Pre-Operative Assessment Report
New Report
AI-Assisted Field Extraction
Record or paste a consultation transcript below. The AI will extract clinical information and auto-fill the report fields. Review all extracted data before saving.
1
Patient & Procedure
2
Vitals & History
3
Function & Risk
4
Plan & Team Notes
5
Summary & Sign-off
Step 1 of 5: Patient & Procedure
1. Patient Demographics & Planned Procedure
Patient Demographics
Vitals & Measurements
Systolic BP
mmHg
Diastolic BP
mmHg
Heart Rate
bpm
Weight
kg
Height
cm
BMI
kg/m²
Planned Procedure
Medical History
Functional Assessment Prehab Focus
Frailty & Anaesthetic Risk
—

Not assessed

Complete functional assessment to generate score

Risk Stratification Scores Auto-calculated

DASI Duke Activity Status Index

Not calculated

Check all activities the patient can perform.

Caprini DVT Risk Score

Not calculated

Check all applicable risk factors.

Lee's Revised Cardiac Risk Index (RCRI)

Not calculated

Check all applicable cardiac risk factors.

These calculators provide clinical decision support only and do not replace individual clinical judgment or specialist consultation.
Composite Pre-Operative Risk Summary

Overall Risk Snapshot

Frailty
—
Not assessed
ASA
—
Not graded
RCRI
—
Not calculated
Caprini
—
Not calculated
Complete the risk calculators and functional assessment to generate a composite summary.
Perioperative Medication Guidance Reference

Common medication guidance around surgery

Medication timing is highly individual. Confirm with the surgeon, anaesthetist, and the patient’s medical aid / pharmacy protocols. Renal function, bleeding risk, and urgency may change recommendations.
MDT Referrals & Prehabilitation Plan MDT
Dr N Langenbach (GP)
Dalya Hockman (Dietitian)
Daniella Sher (Biokineticist)
Sarah Harrison (Music Therapist)
Dr T Blumenthal (Anaesthetist)
Dr Tarin Penberthy (Pain Specialist)
Physiotherapy
Psychology / Social Work
Cardiology
Respiratory / Pulmonology
Team Member Notes MDT

Each clinician documents their assessment in their own card. Empty cards are collapsed; click a header to expand. Your discipline is highlighted.

NL
Dr N Langenbach GP / Clinical Physiologist
DH
Dalya Hockman Dietitian
DS
Daniella Sher Biokineticist
SH
Sarah Harrison Music Therapist
TB
Dr T Blumenthal Anaesthetist
TP
Dr Tarin Penberthy Pain Specialist
PT
Physiotherapy Respiratory / mobility rehab
PS
Psychology / Social Work Mental health & social support
Patient Concerns & Expectations
Clinical Summary & Recommendations
Sign-Off
—

Not signed off

This report can be edited by the assessing practitioner. Sign-off should be done by a GP or anaesthetist before it is shared with the surgeon or patient.

Only the original assessing practitioner, a GP, an anaesthetist or an admin can sign off. After sign-off, the report becomes read-only for other team members.
Generated Summaries
Click "Generate Patient Summary" to create a plain-language summary.
Click "Generate Surgeon Summary" to create a concise clinical handover.
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