Skip to content

Notes and messages — today's words and Dr Tro's, side by side

Everything the practice reads from the fax app — the Spruce messages, the Elation report titles, the Elation chart notes — in today's words and in Dr Tro's (his templates of 2026-11-04). Read this page with Dr Tro before the switches go on. With every switch off the app says exactly what it said before; nothing here changes by itself.

The message table below is generated from the code (scripts/render_notes_and_messages.py, with invented numbers and links at an invalid host): a sentence on this page is a sentence the app sends, and a test refuses a page that drifts from the code. Every note is internal to the practice: the patient never sees one.

What changes, and the switch that changes it

Surface Off (today) On Switch
Spruce messages today's words: the reasons and the counts in the message; an imaging note's severity line ("MAJOR FINDING, needs the doctor: …") Dr Tro's: the caps title first ("… (from AI-Fax)"), the fax as the inbox lists it, one line of what happened and one of what to do, the links, REPORT ERROR: last; no severity line — the reasons live in the fax explorer (its Decisions and Notices tabs) Settings, Dr Tro's notes and messages (clinic_templates)
Elation report titles Lab Results — 2026-01-06; the study, the date, the impression, the indication and the findings as far as they fit; <type> — <subject> — <date> LAB RESULTS: 01/06/2026; the study, the date and the impression alone; <type> - <mm/dd/yyyy> - <subject> the same switch
Elation chart notes the full or the simple note (Settings, Elation note) Dr Tro's note: <type> by AI-Fax, Patient Name, the trending one-of, CONSIDER FOR MANUAL INPUT or NEEDS TO BE FILED, FAILED AT LAB, NOT TRENDED, RESULTS NOT FILED; the imaging note with PATIENT NAME, NOTES and ERROR REPORTING last the same switch
A fax filed as two or more reports the parts only every part's title ends - SPLIT RECORD; the whole fax files once more as a Misc report LARGE RECORD - <mm/dd/yyyy> - <N> pages on the one chart the parts went to (never across charts, never twice) Settings, Backup copy of a split fax (large_record_backup)
Who is paged today's rows Dr Tro's rows, ticked by hand (below) the Communication page, Setup, Who is paged — a table, not a switch
Dates a person reads mixed mm/dd/yyyy everywhere: the explorer, the titles, the messages none — always, since 2026-11-04
The product's name "the fax app", "Toward Health Fax" AI-Fax on every page and in every note none — always

Spruce messages

Situation When Who is paged today Dr Tro's rows Today's message Dr Tro's message
abstain_warn a fax filed with lab results left out (the warn thresholds) the fax owner, the people under Also tell the fax owner, the people under Also tell A fax was filed with results left out: 4 of 24 lab results (17%) were not filed to the chart.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Lab Result.
Elation report: 70001.
Report in Elation: https://ehr.invalid/patient/5550001/
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
What to do: answer the open questions in the review queue, then check the chart.
Review queue: https://fax.invalid/quick-review
Ref FA-0123456789
RESULTS LEFT OUT (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
What happened: 4 of 24 lab results (17%) were not filed to the chart.
What to do: answer the open questions in the review queue, then check the chart.
Review queue: https://fax.invalid/quick-review
OPEN CHART: https://ehr.invalid/patient/5550001/
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
abstain_hold a fax held by the verdict: nothing filed the fax owner, the people under Also tell the fax owner, the people under Also tell A fax is held and nothing was filed: 23 of 24 lab results (96%) could not be filed.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Lab Result.
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
What to do: answer the open questions in the review queue, then review the fax. It stays in the Elation inbox until a person releases it.
Review queue: https://fax.invalid/quick-review
Ref FA-0123456789
FAX HELD (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
What happened: 23 of 24 lab results (96%) could not be filed, so nothing was filed.
What to do: answer the open questions in the review queue, then press Process anyway on the fax page. It stays in the Elation inbox until then.
Review queue: https://fax.invalid/quick-review
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
processing_failed a fax given up after its retries the fax owner, the people under Also tell, the doctor, for a major finding only the fax owner, the people under Also tell, the doctor, for a major finding only A fax was given up after 3 attempt(s): the model did not answer. Nothing was filed.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Lab Result.
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
What to do: file it by hand from the Elation inbox, where it still is.
Ref FA-0123456789
FAX NOT FILED (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
What happened: the model did not answer. Nothing was filed.
What to do: file it by hand from the Elation inbox, where it still is.
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
not_processed a fax not processed, or a part of one not filed the fax owner, the people under Also tell the fax owner, the people under Also tell A fax was not processed: 3 pages, over the cap of 2 (Settings, Max pages). Nothing was filed.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Lab Result.
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
What to do: file it by hand from the Elation inbox, where it still is; or set Long fax pages (Settings) below its page count and press Process anyway on the fax page — the long-fax lane runs it in its own job; or raise the cap and release it.
Ref FA-0123456789
FAX NOT PROCESSED (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
What happened: 3 pages, over the cap of 2 (Settings, Max pages). Nothing was filed.
What to do: file it by hand from the Elation inbox, where it still is; or set Long fax pages (Settings) below its page count and press Process anyway on the fax page — the long-fax lane runs it in its own job; or raise the cap and release it.
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
staging_filed a lab filed to the triage chart because no chart matched the fax owner, the people under Also tell the fax owner, the people under Also tell A fax was filed to the triage chart: the fax printed no usable patient name (a cover sheet, or a header the app could not read), so no chart was looked up. Its results are on the triage chart, not the patient's.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Lab Result.
Elation report: 70001.
Report in Elation: https://ehr.invalid/patient/5550001/
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
What to do: open the report on the triage chart, read the patient's name on the fax, and move it to the right chart (Actions, Refile to Other Patient Chart). The values then trend on that chart.
Ref FA-0123456789
FILED TO THE TRIAGE CHART (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
What happened: filed to the triage chart, not the patient's — the fax printed no usable patient name (a cover sheet, or a header the app could not read), so no chart was looked up.
What to do: open the report on the triage chart, read the patient's name on the fax, and move it to the right chart (Actions, Refile to Other Patient Chart).
OPEN CHART: https://ehr.invalid/patient/5550001/
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
document_filed a document filed to the chart as Misc by the practice's list the fax owner, the people under Also tell the fax owner, the people under Also tell A document was filed to the patient's chart as Referral by the practice's setting (pages 2-3): nothing was trended; the chart note says what the app read.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Lab Result.
Elation report: 70001.
Report in Elation: https://ehr.invalid/patient/5550001/
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
What to do: open the report and fix its type in Elation if Referral is wrong (two clicks).
Ref FA-0123456789
FILED AS REFERRAL (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
What happened: filed to the patient's chart as Referral by the practice's setting (pages 2-3); nothing was trended.
What to do: fix its type in Elation if Referral is wrong.
OPEN CHART: https://ehr.invalid/patient/5550001/
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
new_chart a chart the app created from the fax's demographics the fax owner, the people under Also tell the fax owner, the people under Also tell A new chart was created in Elation from this fax's demographics — the name and date of birth as the fax printed them — because no chart matched.
2 reports of this fax were filed to it.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Lab Result.
Elation report: 70001.
Report in Elation: https://ehr.invalid/patient/5550001/
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Chart in Elation: https://ehr.invalid/patient/5550001/
What to do: open the chart and verify the name and the date of birth against the fax. If it duplicates an existing patient, merge the charts (or move the report to the right chart) and delete the duplicate.
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
NEW CHART CREATED (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
What happened: a new chart was created in Elation from this fax's demographics because no chart matched.
2 reports of this fax were filed to it.
What to do: open the chart and verify the name and the date of birth against the fax; if it duplicates an existing patient, merge the charts (or move the report) and delete the duplicate.
OPEN CHART: https://ehr.invalid/patient/5550001/
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
fax_digest a fax filed as two or more reports, told once by page ranges the fax owner, the people under Also tell the fax owner, the people under Also tell A fax was filed as 2 reports:
- p1-3 Lab Result → the patient's chart
- p4-8 Imaging → the triage chart (no chart matched — move it)
Fax received 11/04/2026 10:30 am, 3 pages.
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
What to do: a report on the triage chart has to be moved to the patient's chart (Actions, Refile to Other Patient Chart); a new chart has to be verified; the rest is filed.
Ref FA-0123456789
FAX FILED AS 2 REPORTS (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
What happened: the fax was filed as these reports:
- p1-3 Lab Result → the patient's chart
- p4-8 Imaging → the triage chart (no chart matched — move it)
What to do: a report on the triage chart has to be moved to the patient's chart (Actions, Refile to Other Patient Chart); a new chart has to be verified; the rest is filed.
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
test the test note from the Communication page the fax owner the fax owner Test note from the fax automation. Synthetic text, no patient.
If you see this in your Pages, the setup works: resolve the page.
Ref FA-0123456789
TEST NOTE (from AI-Fax)
Test note from AI-Fax. Synthetic text, no patient.
If you see this in your Pages, the setup works: resolve the page.
Ref FA-0123456789
imaging an imaging or procedure report filed to the patient's chart, its words verified the care coordinator (else the fallback), the front desk, the doctor, for a major finding only the front desk An imaging report arrived by fax and is filed to the chart.
Test: US ABDOMEN COMPLETE.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Imaging Result.
Elation report: 70001.
Report in Elation: https://ehr.invalid/patient/5550001/
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…

FINDINGS:
The liver is normal in size and echotexture. No biliary dilatation.

IMPRESSION:
Normal study.

Sections copied verbatim from the faxed report (OCR text); page breaks are marked.
Ref FA-0123456789
IMAGING REPORT (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
Test: US ABDOMEN COMPLETE.

FINDINGS:
The liver is normal in size and echotexture. No biliary dilatation.

IMPRESSION:
Normal study.

OPEN CHART: https://ehr.invalid/patient/5550001/
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
imaging_reference the report filed, but its words could not be verified the care coordinator (else the fallback), the front desk, the doctor, for a major finding only the front desk, the fax owner An imaging report arrived by fax and is filed to the chart.
The report's words are not in this note: the findings were found but could not be matched word for word to the scan, so please read the PDF.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Imaging Result.
Elation report: 70001.
Report in Elation: https://ehr.invalid/patient/5550001/
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
IMAGING REPORT (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
This needs manual review.
OPEN CHART: https://ehr.invalid/patient/5550001/
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
report_failed an imaging report of a known patient that could not be filed (fax given up) the care coordinator (else the fallback), the front desk, the doctor, for a major finding only the fax owner An imaging report arrived by fax but could not be filed to the chart: the model did not answer. It is still in the Elation inbox.
The report's text is not in this note: read the fax.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Imaging Result.
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
What to do: file it by hand from the Elation inbox, then tell the care team.
Ref FA-0123456789
IMAGING REPORT (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
PLEASE FILE THIS REPORT. IT WAS NOT FILED by AI-Fax.
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
report_unmatched a report whose patient has no chart, or no Spruce contact — told at the fax desk the fax owner, the doctor, for a major finding only the fax owner An imaging report arrived by fax and is filed to the chart. No contact in Spruce has the patient's name and date of birth, so the care team was not told.
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Imaging Result.
Elation report: 70001.
Report in Elation: https://ehr.invalid/patient/5550001/
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
What to do: open the report in Elation and tell the care team.
Ref FA-0123456789
IMAGING REPORT (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
AI-Fax DEMOGRAPHIC INFORMATION MISMATCH - please go verify this fax manually in the patient's thread in spruce and elation chart.
OPEN CHART: https://ehr.invalid/patient/5550001/
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
report_details the untagged details after a report message (not planned under Dr Tro's style) nobody (read beside the report) nobody (read beside the report) Details of the report above:
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Imaging Result.
Elation report: 70001.
Report in Elation: https://ehr.invalid/patient/5550001/
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
REPORT DETAILS (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
Fax explorer: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
lab_filed a lab filed to the patient's own chart with nothing to check the front desk the front desk Lab results for this patient are filed in Elation.
Report in Elation: https://ehr.invalid/patient/5550001/
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
LAB RESULTS (from AI-Fax) is filed in Elation Chart
Fax received 11/04/2026 10:30 am, 3 pages.
OPEN CHART: https://ehr.invalid/patient/5550001/
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
lab_filed_check a lab filed with something to look at: results left out, a split in doubt, a part withheld… the front desk the front desk, the fax owner Lab results for this patient are filed in Elation.
Report in Elation: https://ehr.invalid/patient/5550001/
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
LAB RESULTS (from AI-Fax) is filed in Elation Chart
Fax received 11/04/2026 10:30 am, 3 pages.
Check Manually to ensure completeness
Fax explorer: https://fax.invalid/faxes/inbox-1001
OPEN CHART: https://ehr.invalid/patient/5550001/
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
lab_filed_unmatched a lab filed, the patient not in Spruce — cancelled today; told at the fax desk under Dr Tro's style the front desk the front desk, the fax owner Lab results for this patient are filed in Elation.
Report in Elation: https://ehr.invalid/patient/5550001/
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
LAB RESULTS (from AI-Fax) is filed in Elation Chart
Fax received 11/04/2026 10:30 am, 3 pages.
AI-Fax DEMOGRAPHIC INFORMATION MISMATCH - please go verify this fax manually in the patient's thread in spruce and elation chart.
Fax explorer: https://fax.invalid/faxes/inbox-1001
OPEN CHART: https://ehr.invalid/patient/5550001/
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
prior_auth a prior authorization of a known patient, left in the Elation inbox the front desk the front desk, the prior-authorization handler A prior authorization fax for this patient is in the Elation inbox. It is not filed: handle it from the inbox.
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
PRIOR AUTHORIZATION DENIAL from AI-Fax
Fax received 11/04/2026 10:30 am, 3 pages.
This remains in Fax Inbox please ensure its completed.
REVIEW DOCUMENT: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
prior_auth_unmatched a prior authorization whose patient matched no chart the front desk the front desk, the prior-authorization handler, the fax owner A prior authorization fax is in the Elation inbox. It is not filed: handle it from the inbox.
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
PRIOR AUTHORIZATION from AI-Fax without DEMOGRAPHIC MATCH - please evaluate and file
Fax received 11/04/2026 10:30 am, 3 pages.
This remains in Fax Inbox please ensure its completed.
REVIEW DOCUMENT: https://fax.invalid/faxes/inbox-1001
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789
incident a problem logged: reported by a person, a report deleted in Elation, a printout back in the inbox the operator the operator Problem log: the report the app filed is no longer in Elation (deleted, or re-filed by hand).
Fax received 11/04/2026 10:30 am, 3 pages.
Document type: Lab Result.
Elation report: 70001.
Report in Elation: https://ehr.invalid/patient/5550001/
Fax: https://fax.invalid/faxes/inbox-1001
Something wrong with this fax? https://fax.invalid/problem?job=inbox-1001&t=…
Incidents: https://fax.invalid/incidents
Ref FA-0123456789
PROBLEM LOG (from AI-Fax)
Fax received 11/04/2026 10:30 am, 3 pages.
What happened: the report the app filed is no longer in Elation (deleted, or re-filed by hand).
Fax explorer: https://fax.invalid/faxes/inbox-1001
Incidents: https://fax.invalid/incidents
REPORT ERROR: https://fax.invalid/problem?job=inbox-1001&t=…
Ref FA-0123456789

A procedure report's message is titled PROCEDURE REPORT (from AI-Fax) with the same lines as the imaging one. A part of a fax not filed while the rest filed is titled PART OF A FAX NOT FILED (from AI-Fax) (the table's sample is a whole fax). Not in the table: the front desk's patient message draft (imaging_draft) keeps its header and the model's words, under the title PATIENT MESSAGE DRAFT (from AI-Fax) with Dr Tro's style; it goes to the front desk when named, else the care coordinator, and carries no REPORT ERROR line (its words are for a patient). An imaging message prints RECOMMENDATIONS and ADDENDUM when the report prints them. Under Dr Tro's style the report details message (report_details) is not planned at all: the explorer has the details. A lab note whose patient is not in Spruce is cancelled today; under Dr Tro's style it goes to the fax desk with the mismatch line (the fax owner is the fallback for every row).

Who is paged — Dr Tro's rows

The Communication page's Who is paged table (Setup) has one row per situation and one tick per role. A role nobody fills is skipped; a row whose every role is unfilled pages the fax owner; an empty row pages nobody and the notice waits for a person. The doctor is paged for a major finding only, and only where ticked. Today's rows are the defaults and deploy unchanged; Dr Tro's rows are ticked by hand on deploy day:

Situation Dr Tro's roles
imaging the front desk
imaging_reference the front desk, the fax owner
report_failed the fax owner
report_unmatched the fax owner
report_details nobody (not planned under his style)
lab_filed the front desk
lab_filed_check the front desk, the fax owner
lab_filed_unmatched the front desk, the fax owner
prior_auth the front desk, the prior-authorization handler
prior_auth_unmatched the front desk, the prior-authorization handler, the fax owner
incident the operator
every other row unchanged: the fax owner and the people under Also tell

Under his rows the doctor is no longer paged for a major finding; the severity and its reasons are on the fax explorer's Decisions tab. The prior-authorization handler is named on the People tab (a person or a team) and is paged nowhere else.

Elation report titles

Report Today Dr Tro's
Lab Lab Results — 2026-01-06 (the latest collection date; the name after it on the triage chart) LAB RESULTS: 01/06/2026 (- <name> after it on the triage chart)
Imaging, procedure, a cardiac study US ABDOMEN COMPLETE — 2024-10-11 — Impression: … — Indication: … — Findings: … US ABDOMEN COMPLETE — 10/11/2024 — Impression: … (the impression alone)
Anything else Referral — Referral denied by Example Payer — 2026-10-24 Referral - 10/24/2026 - Referral denied by Example Payer
A part of a fax filed as two or more reports (Backup copy of a split fax on) as above as above, then - SPLIT RECORD; the copy is LARGE RECORD - 11/04/2026 - 8 pages ([UNMATCHED] first on the triage chart)

Every title keeps room for the suffix under Elation's 255 characters; the [UNMATCHED] mark stays first; a person's report-type override in the harness renames either style.

Elation chart notes

The lab note

Today (the simple style; the full style adds the mapper's reasons):

Fax classification: Lab Result.
Extracted patient: <name>.
Facility: LabCo.
Lab trending enabled — 1 result(s) mapped to Elation grids.
NEEDS COMMUNICATION: 1 of 3 lab result(s) (33%) were not filed to the grid — see "Not filed to grid" below.
NOTE: 1 test(s) ordered but not performed or not reported: HBsAg Confirmation (not performed).
NOTE: 1 result(s) left uncoded by the practice's choice (not filed): Omegacheck.
WARNING: 1 analyte(s) NOT filed to grid (abstain/unmapped/invalid).
Not filed to grid:
- Lead (Venous)=3 mcg/dL ref=0-3.5 (page 13, LEAD (VENOUS))
Something wrong with this report? <problem-form link>

Dr Tro's (the same fax):

Lab Result by AI-Fax
Patient Name: <name> - LabCo
Lab trending enabled — 1 result(s) mapped to Elation grids.
CONSIDER FOR MANUAL INPUT: 1 of 3 lab result(s) (33%) were not filed
FAILED AT LAB: 1 HBsAg Confirmation (not performed)
NOT TRENDED: 1 number(s) read on an imaging report are not trended
RESULTS NOT FILED: 1
- Lead (Venous)=3 mcg/dL ref=0-3.5 (page 13, LEAD (VENOUS))
ERROR REPORTING: <problem-form link>

A hold reads NEEDS TO BE FILED: 99 of 100 lab result(s) (99%) could not be filed; REVIEW AND FINAL MANUALLY. On the triage chart the third line is AI-Fax could not match this patient; on a chart the app made, AI-Fax created a new chart from this fax: verify the name and date of birth. The panels as printed and the results older than the trend window keep their lines. The practice's ignored names are no longer listed in the note (the explorer keeps them). The trending one-of (Lab trending enabled — …, File-only — …, Filed without trending by the practice's setting: …, Filed to the chart as <type> by the practice's setting …) is word for word as before: the app recognises its own printouts by those lines, and by the new first line.

The imaging note

Today:

Fax classification: Imaging Result.
Extracted patient: <name>.
Facility: Example Imaging.
File-only — no lab values trended for this document type.

INDICATION:
Cough for three weeks.

FINDINGS:
Lungs: No consolidation.
[continued on page 2]
Mediastinum: No lymphadenopathy.

IMPRESSION:
1. Stable.

Something wrong with this report? <problem-form link>

Dr Tro's:

Imaging Result by AI-Fax

INDICATION:
Cough for three weeks.

FINDINGS:
Lungs: No consolidation.
[continued on page 2]
Mediastinum: No lymphadenopathy.

IMPRESSION:
1. Stable.

PATIENT NAME: <name> - Example Imaging

NOTES: 1 number(s) on the report are not lab results, they are not trended: EF.

ERROR REPORTING: <problem-form link>

Not printed or not verified: … names the required parts (indication, findings, impression) a report did not print or the reader could not verify, in both styles. A procedure report opens Procedure Report by AI-Fax.

The hospital record's note

Unchanged in shape: the lab note above, in whichever style is on, then the record's parts in care order (ADMISSION, DIAGNOSES, PROCEDURES, DIAGNOSTIC IMPRESSIONS, DISCHARGE MEDICATIONS, FOLLOW-UP, PENDING, HOSPITAL COURSE), each capped.

Deploy day, in order

  1. The image (one image carries the long-fax fixes, the split rules, the explorer's Decisions tab, the templates).
  2. Communication page → People: name the prior-authorization handler; Setup → Who is paged: tick Dr Tro's rows above; Save. (The settings file moves to schema 8 by itself with today's rows.)
  3. Read this page with Dr Tro. Then Settings → Dr Tro's notes and messages On. Check the first imaging note in Spruce, the first LAB RESULTS: mm/dd/yyyy title and its note in Elation, and that a printout of such a note sent back through the inbox is still recognised as the app's own.
  4. Settings → Backup copy of a split fax On after one sandbox run of a two-report fax: the Misc copy LARGE RECORD on the chart, the parts - SPLIT RECORD.
  5. Rollback is the switches off and the rows back; the schema stays at 8 (its defaults are today's rows).