Akuru browser extension: glossary

Short definitions of the terms used across the Akuru browser extension help articles. These are quick references; follow the linked articles for the full how-to.

Pre-fill (the New Patient flow). Loading the patient who is open in your EMR into i-scribe with a single click of New Patient. The extension carries across the patient's name, date of birth, and clinical background (history, allergies, medications) from the EMR. You stay on the EMR; New Patient does not switch tabs. See Start a consult in i-scribe straight from your EMR.

Top bar. The Akuru toolbar that appears across the top of supported pages. It carries the action buttons (New Patient, Start, Generate, Insert Outputs, Sync i-consult, Help) and changes colour to show status: green when connected, red while transcribing, amber on a patient mismatch, dark navy when disconnected. It's draggable, so you can move it if it covers something.

Transcribing. What happens when you click Start: i-scribe transcribes the consult while you stay on the EMR and run the appointment as normal. We say "transcribing", not "recording". While it's running, the top bar is red and shows a live timer.

Insert Outputs. The dropdown on the top bar for putting an i-scribe output into your EMR. You click inside the destination field first, then open Insert Outputs and pick the output, and it goes wherever you clicked. This is the reliable, repeatable everyday path, and it works on any EMR. See Send outputs back to your EMR.

Send to EMR. A button on each output card inside i-scribe. Unlike Insert Outputs, you don't pick the field; it uses smart routing to decide where the output goes. See below, and Send outputs back to your EMR.

Smart routing. The logic behind Send to EMR in Xestro: it sends an output to the right place based on its type. A medical note goes into Xestro's clinical notes, while letters open Xestro's letter editor with the body filled in.

Output. A document i-scribe generates from a consult. The output types are: Medical Note, Optometrist Letter, Patient Letter, Referral Letter, and GP Letter.

Name matching. The safeguard that checks the patient open in your EMR is the same patient open in i-scribe before any transfer. Names are normalised (lowercased, titles like Mr/Dr stripped, spacing collapsed) so small differences don't trip it. On a mismatch the top bar turns amber and a warning lets you cancel or proceed. It's a safeguard, not a guarantee, so you confirm the patient is correct. See Patient safety: how name matching works.

Episode. A patient's instance of care in i-consult, created when appointments are synced. Only appointments mapped to a "New Consult" type create an episode (see consult-type mapping).

Consult-type mapping. A one-time classification of each of your EMR's appointment types into one of three groups, reused on every sync: New Consult (creates an episode), Follow-up (skipped), or Excluded (skipped). Only "New Consult" types create episodes in i-consult. See Set up your appointment-type mappings.

Reconciliation. What i-consult does when you sync appointments: it compares the incoming list against what's already there and sorts each one as created, changed, cancelled, or unchanged. Reconciliation protects episodes that have already progressed in i-consult, so re-syncing doesn't clobber work in progress. See Sync your appointments to i-consult.