Select all & copy, or use the buttons above. Safe to paste into plain-text / minimally-formatted CIS fields.
1. Admission Assessment Details
1b. Diagnosis Builder
Diagnosis Builder — choose standard terms; add patient-specific details in final diagnosis.
Initial Treatment Plan — Pragmatic CDSS Draft
Treatment templates are editable documentation/order-set drafts. They do not execute orders. Verify patient-specific indication, contraindications, organ function, allergy, local formulary, antimicrobial policy, and consultant instruction before finalizing.
Full structured treatment plan (12 domains)Comprehensive ICU Initial Treatment Order Builder
DRAFT - verify before prescribing/executing. Generated from the selected diagnosis/problem list, care bundles, and modifiers; the treating doctor remains the author and verifier of all orders.
2. Presenting History
3. Neurological Assessment
4. Respiratory Assessment
5. Cardiovascular Assessment
6. Renal Assessment
7. GI / Liver / Bleeding Assessment
8. POCT / Labs / Imaging (on admission)
ABG
CBC
Coagulation
Renal function & electrolytes
LFT
Inflammatory markers
Cardiac
Cultures
Imaging
9. POCUS
10. Co-morbidities
11. Organ Failure Assessment
Check applicable organ failures and document supporting severity/evidence. Do not trigger any intervention from a single parameter — at least three independent parameters or measurements should support an intervention.
12. Legacy manual treatment notes
Superseded by the "Initial Treatment Plan — Pragmatic CDSS Draft" section above. Kept for backward compatibility with older records; any text entered here is appended under LEGACY / MANUAL TREATMENT NOTES in the generated note, not as a second Initial Treatment Plan.
13. Family Communication
1. Shift Overview
2. Neurological
3. Respiratory
4. Cardiovascular
5. Renal
6. Hematology
7. Hepatic / Metabolic
8. Infection / Sepsis
9. Immune Suppression
10. Lines / Tubes / Support, Nutrition & Skin
11. Medications, Labs, Imaging & Procedures
12. Family Communication & Plan for Next Shift
1. Event Details
2. Clinical Findings
3. Assessment & Response
4. Communication & Plan
Treatment Modification / Rationale
Treatment templates are editable documentation/order-set drafts. They do not execute orders. Verify patient-specific indication, contraindications, organ function, allergy, local formulary, antimicrobial policy, and consultant instruction before finalizing.
1. Common Procedure Details
1b. Quick Core Fields (procedure-specific)
Key fields for the selected procedure, visible in quick mode. These fields move into this panel from the full detail section below (not duplicated) when a procedure is selected.
2. Procedure-Specific Details
Fields change based on the procedure selected above. Previously entered values for other procedure types are preserved even when not shown.
3. Procedure Narrative
1. Admission & Diagnosis
2. Clinical Course3. Organ Support Required
4. Investigations & Microbiology
5. Current Status & Discharge Plan
1. Patient & Admission Details
2. Clinical Course
3. Resuscitation
4. Cause of Death
5. Family & Administrative
1. Clinical Details
2. Risk Counselling
3. Decision & Consent
4. Status at DAMA
1. Clinical Summary
This summary will state: "This summary is issued on request of family/attendant for treatment-related administrative / financial support purpose." Avoid inflated claims, outcome promises, or emotionally manipulative language.
Saved records
Module
Case Number
Patient
Note date/time
Saved
Doctor
Descriptor
About CCRA-Critical-Care-Record-Assistant-v2.0
CCRA-Critical-Care-Record-Assistant-v2.0
Agile ICU Information System for doctors.
Purpose:
Offline structured ICU documentation and lightweight clinical decision support for admission records, progress/event notes, bedside procedures, discharge summaries, death summaries, DAMA summaries, and current status summaries.
Design principle:
The doctor remains the author of care. The software provides standard terminology, structured documentation, evidence checks, and fast note generation without imposing unnecessary clerical burden.
This tool supports documentation and reasoning. It does not replace bedside assessment, consultant review, institutional policy, or patient-specific clinical judgement.
No treatment or intervention should be triggered from a single isolated value. ICU decisions must be based on converging clinical, laboratory, imaging, monitoring, and trend evidence.
Data are stored locally in this browser unless exported by the user.
Footnote:
This app is not an EMR substitute. It is an ICU record assistant for doctors with clinical decision support, designed to help the doctor create and revise a dynamic clinical prediction model from history, focused bedside clinical examination, ABG, POCUS, laboratory trends, and radiology. It uses Bayesian heuristics to support individualized care, while the treating doctor remains the author and verifier of all clinical decisions and documentation.
Treatment template library
Editable documentation/order-set drafts only. Verify indication, contraindications, organ function, allergy, local formulary, antimicrobial policy, and consultant instruction before use.
Templates
Template editor
Select a template to edit, duplicate, or preview — or start a new user template.
Could not auto-parse .txt template
Automatic parsing failed or was incomplete. Review the raw text below, then use "New user template" in the library and paste content manually.