DARO Clinical

The record stops being paperwork and starts being a clinician.

DARO is an ambient-first EMR built from two halves that were each already working: a clinical capture engine that turns a conversation into structured, auditable facts, and a full practice platform that turns those facts into orders, documents and paid claims. One data model, from the first sentence of the visit to the remittance.

Every demonstration patient in DARO is fabricated. No protected health information leaves the practice, and nothing is sent to a third party for training.

Why this exists

Charts were designed to bill, then asked to think.

Modern records store text. Text cannot be reasoned over safely, so decision support was bolted on top as interruptive pop-ups that fire on keywords and get clicked away. The clinician becomes the integration layer — retyping the med list, re-deriving the creatinine clearance, remembering which guideline changed, and reconstructing the visit at 9 p.m. for the coder.

DARO inverts it. The atomic unit is a clinical fact with provenance: who said it, when in the encounter, how certain, and whether the clinician confirmed it. The note is a rendering of those facts. So are the scores, the safety checks, the guideline recommendations, the orders, and the charge. Fix one fact and the whole chart agrees.

One pass, end to end

The same encounter moves through six stages without anyone re-entering it.

01

Capture

Ambient audio or typed narrative.

02

Structure

Facts with source, time, confidence.

03

Compute

Scores and risk resolve themselves.

04

Recommend

Guideline therapy with dose and citation.

05

Sign

Human review of every reasoning path.

06

Bill

Coded, documented, submitted clean.

What it actually does

Six capabilities that exist together in one system — which is the part no one else has put in the same place.

The visit writes the note

Ambient capture listens to the encounter and produces a structured fact layer — every symptom, med, value and negative with a source, a timestamp and a confidence. The note is rendered from those facts, so a correction re-routes everywhere instead of forcing a rewrite.

HPI, ROS, exam and a problem-by-problem assessment ready before the patient reaches the door.

Guideline care with drug, dose and route

The engine reads the patient, not a checkbox. It proposes guideline-directed therapy with the specific agent, starting dose and monitoring interval, shows the rule path it walked, and names the criterion that was met, unmet or assumed.

Every recommendation carries its citation, its strength, and the line of the encounter that triggered it.

Safety that argues back

Allergies, intolerances, organ dysfunction and interactions are held as facts, so a recommendation that collides with the chart is flagged as a contraindication or caution with a safer alternative — before it reaches the plan, not after the pharmacy calls.

Nothing enters the chart without a human signature on a screen that shows the reasoning.

Scores that populate themselves

eGFR, CHA₂DS₂-VASc, HAS-BLED, FIB-4, ASCVD, PHQ-2 and GAD-2 resolve from what was actually said and documented. A screening instrument completes itself out of the conversation and escalates to the full tool when it crosses threshold.

Clinician-confirmed values always outrank machine capture.

Revenue that closes in one loop

Charges, A/R, payer rules and collections live on one screen. Coding suggestions are payer-specific, CMS-1500s and superbills generate as real documents, and claims move with status events instead of a fax and a hope.

An A/R queue that ranks the next call, appeal or statement by recoverable dollars and aging.

Stop re-keying anything

Inbound labs and imaging route abnormals to the right inbox automatically. Photographed charts, med lists and after-visit summaries are parsed into problems, meds and allergies you apply with one click — and trended from then on.

Referrals, prior auth and documents share one store that feeds the claim.

Depends who's asking

Finish the visit in the room.

  • Conduct the encounter normally; the note assembles from what was said, in a fixed section order you can edit anywhere.
  • A sign-off screen that shows every recommendation, its guideline, its strength and the exact line that triggered it.
  • Interval and rounding modes for multi-patient updates without re-opening ten charts.
  • Hands-off voice navigation across the EMR — open the day, jump to a queue, dictate into the right field.
  • An audit trail on every chart amendment, because defensibility is part of the product.

Built for scrutiny

Row-level access control per module and per role, an amendment audit trail on clinical entries, signed interfaces for inbound results, and no protected health information sent to third-party services.

Runs a real day

Templated scheduling with waitlist and recalls, voice-driven booking against provider availability, telehealth visits, a patient portal for balances and statements, and a front-desk board built for interruptions.

Gets paid

ANSI 837P claim generation, CMS-1500 output, superbills, ledgers and statements, remittance posting, denial signals and a ranked A/R queue that tells you what to work next and why.

The measure of a record is not how much it stores. It's how much the clinician no longer has to hold in their head.
The design principle behind DARO

See it work on a real encounter

Load a fully documented demonstration patient and watch the note, the calculators, the safety conflicts and the guideline recommendations assemble from the conversation — then follow the same visit into the claim.

DARO Clinical · demonstration environment · fabricated patients only