Glossary
Glossary
Defines the terms used across the documentation, including tool names, clinical words and the vocabulary of visits, orders and charges.
This glossary defines the terms used across the documentation, from the tool names to the clinical words and the vocabulary of visits, orders and charges. Read a term once here, and the rest of the site reads plainly.
Ward word and platform word
Staff arrive with the vocabulary of the ward, and the platform maps it onto its own terms. Where the two differ, this glossary gives both. The core concepts page walks one patient event through the main terms in order.
Platform and places
| Term | Definition |
|---|---|
| Pensieve | The hospital platform. One governed record that every tool reads from and writes to. |
| Organisation | The legal entity that runs the hospital. Holds one or more sites as a grouping label and is the custodian and Data Fiduciary for the care it delivers. It does not own the patient record, which belongs to the patient, exists once across every site that runs Pensieve, and sits outside the tenancy structure with no owning site. |
| Site | A physical location the organisation operates, such as a main building or a satellite clinic. |
| Unit | A department or ward inside a site. |
| Location | A room or bay inside a unit. |
| Bed | The smallest location, where an inpatient stays. |
Record and episode
| Term | Definition |
|---|---|
| Patient record | The durable account of a patient across every encounter. Holds diagnoses, documents, results and consent. |
| Encounter | A single contact between a patient and the hospital. The ward word is visit or admission. |
| Episode of care | One encounter seen over its whole length, the span that orders, diagnoses and charges attach to. |
| Diagnosis | A coded condition recorded during an encounter and carried forward in the record. |
| Result | A laboratory or imaging finding returned against an order, entered by one person and verified by another. |
| Document | A scanned or uploaded file attached to the patient record. |
| Consent | A patient's recorded decision about their own record, held as a first-class entry. |
| Directive | An instruction a patient gives about who may see or act on their record. |
| Discharge | The close of an inpatient episode, drawing on clinical readiness and a settled or arranged account. |
Orders and money
| Term | Definition |
|---|---|
| Orderable | An item in the catalogue a clinician can request: a drug, a laboratory test, a scan or a consultation. |
| Order | A specific request for an orderable, placed for one patient inside one encounter. |
| Ordered snapshot | The frozen copy of an orderable as it stood when the order was placed. |
| Charge | The billable consequence of an event, priced by the tariff in force when it was raised. |
| Tariff | A rate card that sets the price of a charge for a payer or scheme. |
| Invoice | The assembled bill for the charges of an encounter. |
| Payer | Who settles a bill: a self-paying patient, an insurer or administrator, or a scheme. |
| Claim | An insurance submission assembled from an encounter's charges. |
| Deposit | A payment taken in advance of the charges it covers. |
Access and safety
| Term | Definition |
|---|---|
| Permission | The right to take a particular action, decided from role and relationship together. |
| Role | What a person does in the hospital, such as ward nurse or biller. |
| Relationship | A person's current care connection to the patient in front of them. |
| Patient lens | The filter applied at the record read path, so a query returns the records a person is entitled to. |
| Emergency access | A defined path to a record in an urgent case, always logged with the clinician, the time and the reason. |
| Audit entry | The record that something happened, written in the same transaction as the change it describes. |
| Two-plane model | Access decided from patient consent and an admission-based gate together. |
Interop and desktop
| Term | Definition |
|---|---|
| Connection | A governed link between Pensieve and another hospital system, carried across a controlled boundary. |
| The bridge | The on-site agent that speaks the protocols of the hospital's machines and carries them over one outbound link. |
| Chamber | The staff desktop. A shell with a persistent bar, a dock of tools and pinnable widgets. |
| Dock | The set of tools a person sees, drawn from the actions their role and relationships allow. |
| Widget | A pinned panel on the desktop that shows a live view from a tool. |
The tools
Gate, Atlas, Forge and Vault carry the record, and the tools below carry the model, the access and the daily work around it.
| Tool | What it does |
|---|---|
| Gate | Admissions and appointments, from registration to discharge. |
| Atlas | The patient record, and the only tool that holds a patient's clinical data. |
| Forge | Orders, carried through fulfilment, scheduling, billing and results. |
| Vault | Billing and revenue, from charge to invoice to settlement. |
| Nexus Manager | The hospital model of places, people, roles and rosters. |
| Cirith Manager | Access control, deciding each action from role and relationship. |
| orophin | The on-site bridge to the hospital's own machines. |
| Westron | The console that configures and monitors the bridge's connections. |
| Chamber | The staff desktop, with its dock of tools and widgets. |
| image study viewer | Reads imaging studies in the browser, tied to patient and order. |
| Cadence | Operational workflows, running a repeatable process step by step. |
| Quest | Scheduling and due tasks, including medication dose schedules. |
| Glyph | Forms that staff design, fill and lock. |
| Sentinel | Alerts, with rules, acknowledgement and escalation. |
| Raven | Communications over the right channel, within consent. |
| Falcon | Analytics, with the lineage of every number. |
| Durin | The builder for a hospital's own tools and widgets. |
| Vigil | Safety and quality: incident reports, investigations, mortality reviews, complaints and accreditation evidence, with reporter identity held separately so whistleblower anonymity is structural. |
Read what Pensieve is for the platform these terms describe.