MedFile
How a visit works

One outpatient visit, from the waiting room to the follow-up.

Seven steps. The consultation itself — step three — is the one step MedFile deliberately leaves exactly as it is today: the doctor and the patient, and a pen on paper. Everything else happens around it.

1
Consent

The patient grants 60 minutes of access.

In the consultation room, the patient opens Doctor QR in their app and holds up the phone. The doctor scans it once. The code works exactly once, expires within five minutes if unused, and contains none of the patient's medical information.

The access it opens lasts one hour, and the patient can end it at any moment from their phone. If the patient's phone has no connection, a pre-prepared backup code does the same job — offline.

Doctor QR
Show this to your doctor
4:12
left to scan
What the doctor will be able to do
One hour, verified doctors only, every session recorded.
Nothing on this screen is medical information.
2
History

Allergies, medicines, conditions, results — before the first question.

The doctor's screen opens on a verified snapshot built only from structured records: what the patient is allergic to, what they currently take, what they have been diagnosed with, and their recent results — including visits recorded at other MedFile hospitals the patient has chosen to share.

No searching, no asking the patient to remember, no waiting for a file to be found.

MedFile · Doctor workspace
SS Sunita Shrestha 58:20 left
Verified patient snapshot ✓ From structured records
▲ Allergies
Penicillin · urticarial rash
Sulfa drugs
Current medications3 active
Amlodipine 5 mg · 1 tablet each morning
Metformin 500 mg · twice daily with food
Warfarin 3 mg · each evening
Diagnosed conditions
Type 2 diabetes · 2019 Hypertension · 2021
Recent results28 Jul
HbA1c7.8 % above target
INR2.4 in range
3
Consultation — unchanged

The doctor writes on paper. We would not change this if we could.

A consultation is a conversation, and a keyboard between the doctor and the patient shortens it in the wrong way. MedFile asks nothing of the doctor during the consultation — no typing, no forms, no screens. The prescription is written by hand, on the hospital's own paper, exactly as it was yesterday.

OPD PRESCRIPTION
12/8
Ciplox 500  1-0-1  × 5d
Rantac 150  0-0-1
BP 128/78  ·  f/u 6/52
— Dr. A. K. Shrestha
4
Photograph

One photograph digitises the prescription.

At the end of the visit, the paper is photographed once. OCR transcribes the handwriting into structured fields — each medicine, its dose, its frequency, its duration and instructions — and marks anything it could not read with confidence.

If the image cannot be read, the photograph is kept and the record can be entered digitally instead. Nothing is lost to a bad photo.

5
Confirmation

Nothing becomes the record until the doctor confirms it.

The doctor reviews what was read, field by field: the original handwriting is shown beside what the system understood, every medication row must be confirmed regardless of confidence, and an unreadable field is typed — or honestly left blank. Only then is the record signed.

Medication row · 1 of 2 Always confirmed
As written
Ciplox 500 1-0-1 × 5d
Understood as
Ciprofloxacin
500 mg · 1 tablet, twice daily · 5 days
Confirm this medication
Uncertain field · read with low confidence
As written
f/u 6/52
Type what it says
Follow up in 6 weeks
Leave blank if you can't read it.
6
Return

The signed record goes home with the patient.

The moment the doctor signs, the record lands in the patient's app: the note, the medicines, the follow-up. New medicines arrive as a structured list — with times, and reminders the patient can switch on — in Nepali or English.

When the access ends, the app shows the patient exactly what happened while the doctor was in: what was read, and what was added.

Access ended
Dr. Anil Kumar Shrestha · 34 minutes
What changed in your record
1 visit note added · signed 12 Aug
Ciprofloxacin 500 mg added · twice daily for 5 days
Reminders for Ciprofloxacin are set for 08:00 and 20:00, for the next 5 days.
View the full record
7
Follow-up

"Follow up in 6 weeks" stops being a hope.

The follow-up interval the doctor wrote becomes an appointment on the patient's phone, with a reminder before it. And because the record now shows who was asked to return and when, staff can reach the patients who do not — the patients paper silently loses.

SEP
23
Next appointment
Follow-up · in 6 weeks
Reminder the day before

See it with your own OPD's paper.

We are looking to run founding pilots with hospitals in the Kathmandu area. Free for every patient, from the first day.

Request a pilot