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For clinicians

The interval history, structured and traceable.

Sennit helps patients and their caregivers record what happens between appointments, then prepare a brief for the consultation. Every statement in the brief links to the dated entries behind it.

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sennit Visit briefFor demonstration purposes

Michel BernardBorn 14 May 1959 · EX-MB-01

For Dr Claire MartinNeurology · Wed 7 Oct 2026, 10:30

Michel’s health since the last visit

4–30 Sep 2026 · since the visit on 3 Sep

Drafted with Sen · reviewed and approved by Michel, 1 Oct 2026 · Sophie’s entries shared with her agreement

In brief

Michel’s main concern is stiffness in his left hand in the late morning.

Stiffness was noted on 7 days since the last visit (6 by Michel, 1 by Sophie), each time between 10:05 and 10:40. Levodopa went from 3 to 4 doses a day on 3 Sep; since then 108 of 108 levodopa doses are marked, 2 of them late.

Show the 9 entries
  1. 6 Sep · 10:20 · Stiffness, left handA bit stiff before the 11 o’clock tablet.Entered by Michel in Sennit
  2. 12 Sep · 10:25 · Stiffness, left handStiff hand, hard to write a cheque.Entered by Michel in Sennit
  3. 18 Sep · 10:15 · Stiffness, left handSlow fingers before the next dose.Entered by Michel in Sennit
  4. 23 Sep · 10:30 · Stiffness, left handStiff left hand while dressing.Entered by Michel in Sennit
  5. 26 Sep · 10:05 · Stiffness, left handStiff again, an hour before the next dose.Entered by Michel in Sennit
  6. 28 Sep · 10:40 · Stiffness, left handStiff again before the 11:00 tablet. He waited it out.Shared by Sophie in Sennit; attributed to her
  7. 29 Sep · 10:15 · Stiffness, left handHand stiff before the late-morning tablet.Entered by Michel in Sennit
  8. 3 Sep · 10:40 · Levodopa change at the neurology visitDr Martin changed my levodopa from three doses a day (08:00, 13:00, 18:00) to four (07:30, 11:00, 14:30, 18:00).Entered by Michel in Sennit
  9. 4–30 Sep · Doses marked, 4–30 SepLevodopa/carbidopa: 108 of 108 planned doses marked. Two were marked late: 22 Sep, the 11:00 dose was taken at 11:48; 28 Sep, the 14:30 dose was taken at 15:20. Rasagiline: 27 of 27. Amlodipine: 27 of 27. Metformin: 53 of 54; the 19 Sep evening dose was not marked.Counted from dose marks. A dose that was not marked is not counted as missed

What Michel wants to discuss

“I want my hands to work in the late morning, so I can get dressed and cook without waiting.”

Michel, in his words

  1. My hand is stiff before the 11:00 tablet. Should we look at the timing?
  2. My voice gets quieter in the evenings. Is that worth looking at?
  3. Can you see my blood-pressure and diabetes medicines alongside these?

Sophie, his wife, asksCan we ask whether the late-morning stiffness fits the new timing?

Show the 2 entries
  1. 1 Oct · What Michel wants from this visitI want my hands to work in the late morning, so I can get dressed and cook without waiting. My hand is stiff before the 11:00 tablet: should we look at the timing? My voice gets quieter in the evenings: is that worth looking at? Can you see my blood-pressure and diabetes medicines alongside these?Chosen and confirmed by Michel when preparing this brief
  2. 30 Sep · 20:10 · Sophie’s questionCan we ask whether the late-morning stiffness fits the new timing?Shared by Sophie in Sennit; attributed to her

Since the last visit

Movement

Stiffness in the left hand on 7 days, noted between 10:05 and 10:40, before the 11:00 dose. In the 30 days before the change: also 7 entries, noted between 11:45 and 12:10, before the 13:00 dose. Tremor on 3 days.

Show the 17 entries
  1. 10 Aug · 11:50 · Stiffness, left handLeft hand stiff before lunch.Entered by Michel in Sennit
  2. 17 Aug · 12:00 · Stiffness, left handStiff fingers peeling vegetables, before lunch.Entered by Michel in Sennit
  3. 22 Aug · 11:55 · Stiffness, left handStiff in my left hand before lunch, about an hour before the next tablet.Entered by Michel in Sennit
  4. 25 Aug · 12:05 · Stiffness, left handLeft hand slow again before lunch.Entered by Michel in Sennit
  5. 28 Aug · 11:50 · Stiffness, left handHard to do up my buttons before lunch.Entered by Michel in Sennit
  6. 30 Aug · 12:10 · Stiffness, left handStiff hand while cooking.Entered by Michel in Sennit
  7. 1 Sep · 11:45 · Stiffness, left handStiff before lunch again. Waited for the tablet.Entered by Michel in Sennit
  8. 6 Sep · 10:20 · Stiffness, left handA bit stiff before the 11 o’clock tablet.Entered by Michel in Sennit
  9. 12 Sep · 10:25 · Stiffness, left handStiff hand, hard to write a cheque.Entered by Michel in Sennit
  10. 18 Sep · 10:15 · Stiffness, left handSlow fingers before the next dose.Entered by Michel in Sennit
  11. 23 Sep · 10:30 · Stiffness, left handStiff left hand while dressing.Entered by Michel in Sennit
  12. 26 Sep · 10:05 · Stiffness, left handStiff again, an hour before the next dose.Entered by Michel in Sennit
  13. 28 Sep · 10:40 · Stiffness, left handStiff again before the 11:00 tablet. He waited it out.Shared by Sophie in Sennit; attributed to her
  14. 29 Sep · 10:15 · Stiffness, left handHand stiff before the late-morning tablet.Entered by Michel in Sennit
  15. 9 Sep · 09:15 · Tremor, left handTremor while reading the paper.Entered by Michel in Sennit
  16. 16 Sep · 09:40 · Tremor, left handA little shaky at breakfast.Entered by Michel in Sennit
  17. 27 Sep · 09:20 · Tremor, left handShaky hand pouring water.Entered by Michel in Sennit

Medicines and doses

Levodopa/carbidopa went from 3 to 4 doses a day on 3 Sep (Dr Martin). Since then every levodopa dose is marked, 2 of them late. One evening metformin dose was not marked.

Show the 3 entries
  1. 3 Sep · 10:40 · Levodopa change at the neurology visitDr Martin changed my levodopa from three doses a day (08:00, 13:00, 18:00) to four (07:30, 11:00, 14:30, 18:00).Entered by Michel in Sennit
  2. 3 Sep · Letter from Dr Claire MartinClinic letter from the neurology visit, kept in Michel’s record. Sennit has not read its contents.Document; contents not read by Sennit
  3. 4–30 Sep · Doses marked, 4–30 SepLevodopa/carbidopa: 108 of 108 planned doses marked. Two were marked late: 22 Sep, the 11:00 dose was taken at 11:48; 28 Sep, the 14:30 dose was taken at 15:20. Rasagiline: 27 of 27. Amlodipine: 27 of 27. Metformin: 53 of 54; the 19 Sep evening dose was not marked.Counted from dose marks. A dose that was not marked is not counted as missed

Voice, sleep and energy

Sophie noticed a softer voice on 2 evenings. Restless sleep on 2 nights; tiredness after activity on 2 days.

Show the 6 entries
  1. 20 Sep · 18:40 · Softer voiceHis voice was quieter at dinner with friends.Shared by Sophie in Sennit; attributed to her
  2. 27 Sep · 19:00 · Softer voiceHis voice was softer on the phone with his sister.Shared by Sophie in Sennit; attributed to her
  3. 14 Sep · 07:35 · SleepWoke at four and could not get back to sleep.Entered by Michel in Sennit
  4. 22 Sep · 07:35 · SleepRestless night, legs would not settle.Entered by Michel in Sennit
  5. 17 Sep · 15:10 · TirednessNeeded a rest after the market.Entered by Michel in Sennit
  6. 25 Sep · 15:10 · TirednessLow energy after lunch.Entered by Michel in Sennit

Other conditions

Blood pressure 127–133 / 78–82 mmHg over 11 home readings. Glucose 113–134 mg/dL before breakfast over 8 readings. HbA1c 6.9% on 11 Sep.

Show the 3 entries
  1. 4–30 Sep · Blood pressure, homeSeated, before breakfast, home cuff. 5 Sep 130/80, 8 Sep 127/78, 10 Sep 133/82, 12 Sep 129/79, 15 Sep 131/81, 17 Sep 128/79, 19 Sep 130/80, 22 Sep 132/81, 24 Sep 127/78, 26 Sep 129/80, 29 Sep 128/79 mmHg.Entered by Michel in Sennit
  2. 4–30 Sep · Blood glucose, homeBefore breakfast. 6 Sep 116, 9 Sep 127, 13 Sep 120, 16 Sep 134, 20 Sep 119, 23 Sep 125, 27 Sep 113, 30 Sep 121 mg/dL.Entered by Michel in Sennit
  3. 11 Sep · HbA1cHbA1c 6.9% on the blood test from Dr Leroy’s laboratory. The report is kept as a document.Value entered by Michel from a kept report
The top of an example brief, as Sennit prepares it. Fictional household. Every statement opens the dated entries behind it; the full brief continues with the stiffness chart, medicines, readings and its stated limits.

What it gives the consultation

The patient’s priority first

Their functional goal and their questions open the brief.

Accounts kept separate

Each entry shows whether it was observed or reported, and by whom: the patient or a caregiver.

Timing you can use

When a symptom was noted, against the dose schedule, before and after a medicine change.

The whole medication picture

Every medicine, every prescriber and coexisting conditions, on one record.

Before and after a change

Levodopa went from three to four doses a day on 3 September. The brief places the noted stiffness times on either side of that change: 11:45 to 12:10 before it, 10:05 to 10:40 after. It shows the pattern without interpreting it. Interpretation stays with the clinician.

09:0010:0011:0012:0013:0030 days before13:00 dose10 Aug, 11:50, noted by Michel17 Aug, 12:00, noted by Michel22 Aug, 11:55, noted by Michel25 Aug, 12:05, noted by Michel28 Aug, 11:50, noted by Michel30 Aug, 12:10, noted by Michel1 Sep, 11:45, noted by MichelSince 3 Sep11:00 dose6 Sep, 10:20, noted by Michel12 Sep, 10:25, noted by Michel18 Sep, 10:15, noted by Michel23 Sep, 10:30, noted by Michel26 Sep, 10:05, noted by Michel28 Sep, 10:40, noted by Sophie29 Sep, 10:15, noted by Michel
Noted by Michel Noted by Sophie Planned levodopa doseEach mark is one entry at the time it was noted. Example data from a demonstration household.

How to read the brief

Provenance

Each entry records its source (patient, caregiver, device or clinic) and whether it was observed or reported.

Timing

Event time and recording time are stored separately. Approximate times are labelled as approximate.

Adherence

Doses show as marked or unmarked against the plan. An unmarked dose is unconfirmed, not missed. Counts show what was recorded, not everything that happened.

Medicines

As the patient entered them, with prescribers. No clinician has reconciled the list.

Coding

Observations can map to SNOMED CT, with a record of how each mapping was made. A code doesn’t turn a patient’s report into a clinical finding.

Limits

Every brief states what the record cannot show. Sennit assigns no cause to any entry and makes no diagnosis or treatment suggestion.

Partner with us

Shape the brief

Review the format with us before it is settled. Tell us what you need at consultation speed and what to leave out.

Review the brief

Review patient guidance

Families will read practical guides in Sennit. Clinical review comes before anything is released.

Offer to review

Advise on the next condition

Alzheimer’s and other dementias come next. Sennit adds a condition only after reviewing it with clinicians and families who know it well.

Talk with us

Over months and years, the record becomes a longitudinal history of care at home. We welcome research questions that could be studied with it, with consent.

Nothing new to manage: no clinician login, no dashboard and no alerts. The patient brings the brief, and nothing is sent to the clinic.

Start with a walkthrough of an example brief.

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