Follow the flow from the start: create an audit filter, define its criteria and its output, then let Chart-Shark produce the chart review for your nurse to approve.
Your PI team adds each audit filter to Chart-Shark as a node: ACS, NTDS, state requirements, hospital policies, or anything you wish to track.
Nodes belong to your hospital, not to one process. Adding one makes it a member of this stage; its instructions and versions stay shared.
You define your own goal, method, and criteria for your audit filters. Chart-Shark follows your direction.
You define your output detail and Chart-Shark retrieves it for you. Output detail can include which criterion was met, why the audit filter was flagged, and any other detail you wish to collect.
No upstream node references — reads source records only.
Assess if the Pt was correctly triaged.
Using the following criteria:
Intubation or emergent airway intervention in the field or on arrival, or Respiratory rate <10 or >29 with distress, or SBP <90 mmHg at any time (adult); age-specific hypotension / decompensated shock (pediatric), or GCS <=8 attributed to acute TBI, or Penetrating wound to head, neck, torso, or extremity proximal to elbow/knee, or Transfer patient receiving blood products to maintain vital signs, or Traumatic amputation / pulseless devascularized extremity proximal to the wrist or ankle. (Store-local: promoted from ACS Level 2 to Level 1.), or Emergency-physician discretion: extreme instability or anatomic risk.
GCS 9-13 with known/suspected traumatic etiology, or Suspected open or unstable pelvic fracture, or two or more proximal long-bone fractures, or Flail chest / chest-wall instability, or Suspected open or depressed skull fracture, or New acute paralysis or spinal cord deficit.
High-energy mechanism (fall >20 ft adult, ejection, compartment intrusion, auto-vs-pedestrian >20 mph, occupant fatality) with no anatomic/physiologic Level 1/2 criterion, or Special comorbidity lowering threshold: anticoagulation + head trauma; age >65 with any significant mechanism; pregnancy >20 wk with abdominal/deceleration mechanism.
If the Pt was Over-Triaged (the Pt met criteria for Partial or Consult, and did not meet criteria for Full, but was triaged as Full): flag this filter and note that in the output.
If the Pt was Under-Triaged (the Pt met criteria for Full, but was activated as Partial or Consult): flag this filter and note that in the output.
If the Pt was appropriately triaged: do not flag.
Collect the following information and also include this in the output:
Charts arrive over HL7 FHIR. Chart-Shark reads the whole record, including scanned documents and the handwritten trauma flowsheet, runs your filters, and compiles the review.
Each flagged filter shows how your criteria was met, and returns the output you defined.
A clinical narrative written day by day across the whole stay, written according to your authored instructions and preferences.
A clinical timeline with every pertinent event timestamped, formatted to your authored instructions.
Sharkie reads the whole encounter and every filter's verdict. Ask about documents, timing, labs, or why a filter flagged, and get the answer in the format you ask for.
Here are the laboratory results documented on HD1 (2026-06-08):
| Timestamp | Test | Result | Reference / Interpretation | Note |
|---|---|---|---|---|
| 08:00 | White Blood Cell Count (WBC) | 9.8 × 10⁹/L | Normal | Auto count |
| 08:00 | Hemoglobin | 11.2 g/dL | Low (L) | Blood |
| 08:00 | Platelets | 198 × 10⁹/L | Normal | Auto count |
| 08:00 | Blood Urea Nitrogen (BUN) | 28 mg/dL | High (H) | Serum/Plasma |
| 08:00 | Creatinine | 1.8 mg/dL | High (H) | Baseline CKD 3b |
| 08:00 | Potassium | 4.2 mmol/L | Normal | Serum/Plasma |
| 08:00 | Bicarbonate (CO₂) | 24 mmol/L | Normal | Serum/Plasma |
| 08:00 | Glucose | 184 mg/dL | High (H) | Serum/Plasma |
| 08:00 | Serum Ethanol | 0 mg/dL | Negative | Evaluated for AWS exclusion |
Your reviewer clears or corrects each finding. Nothing closes until a person approves it, and every read, draft, and edit is timestamped and attributable.
Chart-Shark reviews the chart in minutes, so your team can spend its time on quality improvement.
Every finding comes with its reasoning, and your reviewer makes the final call.
Your PI team authors every filter and every review instruction.
Held in memory only for the length of a review. How we handle PHI
Every review, edit, and approval is versioned and attributed.
A 45-minute walkthrough of a full review on multiple complex synthetic trauma patients, from ingest to sign-off.