The Problem Workflow Library Clinby Platform Community Enterprise Request Access Open Platform
Scalable Workflow Operating System for Clinical Pharmacy

Clinical Workflow Platform
for Pharmacists.

Structured assessments, explainable recommendations and documentation-ready outputs across a growing library of pharmacist-led clinical workflows. New workflows can be added without changing the underlying case infrastructure.

For demonstration and educational purposes only. Not intended to replace professional clinical judgment or for direct patient care decisions.
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Clinstrux is currently in development — a beta version is coming soon. Explore what's planned on this page and share your feedback via Request Access or email us at clinstrux@clinstrux.com.

ABX Workflow — Decision Output Open platform →
Community-acquired pneumonia Low severity PCN allergy
Recommended agent
Doxycycline
Guideline-aligned first-line agent for low-severity CAP with penicillin allergy.
Efficacy
Strong
Safety profile
Favourable
Resistance risk
Low–Mod
Fluoroquinolones — Avoid first-line
Mobile-optimised platform
Works on any device
No app download required

Clinical pharmacy services need scalable infrastructure

Pharmacists conduct complex clinical reviews every day — but without a shared workflow platform, services are inconsistent, reasoning is undocumented, and expanding to new clinical domains means rebuilding from scratch.

01

Workflow logic is locked to individual domains

Each clinical service — stewardship, medicines optimisation, chronic disease management — is built separately. There is no shared infrastructure to connect them, no common case record, and no consistent documentation layer across workflows.

02

Recommendations lack traceable rationale

When a pharmacist recommends a treatment change, de-escalation, or monitoring plan, the clinical reasoning behind that decision is rarely captured. What gets documented is the outcome — not the assessment pathway that led there.

03

Scaling services means rebuilding every time

Expanding clinical pharmacy services to new disease areas or new sites requires rebuilding patient records, documentation systems, and case management from the ground up — rather than extending a common platform.

One platform. A growing clinical workflow ecosystem.

Clinstrux is a scalable pharmacist workflow platform. Each workflow operates within a shared case infrastructure — patient records, documentation systems, audit trails, and case management are common across the entire library. New clinical workflows can be added without changing the underlying platform.

Available
ABX

ABX Stewardship

Antimicrobial stewardship and antibiotic optimisation. Structured agent selection, allergy assessment, resistance profiling, IV-to-oral criteria, and documentation output — guided by recognised stewardship frameworks.

Open workflow →
Available
MEDREV

MEDREV

Rapid medication review focused on burden, interactions, high-risk medicines and escalation. Systematic assessment of the full medication list — flagging risk, surfacing optimisation opportunities, and generating a structured review output.

Open workflow →
Available
POLY

POLY

Advanced polypharmacy and medicines optimisation review including deprescribing support. Beers Criteria screening, interaction analysis, renal dosing review, monitoring burden mapping, and structured deprescribing recommendations.

Open workflow →
Available
ANTICOAG

Anticoagulation Review

Structured assessment of anticoagulant safety, effectiveness and monitoring. Indication review, bleeding and thrombotic risk stratification, dose appropriateness, monitoring intervals, and patient safety documentation.

Open workflow →
Available
HF

Heart Failure Review

Evidence-based heart failure medication optimisation workflow. Assessment of guideline-directed medical therapy, titration opportunities, contraindications, fluid status, and structured output for clinical review and handoff.

Open workflow →
Available
CKD

CKD Review

Kidney-function driven medication safety and optimisation workflow. eGFR-based dose adjustment, nephrotoxin identification, contraindicated medicine flagging, electrolyte and monitoring review across the full medication regimen.

Open workflow →
Available
DM

Diabetes Review

Medication optimisation and therapeutic assessment for diabetes management. HbA1c-driven treatment review, hypoglycaemia risk assessment, renal and cardiovascular safety evaluation, and structured documentation output.

Open workflow →
Available
COPD

COPD Review

Respiratory medication review and optimisation workflow. Inhaler technique assessment, therapy appropriateness, exacerbation risk stratification, step-up and step-down guidance, and structured review output aligned to respiratory guidelines.

Open workflow →
Available
DEPRESC

Deprescribing Review

Structured medication withdrawal planning and monitoring. Systematic identification of deprescribing candidates, tapering schedule support, monitoring requirements, patient-centred risk-benefit documentation, and longitudinal tracking.

Open workflow →
Available
OA

Osteoarthritis Analgesic Review

Musculoskeletal pain management workflow. Structured analgesic ladder assessment, NSAID and opioid risk review, non-pharmacological options, and structured documentation aligned to musculoskeletal pain guidance.

Open workflow →
Available
VTE

VTE Risk Assessment & Prophylaxis

Structured venous thromboembolism risk assessment and prophylaxis workflow. Risk stratification, bleeding risk balance, prophylactic agent selection, and structured documentation for risk assessment review.

Open workflow →
Available
NCP

Neuropathic / Chronic Pain Review

Structured pain management workflow. Neuropathic pain agent selection, titration guidance, monitoring burden mapping, and structured documentation aligned to chronic pain management guidance.

Open workflow →
Available
TDM

TDM Dosing — Vancomycin & Aminoglycosides

Therapeutic drug monitoring and dosing workflow for vancomycin and aminoglycosides. Level-driven dose adjustment, nomogram-based calculation, renal function integration, and structured documentation aligned to consensus dosing guidance.

Open workflow →
Available
COLISTIN

Colistin (CMS) & Polymyxin B Dosing

Structured dosing calculator for colistimethate sodium and polymyxin B. Loading and maintenance dose calculation, renal function adjustment, and structured documentation aligned to international consensus dosing guidance.

Open workflow →
Available
PEDS

Paediatric Dose Calculator

Weight-based paediatric dosing workflow. Age- and weight-banded dose calculation, cross-checked against secondary references, dose-rounding guidance, and structured documentation for paediatric medicines use.

Open workflow →
Available
INSULIN

Basal Insulin — Initiation & Titration

Structured basal insulin initiation and titration workflow. Treat-to-target dose escalation guidance, hypoglycaemia risk assessment, monitoring schedule, and structured documentation aligned to diabetes management guidance.

Open workflow →
Available
MME

Opioid MME Calculator

Structured opioid dosing calculator. Morphine milligram equivalent conversion across agents and formulations, high-dose risk flagging, and structured documentation aligned to opioid prescribing guidance.

Open workflow →
Available
STEROID

Corticosteroid Equivalent Dose Calculator

Structured corticosteroid dosing calculator. Cross-agent equivalent dose conversion, adrenal suppression and tapering considerations, and structured documentation aligned to endocrine dosing guidance.

Open workflow →

Guidance, Not Just Automation.

Clinby is the clinical companion built into every workflow — context-aware, always available, and quietly watching for what a busy pharmacist might miss. Not a generic chatbot bolted onto the side. A colleague who already knows which case you're in.

Clinby, the Clinstrux clinical companion
Clinby · Proactive suggestion "Some medications in this case have high anticholinergic burden."

Clinby surfaces this the moment it's relevant — inside the workflow, next to the medication list — with a one-tap route into the deprescribing review. No separate tab, no re-explaining the case.

Clinby flagging a clinical alert

Context-aware, not generic

Clinby knows which workflow, which step, and which patient variables are in front of you — so answers are specific, not a search-engine detour.

Clinby holding a prescription bottle

Proactive, not passive

Interaction risk, monitoring gaps, deprescribing opportunities — Clinby flags them as the case is built, not after the review is filed.

Clinby giving a thumbs up

Always in the workflow

One click from anywhere on the platform — onboarding guide, in-context explainer, or open chat for a quick clinical question.

One Patient. Multiple Clinical Workflows.

A patient is entered once. Multiple workflows contribute assessments, recommendations and documentation while sharing the same patient record and case infrastructure — from initial case creation through to longitudinal record.

01

Patient Case

Enter the clinical scenario once — diagnosis, comorbidities, renal function, current medications, allergies, and safety constraints. Structured inputs shared across every workflow applied to the case.

02

Workflow Selection

Select the appropriate workflow from the clinical library — ABX, MEDREV, POLY, or any other workflow available on the platform. The same case can run through multiple workflows without duplicating patient information.

03

Structured Clinical Assessment

The workflow guides the pharmacist through a defined assessment process. Each step surfaces relevant clinical variables, flags risks, and applies evidence-based logic — making the reasoning explicit at every point.

04

Evidence-Based Recommendation

Clinstrux generates a recommendation with full clinical rationale, evidence references, and a documentation-ready output — traceable from patient data through structured assessment to final decision.

Every Recommendation Is Traceable.

Clinstrux recommendations are generated through structured workflow logic — not a black-box model. Every output is supported by clinical rationale, evidence references, and a documented assessment pathway that can be reviewed, queried, or handed off.

Clinical rationale

The reasoning behind each recommendation is captured — which variables drove it, which alternatives were considered, which risks were flagged — and recorded alongside the output.

Evidence references

Recommendations are grounded in recognised clinical guidelines and evidence frameworks — referenced explicitly at the point of decision, not appended as a footnote.

Documented assessment pathways

Each step of the clinical assessment is recorded. The complete pathway from case inputs through workflow logic to final recommendation is preserved and reviewable.

Transparent decision logic

Workflow logic is structured and visible — not hidden inside a model. The steps that produced the output are explicit, auditable, and defensible.

Documentation-ready outputs

Outputs are structured for direct use in clinical documentation — suitable for patient records, clinical audit, peer review, and governance reporting.

Audit-ready outputs

Completed workflows create a structured case record — suitable for clinical audit, cross-team accountability, and governance programmes at department or health system level.

Build Clinical Services on a Shared Foundation.

Clinstrux separates workflow logic from patient infrastructure. New workflows can be introduced without rebuilding patient records, documentation systems, audit trails, case management, or reporting architecture — allowing organisations to scale clinical pharmacy services on a common platform.

Patient Case
Diagnoses · Medications · Allergies · Renal function · Risk factors
ABX Antimicrobial Stewardship
MEDREV Medication Review
POLY Polypharmacy Review
HF Heart Failure Review
CKD CKD Review
DM Diabetes Review
COPD COPD Review
+ Expanding library
Recommendation
Clinical rationale
Evidence references
Documentation output
Longitudinal case record

Designed for Scalable Clinical Pharmacy Services

Clinstrux provides the structured workflow infrastructure for organisations running medicines optimisation programmes, stewardship services, structured medication reviews, and chronic disease management — at any scale.

Medicines Optimisation

Structured workflows for polypharmacy, high-risk medicines, deprescribing, and medicines burden reduction — across individual patients and whole-service programmes.

Stewardship Programmes

Antimicrobial stewardship workflows with guideline-aligned agent selection, IV-to-oral criteria, resistance profiling, and documentation outputs for governance reporting.

Structured Medication Reviews

MEDREV and POLY workflows support rapid and advanced medication review — generating traceable outputs suitable for patient records, audit, and clinical accountability.

Chronic Disease Management

Heart failure, CKD, diabetes, and COPD workflows deliver evidence-based medication optimisation across long-term conditions — using shared patient infrastructure.

Clinical Governance

Every completed workflow produces an audit-ready case record — structured for governance programmes, peer review, cross-team accountability, and service reporting.

Service Standardisation

A shared workflow platform creates consistent clinical reasoning, documentation standards, and decision outputs across every pharmacist, team, or site using Clinstrux.

Designed for Scalable Clinical Pharmacy Services.

Clinstrux provides the workflow infrastructure for organisations delivering pharmacist-led clinical services across multiple domains — from individual practitioners to pharmacy departments and health systems.

Clinical Pharmacists

Run structured clinical reviews with explainable recommendations and documentation-ready outputs. 18 workflows available across antimicrobial stewardship, medicines optimisation, chronic disease management, pain management, and dosing calculators.

Pharmacy Departments & Teams

Deploy consistent workflow-based clinical services across a department. Shared patient infrastructure, aligned clinical reasoning, and standardised documentation outputs — across every pharmacist in the team.

Governance & Health Systems

Audit-ready case records, governance reporting, and cross-institution workflow standardisation — built on the same structured case infrastructure used at the individual clinical level.

Expanding Clinical Workflow Ecosystem.

Clinstrux is built to grow. The platform architecture supports the addition of new clinical workflows without changing the underlying case infrastructure — expanding the range of pharmacy-led services that can be delivered on a common foundation.

ABX Stewardship

Antimicrobial stewardship and antibiotic optimisation workflow.

MEDREV

Rapid medication review — burden, interactions, high-risk medicines and escalation.

POLY

Advanced polypharmacy and medicines optimisation review including deprescribing support.

Anticoagulation Review

Structured assessment of anticoagulant safety, effectiveness and monitoring.

Heart Failure Review

Evidence-based heart failure medication optimisation workflow.

CKD Review

Kidney-function driven medication safety and optimisation workflow.

Diabetes Review

Medication optimisation and therapeutic assessment for diabetes management.

COPD Review

Respiratory medication review and optimisation workflow.

Deprescribing Review

Structured medication withdrawal planning and monitoring.

Osteoarthritis Analgesic Review

Musculoskeletal pain management and analgesic optimisation workflow.

VTE Risk Assessment & Prophylaxis

Structured venous thromboembolism risk assessment and prophylaxis workflow.

Neuropathic / Chronic Pain Review

Structured neuropathic and chronic pain management workflow.

TDM Dosing — Vancomycin & Aminoglycosides

Therapeutic drug monitoring dosing workflow for vancomycin and aminoglycosides.

Colistin (CMS) & Polymyxin B Dosing

Structured dosing calculator for colistimethate sodium and polymyxin B.

Paediatric Dose Calculator

Weight-based paediatric dosing and cross-checked dose calculation workflow.

Basal Insulin — Initiation & Titration

Structured basal insulin initiation and treat-to-target titration workflow.

Opioid MME Calculator

Morphine milligram equivalent dosing calculator across opioid agents.

Corticosteroid Equivalent Dose Calculator

Cross-agent corticosteroid equivalent dosing and tapering calculator.

Governance Reporting

Structured clinical audit outputs and governance reporting across workflow activity.

Team Collaboration

Shared case infrastructure and workflow outputs across pharmacy teams and departments.

Cross-Institution Benchmarking

Workflow standardisation and clinical performance benchmarking across sites.

Built by Clinicians. For Clinicians.

A space to talk shop with pharmacists who actually run these workflows — case discussion, deprescribing wins, the antibiotic choice you're still not sure about. Moderated by a working clinical pharmacist, not a bot. No patient names, no identifiable clinical data, ever.

One login. Two spaces.

Your Clinstrux account gets you into the community too — same sign-in, no second registration. Your profile, job title, and avatar carry over, so the person answering your COPD question is a real name, not a stranger.

Human moderation Anonymised discussion only Not for direct patient care decisions
Clinby welcoming pharmacists to the community
Topics at launch
Antimicrobial Stewardship Deprescribing Polypharmacy Heart Failure CKD Diabetes COPD Wins & Case Studies General Discussion

Every topic maps to a workflow already on the platform — so a good discussion is one click from a structured review, not just a conversation.

Join the conversation →

Run structured clinical workflows across your pharmacy service

18 clinical workflows available now across antimicrobial stewardship, medicines optimisation, chronic disease management, and dosing calculators — on a shared case infrastructure built to scale.

Open Clinstrux →

For demonstration and educational purposes only. Not intended to replace professional clinical judgment. Not intended for direct patient care decisions.