Care team
1 in the teamWho needs to be involved, and why
Every participant carries a reason and the record entry behind it, so the list can be checked rather than trusted. Colleagues other than the signed-in clinician are simulated for this demonstration.
- Dr Maya Shah
Usual GP · Riverside Practice
Registered GP; holds the record.
EvidenceRegistered GP on the patient record
Suggested by the record review
2 suggestedA read-only reading of the whole record, checked by a second pass. Each suggestion carries its reason and the record entries behind it. Nobody joins the team unless you add them.
- Acute respiratory medical team clinicianCore to the meeting
Confirm immediate clinical stability and capacity, lead or delegate the initial priorities-and-treatment-preferences discussion, and document agreed next steps.
This team is explicitly recorded as responsible at the current acute medical unit attendance for hypoxaemic respiratory symptoms.
- Eligible17 Aug 2026
Hospital attendance lists the respiratory medical team at the acute medical unit.
- GP clinicianCore to the meeting
Provide available longitudinal context, verify prior preferences or planning in primary-care records, and support continuity after the acute attendance.
GP encounters document the recent symptom trajectory and the recorded telephone contact preference.
- Eligible
GP-owned encounters document respiratory progression and administrative contact-preference observations.
Add a participant
Personal details
Auto-filled from the patient record. SIM-000378
What matters to the patient
Their words come first. Set in the voice face, quoted, never paraphrased.
Capacity for this decision
requiredWhether the person had capacity for this decision when it was made.
Patient's expressed wishes
requiredIn their own words, from the conversation.
Patient's expressed fears and concerns
What they are worried about, in their words.
What is most important to the patient about how they are treated
requiredWhere their priority sits between comfort and life-sustaining treatment.
Clinical context
The picture a colleague needs before reading the recommendations.
Diagnosis summary
requiredThe relevant conditions and recent events, as recorded.
Likely clinical trajectory
How things have been changing for this person, from the record.
Relevant active medications
Medicines that matter in an emergency, as the record lists them.
Recommendations for emergency care
Recommendations, not legally binding. Clinical judgement applies. This is not a DNACPR form.
CPR recommendation
requiredA clinical recommendation agreed with the person; not legally binding and not a DNACPR form.
Rationale
Why, and who it was discussed with.
Escalation ceiling
requiredThe level of treatment the team recommends if the person becomes unwell.
Rationale
Why this ceiling, in a sentence a colleague can check.
Clinical priorities if the patient deteriorates
requiredWhat should happen first, and who should be involved.
Signatures and review
0 of 7 required fields recorded.
Still needed: Capacity for this decision, Patient's expressed wishes, What is most important to the patient about how they are treated, Diagnosis summary, CPR recommendation, Escalation ceiling, Clinical priorities if the patient deteriorates.