Before
Diagnosis: Metachronous liver metastases (initial diagnosis 08/2026) of a rectal carcinoma (initial diagnosis 01/2026). Tumour stage after resection: ypT2, ypN0 (0/14), L0, V0, Pn0, R0.
Product
Patients understand their discharge letter.
The discharge letter is written by clinicians for clinicians. The person who dictates it understands it. The person who takes it home often does not, even though the letter is about them.
The problem
The letter goes to the next clinician. Patients can rarely use it.
Discharge letters are written for colleagues: diagnoses, findings, abbreviations. That works for the record. It is often not enough for the person they describe.
Clinical language
The letter does its job for the care team. It was not written as a text for patients.
Understanding depends on who is there
If nobody asks or has time, the content does not get through. The letter does not explain itself.
The product
Discharge letter, simply explained
A kiosk for the ward corridor. Patients insert their discharge letter and receive an explanation in plain language, printed to take away. No cloud.
1
Insert the letter
The letter goes into the document feeder without paper clips. The language can be chosen first.
2
Receive the explanation
The device reads the letter and puts it into plain language.
3
Take the printout
The explanation comes out of the printer; the original letter stays with the patient.
Example
Before and after
The device reads the letter and puts it into plain language.
After
You have liver metastases (= secondary tumours in the liver). They were first diagnosed in August 2026. They come from a rectal carcinoma (= a malignant tumour of the rectum), first found in January 2026.
This was the stage after the tumour was removed:
- ypT2 = after the pretreatment, the tumour reached the muscle layer of the bowel wall
- ypN0 (0/14) = none of the 14 lymph nodes examined contained cancer
- L0 = no lymph vessels involved
- V0 = no blood vessels involved
- Pn0 = no nerves involved
- R0 = the tumour was completely removed with a margin of healthy tissue
Technology
- Offline local model optimization
- Synthetic training data generation
- Custom LLM training
How it runs
The device stays in the clinic
Works offline
The device does not need an internet connection while in use.
No telemetry
No usage data is sent off-site; logs hold statistics only, not letter contents.
Self-service
Patients operate the device themselves; staff have a separate service panel.
Data protection
- It runs fully offline on a computer in the clinic.
- Letter contents do not leave the device.
- No telemetry, no automatic updates.
The explanation does not replace a conversation with a doctor.