Sakigake Rita - AI-native EMR for psychiatry

The AI-native EMR
that transforms psychiatric care.

A chart you don't write, giving clinical practice back its time and profitability.

A one-of-a-kind EMR designed by a team that knows the realities of psychiatric care inside out.

/ 01Strong Points

The strengths of Sakigake Rita

A one-of-a-kind EMR designed by a team that knows the realities of psychiatric care inside out.

Developed by a psychiatrist

Designed by a practicing psychiatrist based on their own clinical experience. Features such as multi-chart entry, reverse-engineered from the daily work of psychiatric wards, thoroughly improve the efficiency of physicians and allied health staff.

Designed by a hospital administrator

A hospital director participated in the design from a management perspective. Built-in mechanisms prevent revenue leakage, such as preventing missed insurance billing and making revenue visible. Management-indicator reports and dashboards support the sustainability of hospital operations.

The perspective of the psychiatric review board

Built on compliance with the Mental Health and Welfare Act, the system embeds the know-how to prepare statutory documents completely and without delay, including notification documents and ledger entries for behavioral restrictions and involuntary admission notifications.

/ 02Design Philosophy

Design Philosophy

Problems with today's EMRs

Bloat and high costs driven by on-premise assumptions and per-site customization.
Hollowed-out requirements definition due to a lack of standard specifications, and rising modification and update costs.
Missed opportunities to leverage advanced technologies such as AI due to delays in data standardization and cloud adoption.
Designs that remain mere extensions of accounting management, contributing little to productivity or profitability.

Sakigake Link's design philosophy

Higher productivity through standard data formats and AI assistance integrated into both frontline operations and data analysis.
Field-driven design by a multidisciplinary team of healthcare professionals, delivered as an easy-to-use standard package.
Strong data security on a cloud-based foundation, with continuous system evolution.
Contributing to higher profitability through management-support features and clinical-trial support / medical-data utilization functions.
/ 03Work Style Reform

Work-style reform: the "no-writing" experience

Leave the documentation to AI, and give clinicians' time back to patient care.

Challenge
Documentation burden and being tied to a PC bottleneck care, handovers, and rounds.
Approach
Auto-generating charts from conversation makes the very concept of "data entry" a thing of the past. Reference, enter, and approve entirely on a smartphone for frontline mobility.
Impact
Less time spent on documentation, more time for patients, and better handover quality.
Automated document creation
Inpatient care plan: auto-drafted
Nursing care plan: auto-generated
Conference materials: auto-generated
Committee and management materials: auto-generated
Academic conference materials: draft generation
Psychiatry-related documents (medical certificates, involuntary admission notifications, etc.)
mECT support
/ 04Psychiatry-Specific

Psychiatry-specific features

A suite of purpose-built features that meet the real needs of psychiatric care.

Patient deposit management

Accurately records and manages deposits held for inpatients, centralizing transaction history and balances.

Multi-chart entry

For physicians and occupational therapists. Efficiently enter and manage multiple patients' charts on a single screen, processing up to 48 patients at once.

GAF rating sheet for the severe-case add-on

Includes built-in form generation, such as the GAF rating sheet, supporting the severe-case add-on for psychiatric long-term care ward admission fees (A312).

Psychiatric pharmacotherapy support

Automatic chlorpromazine- and diazepam-equivalent calculations with polypharmacy alerts. TDM support for lithium and other mood stabilizers. Data management support for clozapine induction and maintenance.

Workflows compliant with the Mental Health and Welfare Act

Guides the legal procedures for each admission type, including involuntary admission, voluntary admission, and emergency admission. Consenting-party verification, submission-deadline management, and admission-period renewal reminders.

Behavioral restriction management and recording support

Built-in mechanisms to reliably meet legal requirements for behavioral restrictions, including records of the start and end of seclusion and physical restraint and management of examination records by designated physicians.

/ 05Multi-Chart Input

Multi-chart entry (less charting effort)

The era of opening 48 patients' charts one by one is over.

Challenge
In long-term care wards and similar settings, a single physician may be responsible for more than 48 patients. With conventional charts, you must repeat open one chart, write, close, open the next 48 times, consuming enormous time on documentation.
Approach
Open multiple patients' charts simultaneously on a single screen and enter and confirm them all at once. Psychotherapy billing flags are handled simultaneously. The same mechanism is also applied to psychiatric occupational therapy (OT).
Impact
Dramatically less charting time, more time for care and patients, and prevention of missed billing.
/ 06 — Research & Education

Research / clinical trials & education (turning data into an asset)

Transforming clinical data from "stored" to "usable."

Challenge
Data is scattered and hard to leverage for research, education, and clinical trials.
Approach
Designed around standard data plus AI assistance for structuring, search, and secondary use, with external data integration and predictive analytics in view.
Impact
Faster launch of research and clinical trials, conversion into educational content, and reuse of cases.
/ 07 — Cost Optimization

Better management (AI-driven development x cost optimization)

From "high costs on the vendor's terms" to "return on the hospital's investment."

Challenge
Modification and maintenance costs balloon, and responses to regulatory revisions are slow.
Approach
Compress development and operating costs with AI development and return the savings to the front line. Respond quickly to policy changes and fee-schedule revisions.
Impact
Lower costs and reduced labor and outsourcing expenses for handling revisions.
/ 08Feature Matrix

Compared with legacy EMRs

We compare the features of our AI-native EMR against legacy and general-purpose cloud systems.

FeatureSakigake RitaLegacy EMRGeneral-purpose cloud EMR
Data entry
Structured voice charting
OCR / external API integration
Automated documents (discharge / referral / certificate)
Clinical decision support (CDSS)
Analysis & research
Lab & vital standardization
Disease-specific standardized data
Unstructured-text element extraction
Registry / trial auto-submission
Management & operations
DPC & medical-fee coding support
Management-indicator dashboard
Platform
Cloud-native
Multi-device (PC / tablet / smartphone)
Compliant with the 3-Ministry / 2-Guideline standards
Continuous updates (monthly)
StandardOptionalPartialNot supported
/ 09Support & Security

Support & Security

A structure that lets you operate with peace of mind, even on a cloud-first foundation, comes as standard.

Support structure

Available weekdays 09:00-17:00. Primarily remote training support before and after go-live.

Closed network environment

Securely connects the in-hospital environment and the cloud environment via VPN.

Remote maintenance via the cloud (AWS)

Rapid response to issues and inquiries, with server monitoring and regular system-log checks.

Reliable and secure monitoring

24/7/365 monitoring with Amazon CloudWatch. Firewalls block unauthorized access.

Data backups

A redundant configuration enables automatic failover. Backups three times a day, with rollback available in emergencies.

Compliant with the 3-Ministry/2-Guideline standards

Compliant with the guidelines on the safe management of medical information set by the Ministry of Health, Labour and Welfare, the Ministry of Internal Affairs and Communications, and the Ministry of Economy, Trade and Industry. Implements safety management measures for data storage, communication, access control, backups, and more.

/ 10Pricing

Pricing plans

We propose the optimal plan based on your deployment scale and requirements.

INITIAL COST

Initial implementation cost

¥1,0000,000 and up

* Varies depending on departmental system integration and various initial setup requirements.

MONTHLY FEE

Monthly maintenance fee

¥300,000 and up / month

* Varies depending on the support arrangement. We will prepare a quote for you.

Sakigake Rita - AI-native EMR for psychiatry

Why not experience an
AI-native EMR built for psychiatry.

Feel free to contact us to request a demo or to discuss implementation.

01

Covered operations & departments

Psychiatric care

Psychiatrist charting, multi-patient input, and batch documentation

Psychiatric ward nursing

Observation records and examination alerts during behavioral restriction (seclusion / restraint)

Occupational Therapy department (OT)

OT prescriptions, records, care plans, approvals, weekly scheduling, and aggregation

Clinical Psychology department

Ordering, administering, documenting findings, and billing for psychological tests

Psychiatric day care

Care program ordering, planning, and batch attendance input

Admission management

Admission types, periods, renewal notifications, and consenter management under the Mental Health and Welfare Act

Medical affairs and billing

Billing checks, seclusion room management add-on and severe case add-on, and ORCA integration

02

Feature catalog

Care and Charting

Psychiatrist

  • Psychiatric patient chartPatient detail view with vital sign chart, voice input, and behavioral restriction events
  • Physician multi-patient inputBatch entry of clinical records across ward and patient lists
  • Record list (batch documentation)Enter records for multiple patients at once, organized by date and ward
  • Examination alerts for behaviorally restricted patientsExamination count tracking, 12-hour deadline alerts, and audit view
  • Patient calendar and test listList of schedules, history of performed items, and test order results

Orders

Psychiatrist

  • Prescription order (standard UI)Safety checks, repeat (DO) prescriptions, and dosage master integration
  • Regular prescription (Rx 3-pane UI)Psychiatrist-focused UI with prescription history, four-slot input (morning / noon / evening / bedtime), and fair-copy finalization
  • Psychological test orderPhysician order entry for psychological tests
  • OT prescription orderIssuing prescriptions for psychiatric occupational therapy
  • Care program orderIssuing orders for psychiatric day care and similar programs
  • Various test ordersRehabilitation, microbiology, and endoscopy examinations

Occupational Therapy (OT)

Occupational therapist

  • OT records (multi-patient input)Batch entry of inpatient and outpatient session records for multiple patients
  • OT prescription list and care plansCreation of prescriptions and care plans with deadline management
  • Attending physician approval workflowBatch approval of prescriptions and care plans
  • Weekly scheduleWeekly staffing and schedule management for OT
  • OT aggregationDaily and monthly aggregation of session counts (annual totals and AI target values are under development)

Psychological Testing and Care Programs

Clinical Psychology / Day care

  • Psychological test administration and billingPsychologists record the administration date, document findings, and finalize (billing)
  • Batch attendance input for care programsSelect multiple outpatients to record attendance and participation in a batch
  • Care program planning and listPlan creation and order list management

Admission and Ward Management

Ward / Mental Health and Welfare Act

  • Ward management dashboardIntegrated overview of the ward map, admission reservations, and scheduled discharges
  • Ward and bed transfersMoving an admission episode between wards and beds
  • Admission registration (admission type management)Admission types such as involuntary hospitalization by order, involuntary admission for medical care, and voluntary admission, with periods and expiration dates
  • Renewal notification task managementProgress dashboard for renewal notifications of involuntary admission for medical care
  • Family consent and municipal mayor consentRegistration and management of consenters for involuntary admission for medical care

Billing and ORCA Integration

Medical affairs

  • Billing checkChecking for missed charges and requirements by specified ward and period
  • ORCA integration and diagnosis linkageSynchronization of medical procedures and diagnoses with ORCA
  • Seclusion room management add-on (A229)Add-on billing based on seclusion implementation (extensions under development)
  • GAF recording and severe case add-on (A312)Daily GAF entry, physician approval, and automatic determination of the add-on category

Documents and Forms

Clinical / Administration

  • PDF form templatesManagement of standard form (PDF form) templates
  • pdfme templatesCreating and editing document templates via drag-and-drop
  • Patient document generationGenerating and outputting per-patient documents from templates

Additional features

  • Annual aggregation and AI target value setting for OT totals
  • Extended billing logic for the seclusion room management add-onPhase 2
  • GAF aggregation forms and ORCA transmissionPhase 2/3
FAQ

Frequently asked questions

Does it have psychiatry-specific features?

Yes — it is designed with psychiatry-specific features such as patient-deposit management, multi-chart entry, form generation including the GAF rating sheet, and guidance for procedures under the Mental Health and Welfare Act.

Does it support admission procedures under the Mental Health Act?

It supports procedures by admission type — involuntary, voluntary, emergency — along with consenting-party verification, deadline management, and renewal reminders.

Does it handle behavioral-restriction records?

It supports records that meet legal requirements for behavioral restrictions, including the start/end of seclusion and physical restraint and management of designated-physician examination records.

Can a psychiatric hospital use it in the cloud?

Provided security and availability requirements are met, cloud operation with lower upgrade burden is possible, designed toward 3-Ministry/2-Guideline compliance.

What about cost and the adoption process?

Cost varies by scale and configuration, so we estimate individually. We start from understanding your challenges and requirements, then adopt in stages — please contact us.