CENTRAL7
Central7 Guide
Pilot Edition · Clinical Team Workspace
Use room numbers and initials only — no real patient identifiers
01 — Overview
What Central7 Is
Central7 is a real-time inpatient workflow app for resident teams. It is the coordination layer that currently lives on paper, in Apple Notes, in group texts, and in sign-out emails.
Central7 gives the whole team a shared, live workspace for:
Service List
Live census with acuity, location, room, and LOS. Filters by status and location. One view for the whole service.
Clinical Picture
One-liner, diagnosis, attending, admit date, LOS, and acuity — all editable by any team member in real time.
Team Tasks
Shared task board. Create, assign, prioritize, and complete tasks. Pending tasks persist until completed or closed.
My Tasks
Personal task queue — your consults, callbacks, labs, and follow-ups. Private to you. Stored separately from team tasks.
Alerts
Team-wide critical flag board. Post abnormal values, floor calls, rapid responses — anything the team needs to see.
Sign-Out
Structured I-PASS sign-out per patient. Copy or print the full report for handoff.
Core premise: Inpatient workflow coordination should be a shared, live workspace — not a collection of individual notes that go stale the moment they are written.
02 — Scope
What Central7 Is Not
| It is not | Why this matters |
|---|
| An EMR | Central7 does not replace Epic or Cerner. Notes here are coordination notes, not legal medical records. |
| A billing tool | No charge capture, coding, or billing integration of any kind. |
| A messaging app | No HIPAA-compliant paging or direct messaging. Use your institutional system for patient comms. |
| Official documentation | Do not use for clinical notes, orders, or procedures. Coordination layer only. |
| A clinical decision tool | No drug references, calculators, or decision support. |
| PHI-approved during beta | Not covered by a BAA. Entering real patient data may constitute a HIPAA violation. |
How to think about it: Central7 is where you track what the team is doing — not what the patient's chart says. Use Epic for the chart. Use Central7 for the team.
03 — Data Policy
Patient Data Policy
Use room numbers and initials only — no real patient identifiers during the pilot.
Central7 is not currently covered by a Business Associate Agreement (BAA). During the pilot phase, use fictional patient names and de-identified clinical content. Do not enter real MRNs, dates of birth, or identifiable diagnoses.
When adding patients, use a fictional name (e.g., “J. Smith”) and plausible but synthetic clinical information. The goal is to test the workflow — not to document real patients.
Institution-approved clinical use with a signed BAA is the path to using real patient data. Contact the Central7 team at harrisondaron@icloud.com to discuss your institution's requirements.
04 — Getting Started
How to Log In
Create your own account. Your actions will be attributed to your name — patients you add, tasks you complete, and feedback you submit.
Create an Account
- 1
Go to /beta-signup
Visit central7-6429d.web.app/beta-signup in any browser.
- 2
Fill in your name, email, password, training level, and specialty
Takes under 30 seconds.
- 3
Acknowledge the PHI policy
Check the box confirming you will only use fake patient data.
- 4
Tap "Create Account"
You will be redirected directly to the service list.
Returning Users
- 1
Go to /login
Visit central7-6429d.web.app/login
- 2
Enter your email and password
Use the credentials you created at signup.
Add to iPhone / iPad Home Screen
- Open the app in Safari
- Tap the Share button (box with arrow)
- Tap "Add to Home Screen"
- Tap "Add" — opens full-screen like a native app
05 — Reference
Core Screens
Service ListService List
The main screen. Shows all patients on the service in real time.
- Patient cards show name, room/bed, status badge, location tag, and pending task count
- Status badges: Sick = high acuity, Watch = monitoring, Stable = routine
- Filters by status (All / Sick / Watch / Stable / Pending DC) and location (Floor / ICU / ED / OR)
- Add patient: tap the + button (senior residents and above)
- Patient order: Sick first, then Watch, then Stable
Patient DetailPatient Detail
Tap any patient card to open the clinical detail view.
- Header: name, status badge, location, room/bed, LOS, attending
- One-liner: tap to edit inline — updates in the service list and sign-out
- Diagnosis: primary diagnosis, editable
- Action log: real-time log of all team changes
- Tabs: Snapshot, Tasks, Sign-Out per patient
Team TasksTeam Tasks
Accessible via the bottom nav Tasks icon.
- All pending and completed tasks for the service, grouped by patient
- Each task shows description, assignee, priority, and status
- Tap to complete or re-open a task
- Add from this screen (global) or from the patient detail (patient-specific)
- Tasks reset at the configured shift reset hour (default 4 AM)
My TasksMy Tasks
Accessible via Tasks → My Tasks tab. Your private task list — not shared with the team.
- Add items with category: Consult, Follow-up, Labs, Imaging, Callback, Personal, Other
- Optional: linked patient, location, contact, due time
- Tap checkmark to complete an item — completed items move to done section
- Stored privately at users/{uid}/runList — never visible to teammates
AlertsAlerts
Accessible via the bottom nav bell icon.
- Team-wide critical flag board — all service members see the same alerts
- Post abnormal values, floor calls, rapid responses, or critical events
- Each alert shows author, timestamp, and read status
- Tap "Mark all read" to clear the unread count badge
Sign-OutSign-Out
Accessible via the Sign-Out icon in the bottom nav.
- Structured sign-out format for each patient: illness severity, summary, action list, situation awareness, contingency
- Pending team tasks appear automatically in each patient entry
- Sick and Watch patients require a contingency plan before sign-out can be transmitted
- "Copy Report" copies the full sign-out report to clipboard for paging or messaging
- Accepting sign-out formally transfers responsibility to the covering resident
TeamTeam
Shows all members on the service with role and night float status.
- Attending-level users can update member roles
SettingsSettings
Tap the gear icon in the top bar.
- Update display name
- Configure notification preferences
- View service info
- Sign out
06 — Demo Workspace
Demo Workspace — Sample Patients
The Demo Workspace is a general inpatient service — after onboarding, specialty-matched sample patients are shown based on your role. Default patients for reference:
| Patient | Room | Status | Location | Diagnosis | Flags |
|---|
| G. Martinez | 4A | Sick | Floor | Sepsis — source unclear, day 1 abx | 2 urgent tasks |
| A. Thompson | 4B | Watch | Floor | POD2 Colectomy — fever 38.4, wound check pending | 2 urgent tasks |
| D. Kim | ICU 3 | Watch | ICU | AECOPD — intubated day 2, vent wean trial today | 2 urgent tasks |
| J. Flores | 3C | Stable | Floor | Community pneumonia day 4 — afebrile, DC today | None |
| M. O'Brien | OR 2 | Stable | OR | Intraop lap appendectomy — est. 1h case | 3 pending tasks |
| C. Nguyen | ED B3 | Watch | ED | GI bleed readmit day 5 post-polypectomy — Hgb 9.1 | READMIT tag |
All patients are synthetic. Names, room numbers, and diagnoses are fabricated for workflow testing. Ready to use Central7 with your own team? Create a real service from Settings → Service Settings.
07 — Test Script
10–15 Minute Test Script
Before starting: Use the demo patients or create new entries with fictional names and synthetic data. Do not enter real patient information during the pilot phase.
Phase 1 — Core Navigation (5 min)
- 1
Log in
Open https://central7-6429d.web.app/login and sign in. If you do not have an account, create one at https://central7-6429d.web.app/beta-signup.
- 2
Confirm 6 patients appear
Check that G. Martinez, A. Thompson, D. Kim, J. Flores, M. O'Brien, C. Nguyen are all listed with correct status badges.
- 3
Open each patient card
Tap each patient. Confirm the clinical detail page opens. Note the one-liner, diagnosis, attending, LOS, and room info.
- 4
Edit a room number
Open any patient. Tap the room/bed field and change it. Confirm it saves. Go back and confirm the list updates.
- 5
Edit a one-liner
Open a patient. Tap the one-liner text. Edit it. Confirm the change saves and reflects on the service list card.
Phase 2 — Tasks (3 min)
- 1
Add a task from the patient page
Open a patient → Tasks tab. Tap "+ Add task". Enter a description (e.g., "Check Hgb in 4h"). Set priority. Save.
- 2
Confirm task appears in Team Tasks
Tap the Tasks icon in the bottom nav. Find the task under the correct patient.
- 3
Complete the task
Tap the task. Mark it complete. Confirm it moves to the Done section.
Phase 3 — My Tasks (3 min)
- 1
Open My Tasks
Tap the Tasks icon in the bottom nav, then tap the "My Tasks" tab. This is your private task list — not shared with the team.
- 2
Add a consult item
Tap "+ Add item". Select category "Consult". Enter a description (e.g., "Nephrology consult — AKI in G. Martinez"). Add location and contact if desired. Save.
- 3
Edit the item
Tap the item you just created and update the description. Save.
- 4
Complete a My Tasks item
Tap the checkmark on any item. Confirm it moves to the done section.
Phase 4 — Alerts (2 min)
- 1
Open Alerts
Tap the bell icon in the bottom nav. Review existing alerts.
- 2
Add an alert
Tap "+ Add alert". Enter a fake critical value (e.g., "G. Martinez — Na 128, recheck at 14:00"). Tap Post.
- 3
Mark all read
Tap "Mark all read". Confirm the unread count badge on the nav icon clears.
Phase 5 — Sign-Out (2 min)
- 1
Open Sign-Out
Tap the Sign-Out icon in the bottom nav. All patients should be listed.
- 2
Add a contingency plan
Tap any Sick or Watch patient. Add text to the contingency plan field (e.g., "If respiratory distress — call Pulm fellow, consider urgent scope"). Required before sign-out can transmit.
- 3
Copy the sign-out report
Tap "Copy Report". Paste into Notes to confirm the full formatted sign-out report was copied.
08 — Reflection
Workflow Reflection Questions
After the test script, take 3–5 minutes on these questions. Critical feedback is more useful than positive feedback right now.
Workflow Fit
Could this replace your printed patient list?
Think about information density, update frequency, and team visibility.
Could this replace Apple Notes or similar personal tracking?
Consider My Tasks, team task management, and patient one-liners.
Could this replace your sign-out email workflow?
Consider the copy report feature, I-PASS structure, and real-time task inclusion.
What would you still need outside of Central7?
Epic always — but what else? Paper? Texts? Personal notes?
Friction & Confusion
What felt confusing or took too many steps?
What information was missing that you expected to see?
What information felt unnecessary or cluttered the view?
What broke or behaved unexpectedly?
Priority
Which feature did you find most useful?
Which feature did you use the least or find the least valuable?
If you could add one thing before using this for real, what would it be?
09 — Feedback
How to Submit Feedback
Submit feedback online — no login required, takes about 3 minutes:
Feedback URLhttps://central7-6429d.web.app/feedback
What to Cover
- Your role and service context
- Overall score (1–10)
- Whether you would use this in real practice
- The most and least useful features
- What took too many clicks
- What broke
- What information was missing
- Whether it could replace your list and sign-out workflow
- The one thing that would make it much better
10 — Bugs
How to Report Bugs
Bug reports go to the same feedback page under the "Report a Bug" tab:
Bug Report URLhttps://central7-6429d.web.app/feedback
Severity Levels
| Severity | Definition | Example |
|---|
| Cosmetic | Visual issue only — does not affect function | Text is misaligned, wrong color |
| Annoying | Works but is frustrating or confusing | Button is hard to find, requires extra tap |
| Workflow-breaking | Prevents completing a core task | Task won't save, patient won't open |
| Safety concern | Data appears incorrect or could cause confusion in real use | Wrong patient data shown, data lost on save |
Note: Push notifications, EMR integration, multi-service switching, and native app are known limitations — do not report these as bugs. See section 11.
11 — V1 Scope
Known Limitations
These are known gaps in V1. Do not report them as bugs. They are deferred features for future versions.
| Limitation | Status |
|---|
| Do not enter real PHI — demo data only | Beta requirement |
| Push notifications | Deferred — V2 |
| EMR / Epic integration | Deferred — requires hospital IT approval |
| Multi-service switching | Deferred — V2 (data model in place) |
| Native iOS / Android app | Deferred — V2 (use as PWA now) |
| Specialty templates (trauma, medicine) | Deferred — V2 |
| Full offline mode | Partial — basic offline indicator present |
| Hospital deployment approval | Not yet obtained — workflow prototype only |
| HIPAA compliance / BAA | Not active during beta |
| Task history beyond current shift | Not implemented — tasks reset at shift hour |
| Direct in-app messaging | Out of scope for V1 |
| Audit log visibility for users | Admin-only — not surfaced in V1 |
CENTRAL7
Central7 · Beta
harrisondaron@icloud.com · Research & pilot inquiries
For simulated workflow testing only. Not for use with real patient information. Not a clinical system.