Approved consent content

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Pathology content is your clinic’s own consent wording, per pathology or procedure: the description of the act, the risk tiers, the investigations, the alternatives, the anaesthesia information, and the list of things a clinician must cover when discussing it. The list page states its role: “The clinic’s approved consent content per pathology - risk tiers, act description, investigations. The pathology annex renders exactly this text; the conversation is checked against it.” It adds that this is the text, not the routing: which forms a visit is offered is decided by a procedure’s family, in Procedures under Clinic admin.

Two consequences make this the highest-leverage setup work in Med:

The pathology annex prints your approved text verbatim. Med does not paraphrase it, and a signed document records which version the patient saw.
Conversations are checked against it. Your coverage checklist becomes the list of elements Med looks for in the consultation, and anything you did not discuss is flagged for you to deal with.

Pathology content is reached through your procedure catalogue. A clinic administrator opens Clinic admin → Procedures; a doctor opens Clinical knowledge → Procedures, which is read-only. Open a procedure, and its Clinical content card links to the approved text it prints, or to the Pathology content list when there is none yet. Any Med user in your clinic can import, draft and edit content; only a clinic administrator can approve it. It holds no patient data.

Statuses and versions

Status	Meaning
Draft	Editable. Not used on any document.
Approved	In force. Immutable. New annexes render this version.
Retired	No longer in use.

Approved content cannot be edited: To change it, open it and press New version, which forks the latest approved version into the next-numbered draft while the approved one keeps serving documents. If a draft already exists, Med sends you to it instead: “A draft for this pathology already exists - continue editing it.”

Because signed documents pin the version they used, the exact text a patient saw stays reconstructable even after you have improved the wording several times.

Creating content from protocol PDFs

Importing protocols is the normal way to start. Press Import from PDF. The dialog explains what happens: “Upload one clinical protocol PDF or a whole set. Each is ingested into Clinical Knowledge and drafted as pathology consent content for review - never auto-approved.”

Choose one or more PDFs under PDF protocol (only .pdf files are accepted; the dialog shows the size limit). Each file gets its own row to fill in:

Pathology name — what you will recognise it by.
Identifier (slug) — optional; generated from the name if you leave it.
Medical family — required.
Discipline — optional, and dependent on the family; you can type your own.

A file Med cannot take is marked Refused with the reason, before anything is uploaded. Press Start import. Med ingests the PDFs and drafts the content, showing “Importing pathology… Ingesting the PDFs and drafting consent content. This can take a minute per file.”, then Drafts ready — “Review and approve before they are used in annexes.” Each imported file offers Open draft. If some files fail, Med lists them and offers Retry failed files; the ones that worked are kept.

The imported PDF also lands in your Clinical knowledge library, which is what lets Med suggest passages from it later. An approved entry links its source file. If you no longer want the protocol in the library, a clinic administrator can use Remove from the clinic library on the approved entry — Med is explicit that this only stops the suggestions and “The approved consent content is NOT affected and keeps serving the annex.”

If content with that identifier already exists, Med tells you to open it and use New version instead of creating a parallel copy.

Writing the content

A draft has three parts.

Annex content

“This exact wording lands in the pathology annex. The conversation analysis checks coverage against it - it never rewrites it.” The fields, in the order they appear (their labels are shown in Romanian, as they print):

Field	What goes in it
Descrierea actului medical (required for approval)	What the procedure is and how it is performed.
Investigații necesare	Investigations the patient needs.
Tratamente alternative	The viable alternatives.
Riscuri frecvente (required for approval)	The common risks.
Riscuri moderate	Risks of intermediate severity or frequency.
Riscuri rare	Rare risks worth stating.
Riscuri foarte rare	Very rare risks (psychiatry annex).
Riscurile refuzului tratamentului	What declining or delaying means for the patient.
Riscurile anesteziei	Anaesthesia risks, where relevant.
Beneficiile anesteziei	Anaesthesia benefits, where relevant.
Sedare, Riscurile sedării, Beneficiile sedării	Sedation, its risks and its benefits (psychiatry annex).
Contenție	Restraint (psychiatry annex).

The psychiatry fields only print on the psychiatric annex; a pathology of another family can leave them blank.

Standard manopere

Rows for the annex’s authorisation table — Procedure, Area, Diagnosis — with Add row. The visit’s date is filled in automatically when a document is generated. Rows with no procedure are dropped when you save.

Coverage checklist

“One element per line - the conversation analysis will flag any of these the doctor did not discuss.” This is where you encode what a good consent conversation for this pathology contains. Keep the items short and checkable; each one becomes something Med looks for in the transcript.

Getting help from your own protocols

On a draft, the card Suggestions from clinic protocols searches the documents you uploaded under Clinical knowledge: “Search the protocols uploaded under Clinical knowledge and copy passages into the fields above. Nothing is inserted automatically.”

Type a query, press Search, and results show the document, the page and the passage, with Copy passage to paste it into a field yourself. Med adds the warning that belongs on it: *“Suggestions are drafts from your uploaded protocols

always review and adapt before approving.“*

Patient documents are deliberately excluded from these results, so a patient’s file can never leak into a template.

The card appears only when your clinic has a knowledge library and you have access to it.

Approving

A clinic administrator presses Approve. Med requires the act description and the frequent risks to be filled first — the button is disabled until they are, with the hint “Fill in the act description and the frequent risks first”, and an amber note listing what is still needed. Nothing you typed is lost if approval is refused.

On success: “Content approved. New pathology annexes will render this version.” The entry then shows who approved it and when.

Finding content again

The list gives you status tabs with counts, a search over the name and identifier, and family and discipline filters. Each row shows the pathology, its identifier, its version, its status and an Approved column. The list pages at 25.

A procedure in your catalogue names a pathology’s content.
A consent session for that procedure produces the pathology annex, which renders the highest approved version of that content, pinned to the signed document.
Your coverage checklist for that pathology is added to what the conversation check looks for.
Where the conversation left a legally required subject short, the dialog that asks how to continue offers Complete from the clinic’s standard content, which fills the gaps from this approved text. It is your choice, not Med’s.

The procedure catalogue

The catalogue is what links a visit to its paperwork: a procedure’s family decides which consent forms the visit is offered, and the pathology content it names is what its annex prints. A clinic administrator maintains it under Clinic admin → Procedures; doctors can read the same list.

Add procedure takes a name, a code, the medical family, a discipline, the pathology content it links to, notes, and Consent flags — switches such as Requires anesthesia or Requires the pathology annex that turn on the matching sections of the generated consent.
Add many takes a pasted or uploaded list (one procedure per line, a name being enough; up to 500 lines at a time, and every skipped line is named), or copies the platform’s template procedures into your own editable rows. It can also import the platform’s full procedure catalogue, with draft pathology content for each — nothing is approved automatically, and your existing categorisation is not overwritten.
Procedures without a family are listed separately, because “Without a family, these get the general forms and never a specialty’s own.”
A procedure’s page shows its routing, its Clinical content — the approved text it prints, or a warning that there is none — and a Change history.

You can edit the clinic’s own procedures; there is no delete.

How the consent engine works — where approved content fits in the whole flow.
Clinic forms and documents — the annex among the visit’s other documents.