Abdominal discomfort that has become hard to ignore.
A vague complaint becomes a structured history of location, timing, triggers and changes in appetite without asking the patient to write a clinical note.
Patient
Patient B
Profile
34 years / female
Pathway
Routine appointment request
Illustrative length
03:12
Consultation playback
The patient speaks. Ella follows what changes the history.
This anonymised demonstration shows the shape of a pre-appointment conversation. Each response remains in the source transcript for later review.
Ella consultation
Patient B / Voice capture
Post-call clinician review
The prepared note stays connected to what was said.
Representative prepared-note view based on Ella's current review structure. Ella prepares information for review. It does not diagnose, prescribe, or replace clinical judgement.
Clinician review / consultation note
Opening history
Summary
Three-week history of intermittent epigastric discomfort, typically occurring after meals and now affecting food intake.
No vomiting, melaena or fever reported. Patient describes reduced intake due to discomfort; weight change not established.
History fields / source linked
Location
Central upper abdomen
Turn 04Duration
Approximately three weeks
Turn 04Trigger
Usually after meals
Turn 04Impact
Eating less due to discomfort
Turn 06Inspect transcript source
Patient transcript
"High up in the middle, mostly after meals. It has happened for about three weeks."
Duration
Approximately three weeks
Safety review
Vomiting / fever
DeniedNeither reported in the conversation.
Melaena
DeniedNo black stools reported.
Weight change
UnclearReduced intake described; actual loss not established.
Questions to verify
- 01Establish weight change and swallowing symptoms.
- 02Review medication use, including NSAIDs.
- 03Clarify reflux, biliary and bowel features.
Transparency
- Reported symptom pattern needs clinical history, examination and any appropriate investigation.
- No medication history was provided during this pre-visit conversation.
A diffuse story arrives as a scannable pattern with the remaining diagnostic gaps plainly stated.
Previous case
Chest tightness on exertion before a same-day review.
Next case
Low mood and sleep loss expressed without clinical language.
Voice signal animation: Carolina Cruz Barbosa / LottieFiles under the Lottie Simple License.