Workflows

Rosetta provides a structured environment for clinical documentation, combining flexible editing with rigorous AI assistance.

Document State

Rosetta uses a local-first architecture to ensure you never lose work.

• Real-time Sync: Changes are saved locally immediately and synchronized to the cloud when online.
• Offline First: Full editing capabilities are available without an internet connection.
• Conflict Resolution: The system automatically handles merging changes if you edit from multiple devices.

Templates

Templates in Rosetta are more than just text snippets. They define the structure and behavior of your notes.

Interactive Fields

Templates can include dynamic placeholders that prompt for input when instantiated:

• Text Fields: Simple placeholders like {{chief_complaint}}.
• Select Menus: Dropdowns for structured data, e.g., {{SELECT:severity|mild,moderate,severe}}.
• Dates: Auto-formatted date pickers.

Locked Anchors

To ensure compliance and structure, templates can contain “Anchors”—sections of text that the AI is prevented from modifying. This is crucial for:

• Legal disclaimers
• Required hospital headers/footers
• Fixed billing codes

AI Agents

Rosetta employs specialized agents to handle different aspects of the documentation workflow.

Shorthander

Expands brief notes into full medical prose.

• Behavior: It preserves your original meaning while expanding abbreviations (e.g., “SOB” → “shortness of breath”, “CP” → “chest pain”).
• Safety: It never removes user content and always respects locked template anchors.

Ingester

Processes external documents for the Knowledge Base.

• Context: Scans PDFs and text files to build a searchable index.
• Citations: Preserves metadata (authors, dates, DOIs) to ensure every AI claim can be traced back to its source.

Reasoner

Assists with diagnostic reasoning.

• Evidence-Based: Prioritizes claims supported by your uploaded guidelines or PubMed search results.
• Differential Diagnosis: Suggests potential diagnoses ordered by likelihood, highlighting “red flags” that require immediate attention.

Formatter

Restructures content to match specific output requirements without changing the clinical meaning.

Citations

Automatically finds and formats references.

• Source: Queries PubMed and your local library.
• Style: Formats citations in standard medical styles (e.g., Vancouver).
• Relevance: prioritzes recent, high-impact publications.

SmartPhrases

You can define custom text expansion shortcuts to speed up documentation.

Related:

• RAG System
• API Reference