Capture once. The same information should never have to be entered twice by two different people.

The timeline is the product. Every document — note, order, report, discharge summary — is just a different view of the same underlying record. If I ever catch myself designing a form instead of extending the timeline, that’s a sign I’ve lost the thread.

Fit existing behaviour before you try to change it. Doctors already speak. Nurses already write. Changing behaviour is much harder, and much slower, than changing software.

AI is an implementation detail. Hospitals don’t buy software because it uses AI. They buy software because it removes work. The moment I start describing a feature by the model behind it instead of the minute it saves someone, I’m building for the wrong audience.

Human review is not a step I’m trying to remove. In clinical software, the system assists documentation. It never replaces judgement. That line doesn’t move, no matter how good the model gets.