In development · Built with a BC respirologist
Staff paste the finished consult letter. Clara Clinical fills each CT, X-ray, pulmonary function and lab requisition the plan orders, on the official forms. The physician checks one screen, taps Approve, and every form is signed and sent.
Ready to approve
TEST, Robin F · 55
Visit 6 Oct 2026
1 to check: Dr. Rivera, copied on the letter, isn't in your directory yet.
How it works
Clara Clinical turns the plan into finished requisitions, so nobody retypes it. The physician still decides what goes out.
Office staff paste the finished consult letter, copied from the EMR. There's nothing to dictate and no template to fill in.
Names, health numbers, dates, addresses and phone numbers become placeholders. Only then does an AI model read the plan, quoting the exact words behind each order.
A mapping table the physician approves puts each test in its box. Urgency follows the follow-up interval, the site follows the postal code, and real details go back in only as the PDF is filled.
One screen shows every form, where it's going and anything to check. One tap signs them all. Imaging and PFT requisitions are faxed; a failed fax retries, then alerts the office.
What the AI sees
Identifiers become placeholders before any text leaves the app, and the real details return only when the form is filled. If anything from the patient block slips through, the AI call is blocked.
Thank you for referring Robin Test, a 55-year-old woman I saw on October 6, 2026, with a dry cough and breathlessness on exertion.
Plan: HRCT chest, no IV contrast. Full PFTs with DLCO. CBC, creatinine, eGFR and ANA. Follow-up in 3 months.
cc: Dr. Rivera
Thank you for referring [PATIENT], a 55-year-old woman I saw on [DATE-1], with a dry cough and breathlessness on exertion.
Plan: HRCT chest, no IV contrast. Full PFTs with DLCO. CBC, creatinine, eGFR and ANA. Follow-up in 3 months.
cc: [CLINICIAN-1]
HRCT chest, no IV contrast
Full PFTs with DLCO
CBC, creatinine, eGFR and ANA
Follow-up in 3 months
Each quote is checked against the text the AI received, and a value without one is dropped and flagged. On the approval screen, every field links to the sentence it came from, with real names restored.
Safeguards
They're part of how the app is built, not settings someone can switch off.
Stored on AWS in Canada (Central). The AI step runs in Google Cloud's Montréal region and only ever sees redacted text.
Name, birth date, sex and health number come only from the EMR's patient block, read by plain code, never by the AI. If the letter names someone else, the forms stop.
No form is faxed or emailed, and no signature is applied, until the physician taps Approve.
Every value traces to a quote or a written rule. A box the letter doesn't answer stays blank; it never defaults to “No”.
Two-step sign-in on every account, and sign-out after 15 idle minutes. Every view, edit, approval and send is logged.
No third-party analytics or error tracking. What the AI reads and returns holds placeholders only, and is deleted after 30 days.
Designed for BC's Personal Information Protection Act. Until its privacy impact assessment is signed off, it runs on made-up test data only.
Forms
Version 1 fills these on the official PDFs, with rules for the boxes that usually trip people up.
HLTH 1901 PDF
Fraser Health PDF
Fraser Health PDF
Fraser Health PDF
It never touches the section reserved for Medical Imaging. Next on the list: MRI and ultrasound, referral letters, and forms for other health authorities.
Questions
No. It reads what the plan already says. A test reaches a box only through a mapping table the physician approves, and wording the table doesn't cover waits for the physician.
No. The physician sees every form, its destination and every flag first, and can edit any field or leave it blank. Forms are signed and sent only after they tap Approve.
It's stored in Canada, on AWS. The only text sent for AI processing is the redacted letter, handled in Google Cloud's Montréal region. Requisitions go out by fax from a dedicated line, and lab requisitions go by email only with the patient's consent.
Plexia, to start. Staff copy the letter out of Plexia and file the signed forms back in the chart, so there's no integration to set up.
No. It starts from the finished letter. It doesn't record, transcribe or write clinical notes.
We're building it with one BC respirology practice first. If you'd like to hear when it's ready for more, get in touch.
Tell us about your practice and the forms you fill most. We'll let you know when Clara Clinical is ready for more offices.