SMART on FHIR · Epic Marketplace · HIPAA Compliant · ACGME-Aligned

See the Whole Patient
Before You Step In

eSpiral visualizes patient medical history on a time-based spiral, giving clinicians and residents structured chart clarity at the point of care. Connected to Epic via SMART on FHIR.

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eSpiral patient spiral chart view showing medical history visualization

What chart review actually looks like

These are the friction points program directors hear about every day. They're not edge cases.

Charts were built for billing, not thinking

Epic was designed for documentation compliance. Residents hunting for a clinical narrative wade through thousands of rows, tabs, and filters before they can reason about the patient in front of them.

Morning report runs on whoever shows up

Without a structured tool, the quality of teaching in pre-rounding sessions depends entirely on which attending is free and how much chart prep they had time to do. Consistency is luck.

Supervision doesn't scale with caseload

As program size grows, the time required for individualized chart review scales linearly. There is no leverage. Attendings either burn out or residents learn less.

Cognitive overload before the visit even starts

Residents arrive at the bedside having skimmed rather than read. Critical lab trends are missed. The history isn't internalized. The visit begins at a deficit.

“Without the right tools, it would take an army of attendings to keep up with modern residency demands.”

Program Director, Internal Medicine

Your supervision force multiplier

Four steps from chart noise to resident-ready clinical insight.

1

Launch from Epic

Open eSpiral directly from the EHR. No separate login, no search, no context switch. One click from the patient's chart.

2

Spiral renders the history

Problem list, encounters, labs, and vitals are organized on a time-based spiral. Patterns that are invisible in a table become visible at a glance.

3

Curate and annotate

Attendings highlight what matters for today's visit. AI surfaces clinical patterns. The signal is separated from the noise before the resident walks in.

4

Advisory delivered at point of care

A structured, resident-ready advisory appears in the resident's chart. Not after rounds. Not in email. At the moment they need it.

“eSpiral is the only way we can deliver consistent, high-quality teaching at scale.”

Dr. David Clarkson, MD — Residency Program Director

Experience chart clarity in action

From messy charts to teachable insights.

The visualization allows rapid transformation of messy charts into an interactive H&L workspace, perfect for rounds, morning report, and highlighting the issues that matter most.

Select Patient

1 patients
Loading blocks...
Drag to reorganize Click to toggle visibility Timeline reveals patterns

Create structured practice advisories with AI-powered voice transcription. Record your guidance and let AI format it for residents.

Practice Advisory Builder

Create personalized guidance for Theodore Mychart

5 conditions

Preview

See how your advisory will appear to residents

Practice Advisory for Theodore Mychart - 1948-07-07

Recent Complaint: Essential hypertension

Conditions

  • F17.200 - Tobacco use disorder
  • C34.11 - Malignant neoplasm
  • I70.509 - Atherosclerosis of aorta
  • I50.22 - Chronic heart failure
  • R05.9 - Cough

Click the microphone icon to try our AI transcription demo. The system will generate a formatted advisory from the sample clinical note.

Request a demo

See eSpiral running against real patient data in a 30-minute walkthrough with your team.

“eSpiral isn't a niche tool, it's part of my daily workflow. I use it during morning report and before I go into the Continuity Clinic, a patient's room or bedside encounters to gain rapid situational awareness through clear visuals instead of reading reams of text.”

Dr. David Clarkson
Dr. David Clarkson, MD
Residency Program Director

Trusted by programs using

Epic EHRSMART on FHIRACGME ProgramsHIPAA Certified