Neurology clinic software with a self-built headache & seizure diary

In the block-builder you assemble a diary table where each visit row carries a number_array cell of that period's daily pain scores (0-10). A formula column running range(prop("Pain scores")) returns the swing between the worst and best logged day — a single fluctuation number no free-text box can give you. range() computes max minus min over the list, so a steady patient reads low and a volatile one reads high at a glance. This is a derived value the rest of the platform does not compute anywhere else.

Add a date column for the last seizure and one for today's visit, then a formula column dateBetween(prop("Last seizure"), today(), "days") prints the seizure-free interval automatically, with no counting on a wall calendar. The engine backs it with differenceInDays, and the same function supports weeks, months, or years if you prefer a coarser gap. Pair it with conditional formatting so a short interval flags. This event-interval derivation is distinct from any subtraction or score on other Avinya Plus pages.

You can absolutely build an MRC power table (0-5 per muscle group), a reflexes row, and a cranial-nerve checklist as builder columns using number, select, and multi_select fields. But be clear: these are columns you lay out yourself, not a validated, auto-totalled neurological exam module. Avinya Plus ships no MRC sum, no NIHSS calculation, and no spasticity scale; it stores and prints exactly what you type. Treat it as a structured, reusable sheet, not a clinical scoring engine.

The same diary renders to a real PDF for the patient to take home and keep filling between visits. Choose A4, A5, letter, or 58mm/80mm thermal, and merge tokens auto-fill the patient's name, age, and identity code plus today's date into the header so every printed sheet is identifiable. The PDF is the accessible record. There is no patient app or portal; this is a printable worksheet, not a sync-back mobile diary.

Neurology is mostly review visits, so the appointment lifecycle is built for flow: scheduled → in_consultation ("In visit") → completed, with cancelled and no-show as terminal states, enforced in the API. The today's-schedule dashboard shows exactly five cards: Total, Arrived, Waiting, In Consultation, and Completed. Honest limits: there is no recurring or series scheduler for fixed monthly follow-ups, and no automated SMS, email, or WhatsApp reminders, so you book each review yourself.

Prescribing uses a type-ahead medicine search ranked per clinic by your own 90-day prescribing history, you can add custom medicines inline, and an allergy cross-check raises a non-blocking, actionable warning at prescribing time. What it is NOT: there is no anti-epileptic-drug level tracker, no carbamazepine-phenytoin interaction matrix, and the allergy warning is an acknowledgement, not a persisted typed override-audit log. It is the same general prescribing flow every Avinya Plus clinic gets.