Cicatrix Wound Care Suite Request a demo

Wound care EMR · Skilled nursing & assisted living

A wound is a measurement, not a description.

Cicatrix documents the same wound exam at every bedside, computes the trajectory instead of asking someone to remember it, and produces a signed, coded note before the provider leaves the building.

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Every visit Length, width, depth and tissue captured the same way, so weeks are comparable.
Same day The note is written, coded and signed during the round, not caught up on afterwards.
One record Five applications, five audiences, and no second copy of the truth.

The suite

Five ways into the same record.

One patient, one wound, one set of measurements. What changes is who is looking and what they need to do next.

Practitioner · at the bedside

Cicatrix EMR

The clinical application. A guided encounter runs from history and review of systems through the exam, every wound, orders, studies, coordination with the facility, and billing — then closes and signs off. It shows only what applies to the wound in front of you, carries forward what has not changed since the last visit, and refuses to save a state that could not be true.

  • HPI
  • ROS
  • Physical exam
  • Wounds
  • Orders
  • Studies
  • Additional Dx
  • Coordination
  • Billing
  • Sign-off

Practice · back office

Admin Console

Users and access, facilities and providers, clinical catalogs, note templates, visit frequencies, reschedule requests, session flags and reports — the settings that decide what every other application is allowed to show.

Facility · director of nursing

Facility Portal

Who is on service, what you are treating, how they are healing, and what you can prevent. Every figure arrives with its denominator and the facility's own target, and every figure drills down to the patients behind it — printable, with provenance, for the survey binder.

Patient · and authorized family

Patient Portal

The wound's progress in plain language, the summary of each visit, and the day the provider is next at the facility. Access is granted by facility staff and confirmed by the patient — never inferred from a name and a date of birth.

Referring physician · consultant

Provider Portal

Read access scoped to the patients they sent: the signed note, the measurement series since referral, the current dressing and frequency. No phone tag, no faxed packet, no login into someone else's chart.

Anywhere · installed or in a browser

On the cart, on the phone

Installable on a tablet or phone and usable on a hallway cart, with push notifications when a round changes or a flag needs an answer. Clinical lookups are mirrored locally, so codes still search when the building's wi-fi does not.

The exam

Seven tabs, and the ones that do not apply never appear.

Wound documentation is structured, not narrated. Each tab is filled in order, saving moves you to the next, and the record that comes out is comparable across weeks, providers and facilities.

Examination
Length, width and depth in centimetres; surface area is computed on the server and never typed. Undermining and tunnelling are recorded with extent and clock position. Tissue types by percentage, then exudate.
Description
Periwound condition, signs of infection, odor and pain — the qualitative half, captured as fields rather than free text so it can be read back.
Procedures
Debridement and cauterization, offered only when the wound in front of you makes them clinically eligible. If nothing qualifies, the tab is not there to click.
Progress
How the wound changed since the last visit, measured against the stored series rather than recalled. Appears on follow-ups only.
Treatment
Cleansing and irrigation, primary and secondary dressing, frequency, and the recommendations that go to the facility's nursing staff.
Compression
The lower-extremity compression therapy order, which appears for venous wounds and only after treatment is documented.
Biopsy
Optional, at the end, for the wound that is not behaving the way its etiology says it should.
Reactivation
A wound that healed and reopened is reactivated, not re-created — so its full history stays on one timeline instead of two.

PUSH score

Computed from area, exudate and tissue at each visit, and read as a trend rather than a number.

Percent reduction

Current area against the baseline measurement, the figure payers and surveyors ask for.

Days in treatment

From the first documented encounter for that wound, on its own timeline.

Trajectory

Improving, holding, or needing attention — derived from the series, per wound and per facility.

Rounds

The round is the unit of work, so the software is built around it.

A provider signs in to their week, not to a patient list. A round is one provider at one facility on one day, and it has a life cycle the whole practice can see.

Stage 1 Not started

The facility is on today's schedule with its census and, if someone is covering, a cover chip. Nothing has been opened yet.

Stage 2 Round in progress

The round begins on its own the moment the first encounter opens. The card counts down the patients still to be closed.

Stage 3 Ready to complete

Every scheduled patient has a finalized encounter, a sign-off, or a reschedule. Only now does Complete session appear.

Stage 4 Completed

The end-of-session check-in has been answered and the day is closed at that facility, with anything worth escalating already flagged.

The check-in gate

A short set of questions the practice configures, answered before a round can close. A missing facesheet, a supply problem or a facility issue becomes a tracked flag instead of a conversation nobody wrote down.

Reschedules that move as a block

A provider requests a new day for a facility — only before the round has started — and an administrator approves it. That day's patients move together. Moving one patient's follow-up is a separate, smaller action.

The call you did not plan for

Asked to see a patient at a facility that is not on today's schedule? The visit opens as an unscheduled encounter and captures the reason, which then appears on the note.

The note

What leaves the building.

The output of a visit is a signed clinical note: the comprehensive wound-care examination, coded with CPT and ICD-10 on the same document the clinician signed, so billing is not a second act of data entry.

Encounter Wound care follow-up
Date of service 2026-08-24
Facility Northgate Skilled Nursing
Version 2 · supersedes v1
SHA-256 a4f1…9c02
Retention 10 years, write-once
Signed and sealed
  • Corrections supersede, they do not overwrite. A revised note becomes a new version; the earlier one stays retrievable and marked superseded.
  • Hashed and written once. Each signed PDF carries a SHA-256 digest and lands in storage that cannot be rewritten, with a ten-year retention lock.
  • Templates the practice owns. Note layout and standing language are configured by administrators, not hard-coded by a vendor.

Security

Isolation lives in the database, not just the app.

Separating one practice's patients from another's is not something an application should be trusted to remember on every query. In Cicatrix it is a property of the data itself.

  • Row-level security in PostgreSQL. Tenant and practice boundaries are enforced by the database on every table, and the application connects with a role that has no power to bypass them.
  • Standards-based identity. Single sign-on over OIDC across the suite, with roles — administrator, provider, facility user — that decide what each session can reach.
  • Built for HIPAA. PHI handling, retention and access controls designed against the rule, on infrastructure that supports a business associate agreement.
  • Proven against real rounds. The clinical application is in daily production use documenting real wound-care patients, not a pilot waiting for its first census.

See it on your own census

Bring one facility and one week.

We will walk a real round end to end — the exam, the note, the facility view your director of nursing would open on Monday — and tell you plainly what fits your practice and what does not.

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