AirGappedHealth

On-premise clinical record reconstruction

A patient's history, rebuilt from the fax pile.

Referral packages arrive as hundreds of scanned pages from a dozen sources, in no order, with duplicates. AirGapped Health rebuilds them into a dated clinical history on a machine inside your clinic. Every fact cites its page, every page is accounted for, and a clinician reviews and signs everything.

See how it works Talk to the founder

Synthetic example

Fax cover sheet

Family practice

Family practice6 May 20XXPAGE 03/14

Synthetic example

Referral letter

injured at work on 3 March 20XX

Page ledger

Synthetic example

read
10
unreadable
1
no clinical content
3
accounted for
14 of 14

injured at work on 3 March 20XX

Referral letter, p. 2

Deployment
An appliance in your server room. No cloud account, no vendor portal.
Built for
Ontario clinics and medical-legal assessors working under PHIPA.
Status
In development. Not yet available for clinical use.

Use the range to take it apartSYNTHETIC EXAMPLE

Build the timeline

Synthetic example. Fourteen pages, every page accounted for.

Take the full model apart

01The problem

Nobody reads all of it

A chronic pain referral can run to several thousand pages: consult letters, imaging reports, medication profiles, the same discharge summary faxed four times from three offices. Somewhere in it is the information that decides what happens next. Somewhere else in it is a page nobody will ever open.

Summarising that pile is easy. Proving you did not drop anything is the hard part, and at a few thousand pages nobody can check the answer by hand. That is the problem this software is built for.

02The mechanism

A pile goes in. A history you can check comes out.

The drawing below is the whole idea. The rest of this site is detail.

Fig. 1

A referral package goes in as loose scanned pages. Each page is read and placed in a ledger. What comes out is a dated history in which every entry points back to the page it was taken from. The page that could not be read is listed, not dropped.

Synthetic example

03Five commitments

What it holds itself to

A summary tells you what it found. These five are about what it can prove, and they are the whole product.

Family practice6 May 20XXPAGE 03/14

Synthetic example

Fax cover sheet

Family practice

Synthetic example

Referral letter

injured at work on 3 March 20XX

Synthetic example

Insurer claim form

date of injury 3 May 20XX

  1. Every fact cites its page

    Each entry in the history carries the page it came from and the words it rests on. Every quoted line is checked character for character against the page's own recognised text, and shown to the reviewer on the scan it came from.

  2. Every page is accounted for

    Each page ends in exactly one place in a ledger, and the result is reported as that ledger rather than as a count. Pages the software could not read are named, not omitted.

  3. Contradictions are shown, not settled

    Where the record conflicts with itself, it says so and shows both sides, each with its page. It does not quietly pick a winner.

  4. A named person signs

    The output is a reconstruction, not a conclusion. A clinician reviews it, corrects what is wrong, and signs. The signature binds to what was reviewed; if anything changes afterwards, it no longer stands.

  5. Nothing leaves the building

    It runs on one machine inside the clinic. No cloud account, no vendor portal, and no outbound connection for any part of the work.

04A worked example

One small case, start to finish

A real package runs to hundreds or thousands of pages. This one is fourteen, so that you can check the arithmetic yourself.

Family practice6 May 20XXPAGE 03/14

Synthetic example

Fax cover sheet

Family practice

Synthetic example

Referral letter

injured at work on 3 March 20XX

Synthetic example

Insurer claim form

date of injury 3 May 20XX

A

The pile: fourteen pages

As received, in fax order. One unreadable page and three with no clinical content.

  • p. 1Fax cover sheetFamily practiceno clinical content
  • p. 2Referral letter, page 1Family practiceread
  • p. 3Referral letter, page 2Family practiceread
  • p. 4MRI report, page 1Imaging clinicread
  • p. 5MRI report, page 2Imaging clinicread
  • p. 6Pharmacy listPharmacyread
  • p. 7Lab stripFamily practiceread
  • p. 8Handwritten progress noteFamily practiceunreadable: scan too dark to read
  • p. 9Fax transmission reportFamily practiceno clinical content
  • p. 10Insurer claim formInsurerread
  • p. 11Blank reverse sideFamily practiceno clinical content
  • p. 12Hospital consult letterHospitalread
  • p. 13X-ray reportImaging clinicread
  • p. 14Page cut off in transmissionEmergency departmentread

B

The history it becomes

In date order, not fax order. Every line ends in the page it came from.

  1. Injury, two dates recordedReferral letter, p. 2; Insurer claim form, p. 10
  2. Referral recordedReferral letter, page 1, packet p. 2
  3. Imaging report, first pageMRI report, page 1, packet p. 4
  4. Imaging report, second pageMRI report, page 2, packet p. 5
  5. Pharmacy list recordedPharmacy list, packet p. 6
  6. Lab strip recordedLab strip, packet p. 7
  7. Hospital consult recordedHospital consult letter, packet p. 12
  8. X-ray report recordedX-ray report, packet p. 13

C

One contradiction, shown with both sides

Two documents disagree about the date of injury. The software does not choose. It puts both in front of the reviewer.

injured at work on 3 March 20XX

Referral letter, p. 2

date of injury 3 May 20XX

Insurer claim form, p. 10

D

The signed packet

What the clinician puts their name to, and exactly what that name covers.

Page ledger
10 read1 unreadable3 no clinical content14 of 14 accounted for
History
8 dated events, 9 citations, each with a verified quotation and a page.
Contradictions
1 shown, both sides kept. Resolved by the reviewer, not by the software.
Reviewed and signed
A. Reviewer (a made-up name) on 14 May 20XX. The signature is bound to this content. Change anything and it no longer stands.

Synthetic example Every name, date, finding and page in this example is invented. No real patient, clinic or document appears anywhere on this site.

05The demo film

Prefer watching?

The worked example above, as a film with chapters and captions.

A moment from the demo film: the reconstructed timeline of the made-up case

The same made-up case, from fax pile to signed packet, in about four minutes.

Watch the demo

06Where it runs

One machine, in the clinic. No cloud. No internet.

Many products in this space are hosted services: the file is uploaded, processed somewhere else, and returned. AirGapped Health runs entirely on hardware inside the clinic, with no outbound connection required for any part of the work.

That is not a feature added to a cloud product. It is the reason the software is built the way it is.

How the box is sealed
Fig. 2

The appliance sits on the clinic's own network and talks only to the clinic's own workstations. There is no line out of the building because the work does not need one.

07What this page does not say

No numbers yet, on purpose

There are no accuracy figures here, and no customer names. The software is in development and its quality has not yet been measured against a real clinical corpus. When those numbers exist they will be published with the corpus they were measured on, and with what that corpus does and does not support.

Seven stages, each one showing its work.

How it works