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For otolaryngology (ENT)

You still do the air-bone gap in your head, twenty times a day

You know the cutoff by heart; the hard part is the subtraction at seven in the evening, with twenty-four cells in front of you. Here the gap comes out per ear, with air and bone PTA beside it, and the cutoff written underneath.

Audiogram · right ear

Air and bone conduction for the same ear. What you read is not a curve: it is the distance between the two.

Audiogram of the right ear of a sample patient, with air and bone conduction Vertical axis in decibels HL with zero at the top and hearing loss growing downward. Air conduction, drawn with circles and a solid line, runs from 50 dB at the first two frequencies to 45 dB at 2000 Hz and 40 dB at 4000 Hz: all of it outside normal hearing. Bone conduction, dashed and marked with the less-than symbol, stays inside the normal band at 10, 15, 10, and 5 dB. Shaded between the two curves is the air-bone gap, averaging 36.3 dB, which is what makes this loss conductive rather than sensorineural. 0 20 40 60 80 Normal hearing Air-bone gap 36.3 dB 500 1k 2k 4k Hz dB HL
Audiogram thresholds in dB HL, by conduction route and frequency
Route500 Hz1000 Hz2000 Hz4000 Hz
Right · air conduction 50504540
Right · bone conduction 1015105
  • Right · air conduction
  • Right · bone conduction

Thresholds are typed once, straight down the column; the 36.3 dB gap is computed by the system between air and bone PTA, and is not the separation at any single frequency. The four PTA frequencies are drawn; the grid captures six.

One patient’s Audiometry tab

It opens inside the note, and every figure arrives already computed, with its reference beside it.

  • Air-conduction PTA · Right (500–4000 Hz)

    Reference: Normal up to 20 dB · degree: mild hearing loss

    Value: 32.5 dB HL

    What the system reads: Off target

  • Air-conduction PTA · Left (500–4000 Hz)

    Reference: Normal up to 20 dB · degree: mild hearing loss

    Value: 37.5 dB HL

    What the system reads: Off target

  • SRT · Right

    Reference: Against its 500–2000 Hz tonal average: 27 dB · Δ −2 dB

    Value: 25 dB

    What the system reads: SRT agrees

  • SRT · Left

    Reference: Against its 500–2000 Hz tonal average: 32 dB · Δ −2 dB

    Value: 30 dB

    What the system reads: SRT agrees

  • Word recognition · Right

    Reference: Recorded exactly as measured, without interpretation bands

    Value: 88 % at 65 dB

    What the system reads: Raw percentage

  • Dix-Hallpike · Right

    Reference: Up-beating torsional · latency 3 s · duration 20 s · posterior canal

    Value: Positive

    What the system reads: Recorded, not diagnosed

The PTA is never typed in: it comes out of the grid thresholds, and the SRT check compares on its own against the three-frequency tonal average. The maneuver stays on record exactly as you performed it, with latency, duration, and canal.

Your day-to-day

What costs you time today, handled

On the left, what happens in your practice today. On the right, what the system does about it.

The tool that defines your practice

Audiometry: you type the thresholds once and the PTA, the air-bone gap, and its classification appear beside the trace, with the cutoff in plain view.

  • Air and bone PTA per ear, air-bone gap, degree (BIAP/WHO), and hearing loss type. Not a black box spitting out “conductive”: it tells you which cutoff it used to say so, and anyone can audit it.
  • Masking recorded per cell, with its own checkbox and a marked point on the chart, because an unmasked bone threshold may belong to the other ear and without that on record the study does not hold up.
  • SRT agreement against the tonal average with the Δ in dB, tympanogram A, As, Ad, B, and C with the reading written out, and otoscopy by site, side, and grade so July and September are actually comparable.
On screen
«Air-bone gap of 36.3 dB: there is a conductive component. Cutoffs applied: gap ≥ 15 dB = conductive component; normal hearing up to 20 dB.»

That is what the screen writes under the classification, with air and bone PTA beside it: you audit the subtraction in a second and you see where the 15 comes from — degrees from BIAP/WHO, the significant gap from Clark (ASHA, 1981). The final reading is the one you sign.

The “audiometries performed” report

How many you ran, on whom, and with what PTA per ear. Two clicks, with CSV export.

4 audiometries in the period, each with the PTA of both ears on the same row. On paper that is a folder and an afternoon of your Saturday.

Patient Study date PTA right (dB HL) PTA left (dB HL)
Rosa C. Jul 24, 2026 46.3 10
Alberto G. Jul 20, 2026 32.5 37.5
Oscar V. Jun 20, 2026 46.3 41.3
Alberto G. Apr 1, 2026 37.5 42.5

Two rows from the same patient, with both studies and their dates: comparing April against July is reading a table, not emptying a folder. And it exports to CSV whenever you need it elsewhere.

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Your day

Where the system fits into your day

It does not ask you to change how you practice. It steps only into the moments where you lose time, or lose a number.

  1. When it gets booked

    Your front desk picks “Audiometry” and the system holds the audiometric booth, not a consulting room; “Nasal endoscopy” holds the endoscope. Two studies on the same equipment at the same hour will not go in, which is exactly what you find out today once the patient has already arrived.

  2. Before they walk in

    The intake questionnaire brings the history already taken from the patient’s phone: what brings them in, in which situations they struggle to hear, ringing, dizziness or vertigo, what noise they are exposed to — loud music or headphones included — which side the nose blocks on, whether they snore, and what ear, nose, or throat surgery they have had. Nothing they answer touches the chart until your team accepts it, field by field.

  3. During the visit

    Audiometry opens as an instrument inside the note: you never leave the visit to run it. You type the 24 cells down the column, tick masking where you used it, and the PTA, the gap, and the degree appear while you write.

  4. When you sign

    The note is frozen with PTA per ear and hearing loss type inside it; a later correction is an addendum, never an erasure. And what you wrote in the plan — audiometry ordered, next review — becomes your own alert.

  5. When the study is due again

    Your home screen opens with “Audiometry ordered on June 12 (51 days ago) with no study performed” and “Review due July 3, overdue, with no future appointment”; the second one switches itself off the moment the patient books. Whatever you scheduled — the review, the ear irrigation that has to be repeated — lands in your inbox with its name, its reason, and its date, and two days before each appointment the reminder goes out on its own by email, in your site’s local time. Anyone who booked through your page and never confirmed stays on the rescue list, ordered by how close the slot is.

Why you can sign with a clear head

The system shows you where every number comes from

The notices come up on screen on their own, with the source and the criteria behind each number.

  • It will not impose a rule your field does not have

    The 5 dB step guides the grid and never blocks you: if your audiometer works in 1 or 2 dB steps, that 43 dB goes in exactly as you measured it. The grid adapts to your equipment, not the other way around.

  • It will not pick the affected ear for you

    The ear with the worse PTA is not necessarily the affected one, so the system hands you both PTAs, the gap on each side, and the cutoff it applied. The clinical decision stays yours, and you make it with the arithmetic in front of you.

  • It always tells you where each trace comes from

    Under every tympanogram it says the drawing is schematic, based on the curve type, and word recognition is shown as a raw percentage. The day you have to defend that study, you will know exactly what you are showing.

Day one

Your pack ships loaded

Nothing to configure before you start seeing patients: your specialty’s lab orders, imaging studies, appointment types, and note sections are already in place.

Appointment types and resources, booth included

9
  • New patient · 30 min
  • Audiometry · 30 min
  • Ear irrigation · 20 min
  • Nasal endoscopy · 20 min
  • Follow-up · 20 min
  • ENT consulting room
  • Audiometric booth
  • Nasal endoscope
  • Audiometry books the booth, not the room

The studies in your tab, already set up

8
  • Pure-tone audiometry, air and bone conduction
  • Thresholds from −10 to 120 dB HL
  • Masking per cell
  • Speech audiometry: SRT, SDT, and word recognition
  • Tympanogram A, As, Ad, B, and C with its reading
  • Otoscopy and rhinoscopy by site, side, and grade
  • Dull, retracted, bulging, perforated eardrum
  • Turbinate hypertrophy, septal deviation, nasal polyps

Vertigo: the seven maneuvers with their history

10
  • Dix-Hallpike
  • Supine roll test
  • Epley
  • Semont
  • Gufoni
  • Barbecue (Lempert)
  • Brandt-Daroff
  • Geotropic and apogeotropic nystagmus
  • Latency, duration, and semicircular canal
  • History per maneuver and per side

ENT services and consent forms

11
  • Tonsillectomy
  • Septoplasty
  • Tympanoplasty
  • Nasal cautery
  • Anterior nasal packing
  • Instrumental cerumen removal
  • Foreign body removal
  • Consent for ear irrigation
  • Consent for nasal endoscopy
  • Consent for nasal cautery
  • For ENT procedures and for ENT surgery

Your supplies, with lot and expiry

9
  • Silver nitrate stick
  • Nasal endoscope sheath
  • Disposable ear speculum
  • Irrigation cannula
  • Ear irrigation kit
  • Nasal packing material
  • Topical anesthetic spray
  • Suction catheter
  • Issued from the lot that expires first

Your note, with ENT’s own sections

8
  • Right and left otoscopy
  • Rhinoscopy and oropharynx
  • Hearing, and balance or vertigo
  • Noise exposure, in the history
  • Ear drops, nasal sprays, and antibiotics
  • Audiometry, opened inside the note
  • ICD-10 diagnosis: suspected, confirmed, or ruled out
  • Surgical plan and next review

All of it is editable: it is your starting point, not a straitjacket.

Book a demo

Before they walk into your office

Patients arrive with half the work already done

Patients book their visit, confirm it, and arrive with the questionnaire answered. You get minutes back on every visit, and your front desk gets calls off its plate.

Intake questionnaire by QR or email

Your front desk emails it or shows a QR code to scan in the waiting room. The patient answers from their phone, with autosave, and every specialty asks its own questions.

Your public page with online booking

Photo, bio, price, and calendar on a page of your own, and it starts switched off: nobody sees it until you publish it. Patients see only real openings — availability minus booked visits — and pick one from their phone.

Their portal, without one more password

They sign in with their email and a one-time code — no password to create or remember — and see their upcoming and past visits, and request another with their details already filled in.

Voice dictation in the note

Dictate the note instead of typing it. And we tell you the audio may travel to your browser vendor's servers.

In your specialty, the questionnaire asks

Before the visit the patient reports what brings them in, whether they struggle to hear and in which situations, ringing, dizziness or vertigo, what noise they are exposed to — loud music or headphones included — nasal blockage and on which side, snoring or witnessed apneas, throat symptoms, and what ear, nose, or throat surgery they have had. They arrive with the ear, nose, and throat history already taken, and you start straight into the examination.

Trust & compliance

Built for health data, with serious rules

Immutable signed notes

Signed is signed: the original is never altered.

Every clinic, isolated

One clinic's data never mixes with another's.

AI always with human review

It drafts, summarizes, and organizes. It never signs, diagnoses, or prescribes on its own.

Audit & privacy

Every action is recorded with its author and date.

Plans

A plan for every size of practice

A free plan that stays free, and room to grow into a multi-location clinic without switching systems. We set it up and hand it over running.

Prices, limits and terms are the same for all 11 specialties. What changes for Otolaryngology (ENT) is its clinical tool — Audiogram & otoscopy — included in any plan that enables the Otolaryngology (ENT) pack.

We turn it on for you with the full Advanced plan, 14 days and no credit card. You write to us, we agree on the plan, and we hand it over running. If you don't continue, you move to the Free plan without losing your data.

Free

A practice just getting started

USD 0

free forever

no credit card required

  • Professionals: 1
  • Users: 2
  • Locations: 1
  • Patients: 100
  • Storage: 512 MB
  • Specialties: 1
  • No AI assistant
  • AI runs per month: 0
  • No telemedicine
  • No remote signature
  • No advanced reports
  • Email messages per month: 0
  • Community support
Sign up

Basic

One professional and their front desk

USD 29

per professional / month

or USD 23 /mo billed annually

  • Professionals: 1
  • Users: 2
  • Locations: 1
  • Patients: 500
  • Storage: 1 GB
  • Specialties: 1
  • AI assistant with human review
  • AI runs per month: 100
  • Telemedicine included
  • Remote signature included
  • Advanced reports
  • Email messages per month: 1,000
  • Email support within 48 h
Sign up
Recommended

Intermediate

Clinics with a team, up to 2 locations

USD 59

per professional / month

or USD 47 /mo billed annually

  • Professionals: 3
  • Users: 10
  • Locations: 2
  • Patients: 5,000
  • Storage: 5 GB
  • Specialties: 3
  • AI assistant with human review
  • AI runs per month: 300
  • Telemedicine included
  • Remote signature included
  • Advanced reports
  • Email messages per month: 2,000
  • Priority support within 24 h
Sign up

Advanced

Multi-location clinic, up to 4 locations

USD 99

per professional / month

or USD 79 /mo billed annually

  • Professionals: 9
  • Users: 20
  • Locations: 4
  • Patients: unlimited
  • Storage: 20 GB
  • Specialties: 9
  • AI assistant with human review
  • AI runs per month: 1,000
  • Telemedicine included
  • Remote signature included
  • Advanced reports
  • Email messages per month: 5,000
  • Priority support + dedicated onboarding
Sign up

All eleven specialties are available on every paid plan: the number on each card is how many you can keep active at once.

What the price says, no fine print
Currency
Every plan is published in USD: the same price for every country.
Billing period
Billed monthly, per active professional. Front desk and admin staff do not pay: they count as users.
Annual payment
The same plan paid yearly costs 20 % less per month: it is the small figure on each card.
Trial
14 days on the full Advanced plan, no credit card. If you do not continue you move to the Free plan and keep your data.
Taxes
Figures do not include taxes: whatever applies in your country is added.
Limits
The ones on each card. Reading, printing and downloading visit by visit, and pulling any report to CSV, is never limited on any plan.
Getting started
Our team does it with you: you get in touch, we agree on the plan and leave it running.
What we get asked most

The questions from doctors who already run a practice

Straight answers, no hedging.

What do I get on day one?
Your ENT pack loaded: the appointment types, the audiometric booth and the endoscope already created as calendar resources, the studies in your tab, the services, the consent forms, your supplies, and the ENT sections of your note. You open it and see patients; the only things that are yours to set are your prices and your hours.
Can I bring my current patients in with me?
Yes. If your data is already digitised, we load it with you during setup; and from day one your team can create charts as you see people. In the demo we look at your case and tell you how your information comes across.
How long until it is running, and who does the work?
We hand it over running: you write to us, we agree on the plan, and you start seeing patients with your ENT pack already in place, with the booth and the endoscope created as calendar resources. Your country’s configuration — catalogues, formats, units — is tuned with you during setup, without touching the program.
How does the audiogram fit into the visit?
It opens as an instrument inside the note, without leaving the visit: you type the 24 cells down the column with Enter, tick masking on the cell where you used it, and the air and bone PTA for each ear, the air-bone gap, and the degree appear while you write, with the cutoff applied written underneath. Air and bone conduction live in the same study, each with its own symbol, and the final reading is the one you sign.
What happens to the audiogram when someone asks for the printed chart?
The signed note is immutable and carries air-conduction PTA per ear and hearing loss type inside it, computed from thresholds that are stored without being overwritten. Corrections go through an addendum, so the original version never disappears, and the masking you recorded stays with the study. That is not a brochure line: the immutability of the note and the addendum are covered by the product’s automated tests.
Do I need to install anything or run a server?
None of that: it runs in the browser. You get in from the practice, from home, or from your phone on your own connection, with nothing to install on each machine and no infrastructure of your own to maintain.
Your demo

See your Otolaryngology (ENT) practice up and running

See your ENT practice running: the booth that cannot be double-booked, the audiogram with its gap already computed, the signed note that comes out with the figures inside, and the patient who asked for audiometry and never came back.

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