full position.

See it on your own recordings.

Send a request, and a person reviews it. If it is approved you get a link that creates your own organisation, with the first 2 analysed studies included and no card details — and you are its administrator from the moment you set your password.

Request access Who it is for