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For Emergency Care

Every ED physician knows the feeling: the patient is in front of you and the chart is empty.

Two hours in the waiting room. Zero background information for the doctor.

Andres Lasn MD, Co-Founder and family doctor at Certific

Dr. Andres Lasn

Physician & Co-founder of Certific

“I have also been that doctor at the end of a shift, when the fatigue is already crushing but a new case still has to be documented from scratch. It is actually a solvable problem if the patient shares information before I see them.”

Before the consultation

The patient knows their history. We help them share it.

For patients

How the patient side works

No app. Patients scan a QR code, log in, and describe their health concern, surgical history, and medication regimen in the waiting area.

  1. 01
    Existing hospital workflow

    Patient is triaged by the hospital staff

    Patient arrives at the emergency department. A triaging nurse makes the initial assessment, and non-urgent patients are directed to the waiting area.

  2. 02
    New digital workflow

    Authentication and secure log-in

    Patients scan a QR code on their mobile device and securely log in to the solution without downloading an app.

  3. 03
    New digital workflow

    Symptom self-description

    The patient describes their health concern, surgical history, and medication regimen in the waiting area.

  4. 04
    New digital workflow

    Targeted follow-up questions

    The patient's own words trigger the right follow-up questions for more than 40 chief complaints.

Question bank reviewed by emergency medicine physicians.

9:41

Triage nurse's assessment

Life threatening Potentially life threatening Urgent Semi-urgent Non-urgent

Your max waiting time is 4 hours

Please proceed to the waiting area.

Scan successful

Log in to continue

We recognised the check-in QR code instantly.

Describe your concern

Prioritize your symptoms

You described multiple concerns. Which one is the most urgent?

Abdominal pain
Indigestion
Follow-up questions

Does the pain spread anywhere else?

Yes, to my back
No, it stays in the stomach
I am not sure

Review & Send

"I’ve had stomach pain for a while. It comes and goes, sometimes feels stronger after eating. Not sure exactly where it hurts"

Additionally captured info:

The pain is mostly in my upper stomach. I haven't had a fever or any nausea. It started about two weeks ago and usually happens right after I eat. It lasts for maybe an hour then fades away.

Sent to clinic
Continue

Common questions

Does this replace triage?

No. Triage remains with your clinical team. That does not change. Certific uses the waiting period productively, so by the time your staff sees the patient, the patient self-description is already structured and ready.

What if a patient is not digitally confident?

Participation is always optional. Patients who do not complete the self-description are seen as normal. There is no delay and no disruption to their care. Where it helps, a caregiver can step in, for example for children or elderly patients. The department does not depend on participation to function.

What about clearly acute patients?

Acute and unstable patients go straight to your team. Nothing changes there. Certific is designed for non-urgent patients who are triaged to the waiting area. They can complete a structured self-description safely while they wait. The triage decision stays entirely with your staff.

  1. Hospital

    Arrival

    Patient arrives and joins the triage queue.

  2. Hospital

    Triage

    Nurse assessment, completed before anything else.

  3. Certific

    Certific

    After triage, the patient is directed to the waiting area to describe their health concern.

  4. Care team

    Doctor

    Consultation with the treating physician.

Patient self-description ready before the door opens.

The consultation starts differently when the patient self-description is already there.

What patients complete in the waiting area is structured and prepared before the consultation begins. The next part of the workflow starts with more background information and fewer repeated questions.

For staff

How the department works with it

The moment a patient submits, the patient's self-description appears in a shared dashboard. It is sorted by chief complaint and ready for the consultation.

  1. 01

    Everything in one view, sorted by complaint

    As patients complete their self-descriptions, nurses and doctors can see all patient summaries in a single dashboard sorted by chief complaint.

  2. 02

    The summary is there before the consultation starts

    Patient self-descriptions are more standardised and can improve the quality and efficiency of clinical documentation, while the clinician continues the assessment as before.

www.certific.co
Assigned to me Waiting for answer Completed
Abdominal pain
Emily
Fever
Sore throat
Skin rash
Prescription renewal
Tiina
Headache
Emily
Cough
Andres
Dizziness
Tiina
Back pain
Andres
Anxiety
Emily
Ear pain
Emily
Fatigue
Tiina
Blood test results
Tiina
Sick leave
Andres
Abdominal pain
Pre-visit summary
I’ve had stomach pain for a while. It comes and goes, sometimes feels stronger after eating. Not sure exactly where it hurts
Additionally captured info:
The pain is mostly in my upper stomach. I haven't had a fever or any nausea. It started about two weeks ago and usually happens right after I eat. It lasts for maybe an hour then fades away.
Copy
3 minutes of typing eliminated ↑
Abdominal pain
Pre-visit summary
I’ve had stomach pain for a while. It comes and goes, sometimes feels stronger after eating. Not sure exactly where it hurts
Additionally captured info:
The pain is mostly in my upper stomach. I haven't had a fever or any nausea. It started about two weeks ago and usually happens right after I eat. It lasts for maybe an hour then fades away.
Hello Linda. To better understand your stomach pain, could you tell me if the pain ever wakes you up at night, and if you've noticed any changes in your bowel movements recently?
Nurse Emily · 10:14
No, it hasn't woken me up at night. My bowel movements have been normal. The pain is mostly just a dull ache now.
Linda M. · 10:22

Encounter Summary

Patient reports intermittent upper abdominal pain, worsening after meals, duration ~2 weeks. Denies nocturnal pain, nausea, or significant bowel habit changes.
6 minutes of typing eliminated ↑
Evidence-based template replies
Automatic translation
Speech-to-text

Common questions

Does staff need a separate login to access the dashboard?

The dashboard is accessed separately. In practice, that means nothing to install, no EHR configuration, and a faster trial start. After the trial, we work with your IT and EHR teams to define the right integration model for your setup.

What if the patient writes in another language?

Patients can describe their symptoms in any language. The summary the clinician receives is automatically translated into the department's working language. For departments serving diverse populations, this removes one of the more consistent sources of incomplete patient self-descriptions.

Does a clinician need to respond to the self-description with a message?

No. Once submitted, the patient self-description is there when the clinician needs it. There's no obligation to respond, no message thread to manage. It's a structured record, not a communication channel.

Why ask the patient to self-describe the condition if the clinician will ask questions anyway?

The clinician will still ask questions, but they will be different ones. The self-description handles the routine baseline so the consultation can start at the clinical question. That returns two to three minutes per patient to work that actually requires a clinician.

Do you ask about red flags, and does the system alert staff if something concerning comes up?

We ask about red flags, but the solution does not mark or highlight them separately on the dashboard. The answers are part of the patient summary, which staff read as a whole. Clinical assessment and decision-making remain entirely with your team, just as they do during usual patient questioning.

Observed deployment data

Estimate your department's impact based on observed data

Adjust three inputs to see what that looks like over 30 days in your department.

Average number of patients seen by the department each day.

Percentage of patients likely to be suitable for this workflow.

%

Estimated hourly cost of staff time.

Derived from 700,000+ patient interactions

Baseline administrative handling time (observed, primary care)

5 min

Administrative handling time with Certific (observed, primary care)

3 min

Administrative time freed per eligible patient

2 min

Calculation period

30 days

Estimated monthly impact

Administrative capacity freed per 30 days

€9,000

Patients benefiting per day

180

Administrative hours freed per day

6

Administrative hours freed per 30 days

180

That's equivalent to 15 12-hour shifts per month

These estimates are grounded in real deployment data, not modelled projections. We use primary care as the baseline because that's where we have the evidence. Your ED trial will tell us what the number looks like for your department specifically.

From first conversation to live department. What to expect.

Most of the coordination burden sits with us, not your department. The timeline below is a guide, not a deadline. Hospital systems move at their own pace. We structure our process to fit yours, not the other way around.

Stage 1

Initial conversation

A clinical and operational conversation, not a sales pitch. We start by understanding your department's current workflow, pressure points, and what a useful trial would actually look like for your team.

Typically a single call. We come prepared with questions about your current workflow so this is immediately useful, not exploratory.

Stage 2

Product walkthrough

A working demonstration with your relevant stakeholders. Clinical teams want to know what patients experience and what lands on their screen. Operational teams want to know what changes for staff. IT wants to know what touches their infrastructure. We cover all three.

Usually within the first two weeks, depending on stakeholder availability. We can run this as a single session or split across clinical and operational audiences if that's easier to schedule.

Stage 3

Trial planning and alignment

Scope, stakeholders, and paperwork are sorted in parallel so nothing holds up the start date. We provide template agreements designed for hospital procurement requirements.

This stage varies most in practice. Internal alignment across clinical, IT, and procurement stakeholders can move quickly or require several rounds. We provide the documentation each group needs and follow your lead on sequencing. We do not push for speed at the cost of internal buy-in.

Stage 4

Preparation and onboarding

The operational groundwork includes staff onboarding, QR code placement, dashboard access, and workflow briefing. We run this. Your team's job is to show up informed, not to manage the setup.

Once a start date is confirmed, setup on our side takes less than a week. Staff onboarding is designed to be light. Most departments are operationally ready in a single briefing session.

Stage 5

Trial launch and evaluation

Live in the department. We run structured evaluation throughout, not just at the end, so you have a clear picture of what is working before you are asked to make any commercial decision.

Trial length is agreed during planning and is typically three months. We can adjust if patient volume or evaluation needs require it.

In our experience, the limiting factor is rarely the technology. It's finding the right window in a department's operational calendar and getting the right people aligned at the same time. We plan for that, not against it.

How the commercial model works

The trial runs at no cost.

We defer commercial terms deliberately. The right model depends on how broadly you end up using it, and that only becomes clear through a real deployment.

What shapes post-trial pricing

Post-trial pricing is structured as an annual department subscription and scaled to patient volume. We will give you a clear number once trial scope is defined, before you are asked to make any decision.

Patient volume

How many patients move through the workflow day to day. More volume means more value delivered, and pricing reflects that proportionally.

Department scope

The breadth of deployment within your department. A contained trial and a full department rollout are priced differently. We start with whatever scope makes sense clinically.

Compliance requirements

We provide data processing agreements, security documentation, and compliance materials as standard. Where your hospital has requirements beyond that, we work through them together. This affects the support tier, not the core model.

Support and service needs

A standalone deployment with no EHR integration costs less to support than one with deep system connectivity. We scope this based on what your setup actually requires, not a default tier.

Trust and governance

Clinical grounding and technical readiness in one place.

Choose the area most relevant to you.

Designed to be clinically grounded, reviewable, and adaptable.

Does the solution use AI?

Yes, the solution uses AI, but selectively. It does not generate patient-facing questions from scratch; instead, it selects suitable questions from a clinician-curated question bank based on the patient’s input. In other words, the AI model is grounded and used in a limited scope.

How broad is the question bank, and what is it based on?

The question bank covers more than 40 common chief complaints. The questions are built from literature and have also been reviewed by emergency medicine physicians. In many cases, the questionnaire is based on internationally recognised guidance, such as NICE and Cochrane.

Can our doctors review the question bank and give feedback?

Yes. Your doctors can review the question bank, and where needed we can make specific changes so it fits your department’s needs.

Security & compliance

Highest standards of data security and privacy.

Healthcare providers across Europe rely on the Certific platform to manage thousands of patient requests every day.

Data hosted in Europe
GDPR compliant ISO 27001 certified

Talk to us

The waiting room is already full. The patient self-description doesn't have to be missing.

We're rolling out Certific for Emergency Departments with select hospitals. If your ED struggles with low-acuity throughput, language barriers, or documentation burden, let's talk.

Andres Lasn MD, Co-Founder and family doctor at Certific

Talk to Andres Lasn MD

Andres Lasn MD

Co-Founder, family doctor

andres.lasn@certific.co

Andres is a practicing physician who built Certific from direct experience with the problem it solves. If you want to talk to someone who has been on both sides of this, as a clinician and as the person building the solution, he is the right conversation.