
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.
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.
Design Philosophy
Problems with today's EMRs
Sakigake Link's design philosophy
Work-style reform: the "no-writing" experience
Leave the documentation to AI, and give clinicians' time back to patient care.
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.
Multi-chart entry (less charting effort)
The era of opening 48 patients' charts one by one is over.
Research / clinical trials & education (turning data into an asset)
Transforming clinical data from "stored" to "usable."
Better management (AI-driven development x cost optimization)
From "high costs on the vendor's terms" to "return on the hospital's investment."
Compared with legacy EMRs
We compare the features of our AI-native EMR against legacy and general-purpose cloud systems.
| Feature | Sakigake Rita | Legacy EMR | General-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) | |||
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.
Pricing plans
We propose the optimal plan based on your deployment scale and requirements.
Initial implementation cost
* Varies depending on departmental system integration and various initial setup requirements.
Monthly maintenance fee
* Varies depending on the support arrangement. We will prepare a quote for you.

Why not experience an
AI-native EMR built for psychiatry.
Feel free to contact us to request a demo or to discuss implementation.
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
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
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.