Each step writes into the same
structured record, kept in a change history.
The shape of the record a treatment journey writes into. Illustration of the data model with synthetic values.
The problem
The data exists. It just is not comparable.
Most units already document carefully — but for justifying the
visit, not for answering a question later. The fix is deciding
the structure before the work starts, and keeping to it.
01Every session in a binder.
Sessions written down as they happen, filed by date,
and readable only by whoever kept the folder.
02Each clinician records it their own way.
Free text and personal shorthand mean two colleagues
describe the same treatment differently.
03Outcomes nobody can compare.
Nothing lines up across patients, so a year of careful
work answers no question at the end of it.
With Nubiss
What it looks like with Nubiss.
The same work, recorded once into a structure that still
answers questions three years later.
04Every session captured, structured.
Each session records against a frozen copy of that
day's protocol, with the safety check mandatory.
05One record, reviewed together.
Nurse and doctor work from the same structured history
rather than reconstructing it from notes.
06Units connected around comparable data.
Units recording the same fields the same way can
compare outcomes instead of comparing anecdotes.
What it does
Two halves of the same system.
The scheduling and the science read from the same records — which
is why the evidence half costs no extra effort.
Running the unit
Scheduling and calendar
Sessions booked against a chamber and a clinician, plus patient-initiated booking requests.
Chambers and oxygen supply
Chamber and cylinder records, with a change log for every cylinder swap and a warning as a cylinder approaches its change threshold.
Roles and multiple sites
Company, clinic and chamber form a hierarchy; each role sees only its own organisation's data.
Referrals and clinic profiles
A referral intake wizard, and referral tracking through sent, received, in treatment and completed. Clinic profiles for discovery are enabled per company.
Assisted access and guardians
A guardian manages a linked account for a child and signs for them, recorded as such. Staff can issue a patient a single-use sign-on link by SMS code or email.
Appointment reminders
Email and SMS with quiet hours — off by default, enabled per company.
Building the evidence
Protocol definition
Pressure in bar, oxygen fraction, sessions, frequency — the database refuses an incomplete protocol.
Structured intake and assessment
Health declarations with risk flags, vitals, ICD-10 coded diagnoses and an explicit fitness decision.
Patient-reported outcomes
EQ-5D with country value sets, FSS, EPIC-26, VAS pain and an LRTI symptom check-in, recorded before and after treatment.
Missing-data control
Required forms become dated tasks; a treatment gap automatically raises the assessments to close it.
Change history
Old and new values with user and timestamp, plus a hash-chained log where tampering shows.
The clinical workflow
What a treatment journey looks like.
The order the clinical work already happens in — the software
follows it rather than asking for it a second time.
Select or define the protocol
From your unit's library, or a shared catalogue as a
starting point.
Record indication and baseline
Treatment reason with ICD-10 code, health declaration,
baseline measures.
Deliver and record each session
Against a frozen copy of that day's protocol, with a
mandatory safety check.
Collect scheduled follow-up
Repeat measures fall due automatically and stay open as
tasks until done.
Review the course
One timeline: sessions, protocol changes, outcome
scores, unit activity by indication.
From referral to recovery
Both doctors read the same record.
A referral is not a message into the dark. The referring doctor
and the treating clinic work on one record, and the referral
carries a status the whole way through.
Referral created
With an ICD-10-coded indication; codes are looked up
against the WHO ICD API.
Clinic receives and reviews
Health declaration with risk flags and an explicit
fitness decision before treatment starts.
Treatment recorded
Sessions against the day's protocol, readings and
outcome scores as they happen.
Progress flows back
The referral moves through sent, received, in treatment
and completed — the referrer sees where each one
stands.
Worth being clear about
The referral connects accounts on the platform. Nothing is
transmitted to an external practice system.
The referrer sees per-status counts and each referral's
standing — not a comparative outcomes dashboard.
Beyond hyperbaric oxygen
Other therapy types, honestly described.
A configurable registry lets a unit keep every therapy it
delivers in one place, with each clinic enabling the types it
runs. How deeply each one is modelled differs — so each
carries its real status.
Live built and in the product today
Limited real, but narrower than the name suggests — the limit is stated
Roadmap not built yet
Modelled in depthTyped clinical fields, enforced by database-level
validation.
Hyperbaric oxygen therapyLive
Typed clinical fields — pressure in bar, oxygen fraction,
sessions, frequency — with database-level validation.
Intermittent hypoxiaLive
Typed dose fields — FiO2, simulated altitude, session type,
work and recovery intervals, cycles — enforced by a database
constraint. Described here as a protocol the software
records; Nubiss makes no claim about what the therapy
achieves.
Registered, not modelledKept in the same place, with parameters defined per
type.
IV drip therapyLimited
A seeded registry type; its parameters are schema-defined per
type rather than purpose-built clinical fields. Listed
without any claim of clinical effect.
Other and custom typesLimited
Any further therapy a unit runs can be registered, with
free-form parameters and the same mandatory per-session
safety check.
Across every typeHow a clinic decides what appears in its own unit.
Per-clinic enablementLive
Each clinic switches on exactly the therapy types it
delivers.
The mandatory safety checkLive
Whatever the type, a session cannot be recorded without
its per-session safety check.
Worth being clear about
The other therapy types are stored as configurable
parameters, not purpose-built clinical fields.
No cohort builder and no protocol-versus-protocol outcome
comparison — analytics are operational.
No bulk export to CSV or Excel; PDF output exists for
e-signed documents, and the FHIR interface below reads the
record resource by resource.
No wearable or device data ingestion in Nubiss
Clinical.
Getting the data out
A FHIR interface over the clinical record.
Nubiss Clinical exposes its record as FHIR R4,
so an analysis environment or a hospital system can read it in
a standard shape rather than through a bespoke extract.
Eight resource types are served
Patient
Practitioner
Organization
Location
Appointment
Encounter
Observation
Condition
Vital signs are LOINC-coded, diagnoses carry their ICD-10
codes, and organisations and chambers appear as Organization
and Location.
The shape of it, precisely
It is a read and search interface. Only
Observation accepts writes, for a single vital or a blood
pressure panel.
There is no outbound sync — nothing is
pushed to another system on its own. You read when you
need to.
Endpoints are authenticated and scoped the same way the
rest of the application is.
Nubiss TelMed has a separate FHIR interface with different
resources and German profiles. StudyCore and Longevity have
none.
One unit, one team
Handoffs that are recorded, not assumed.
Doctor, nurse and reception act on the same record — and the
software keeps track of who has seen what.
Declarations, triaged
Health declarations arrive with risk flags, and the doctor
records an explicit fitness decision before a session can
go ahead.
Doctor-to-nurse handoff
Session notes from the doctor wait for the nurse until they
are acknowledged — the handoff is a recorded step, not a
hallway conversation.
One view across clinics
A doctor assigned to several clinics sees their patients and
today's capacity in one place, still scoped to what each
role may see.
Governance
Consent, access and record integrity.
Consent and signature
Versioned, role-targeted document templates. A signature
records signer, method, time and a verification hash, with a
checkable certificate.
Access that fails closed
Data is scoped by company and clinic. A request for another
organisation's record returns not-found — never confirming
the record exists.
Identifiers protected
National identifiers and insurance numbers are encrypted in
the database, searchable only through a separate hashed
value.
We will walk through your
protocols and follow-up model and show you how they map
onto Nubiss Clinical. Please do not include any patient
information in your message.
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