Your records,
reimagined as a plan you can actually do.
Rosette ingests the unstructured records your EHR emits and rewrites them into a time-sequenced, prioritized, behavior-aware plan — across portal, SMS, voice, and caregiver channels. Below is one real high-stakes case: a dermatology→oncology referral, end to end.
- Case
- Suspicious lesion
Derm → Oncology referral - Visit date
- April 28, 2026
Dr. Emily Chen, MD - Risk profile
- High-anxiety
High drop-off transition - Time to plan
- 3.4 sec from EHR push
11 patient actions resolved
From an inert document
to an executable plan.
Left: the raw records as a typical patient receives them — paragraphs of clinical prose, flat priority, passive voice. Right: the same content, rewritten by Rosette into sequenced actions with owners, deadlines, and consequences.
Your Diagnoses
- Neoplasm of uncertain behavior of skin
- Rule out melanoma
Reason for Visit
Evaluation of changing lesion on left forearm.
Procedures Done Today
- Skin biopsy – left forearm
Medications
Continue:
Lisinopril 10 mg daily
Vitamin D3 1000 IU daily
Started Today: None
Discontinued: None
Instructions
Wound Care:
- Keep biopsy site clean and dry for 24 hours
- Then clean with soap and water
- Apply petroleum jelly and bandage daily
Activity:
- Avoid strenuous activity for 48 hours
- No swimming until healed
Follow-Up
Follow up with dermatology in 2–3 weeks
Referrals Ordered
Dermatologic Oncology
Stanford Dermatologic Oncology
Phone: (650) 555-5678
Please call to schedule appointment
Test Results
Biopsy – Pending
Results expected in 5–7 business days
You will be notified via MyChart or phone
When to Call
- Redness, swelling, pain
- Drainage
- Fever >100.4°F
When to Seek Emergency Care
- Bleeding that does not stop
- Severe symptoms
You had a biopsy.
Here's what happens next.
We're checking for possible skin cancer. Most cases are very treatable when caught early. Below are 4 things only you can do — in order, with deadlines.
Call Stanford Dermatologic Oncology to book your appointment.
Your dermatologist referred you to a skin cancer specialist. They are expecting your call. Most patients book within 7–10 days.
Wait for biopsy results — but not forever.
Pathology takes 5–7 business days. We'll notify you the moment results arrive. If you haven't heard by May 5, this becomes your job: call the dermatology clinic and ask.
Take care of the biopsy site.
A small wound on your left forearm. Don't get fancy — clean, ointment, bandage. Repeat once a day until it heals.
Take it easy on your left arm — and stay out of the water.
No heavy lifting, gym, or strenuous activity for 48 hours. No swimming, hot tubs, or baths that submerge the wound until it's fully healed (~2 weeks).
When something is wrong.
Call the clinic for: increasing redness or swelling, pain getting worse, pus or drainage, fever over 100.4°F.
Go to the ERfor: bleeding that doesn't stop after 10 minutes of firm pressure, or rapidly worsening symptoms.
Five edits that change everything.
Rosette is not summarization. It's a deliberate set of transformations that turn clinical reference material into patient instructions — assigned, timed, and accountable. The same content; a fundamentally different artifact.
One plan, five places
it shows up.
The portal is the canonical view, but most patients won't open it twice. Rosette pushes the same plan into the channels they actually use — and pulls signals back. Each surface below is rendered from the same plan object as the records above.
SMS nudges
Channel · Day 7 + Day 14Teach-back quiz
Comprehension · 3 questionsIf you don't hear back about your biopsy results by May 5, what should you do?
Caregiver share
Family · Read-only digestDaniela Alvarez
Daughter · receives Maria's plan summary
Voice follow-up
Day 5 · 02:14 · Auto-transcribedEvery transition, visible.
For clinical leadership: a cohort view of every high-risk transition Rosette is currently shepherding. Patients who slip become tasks for staff before they become readmissions, lawsuits, or worse outcomes.
Active referral cohort · Stanford Derm → Onc
Updated 11s ago · 142 active| Patient | Stage | Plan progress | Next action | Status |
|---|---|---|---|---|
Alvarez, Maria MRN 7710-44 · D+5 | Awaiting biopsy result | Auto-escalation armed for May 5 | On track | |
Brennan, J. MRN 7689-02 · D+8 | Onc appt unbooked | SMS nudge #3 sent · no response | Nudge stalled | |
Cho, Min-jun MRN 7702-91 · D+11 | Result returned · benign | Plain-language result delivered · acknowledged | Closed | |
Davies, R. MRN 7691-15 · D+12 | Result returned · positive | Care navigator paged · oncology intake started | Hand-off | |
Eze, T. MRN 7715-08 · D+14 | Onc appt unbooked | Window expired · staff outreach queued | At risk | |
Patel, A. MRN 7719-33 · D+2 | Plan acknowledged | Comprehension quiz scheduled D+3 | On track |
The longitudinal communication layer
health systems didn't know they were missing.
Dermatology → oncology is one of dozens of high-risk transitions. The same primitives — sequence, ownership, escalation, channel — apply to post-op discharge, oncology onboarding, cardiac rehab, prenatal handoff. Rosette is the layer that makes any of them executable.