Preoperative Form
The preoperative form captures all pre-anaesthesia assessment data. It is the first step in every case.
Mobile section dashboard
On mobile, the preoperative form opens with a section dashboard. It shows seven sections — Patient, Case, Meds & Safety, Airway, Vitals, Risk, and Labs — with a completion indicator for each. Tap any section to open its focused editor. Use Back to sections to return to the overview.
A sticky section rail at the top lets you jump between sections without going back to the dashboard. A side scroll indicator marks your position in longer sections.
Patient demographics
Enter the patient's:
- Age (years)
- Sex (Male / Female / Other)
- Height (cm) and Weight (kg) — BMI is calculated automatically
- Blood type and Rh factor (optional)
IBW (Ideal Body Weight) and ABW (Adjusted Body Weight) are calculated automatically from height, weight, and sex. These are important for drug dosing in obese patients.
Mobile numeric entry
On mobile, numeric fields use different controls depending on clinical context:
- Age, height, weight, and airway distances — an iOS-style wheel picker for fast scrolling, with an optional custom keypad for precise entry.
- Vitals (blood pressure, heart rate, SpO₂, etc.) — minus/plus steppers with a thin slider, plus a custom keypad accessible by tapping the value.
Both comma (8,5) and dot (8.5) decimals are accepted.
Case details
- Diagnosis — search by ICD-10 code, English label, Bulgarian label, or clinical synonym. The local ICD-10 database is enriched with ICD-10CM clinical synonyms (e.g. searching "heart attack" returns I21 Acute myocardial infarction). Results show the clinical group name as the primary label and the ICD code below it.
- Planned procedure — search for the surgical procedure. Results show the procedure group as the primary label and the procedure code and domain below it.
- Team notes (optional) — free text for roles, theatre number, or any case-specific reminders. Do not enter names or ID numbers here.
On mobile, both searches use inline dropdown autocomplete — results appear below the search field without opening a separate screen.
Comorbidities
Select active comorbidities from the ICD-10 list. Multiple comorbidities can be added. They appear as chips that are displayed on the printed protocol.
Safety fields
- Allergies — tick if the patient has known allergies, then describe them in the text field
- Latex allergy — separate checkbox due to its anaesthetic relevance
- Current medications — free text
- Family anaesthesia problems — tick if there is a family history of malignant hyperthermia or other relevant conditions
Airway assessment
The airway section covers all standard pre-anaesthesia airway evaluation parameters:
| Field | Description |
|---|---|
| Mallampati class | I–IV, selected visually |
| Mouth opening (inter-incisor distance) | in cm |
| Thyromental distance | in cm |
| Neck mobility | Full / Limited / Fixed |
| Upper lip bite test (ULBT) | Class I / II / III |
| Cormack–Lehane grade | I / IIa / IIb / III / IV |
| Difficult airway history | Flag + free text for details |
Preoperative vitals
Record the patient's vital signs at the time of assessment:
- Blood pressure (systolic / diastolic, mmHg)
- Heart rate (bpm)
- SpO₂ (%)
- Temperature (°C)
- Respiratory rate (/min)
- ECG rhythm
Risk scores
ASA classification (required) — I through VI, with an emergency modifier (ASA-E).
The following scores are calculated automatically as you fill in the relevant sections of the form:
| Score | What it predicts |
|---|---|
| RCRI (0–6) | Major adverse cardiac events |
| Apfel (0–4) | Postoperative nausea and vomiting (PONV) |
| STOP-BANG (0–8) | Obstructive sleep apnoea risk |
Laboratory results
The Labs section contains a catalogue of 100+ perioperative-relevant tests organised across nine categories:
| Category | Examples |
|---|---|
| Haematology | Hb (g/L), Hct (ratio), WBC, Platelets, MCV, full differential |
| Coagulation | PT/INR, aPTT, Fibrinogen, D-dimer |
| Electrolytes | Na⁺, K⁺, Cl⁻, Ca²⁺, Mg²⁺, Phosphate |
| Biochemistry | Creatinine, eGFR, Glucose (mmol/L), HbA1c, Lactate |
| Liver | ALT, AST, ALP, GGT, Bilirubin, Albumin |
| Cardiac | Troponin, CK-MB, BNP, NT-proBNP |
| Blood Gas | pH, PaO₂, PaCO₂, HCO₃⁻, BE, SaO₂ |
| Thyroid | TSH, Free T4, Free T3 |
| Inflammatory | CRP, ESR, Ferritin, Procalcitonin |
To add a result manually: click a category to expand it, click a test name to add it to the results table, then enter the value. The unit is pre-filled automatically.
To search: type in the search box above the categories — the list filters in real time.
Reference ranges: each result is compared to a standard reference interval. Values within range are shown in green; out-of-range values are flagged in amber with the value bolded. The flag is informational — clinical interpretation is always the clinician's responsibility.
AI lab scan
Click Scan lab report to upload a photo or scan of a printed laboratory result. Mistral AI reads the image and extracts test names, values, and units into a preview panel. Check the results you want to import and click Add selected. Tests already in your list are skipped automatically.
The AI scan recognises only tests in the LOSPOR catalogue and normalises all values to canonical units (e.g. Hb in g/L, glucose in mmol/L). Any result the AI extracts that does not match a catalogue entry is silently discarded — only recognised, correctly-named results are shown in the review panel.
On mobile, Scan lab report supports both camera capture and gallery upload. Extracted values are shown in a review sheet before anything is added to the case. Manual lab search and value entry remain available.
Lab images are sent to the configured AI provider for text extraction. Avoid uploading images that show patient names or ID numbers. A notice is displayed above the upload button as a reminder.
All entered lab results appear in the printed protocol.
Premedication
Record evening and morning premedication if prescribed.
AI pre-operative advisor
At the bottom of the preoperative form, you can optionally enable the AI clinical analysis for this case. It is disabled by default.
When enabled, click the AI Clinical Analysis button to receive a structured pre-operative assessment covering ASA classification, technique recommendation, airway management, preparation, and drug considerations.
Only structured clinical fields are sent to the configured AI provider. Free-text fields (team notes, airway notes, family history details) are never forwarded. Your consent is recorded in the audit log.
Saving
The preoperative form auto-saves as you work: taps on pills, toggles, and checkboxes save almost immediately, while typed fields save about a second and a half after you stop typing. Only the fields you actually changed are sent, so two clinicians editing different parts of the same case no longer overwrite each other.
If the connection drops, your changes are kept locally and sync automatically when it returns — a "saves waiting" badge appears in the header (web) or the sync indicator shows queued (mobile) until everything has reached the server.
When all mandatory fields are complete, click Save & continue or Continue to intraoperative to move to the intraoperative form. If required fields are missing, the app shows which fields need attention.