Before the appointment
Ella guides the first account, keeps the source conversation attached and gives the clinical team a prepared starting point for review.
The clinic and review path are set before the history begins.
Patients can arrive through a clinic invitation, a browser consultation or a connected service route. The consultation remains attached to the correct clinic and workflow from the outset.
What this changes
The right team receives the right consultation.
Ella follows the opening history in the patient's own words.
Voice and text consultations ask one useful question at a time, follow what changed and retain corrections without turning the experience into a rigid form.
What this changes
A fuller opening account is captured before the appointment.
Structure is added without losing the source conversation.
The main concern, sequence and relevant background are organised for review while the verbatim transcript remains available beside the prepared record.
What this changes
Clinicians can scan quickly and verify the source when needed.
The clinician starts with context, then applies clinical judgement.
The care team reviews the prepared information, resolves uncertainty and decides the next step. Ella supports the opening workflow; it does not replace the consultation.
What this changes
The appointment begins further forward, with control still clinical.
The review contract
Preparation is useful only when the clinician remains in control.
Ella prepares information for review. It does not diagnose, prescribe, or replace clinical judgement.
The transcript remains available for source checking.
Unanswered or unclear areas remain visible for review.
Access and routing stay under clinic control.