MosaicUse casesQuestionnaires

Your own Anamnesebogen, with the questions the chart already answers left out

The practice keeps its forms. Mosaic compares the template with the patient's chart, drops what the record already answers, adds what the record raises, and sends one link. The answers come back into the chart, dated and marked as the patient's.

Step 1
AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl
Which questions in our Anamnesebogen does her chart already answer?
Finished thinking

Fifteen of twenty-three fall away, eight questions go out

Intake summary

Anamnesebogen Vorsorge, für Anna Keller

Anna Keller, 47 · 14 September 2026 · Shared with the patient, 12 September 2026, opened

Dropped, because the chart answers them

  • Eleven answered and unchanged: current medication, allergies, previous operations, smoking status, family historyAll documented since the last visit. Shown to her as a list to confirm, not as questions to answer.
  • Four answered but out of date: weight, blood pressure, alcohol, occupationKept as a confirmation with the value from the chart beside it, so a correction takes one tap.

Added, because the chart raises them

  • The home blood pressure readings of the past weekHer plan asked for them; the chart has none yet.
  • The muscle aches on simvastatin in 2024A statin is being considered again, so the detail matters.
  • Anything new since the last visitOpen question, for what no template can anticipate.

How it reaches her

  • One link by e-mail or SMS, no account, no app storeIt opens in her browser and takes about four minutes.
  • The answers land in the chart, dated, marked as answered by the patientNothing is written into the practice software without your signature.

Built from the practice's own check-up template and her chart. The template stays yours; Mosaic only decides which of its questions are still worth asking.

Open the intake summarySee the full response

Step 2
AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl
Show me the sheet as she gets it.
Finished thinking

What stands on her phone, question by question

Questionnaire

Before your check-up

Shared by Dr. med. Sarah Weber, 12 September 2026

As it reached her phone

What would you like to talk about?
Routine checkA new problemSomething from the last visitMedication
Your home blood pressure last week

Mean 136/86, highest 148/92, mornings and evenings

The mean of the week, and the highest single reading. Both are in your plan of 16 March.

Weight84 kg
WaistOptional94 cm

Measured at the navel, standing, after breathing out. Together with the weight this is what the risk calculation uses.

Has anything about your medication changed since May?
Nothing has changedA dose changedSomething was stoppedSomething new was added
You stopped a cholesterol tablet in 2024. What happened then?

Muscle aches in both thighs after six weeks. Gone two weeks after stopping.

Asked because the chart records simvastatin stopped in March 2024 without a reason.

How many days a week do you move for at least twenty minutes?
012345678910
Anything new since the last visit?Optional

Headaches in the afternoon, two or three times a week

Answers are stored in the chart under your name and marked as entered by the patient. Nothing is shared with anyone else.

Sources

Practice template, 23 questionsChart of Anna Keller, 14 documentsPlan 16.03.2026

Written from the practice's own check-up template and the chart: questions the record already answers were dropped, questions the record raises were added. Sent as one link, no app to install, answers back in the chart.

Open the questionnaireSee the full response

Step 3
AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl
What did she answer?
Finished thinking

Back two days before the visit

Intake summary

Check-up, 16 September 2026

Anna Keller, 47 · 14 September 2026 · Signed, in the chart

What she answered

Home blood pressure, last week
Mean 136/86 mmHg, highest 148/92, measured mornings and evenings — new
Weight and waist
84 kg, waist 94 cm; 3 kg more than in May
Medication changes since May
None. Ramipril 5 mg every morning, no missed days
The statin you stopped in 2024
Muscle aches in both thighs after six weeks on simvastatin; gone two weeks after stopping — new
Family history
Father: heart attack at 58. Mother: type 2 diabetes at 61
Movement
Walks 20 minutes on 2 to 3 days; no other exercise
Anything since the last visit
Headaches in the afternoon, two or three times a week — new
What you want to talk about
Whether I need the cholesterol tablet again

The sheet as she filled it in

What would you like to talk about?
Routine checkA new problemSomething from the last visitMedication
Your home blood pressure last weekNew

Mean 136/86, highest 148/92, mornings and evenings

The mean of the week, and the highest single reading. Both are in your plan of 16 March.

Weight84 kg
WaistOptional94 cm

Measured at the navel, standing, after breathing out. Together with the weight this is what the risk calculation uses.

Has anything about your medication changed since May?
Nothing has changedA dose changedSomething was stoppedSomething new was added
You stopped a cholesterol tablet in 2024. What happened then?New

Muscle aches in both thighs after six weeks. Gone two weeks after stopping.

Asked because the chart records simvastatin stopped in March 2024 without a reason.

How many days a week do you move for at least twenty minutes?
012345678910
Anything new since the last visit?OptionalNew

Headaches in the afternoon, two or three times a week

Answered by the patient on her phone, 14 September 2026. Stored in the chart, dated, marked as answered by the patient.

Open the intake summarySee the full response