Garv Health Systems

Documentation and quality software for high-acuity care.

The prescription, the shift assessment and the hourly chart, kept as one linked record. For continuous renal replacement therapy and haemodialysis.

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24-hour flowsheet Entered Calculated
Hour 0708091011
1A Effluent10001000100010001000
2A Urine151012810
4C Intravenous120120125120118
1E Fluid removal180180180180180
5 Hourly balance−75−70−67−68−72
9 Cumulative−75−145−212−280−352
Five of twenty-four hours. Derived rows carry forward across shifts.

Three parts, one system

Documentation

Structured bedside entry that keeps working when the network does not.

Configuration

Forms, units, ranges and access set per organisation, without code.

Quality assurance

Compliance, circuit life and outcomes computed from the same records.

The record has three layers

Every chart traces back to the order it was written under.

How it fits together
01 — ORDER SET The prescription INHERITS TYPE · UNITS · TIMEZONE 02 — ASSESSMENT The shift AM and PM, twice daily 03 — FLOWSHEET The hour 07:00 to 06:59, 24 columns
Assessments and flowsheets never stand alone.

Why it matters

A dense record, kept by hand, under time pressure.

A single CRRT run generates prescriptions, hourly fluid balance, circuit pressures, filter changes, anticoagulation and downtime. On paper that record is hard to total, hard to hand over and hard to audit.

Structured entry removes the arithmetic, keeps the sequence intact, and answers the audit questions out of the charting rather than out of a spreadsheet built months later.

Compliance and data security

Full detail

Encrypted

Patient identifiers encrypted with AES-256-GCM, and still searchable.

Append-only audit

Every edit logged with author, role and field-level diff. Enforced by the database.

Data rights

DPDP, GDPR and HIPAA request handling, with retention set per organisation.

On premises

One container, one server. Patient data need not leave the hospital.

Talk to us

If your department keeps this record on paper, we would like to hear how.

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