Pathways Perioperative · Live

The pre-operative assessment platform.

From booking to theatre door: Pathways takes the history, profiles the risk, routes the patient, and keeps the record. Built with anaesthetists, for the realities of surgical lists.

Socrates Pre-Op · the voice agent

A structured anaesthetic interview, taken by voice.

A purpose-built anaesthetic variant — not a generic intake bot. Delivered by secure, time-limited SMS link: no app, no login, no paper questionnaire.

  • Every session produces structured, severity-tagged findings that feed the risk engine directly
  • Completion is tracked; a finished interview automatically triggers a fresh risk analysis
Surgical contextPresenting symptomsPrior anaestheticsSystems reviewFunctional capacity & frailtyAirway assessmentMedications & allergiesSocial & risk factorsImplanted devicesPre-op investigationsRed-flag screenSafety & shared decisions
Medication & document capture

The medication history stops depending on memory.

During the interview, patients photograph medication boxes, scripts, or prior results from their phone. Pathways reads each image — handwriting included — classifies it, and extracts structured findings.

  • Every extracted value is verified against the source image before it enters the record
  • Checked against the patient’s recent history for conflicts
  • Anything uncertain is flagged for human review — extraction confidence is shown, never hidden
app.getpathways.ai/patients/m-hartley/medications
LIVE
Medication capture · 3 photos · extraction verified1 flagged
Empagliflozin 10mgVerified · matches scriptVerified
Metoprolol 50mgVerified · matches boxVerified
Apixaban 5mgNew — not in referralReview
Apixaban — anticoagulant not in referral history
Extracted from medication box photo, confidence 0.97. Conflict check: absent from GP summary (8 months old). Flagged for clinician review.
The risk profiling engine

Deterministic, guideline-referenced screening on every patient.

Screening across the domains that drive perioperative outcomes: unstable cardiac symptoms, marked hypertension, diabetes control and SGLT2 management, OSA, frailty, malnutrition, functional capacity, smoking, discharge support.

  • Every flag carries a severity tier, clinical rationale, the triggering evidence, the guideline reference, and a recommended action
  • Versioned guideline library — the engine cites its references and version on every output
  • Pathways tells you what it doesn’t know: missing investigations and unconfirmed timings are listed on every profile
  • Contraindication flags: the proposed anaesthetic plan cross-checked against labs, history and interview — critical / warning / info
Deterministic where it matters.

The rules that protect patients are versioned, testable, and fire every time their conditions are met. They are not model output. They cannot be talked out of it.

app.getpathways.ai/patients/m-hartley/risk
LIVE
Risk profile · Margaret Hartley · 74 · Total hip replacementAnaesthetist review
SGLT2 inhibitor — perioperative management required
Empagliflozin 10mg daily, confirmed from medication photo. No withholding plan documented for surgery date.
ANZCA / ADS guideline · rule v2.4.1 · evidence: interview + med photo
Poor glycaemic control
Patient-reported HbA1c "around 9" · last confirmed result 8 months ago. Optimisation window available: 19 days to surgery.
Rule v2.4.1 · confidence 0.86 · gap: recent HbA1c
Probable undiagnosed OSA
STOP-Bang 5/8 from interview: snoring, observed apnoeas, BMI 36, hypertension.
Rule v2.4.1 · recommend: screening prior to clinic
Missing information2 items
Recent HbA1c · echocardiogram referenced in interview, not yet received
Pre-admission tracking & routing

Your clinic sees the patients who need it. Your anaesthetists see the patients who need them.

Every completed profile carries a triage recommendation — anaesthetist review, pre-admission clinic, telephone review, or no further assessment. Everyone else proceeds.

  • Team dashboard: sent / opened / completed / expired for every patient
  • Automated reminders; link resend in one click
app.getpathways.ai/pre-admission
LIVE
Pre-admission tracker · List: Dr Chen · next 14 days6 of 8 assessed
R. OkaforLap cholecystectomy · 14 JulReview
M. HartleyTotal hip replacement · 28 JulReview
J. NguyenKnee arthroscopy · 15 JulClinic
P. CastellanosCataract · 16 JulProceed
D. WhitfieldInguinal hernia · 21 JulIn progress
S. AbadiThyroidectomy · 22 JulSMS sent
Audit & governance

Built for the perioperative committee, not just the ward.

Org-wide and per-patient audit logs: every analysis, every flag, every user action, timestamped. Full workflow tracing on every risk review — inputs, rule versions, outputs.

  • Evidence for M&M reviews and accreditation
  • Deterministic rules mean reproducible answers, months later
app.getpathways.ai/patients/m-hartley/audit
LIVE
Audit trail · M. Hartley · complete recordExportable
09:41:22Risk analysis run · rules v2.4.1 · 3 flags raisedsystem
09:41:24Triage recommendation: anaesthetist reviewsystem
11:03:10Profile reviewed · plan documentedDr A. Chen
11:04:51SGLT2 withholding instructions sent to patientDr A. Chen
Safety positioning

Pathways recommends. The anaesthetist decides.

Pathways Perioperative is clinical decision support: clinician-in-the-loop by design, no automated orders, every recommendation reviewable and auditable. It is intended for use by qualified clinicians within Australian clinical governance frameworks.

See a real pre-admission workflow.

30 minutes. Your list, the way Pathways sees it.

No commitment. No credit card.