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IusMedical

Cartella Clinica Sicura

Thousands of medical records, validated and compliant.

Cartella Clinica Sicura runs a multi-level check on PDFs, scans and electronic medical records. Completeness, consistency, regulatory compliance, medico-legal risk assessment.

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Cartella Clinica Sicura dashboard: cases, open findings and risk breakdown by department

From sample checks to full coverage

A mid-sized organisation builds up thousands of records every year. Today they are checked by hand and only in part; with Cartella Clinica Sicura they are all checked, in half the time.

Today, by hand
4 hours per record

Omissions are discovered once litigation has begun.

Manual, sample-based checks, delegated to specialist staff taken away from clinical work. Most records are never examined in depth, and gaps come to light only when the file has already been produced in court.

With Cartella Clinica Sicura
~2 hours 50% less

Systematic validation, upstream.

Same internal staff, full coverage. Each record analysed in about 2 hours instead of 4, before it is handed over. Issues come to light while the document can still be corrected.

How it works

From raw document to medico-legal report, in a guided, automated workflow. Control always remains with the organisation.

The document

PDF, scan or electronic record, in the format you already use

Reading and structuring

The content is analysed and made navigable

Four-level audit

Completeness, consistency, compliance, medico-legal risk

Medico-legal report

A document you can hand over, with findings and actions

The four-level audit

The levels run in sequence, with explicit cross-references to the pages of the original document.

You know which documents are present and which are missing, record by record: each item is checked against both the document catalogue and the content, and every gap comes with its reason. The checklist mirrors the record template used in your organisation.

From record to blocks, before the audit

Cartella Clinica Sicura breaks each record down into pages and blocks and recognises their type - header, patient details, SDO (hospital discharge record), operation note, signature - before starting the four-level audit. The workflow is guided and fully automated, with the option of manual intervention on any block when a check or correction is needed.

Cartella Clinica Sicura check: a 32-page record, each page broken down into blocks and classified by type

Automatic checking, page by page

Each record arrives as a PDF, a scan or an export from the electronic medical record already in use at the organisation. Cartella Clinica Sicura breaks it down into pages and each page into blocks, recognising their type: header, patient details, SDO, operation note, signature.

Detail of a record page: recognised blocks (header, patient details, SDO, signature) with transcription and annotation

Block by block: recognition, transcription, annotation

For each recognised block, the system transcribes the content and annotates it. The detail can always be consulted: you can see which part of the page produced which piece of information, which then feeds the four-level audit.

What the organisation gets

Unified records, even from different sources

Cartella Clinica Sicura consolidates into a single case file the documentation that is currently scattered across different management systems, electronic records and paper. One control workflow across the entire body of documentation, whatever the source.

Continuous audit, without losing the thread

The audit runs automatically across entire series of records and can be paused and resumed at any time without losing progress. The organisation sets its own pace; Cartella Clinica Sicura keeps the work continuous.

Medico-legal report

A formal document that can be attached to an expert witness report. Calibrated to severity: concise if the record is in order, detailed where issues are widespread. The language of Italian forensic medicine, with precise regulatory citations.

Export to your templates

Exports replicate the templates and audit forms already in use at the organisation, so they fit into your processes without rework. A document that management, risk management and medico-legal advisers can use straight away, in the format they already work with.

Compliance and data sovereignty

GDPR for health data

Processing set up in line with the GDPR requirements for health data.

AI Act requirements

Built on the substantive requirements of the AI Act: human oversight, risk management, traceability.

A package you can hand to the DPO

DPIA, record of processing activities, legal basis, data residency. Available from the first meeting.

Where we stand

Cartella Clinica Sicura has been tested on real medical records from an Italian public hospital. The first public reference case will be shared at the end of the first institutional trial, with the organisation's authorisation.

Let's see how it applies to your workflow

A 30-minute demo on a sample of records from your organisation. No commercial commitment.