AnesthesiaEMR · iPad
Digital paper. On steroids.
Document care using the forms and layout your providers already know. Graphium adds templates, validation, integrated vitals, and structured information for billing, quality reporting, and analytics.
The idea
Your paper forms have real value. We make them smart.
Your team understands paper. We digitize your exact forms and put them on the iPad: easy to use, with no distraction from patient care. The added capabilities: integrations, real-time analytics, live concurrency checks, billing-ready charge data, and patient satisfaction surveys. Smart, 100% complete, and way, way faster.
Many groups choose our stock forms as a starting point. They preserve the familiar paper layout while capturing structured information for reporting and analytics. Our stock General form alone carries 650 discrete fields and 20 one-tap templates.
Architecture
There is no Save button.
Graphium’s iOS apps send field entries directly to the cloud and do not persist patient data to local storage on the device. AnesthesiaEMR requires a network connection for electronic charting. Your team can use its paper downtime workflow during an interruption.
And the record your billing team and facility receive is never a scan. It's a regenerated PDF, rebuilt live from the discrete data and your handwriting, so the cloud copy is always the current copy.
And a rule we will never break: we never block a provider from documenting care. If there's a bleeding tonsil, no software gets in the way.
Completeness
Required information, clearly identified.
Every field on your paper form can become a discrete database field, and you can still write anywhere with the Apple Pencil, just like real paper. Discrete fields are yellow or red: red means required, and entering data turns it yellow. Requirements adapt to the case. For example, morning cases can trigger a first-case question. If the answer is yes, the scheduled start time becomes required. Conditional rules like these support reporting on first-case on-time starts, delay minutes, and delay reasons. Providers follow one instruction: get rid of the red fields. Required-field checks help providers complete the documentation before finalizing the record. Complete, timely documentation also supports administrative review and survey preparation. Surveyors have complimented anesthesia teams using Graphium for complete and timely documentation.
Speed and accuracy
Macros and templates make you faster.
Macro buttons and custom templates set any red or yellow field on your form with a single tap: the entire case timeline, the medications for your case type, all monitors, the pre-flight checkboxes. One tap and the majority of the form is complete.
Then the form checks the work. If a time sequence is impossible (nobody gets signed out of PACU before anesthesia ends), the wrong care model is selected, or a real-time concurrency conflict appears, you get a warning before it becomes a billing or compliance problem.
- Purpose-built forms: General, Short, Cardiac, GI, OB C-Section, OB Labor
- Dedicated regional block pages with integrated photos for ultrasound documentation
- Our design team customizes your forms.
Vitals
Vitals chart themselves.
Our native Neximatic integration covers roughly 95% of physiologic monitors. O₂, N₂O, agents, ventilator settings, and patient vital signs, including invasive and non-invasive blood pressure, HR, RR, Temp, EtCO₂, and SpO₂, stream onto the same time-synchronized grid you're accustomed to reading every day. If the iPad briefly loses Wi-Fi, the monitor link keeps recording independently and the trends backfill at their original timestamps when you reconnect.
And if everything fails at once, you can still handwrite vitals on the form, exactly like paper, and keep the case moving.
Wondering about your specific machines? Check Neximatic's supported device list. If yours isn't on it, they can usually add it quickly.
Teams
Built for how anesthesia teams actually work.
Multi-provider documentation with supervision and attestation workflows (Physician, CRNA, CAA, resident), role-based sign-off, and a complete audit trail on every form. MD-only, CRNA-only, medical direction, and supervision care teams are all first-class: the workflows match your staffing model, whatever it is.
No keyboard, no mouse, no computer bolted to the anesthesia machine. Set the iPad by the patient's head, hold the mask with one hand, and document with the other, just like your clipboard. Carry it to PACU, give report, finish your paperwork, while your teammate starts the preop on the next patient. Multiple providers can work in the same chart at the same time. Want to see a chart remotely, in real time? Open any chart from anywhere there's a connection.
Adoption
Training is a one-hour online session, not a multi-day seminar.
Because the record works like the paper your providers already know, training is quick. Routinely, providers who are initially hesitant about new software end up the happiest, the moment they realize it really is "just like paper."
PRN staff get login access by email, and before their first case a superuser shows them how to scan the patient's wristband, add an anesthesia form, and start getting rid of red fields. Minutes, not hours.
Facility onboarding is measured in days, not quarters. A typical go-live runs 30 to 60 days depending on custom form work and the number of integrations; we recently onboarded a group with 84 facilities in about 90 days. And when a hospital IT queue is long, we don't wait: we don't even need an ADT feed. Capture AI can scan face sheets, create encounters, and hand structured data to your billing team from day one, cutting onboarding to about a week. After go-live, every how-to lives in our online knowledge base, available 24/7.
"Graphium makes it easy."
"First and foremost, it's an easily teachable, accurate, intraoperative anesthesia documentation platform. Number two, it solves our MACRA collection problem. There are so many groups that have problems with that, and Graphium makes it easy. Then number three: I don't have to worry about patient data safety or HIPAA compliance. Graphium deals with the data, and the IT department and the hospital love that the data is both safe and easy to access. Oh, yeah. Those three things."