For Clinics
Stop asking her to remember.
Structured history and criteria-based classification, before the consultation starts.
Review relevant cycle dates, symptoms and treatment context without rebuilding years of history from memory in a single appointment.
The problem
A short visit cannot reconstruct a longitudinal history.
Reproductive symptoms, treatment changes and life-stage transitions develop over time, while the clinical encounter often begins with fragmented portals, incomplete notes and distant recall.
Shiora is designed to bring patient-recorded context into a structured review while keeping missingness, provenance and the boundary of any classification visible. It supports clinical judgement rather than replacing it.
What Shiora provides
Structured history, traceable classification and consented exchange.
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Longitudinal context
Period dates, symptoms, treatments and selected records remain attached to the person rather than a single visit.
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Traceable description
Where implemented, criteria-based classifications retain the published reference and rule used to produce them.
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Portable records
HL7 FHIR R4 supports record exchange where the provider system supports it and access is consented.
How it works
Context arrives through an approved clinical workflow.
Define the use
The clinic identifies the care pathway, users, minimum necessary information and clinical responsibility.
Assess interoperability
The receiving system, available HL7 FHIR R4 resources and local workflow are reviewed before exchange is represented as supported.
Patient authorises access
The intended purpose, scope and duration are presented through the applicable consent workflow.
Clinician reviews context
Recorded history and any implemented criteria-based descriptions appear with provenance and known gaps retained.
Access remains accountable
The authorised workflow is designed to retain permission and audit history for later review.
The clinical boundary
What the care team sees. What Shiora does not decide.
The authorised view
Relevant recorded history, provenance, missingness and traceable descriptions within the approved scope and supported workflow.
Outside the view
Unrelated parts of the record, access beyond the approved purpose and automated clinical decisions. Diagnosis and treatment remain the responsibility of qualified clinicians.
Requirements and engagement
Start with workflow, governance and system fit.
A clinical engagement begins with the intended use, responsible clinical owners, data-protection review and an interoperability assessment. Any pilot should have defined success criteria, a bounded patient population and a clear escalation path.
Integration scope and commercial terms depend on the systems, resources, jurisdiction and approved workflow. Compatibility is assessed before a deployment commitment is made.
The difference
Clinical context travels only when the patient authorises it.
Access is designed around a defined purpose, duration and audit history. Standards-based exchange applies where the connected system and approved workflow support it.
Clinical FAQ
Questions for care and technology teams.
The operational and clinical boundaries to establish before use.
Does Shiora replace the electronic health record?
No. It is a longitudinal record model that can support consented exchange with compatible systems.
Does Shiora diagnose patients?
No. Where implemented, criteria-based classification can describe recorded information. Diagnosis and treatment remain with qualified clinicians.
Which interoperability standard is supported?
Shiora uses HL7 FHIR R4 for exchange where the participating system, resources and approved workflow are compatible.
Can a clinic see the entire record?
Access is designed around the minimum information required for a defined purpose and duration, not open-ended record access.
How is missing information handled?
Missingness remains visible. An incomplete history should not be presented as complete.
Can clinicians inspect the source of a classification?
Where a rule is implemented, the design retains the published reference and the rule used to produce the description.
What happens when consent changes?
The applicable consent workflow determines the effect. Permission, duration and revocation history are designed to remain auditable.
Can Shiora write information back to our system?
That depends on supported FHIR resources, receiving-system capability, governance approval and the specific integration design.
How does a clinic begin an evaluation?
Begin with a bounded use case, clinical owner, information scope, workflow map, security review and interoperability assessment.
Is Shiora suitable for emergency decision-making?
Shiora is not an emergency service and should not be relied on as a substitute for urgent clinical assessment.