How it works

From the consult to a signed PDF in the referring doctor's inbox.

Five steps. The doctor is needed for one of them, and it is the signature. Everything before it is preparation and everything after it is delivery.

Book a 20-minute demo See the report types

01
Record the consult
The doctor opens the patient on their phone, notes consent, and taps record. Long encounters can be split, and a consult can be paused and resumed after an interruption.
Audio is processed in South Africa and discarded once the note is accepted, so there is no growing archive of recorded patients sitting somewhere.
If your doctors already use an ambient scribe they like, their note can be brought in instead. MedReport takes over from the note onwards.
02
Draft the document the encounter calls for
This is the step note tools skip. A ward round produces a progress note. A discharge produces a discharge summary. A consultation that ends in an onward referral produces a referral letter addressed to the receiving specialist.
MedReport selects the report type and drafts into that document's structure, with the sections and fields it is expected to carry, rather than handing back a block of free text for someone to reshape later. The doctor can change the type at any point before signing, and one encounter can produce more than one document.
03
Check the draft
Medications on the document are checked against the patient's recorded allergies and current prescriptions. ICD-10 codes are proposed against the South African code sets and can be accepted, edited or rejected. Required fields for that document type are checked for completeness.
04
Review and sign
The doctor reads the draft, resolves anything flagged, re-confirms their identity, and signs. The signature carries their HPCSA registration, verified at the moment of signing, not a name typed into a box.
At that point the document locks and is sealed: a content fingerprint, the verified signer, an independent timestamp, and a record of which flags were reviewed.
05
Send and file
The signed PDF carries the practice's letterhead. It goes to the referring doctor, the medical aid, the ward or the patient, and files back against the correct patient record in the practice management system.
Medical certificates carry a QR code, so an employer or a school can confirm the certificate is genuine without phoning the rooms.

4 findings to review

Three advisory, one required. Only the required one holds up the signature.

Amoxicillin against recorded penicillin allergyMedication on discharge, line 1Advisory
Warfarin and clarithromycin on the same scriptMedication on discharge, lines 2 and 4Advisory
Proposed I21.9 does not match the diagnosis textPrimary diagnosisAdvisory
Follow-up date is emptyDischarge planRequired

Finding	Where it came from	Kind
Amoxicillin against recorded penicillin allergy	Medication on discharge, line 1	Advisory
Warfarin and clarithromycin on the same script	Medication on discharge, lines 2 and 4	Advisory
Proposed I21.9 does not match the diagnosis text	Primary diagnosis	Advisory
Follow-up date is empty	Discharge plan	Required

Step three, in detail

Two kinds of check,kept apart on purpose.

Clinical findings are raised for the treating clinician to review and can always be signed past. Structural gaps are document rules, and they hold up the signature because the recipient would reject the document anyway.

Advisory

Clinical findings

Allergy conflicts, interactions, dose concerns, coding mismatches. Raised, never enforced. Software does not veto a doctor's judgement.

Required

Document completeness

A certificate without a return date, or a motivation without a scheme number, cannot be signed. These are rules about the document, not about the patient.

How the checks are separated, and why

While all of that is happening

The practicesees one list.

Every report owed, across every doctor, with the stage it is at and how long it has been sitting. Nothing is discovered when a medical aid queries it three weeks later.

Owed

An encounter happened and the document it should produce does not exist yet.

Drafted

A draft exists and is waiting for the treating clinician to review it.

Awaiting signature

Reviewed and ready. The only thing missing is the doctor's signature.

Sent

Signed, sealed, delivered to the recipient and filed to the patient record.

Outstanding reports

Sorted by age 3 over 48 hrs

M. Ndlovu2d 04h
Discharge summary · Dr A. PillayAwaiting signature
P. Adams1d 06h
Medical certificate · Dr N. SitholeAwaiting signature
R. Fourie1d 02h
Operative note · Dr N. SitholeReturned for edits
A. Botha4h 10m
Medical-aid motivation · Dr A. PillayDrafted
T. Mokoena40m
Ward progress note · Dr K. MeyerOwed
S. NaidooClosed
Referral letter, cardiology · Dr K. MeyerSent

Patient	Document	Clinician	Stage	Waiting
M. Ndlovu	Discharge summary	Dr A. Pillay	Awaiting signature	2d 04h
P. Adams	Medical certificate	Dr N. Sithole	Awaiting signature	1d 06h
R. Fourie	Operative note	Dr N. Sithole	Returned for edits	1d 02h
A. Botha	Medical-aid motivation	Dr A. Pillay	Drafted	4h 10m
T. Mokoena	Ward progress note	Dr K. Meyer	Owed	40m
S. Naidoo	Referral letter, cardiology	Dr K. Meyer	Sent	Closed

How practices run the list day to day

What we do not do

Three things worthbeing explicit about.

We do not sign for the doctor

A signature cannot be delegated to staff or automated on a schedule. Only the treating clinician, on their own verified identity.

We do not make clinical decisions

The checks are decision support for a clinician to review. They do not diagnose, they do not prescribe, and they do not veto a signature.

We do not keep the audio

Consult recordings are discarded once the note is accepted. The document and its seal are what persist.

RecordDraftCheckSignSealSendFile

See it run on one of your own consults.

Twenty minutes. Bring a week of outstanding reports and we will show you what the list looks like on day one.

Book a 20-minute demoOr email hello@medreport.co.za