The note is the job, and the job is what gets rushed

Clinical notekeeping is the part of the day that gets compressed. The patient is in front of you, the clinic is running late, and the record is written afterwards from memory, or not written properly at all. Every clinician knows this and nobody enjoys it.

The single-screen consultation workflow exists to remove the reasons it happens: the switching between systems, the retyping, the separate photo app, the paper diagram that gets scanned in next week. If the record is easier to make during the consultation than after it, it gets made during the consultation.

For an injectable practice

Non-surgical treatment records are structured, not free text with a paragraph about what was used. The record captures the consultation and the treatment as separate, complete things.

Annotated diagrams

Draw directly onto a facial or body diagram during the consultation. Templates are organised by category, and each annotated diagram is saved against the appointment as both the drawing data and a rendered image, so it is readable years later.

Product, batch and expiry

Every product used is recorded against the treatment with its manufacturer, batch number and batch expiry. If a product is ever recalled, the question "which patients had that batch" is a query rather than an afternoon.

A photograph of the actual label

The vial or syringe label can be photographed and attached to the usage record. The evidence of what was administered is the product's own labelling, not a name someone typed.

You do not type the lot number

Photograph the labels with your phone, several at once. Velastria reads the lot number and expiry date off them and attaches them to the products you recorded. Say them into the consultation instead and they land in the note the same way.

Dose, unit and injection sites

Quantity with its unit, and the injection sites, recorded per product. Totals for botulinum toxin units and filler volume are held on the treatment record itself.

The full clinical structure

History of presentation, examination findings, treatment plan and treatment delivery as separate fields, so the record reads as a clinical record rather than as a receipt.

Complications and aftercare

Complications and the aftercare instructions given are part of the record, with a follow-up recommendation, and the whole record is signed off by the practitioner with a time and a name.

In practice, you just say it

The way this is actually used in clinic is that the practitioner speaks the whole thing out loud during the treatment: the product, the lot number, the expiry, the sites, the dose. It goes into the note as it is said, and the structured record fills in behind it.

If you would rather not read a lot number off a vial mid-treatment, photograph the labels instead, several in one shot, from your phone. Velastria reads the lot numbers and expiry dates off them and attaches them to the products you recorded.

Your notes remain the source of truth. The labels supply the lot and expiry; anything appearing on a label that you did not record in your notes is discarded rather than added, discrepancies between the two are shown to you, and you confirm before it is saved. That ordering is deliberate: a scan can complete a record you made, but it cannot invent one you did not.

For a surgical practice

The same workspace, with the surgical record underneath it. Operation notes are built from your own templates, so the structure is yours and the typing is mostly done.

Operation notes from templates

Per-procedure templates you control. The note carries diagnosis, anaesthesia and anaesthetist, assistant, operative findings, estimated blood loss, specimens, drains, closure details and post-operative instructions.

Drawings in the operation note

Surgical drawings are part of the note rather than a photograph of a piece of paper, and the finished note renders to a signed-off PDF.

Implant traceability by side

Implants are selected per side from a product library carrying product code, manufacturer, type, profile, volume, base width and projection. Left and right are recorded separately, because they are frequently not the same.

Standardised photography

Capture sets defined by body area and procedure, with a fixed set of views, a consistent background and a baseline set. Before-and-after comparison is meaningful because the two photographs were taken the same way.

Sign-off that means something

Operation notes and treatment records both carry an explicit sign-off with the time and the clinician. A note that has not been signed off is visibly a draft.

The whole surgical pathway alongside

The quote, the consent, the medical history questionnaire, the pre-admission review and the post-operative garments are attached to the same patient, not scattered across systems.

And the typing largely disappears

AI ambient consultation transcription listens to the consultation and drafts the note into that structure. AI clinical coding proposes the ICD-10 and OPCS-4 codes. AI letter drafting writes the letter to the patient and the referrer from what was actually discussed.

Every one of those is a draft that a clinician reads, edits and signs. Nothing enters the record unsigned, and the sign-off is recorded with a name and a time. The clinician remains the author of the note; the AI removes the typing, not the responsibility.

All of it is on every plan, including Solo. There is no AI tier to upgrade to. Usage is billed per use and itemised; most clinics spend £30 to £60 a month.

Why the structure matters more than the screen

A note written as free text is readable by a person and useless to everything else. A structured record can be queried, audited, coded, reported and recalled.

That is why batch numbers sit in a batch field rather than in a sentence, why injection sites sit against the product rather than in a paragraph, and why implants are recorded per side. On the day a manufacturer issues a recall, or a regulator asks how many of a procedure you performed and with what outcome, the difference between structured and free text is the difference between a query and a week.

Frequently Asked Questions

Can I draw injection sites on a diagram during the consultation?

Yes. Diagram templates are organised by category and annotated directly during the consultation. Each annotated diagram is stored against the appointment as both the underlying drawing data and a rendered image.

Does it record batch numbers for injectables?

Yes. Each product used is recorded with its manufacturer, batch number and batch expiry, alongside quantity, unit and injection sites. A photograph of the product label itself can be attached to the usage record.

Do I have to type the lot number and expiry date?

No. Practitioners generally speak the product, lot number, expiry, dose and sites aloud during the treatment and it goes into the note as it is said. Alternatively you can photograph the labels, several at once, and Velastria reads the lot numbers and expiry dates from them.

What stops a label scan putting the wrong product in my notes?

Your notes are the source of truth. A scan can only attach a lot number and expiry to a product you have already recorded. Anything appearing on a label that is not in your notes is discarded rather than added, discrepancies between the two are shown to you, and nothing is saved until you confirm it.

Can I find every patient treated from a recalled batch?

Yes. Because batch numbers are stored in their own field against each product usage rather than written into free text, identifying every patient treated from a given batch is a query rather than a manual review of notes.

Does it handle operation notes as well as injectable records?

Yes. Operation notes are built from your own per-procedure templates and carry diagnosis, anaesthesia, anaesthetist, assistant, operative findings, estimated blood loss, specimens, drains, closure details, surgical drawings and post-operative instructions, rendering to a signed-off PDF.

Is implant traceability recorded per side?

Yes. Implants are selected separately for left and right from a product library holding product code, manufacturer, type, profile, volume, base width and projection.

Who is responsible for an AI-drafted clinical note?

The clinician. AI transcription, coding and letter drafting all produce drafts that a clinician reads, edits and signs off, and the sign-off is recorded with a name and a time. Nothing enters the record unsigned.

Do I need a higher plan to get the consultation workspace?

No. Clinical records, consent, photography and every AI feature are on every plan, including Solo at £35 a month. The higher plans add governance, stock, CRM and theatre, not the clinical core.

See it with your own workflow in mind.

The fastest way to judge a consultation screen is to describe the consultation you actually do. Enquiries go directly to the founder.