totEM
Next-generation clinical documentation engineered for how modern Indian hospitals actually work. Outpatient. Inpatient. Nursing. One unified platform — voice-enabled, tablet-first, offline-ready.
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One unified platform for
every clinical team.
totEM brings Outpatient, Inpatient, and Nursing documentation into a single seamlessly connected system — so care flows without friction.

Outpatient EMR
Complete OPD digitisation from walk-in to follow-up. Real-time prescriptions, intelligent decision support, and actionable dashboards built for speed.

Inpatient EMR
End-to-end clinical documentation for admitted patients. CPOE, bed management, surgical workflows, and auto-populated discharge summaries.

Nursing Flow Sheet
The primary bedside documentation tool. Tablet-first, touch-optimised, with offline resilience, vitals charting, and shift handover built in.
Capabilities that define the difference.
1. Real-Time Prescription Building
- Zero page refresh — prescriptions build letter by letter in real time
- Instant drug-drug and drug-allergy interaction alerts at point of entry
- Auto-dosage calculation based on patient weight, age, and renal function
- Formulary integration with controlled substance tracking and refill management
2. Voice-to-Text Clinical Documentation
- Dictate notes in natural language — no templates to navigate
- AI automatically structures dictation into SOAP clinical format
- Supports Indian English accents and medical terminology natively
- All voice data processed securely — never stored externally
3. Localised Prescription Output
- 8+ Indian regional languages supported out-of-the-box
- Culturally appropriate formatting tailored per region
- Patient-friendly medication instructions — plain language, no jargon
4. Dynamic Sections & Customisable Templates
- Drag-and-drop section reordering per encounter type
- Pre-built specialty templates: Cardiology, Ortho, Paediatrics, and more
- Clinicians customise templates themselves — no IT dependency
5. Cross-Visit Access (IP + OP Notes)
- Complete patient timeline - OP visits, IP admissions, investigations, procedures
- Unified across departments — Cardiology sees ICU notes, OP sees IP discharge
- Instant search and filter across the entire clinical history
6. Unadulterated Data Access for Research
- Raw, unmodified structured data export for genuine research use
- Supports cross-sectional and epidemiological studies natively
- Institutional analytics dashboards with disease prevalence tracking
7. Unified Order Entry (Rx + Lab + Imaging)
- One screen for Rx, Lab, and Imaging — no switching between modules
- Integrated duplicate order detection and clinical decision support
- Real-time availability check for lab slots and imaging suites
8. Tablet-Responsive UI/UX
- Designed for 8"–12" tablets — tested on leading Android and iPad devices
- Touch-optimised controls with large tap targets — usable with gloves
- High-contrast night mode for ward rounds and low-light ICU environments
9. Offline Draft Saving - Never Lose Data
- Auto-save every keystroke — drafts stored locally even without internet
- Seamless sync when connectivity restores — no manual action needed
- All local data encrypted with AES-256 — fully secure at rest
- Zero page refresh — prescriptions build letter by letter in real time
- Instant drug-drug and drug-allergy interaction alerts at point of entry
- Auto-dosage calculation based on patient weight, age, and renal function
- Formulary integration with controlled substance tracking and refill management
10. Fully Customisable UI Themes
- Hospital colour palette and branding applied across the entire interface
- Light, dark, and high-contrast modes — switchable per user or department
- Department-specific layouts — ICU sees different defaults than OPD
11. Inventory & Queue Management with Tokenisation
- Auto token generation with SMS/display board integration
- Real-time wait-time estimation displayed to patients and staff
- Linked pharmacy inventory — see drug availability before prescribing
12. Referral Notes & Handover
- Clinical summary auto-attached to every referral — no manual copy-paste
- Urgency classification with automatic escalation alerts for critical referrals
- Closed-loop acknowledgment tracking — sender knows when referral is accepted
13. Admission Reservation & Pre-Admission
- Bed reservation from OPD — no separate system or phone call needed
- Pre-admission documentation captured at OPD visit — ready on arrival
- Insurance pre-authorisation capture integrated into the admission workflow
14. Actionable Dashboard — Act, Don't Just View
- One-click actions from dashboard — approve, sign, clear without leaving the screen
- Role-specific views — doctor, nurse, admin, pharmacist each see what matters to them
- Footfall, productivity, and department performance analytics built in
15. Auto-Fetching Discharge Summary
- Auto-populated from all clinical data — admission, notes, labs, medications
- Review, edit, and sign in minutes — not hours
- AI Smart Discharge Summary generates a narrative from raw clinical data (coming soon)
16. Voice-Captured Vitals at Bedside
- Speak BP, pulse, SpO2, temperature — instantly charted without manual entry
- Real-time graphical trends update as vitals are captured
- Automatic validation with out-of-range alerts and escalation triggers
What’s live & what’s coming.
Available Now
Coming Soon
- Real-time prescription building, zero page refreshes
- Localised prescriptions in 8+ Indian languages
- Unified order entry: Rx + Lab + Imaging
- Complete longitudinal patient record (IP + OP timeline)
- Offline draft saving with seamless background sync
- ABDM/ABHA integration with FHIR R4 data exchange
- Barcode/QR-based medication verification at bedside
- Auto-fetching discharge summary from clinical data
- Actionable role-based dashboards for all clinical roles
- Customisable UI themes, colours, shapes, and fonts
- Voice-to-text for clinical notes, prescriptions, and vitals
- Smart Discharge Summary — AI-generated clinical narrative
- AI-powered differential diagnosis suggestions at point of care
- Smart scheduling with predicted no-show management
- Predictive patient deterioration alerts for ICU and wards
- Natural language query engine for clinical data exploration
- Automated clinical pathway variance tracking and reporting
- Multi-modal AI: voice + image + text clinical assistant
30 years of clinical software expertise.

CMMi Level 5 Certified
The highest software process maturity certification — your clinical data is built and managed to global standards.

70+ Hospitals Trust Us
Three decades of HMIS experience across hospitals of all sizes — from district hospitals to 1000-bed tertiary care centres.

Built for India
Designed for Indian clinical workflows, 8+ regional languages, ABDM compliance, and the realities of Indian hospital infrastructure.

ISO Certified Security
ISO 27001 aligned security architecture, DPDP Act 2023 compliance, and consent-first data management built into every module.