Every module, one record
ClinivX is a modular platform where clinical integrity is enforced end to end: in the application, in the database, and in every AI-assisted step.
Resident records
One governed profile per resident
Admissions, demographics, contacts, allergies, and conditions live in a single record scoped to its facility and organization. The admission state machine keeps status changes deliberate, and out-of-scope records simply don't exist for unauthorized staff.
- Directory with status, room, and program at a glance
- Admission lifecycle with controlled state transitions
- Facility-scoped visibility: staff see only their assignments
Progress notes
Documentation that stands up to scrutiny
Notes are append-only: drafts accumulate versions, signing freezes the record, and anything after a signature becomes a reason-tagged addendum. Supervisors co-sign from a dedicated review queue, and voice dictation drafts notes through the governed AI pipeline.
- Append-only versioning with author e-signatures
- Supervisor co-sign pinned to the exact signed version
- Voice charting: dictate, review the AI draft, sign yourself
Care plans
Person-centered plans with four-eyes approval
Goals and interventions are versioned; a reviewed version is immutable, and revisions start a new version through a submit-and-approve flow that requires a second set of eyes. Goal progress links directly to the progress notes that evidence it.
- Versioned plans: approved content can never drift silently
- Four-eyes approval separating author from approver
- Reviews-due feed so renewal dates never sneak past
eMAR
Medication administration with hard guardrails
Transcribed prescriber orders are frozen at entry; the system never creates or changes an order. Pass windows, required reasons for exceptions, PRN indications with effectiveness follow-ups, and two-person controlled-substance counts are all enforced, not suggested.
- MAR grid with pass windows and overdue-pass feed
- Controlled substances: witness plus second signature, always
- Idempotent recording: no double-documented doses
Incident reporting
Immutable reports with regulatory clocks
The facts of an incident are frozen at creation; corrections become new versions and witness statements append forever. Deterministic per-type deadlines start counting the moment the incident is logged, with a breach feed for anything approaching its limit.
- Versioned narratives: the original is always preserved
- Per-type regulatory deadlines computed automatically
- Closure blocked until every follow-up is resolved
Tasks & scheduling
Work that lands on the right person
Tasks assign to a person or a role, require completion evidence, and recur without drift; the next occurrence materializes from the due date, not from when someone got around to it. Appointments carry transportation details and terminal-locked statuses.
- Role- or person-assigned tasks with completion evidence
- Drift-free recurrence and one-shot overdue escalation
- Shift model with coverage tracking for staffing
Credentials & compliance
Licenses tracked, expirations surfaced
Staff credentials store masked numbers only and are never deleted. An expiring-credentials feed gives supervisors runway before a lapse becomes a citation, and the compliance agent cross-references credentials against scheduled shifts.
- Masked credential numbers, never full license data
- Expiry alerts with configurable lead time
- Credential-conflict detection against the shift schedule
Audit trail
Tamper-evident by construction
Every sensitive action, including denied attempts, lands in an append-only log, hash-chained per organization so any alteration breaks the chain visibly. There is no update or delete path, in the application or in the database.
- Hash-chained, append-only audit events
- Denied actions audited before the error returns
- Per-organization chains for clean tenant separation
Therapy (PT/OT/ST)
Plans of care that live with the record
Physical, occupational, and speech therapy run inside the same governed record as nursing: plans of care with frozen facts of record, append-only functional goals tied to MDS Section GG items, and visit notes with minutes and units that a therapist signs. Recert windows, reassessment deadlines, and goal plateaus are computed from the signed record, never hand-tracked.
- Functional goals tied to MDS Section GG, minutes roll up per item
- Recert and reassessment deadlines derived, never hand-tracked
- Signed visits freeze; later changes are reason-tagged addenda
Pathology
No critical result sits unseen
Surgical-pathology and cytology reports arrive through the connector as append-only external facts, with specimen and accession tracking. A clinician acknowledgement trail records who saw each result and when; unacknowledged criticals escalate in the AI inbox and draft follow-up tasks a human approves. ClinivX never edits a report and never authorizes an order.
- Reports stored verbatim; corrections arrive as new rows, history intact
- Acknowledgements append who saw it and when, never edit the report
- Unacknowledged criticals escalate until a clinician signs off
AI Workforce
Fourteen agents that propose, never act alone
Compliance, Care Plan, Documentation, Clinical Surveillance, Medication Safety, Staffing, MDS, Therapy, Pathology, BH Coding, Claim Scrubbing, and EVV agents scan deterministically and file proposals into a human inbox. Execution happens only after a recorded human approval, through the same services and permission checks a person would use.
- Draft → validate → approve → execute → evidence, every time
- Approver's own permissions gate every governed write
- Full run history: which agent ran, when, and what it produced
Analytics & insights
Decisions from the live record, PHI-safe
Because every note, pass, incident, and shift already lives in one governed record, ClinivX analyzes it in place. No extracts, no data-warehouse project. A governed operations dashboard unifies census, safety, documentation, and staffing signals with QAPI trends, scoped to each facility and audited on every view.
- Aggregate-only by construction: counts and rates, never resident PHI
- Facility-scoped and audited, on the same row-level security as the record
- Self-serve dashboards today; pixel-perfect and embedded analytics next
See it live in the demo
Step into ClinivX as a nurse, DSP, program manager, and more. One click, no signup, synthetic data only.