One case, five stages
Every operation
walks the same road.
A case cannot skip a stage or lose a paper between stages, because the stages are not separate systems. They are one file moving forward. The anaesthetist sees what the surgeon wrote. The booking desk sees what the anaesthetist decided. The theatre sees all of it.
A surgeon raises the case from the consult room or the ward, and the planned procedure, the urgency and the clinical reason travel with it.
The anaesthetist works a dedicated clearance queue and records a verdict: Fit, Fit with conditions, or Unfit.
The OT desk places cleared cases on a live day calendar, walk-ins only once they are paid. Clashes are caught before they happen.
Consent, the WHO checklist, the anaesthesia record and operative notes, all on the same case.
The case hands over to recovery or the ward. On a recovery or ICU bed the procedure's post-op care plan applies itself, and the operation goes on the patient's timeline.
Operation Theatre · 01
It starts where the decision is made.
The decision to operate happens in a consult room or at a bedside on rounds, so that is where the case begins. The surgeon raises the request right there, without walking a chit to the OT desk or asking someone to retype the story. The patient's record is already underneath it: the consult notes, the reports, the admission.
- The planned procedure. What the surgeon intends to do, picked from your catalogue or typed.
- The urgency. Routine, Urgent or STAT, so an emergency and a planned case are never queued alike.
- The reason. Why this patient needs surgery, in the surgeon's own words, typed or dictated.
- The patient's record. The full history sits behind the request, one tap away.
From that moment there is a case file, and everyone downstream works on the same one.
The OT admin sees this on the OT requests worklist and schedules the case.
Procedure- Pick the procedureFrom your catalogue
- Set the urgencyRoutine, Urgent or STAT
- Add the reasonIn the surgeon's words
- Sent to the OTThe desk is notified
Operation Theatre · 02
Fit, with conditions, or not: settled before anything is booked.
Every raised case lands on the anaesthetist's own worklist: a queue of patients awaiting clearance, each one a tap away from the assessment. No hunting through files, no cases cleared from memory.
The assessment form is your hospital's own, designed in the back office: your sequence, your fields, your standards. And it takes voiceAI: the anaesthetist dictates the assessment in Hindi, English or another Indian language and the form fills itself while they speak. See how voice-fill works.
- Three verdicts. Fit, Fit with conditions, or Unfit, and any conditions are written down for the OT team.
- Unfit stays off the calendar. An Unfit case cannot be booked into a theatre by habit or by mistake. It waits until the anaesthetist clears it, and the only way past is an administrator's override, with the reason recorded on the case.
Cases waiting for your go-ahead
2 cases awaiting your go-ahead.- Open the caseFrom the queue
- Dictate the checkHindi, English or both
- Fields fill inSaved as you go
- Record the verdictFit, conditions or Unfit
Operation Theatre · 03
A calendar that can say no.
The OT desk books cleared cases into a theatre and a team on a live day calendar. Before any booking lands, Cliniqi checks it, so the schedule you see is a schedule that can actually happen.
- Only cleared cases. A case reaches the calendar only after the anaesthetist's go-ahead, Fit or Fit with conditions. Unfit cases stay off the schedule until cleared, unless an administrator overrides with a recorded reason.
- Automatic clash checks. Two cases in one theatre. A surgeon in two places at once. An anaesthetist double-booked across floors. The calendar catches the clash at the moment of booking, not on the morning of surgery.
- Paid before it is booked. A walk-in procedure must be paid before the theatre can book it, closing the oldest leak in surgical revenue: the unbilled operation.
- Pick slot and teamOT 2 at 10:00
- Clash caughtAnaesthetist busy in OT 1
- Move it11:30 is free
- On the calendarSeen by every desk
Operation Theatre · 04
No wheel-in until it is safe.
On the morning of surgery, nobody is searching for a paper. The checks that make an operation safe and defensible sit on the case itself, and the start button stays locked until they are done.
- Consent on file. The signed consent sits on the case, checked before the patient moves to the theatre, not hunted for afterwards.
- WHO safety checklist. Sign-in, time-out, sign-out: the surgical safety checklist the world's theatres run on, completed on screen and saved on the case.
- The balance, checked. For an admitted patient, the paid balance is compared with the procedure's estimate before wheel-in, so a shortfall is collected first, or overridden with a reason.
Lap. cholecystectomy
Meena Joshi · Dr. Sanjay Mehta · 11:30 → 13:00- Tick the checklistSeven required checks
- Pre-op completeThe banner turns green
- Balance coveredShortfall collected
- Wheel inThe case is under way
Operation Theatre · 05
Handing back to the ward.
When the operation ends, the case does not end. It hands over. The sign-out is recorded and the patient is routed to a recovery bed. When the patient moves to a recovery or ICU bed, the procedure's own post-op care plan is applied by itself, so the nurses pick up its orders as timed tasks like any other. See how the wards run.
- Post-op orders on the timeline. Medications, monitoring and instructions land where the ward already works.
- The full theatre record. The anaesthesia record and operative notes, readable from the bedside.
- One continuing bill. The procedure, already paid or billed, sits on the same account as the stay.
Months later, anyone with the right to look can read the whole operation from the patient's record (the request, the clearance, the checklist, the notes) as one continuous story, not a separate file in a separate cupboard.
Planned destination: recovery / step-down.
Transferred to Post-op recovery · REC-02.
- Sign-outCounts and specimen
- Recovery scoreAldrete recorded
- RoutedA recovery bed picked
- Plan appliedTasks for the nurses
On the day
Everything the theatre needs,
on the case.
The four documents that make an operation safe and defensible live on the same case, in the same place. The WHO checklist is above; here are the other three, as animated recreations with sample data.
Demo City Hospital
Consent for surgery and anaesthesiaConsent on file. It prints from the case with the patient and procedure filled in, ready to sign.
Anaesthesia record. The anaesthetist's record of the operation itself, alongside the clearance that preceded it.
Operative notes. The surgeon's account of what was done, written once, on the same case as everything else.
If it happened in the theatre, it is on the case. And if something is not on the case, you can see the gap, before an auditor does.
The OT register
The legal register keeps itself.
Every hospital must keep an operation theatre register, and in most it is a ledger someone writes up after the fact, from memory, at the end of a long list. In Cliniqi the register builds itself as the cases move: every operation is a row, entered by the work itself.
When an audit or an inspection asks for it, pick the dates, export the register to Excel and hand it over. Up to three months at a time, nothing written up the night before.
| In the register | Where it comes from |
|---|---|
| Patient & procedure | The patient's registration number, name, age and sex, the diagnosis from the admission, and the procedure booked. |
| Type of anaesthesia | The anaesthesia type set on the booking, such as GA, SA or LA. |
| Date & team | The booking's date, department and unit, the surgeon and the assistant. |
| Remarks | The notes written on the booking. |
Eleven columns, in the order of the physical register: Sl No, CR No, Patient's name, Age/Sex, Diagnosis, Procedure, Department/Unit, Type of anaesthesia, Surgeon, Assistant and Remarks. One row per operation, numbered day by day.
Nothing in the register is typed twice: each row is the case itself, seen from above.
How it connects
In from the clinics and wards.
Out to the ward and the bill.
Requests arrive from the consult room and the ward, walk-in procedures arrive paid from reception, and when the case wheels out, the ward and the bill pick it up without anyone retyping it.
Lap. cholecystectomy
Meena Joshi · Dr. Sanjay Mehta · 11:30 → 13:00- Requests arriveConsult room and ward
- Walk-ins arrive paidBilled at reception
- The case runsWheel in to wheel out
- The ward takes overTasks, file entry, bill
Also in the theatre
The details that keep
a theatre honest.
Your price list, every time
Procedure bundles carry your hospital's own prices, so every rupee is decided by your price list, not by memory. The base charge and every bundle item bill themselves when the case is done. See Billing & Revenue.
Overrides leave a trail
Scheduling a case the anaesthetist has not cleared, or wheeling in despite a shortfall, takes an authorised override and a written reason, recorded against the person who made it.
Emergencies come first
A STAT request pages the OT desk the moment it is raised, and the requests list and the anaesthetist's queue both put the most urgent cases at the top.