What we shipped, and why it mattered.

New features

Comorbidity-aware adverse event grading

Pre-existing conditions like diabetic neuropathy, COPD, and chronic kidney disease now surface alongside the AE grade, and the judge agent reasons about them when proposing attribution. Coordinators and PIs no longer have to flip back to the chart to weigh a comorbidity against a treatment-emergent grade.

Real-time PRO tracking on patient lists

The provider patient roster now shows a per-patient "Last PRO" timestamp directly on the list, and the mobile roster refreshes when you return to the screen. Coordinators can scan a roster, see who has not submitted symptoms recently, and triage from one screen.

Trial workspace in seven languages, with inline definitions

Terminology tooltips now show inline definitions for over 100 clinical terms (CTCAE grades, SAE reporting, biomarkers, enrollment stages) across the trial workspace. Coverage is live in English, Spanish, French, German, Italian, Chinese, and Japanese.

Audience-specific marketing landings

The public site now has dedicated pages for pharma sponsors, academic medical centers, CROs, community oncology practices, clinicians, and patients, plus engine, validation, and security pages and an AE Labor Cost Calculator. The FAQ hub answers 129 questions across 28 categories.

Account deletion on mobile

Patient and provider mobile apps now support a unified account deletion experience with clear loading and post-deletion states.

Improvements

• Accurate workflow status on refresh. Workflow tabs now show real in-progress and complete status immediately after a page reload, instead of flashing a stale "idle" state during long grading runs.
• Faster trial workspace in seven languages. Inline definitions and tooltips load without slowing the page.
• Steadier live grading. Live grading now runs through a simpler server-driven pattern. Same experience on screen, fewer moving parts behind it.

This week's impact

• 18 product items merged
• Comorbidity reasoning live in the AE grading judge
• Provider roster now shows real-time PRO freshness
• Trial workspace usable in seven languages with inline term definitions
• Six audience-specific marketing landings published, plus a labor cost calculator

New features

Trial protocol ingestion with retrieval-augmented search

Upload a clinical trial protocol PDF and the platform now extracts structured trial metadata automatically: eligibility criteria, adverse event specifications, and dose regimens. The document is embedded for semantic search, and the protocol's own evidence threads into every CTCAE grading run on that trial. Coordinators can review the extracted protocol structure in a dedicated UI before activating it.

Demo mode for faster evaluations

A new passwordless demo flow lets prospective customers and partners sign up with name, email, and phone, skip password setup entirely, and land in a working demo organization in seconds. Available at demo.burna.ai.

Mobile-responsive provider portal

Home, encounters, and patient pages in the provider app now adapt cleanly to phone and tablet screens. Tables wrap correctly, action buttons collapse into dropdown menus on small screens, headers stack on phones, and spacing tightens on smaller viewports.

Improvements

• Simpler translation files. The 7-language translation system was consolidated from 22 to 30 JSON files per language down to a single file per language, with zero translation keys lost. Coverage: English, Spanish, French, German, Italian, Chinese, and Japanese.
• Invitation expiry edge cases closed. Member invitation expiry date handling is now backed by a shared date utility with unit test coverage, preventing off-by-one errors.

Bug fixes

• PRO-CTCAE patient symptom reporting log emission and symptom-management edge cases resolved.
• CORS allowlist updated to reflect current deployment environments (demo.burna.ai added, deprecated alpha.burna.ai removed).

Quality and reliability

• A full end-to-end test suite for sign-in, sign-up, and auth redirect now runs on every PR, with a dedicated CI workflow.
• The E2E authentication routes were extracted into a dedicated module so OTP bypass logic in test environments is reliable in preview deployments.

This week's impact

• 9 PRs shipped
• Protocol ingestion with retrieval-augmented search live
• Passwordless demo mode available at demo.burna.ai
• Provider portal fully mobile-responsive
• 7 languages consolidated into single-file format
• End-to-end auth testing live in CI

New features

Real-time workflow streaming for grading results

Live progress for CTCAE grading, drug attribution, and drug interaction analysis now streams end-to-end through the native workflow protocol instead of being polled from persistent text streams. The provider app sees step status (running, completed, failed) the moment the workflow emits it, with organization context propagated automatically on every request.

Burna AI public website is live

The new Burna AI marketing website is live, covering home, technology, healthcare providers, life sciences, clinical research, patients, careers, press, contact, request-demo, and a trust center and security compliance section. A gated investor portal and a 23-slide deck are available for partner conversations.

PRO enrollment token email sent directly from the provider app

The PRO enrollment token email is now wired through the platform end to end. Coordinators can copy a fresh token to the clipboard or send a branded enrollment email to a patient directly from the provider app. Token reissuance is fully audit-logged.

Staging environment for QA

The provider and patient apps can now run in a true pre-production environment at staging-app.burna.ai and staging-care.burna.ai, with the same authentication and security posture as production.

Improvements

• Faster settings modal. The settings modal loads about 45 KB lighter on first paint, with each tab lazy-loaded only when opened (approximately 400 ms faster Time to Interactive).
• Enterprise admin file access. Knowledge base file access now respects organization admin status independently of member role, unblocking enterprise admins.
• Cleaner filter state. Provider web filter logic refactored to eliminate stale-state issues.
• Dependency updates. React and React DOM bumped to 19.2.5 with the latest TypeScript native preview compiler for faster builds across all 18 packages. Model SDK packages and Anthropic Claude Agent SDK updated for improved streaming token efficiency.
• Smaller bundle. Canvas rendering migrated to platform-specific native binaries for approximately 12% bundle size reduction.

Bug fixes

• Workflow stream step IDs now propagate correctly into the run ID field, so step tracking is no longer lost.
• Authentication mutation hardened with explicit typing and a defensive null check.
• Crisp Chat no longer fails to initialize when a user profile is missing a name field.
• iPad layout regressions and a token login edge case fixed in the patient mobile app.
• CORS credentials behavior in the workflow engine aligned with browser security model.

This week's impact

• 15 PRs shipped
• Live workflow streaming migrated to native protocol
• Public Burna AI marketing website launched
• Staging environment available for pre-production validation
• 2,200+ files changed

New features

Patient-reported symptoms now auto-graded with the full CTCAE pipeline

When a patient submits a PRO-CTCAE check-in, the grading pipeline now runs in parallel with the existing symptom-triage workflow on the same submission. The system synthesizes a clinical narrative from the structured PRO responses and produces a complete CTCAE grade proposal, cited and ready for clinician sign-off. A rebuilt Symptom Management area in the provider app surfaces the grade queue, detail view with grade definitions, inline editing, and 21 CFR Part 11-compliant e-signature.

Re-issue PRO enrollment tokens in one click

Coordinators can now re-issue a PRO-CTCAE enrollment token from the provider app when a patient loses access to their original invite. A new dialog invalidates prior tokens and triggers a branded email with the fresh one. No manual edits or support tickets required.

Provider mobile app: dark mode, state picker, and workflow timeout

The provider mobile app picked up a theme toggle in settings with full dark-mode parity across all screens, a native 50-state picker for patient addresses, and a 5-minute polling timeout on long-running workflows so the UI can guide a retry instead of spinning indefinitely.

Improvements

• CTCAE search help dialog. The search page now has a working Help dialog explaining search, results, quick picks, and export.
• Drug attribution column. The patient adverse-events modal now includes a Drug Attribution column that links directly to the encounter.
• Readable workflow output. "View full output" switched from raw JSON to a human-readable key-value tree.
• Resend OTP fully wired. The signup "Send Another Link" button now has loading state and toast feedback.
• Active patient badge. The patient list shows a green "Active" badge instead of a dash placeholder.
• Confidence display. AI confidence is now shown as a color-coded badge with a percentage.
• Patient mobile: no active trial gate. The diary now renders a clear enrollment prompt instead of a generic error when no trial is active.
• Patient mobile: greeting by name. The home screen greets patients by their linked EHR profile first name.
• Safe area handling. The Add Diary Entry screen uses consistent top spacing across notched and non-notched devices.
• Navigation fixes. Help navigation on the patient diary stops stacking duplicate routes; the provider home patient list scrolls to top when switching alphabet letters.
• Bottom sheet discoverability. Add-Patient bottom sheet footer actions are always visible.

Bug fixes

• Gender field now propagates correctly through patient creation flows and normalizes to the backend enum.
• Patient queries no longer fire before authentication is ready.
• Drug attribution shows the actual Kramer category instead of a hardcoded "definite."
• PDF downloads now use a reliable cross-origin delivery method.
• Symptom management baseline mapping now includes all required fields.
• SAE reporting weight label corrected to "Weight (lbs)."
• CTCAE search no longer flashes "no results" while the user is still typing.
• Rationale text preserves line breaks instead of collapsing them.

This week's impact

• 9 PRs shipped
• Patient-reported symptoms now feed the full CTCAE grading pipeline
• PRO enrollment token reissuance live in the provider app
• Provider mobile app ships dark mode, state picker, and workflow timeout
• 110+ files changed

New features

Knowledge-powered AI grading

Upload your organization's protocols, drug labels, and clinical guidelines, and the AI grading system will automatically reference them during CTCAE assessments. The system parses, indexes, and retrieves relevant context from your documents in real time. If no documents are uploaded, grading continues as normal with zero disruption.

Protocol management for multi-drug attribution

Clinical coordinators can now manually enter expected adverse event profiles for trial protocols, with CTCAE term auto-completion. These profiles are automatically injected into multi-drug attribution analysis, anchoring assessments to known drug-event associations. Connect to Protocol Safe for automated sponsor-hosted protocol data delivery. Full audit logging is included for regulatory compliance.

Patient mobile app

A complete patient-facing mobile experience is now available. Patients can authenticate with email or phone via one-time passcode, enroll in a trial via token, access a home screen with quick actions, maintain a symptom diary with expandable entries, and submit safety reports. The app supports dark and light mode across all screens.

Organization-level EHR management

EHR base URLs for Epic, Cerner, and Athena are now managed at the organization level instead of per user. When an admin updates an endpoint, all team members' connections are automatically refreshed. A searchable endpoint selector covers 5,800+ Epic and 1,900+ Cerner endpoints.

Dynamic EHR OAuth discovery

OAuth token endpoints are now resolved dynamically using SMART configuration endpoints instead of hardcoded values. The system automatically adapts when EHR vendors update their infrastructure.

Improvements

• Infinite scroll on mobile. Cases and patient lists on mobile now use infinite scroll pagination for faster browsing of large lists.
• MRN field on patient forms. MRN can now be added or edited directly on the patient create and edit forms.
• FAQ search on mobile. The mobile help screen now supports FAQ search filtering.
• More accurate review status. Cases list now uses client-side filtering for more accurate review status display.
• Unified patient edit form. Patient edit experience is now consistent across the bottom sheet and standalone views.
• Reduced redundant API calls. Workflow data is persisted so repeated calls to the workflow engine for the same data are eliminated.

Bug fixes

• Fixed grading data extraction path to match the web workflow structure.
• Fixed a logout race condition that caused authentication errors on session end.
• Fixed login button contrast for better visibility.
• Fixed FAQ text spacing issues on mobile.
• Fixed the recording countdown timer.

This week's impact

• 11 PRs shipped
• 3 major platform features launched
• 150+ files changed
• 2 contributors

New features

Clinical preferences for AI grading

Organizations can now configure institution-specific rules that guide AI grading across all workflow categories: CTCAE grading, drug attribution, drug interaction analysis, and encounter title generation. Set once in Settings, and every AI suggestion follows your clinical protocols.

Expanded EHR integration

Cerner/Oracle Health integration now supports 110+ FHIR resource types, up from 40. Coverage now includes Encounters, Observations, Procedures, Medications, CarePlans, Conditions, MedicationRequests, and DiagnosticReports. OAuth error handling has been improved across all EHR connections with better redirect flows when authentication fails.

Connect to EHR from the home screen

Users without an EHR connection now see a prominent "Connect to EHR" option directly on the clinical note input. One-click OAuth linking for Epic, Oracle Health (Cerner), and AthenaHealth is available right where it is needed.

Severity-based adverse event ordering

Adverse events now sort by grade, with Grade 5 at the top and Grade 1 at the bottom. High-severity events (Grades 3 through 5) are expanded by default; lower-severity events are collapsed to reduce visual noise during clinical review.

Grade descriptor tooltips

Hovering over any CTCAE grade badge now shows the grade descriptor text, providing quick clinical context without opening the full definitions dialog.

Improvements

• CSV export for attribution and interaction history. Drug attribution and drug interaction history can now be exported as CSV files, in addition to the existing JSON export.
• Soft-delete for clinical documentation. Clinical records are now archived with timestamps rather than hard-deleted, preserving audit history.
• Slack integration improvements. Added a connectivity health check and richer support ticket notifications.
• Improved invitation flow. Wrong-account errors during organization invitations are now handled gracefully with an automatic redirect.
• Archived record filtering. Visit summary queries now correctly exclude archived records from active views.
• Type safety improvements. More than 20 type safety improvements across data deletion workflows.

Bug fixes

• Fixed the organization invitation flow failing when the user is signed into the wrong account.
• Fixed archived visit summaries appearing in active queries.

This week's impact

• 13 PRs shipped
• 5 new features deployed
• 95+ files changed
• 14 new integration tests added

New features

Regulatory report generation

Generate FDA MedWatch 3500A, IRB Unanticipated Problem, and Sponsor SAE reports directly from adverse event data. Each report type includes compliance tracking, validation rules, and supplemental data collection so regulatory submissions are consistent and audit-ready.

Automated visit titles and excerpts

Clinical notes now automatically receive AI-generated titles and summaries. When a visit with clinical notes is created, the system produces a concise, clinically appropriate title and excerpt, so your visit list is immediately useful without manual documentation.

Study site management

Create, search, view, and edit study sites with full institutional details including location, contact information, principal investigator, and coordinator. Study site data is organization-scoped for multi-site trials.

Protocols and PRO enrollment administration

New admin pages support managing clinical trial protocols with IND and IRB numbers, sponsor details, and regimen data. Coordinators can issue passwordless PRO portal enrollment tokens tied to specific protocols, sites, and cycles.

Organization-wide visit sharing

Visits can now be shared across the entire workspace, giving team members visibility into organization-wide clinical activity.

Improvements

• Upgraded AI grading model. The grading and clinical analysis engine has been upgraded for more accurate CTCAE assessments.
• Improved billing flexibility. Migrated to a plan-based billing architecture for more flexible subscription management.
• Next.js upgraded to 16.2.1. Latest framework improvements for performance and stability.
• Consistent alert colors. Alert components now use dedicated color tokens for consistent appearance in light and dark mode.
• Cleaner code patterns. Optional chaining standardized across the platform for consistency and reliability.

Bug fixes

• Fixed blind grading visibility for organization admins who are also assigned as raters. Rater role now correctly takes priority.
• Fixed dark mode color issues across signup, settings, and search pages.
• Fixed broken integration logos for Slack, Gmail, Google Calendar, and Google Drive.
• Fixed microphone permission handling: mic access is now deferred until recording starts, removing an unnecessary loading spinner on page load.
• Fixed stream handling in workflow content for proper cleanup and resource management.

This week's impact

• 9 PRs shipped
• 430+ files changed
• 3 regulatory report types added
• AI workflows now auto-generate visit documentation
• Full study site and protocol management launched

New features

Clinical-grade AE report PDF

Full branded adverse event reports are now available as a single print-ready document. Each report includes severity-colored cards, drug attribution with WHO-UMC and Kramer causality categories, regulatory cascade flags for FDA MedWatch, IRB, and Sponsor SAE submissions, patient context, study site data, and summary statistics.

Parallel workflow orchestration

When CTCAE grading completes, drug attribution and drug interaction analysis now start automatically and run in parallel. Clinicians see all three analyses side-by-side with real-time streaming progress for each step.

Real-time workflow streaming

Each workflow step, from term extraction and drug standardization through batch lookup, grading judge, and output assembly, now streams progress independently. Clinicians can review early results while later steps are still processing.

Alpha environment for early access testing

A dedicated early-access environment is now available for design partners and early testers to validate new features before production rollout. Authentication flows work seamlessly across all environments.

Improvements

• Clearer clinical labeling. "Drug Interaction" sections renamed to "Clinical Evidence" for improved clinical accuracy across web and mobile. "Suggested" labels updated to "AI Suggested" to clearly distinguish AI proposals from human grades.
• Redesigned AE report cards. Color-coded severity indicators and a streamlined card layout make severity clear at a glance.
• Patient assignment required before recording. Starting a recording session now requires a patient to be assigned first, preventing orphaned recordings.
• Improved breadcrumb navigation. Cleaner navigation across encounter, grading, and analytics pages.

Bug fixes

• OTP sign-in improved: expiry extended from 10 to 15 minutes, session now persists across page reloads, and error messages are clearer.
• Patient MRN field now saves correctly across all creation workflows.
• CTCAE term search results render correctly after a parameter alignment fix with the lookup tool.
• Recording flow now shows a proper "Starting..." state between countdown and actual recording start.

This week's impact

• 12 PRs shipped
• 200+ files changed
• 3 major workflow features deployed
• 6 bug fixes improving daily clinical workflows

New features

Import encounters directly from your EHR

Pull clinical notes straight from Epic or Cerner into the CTCAE grading workflow. Search for patients by name, date of birth, or ID; browse their encounters by date range; and import notes with a single click. Patient assignment happens automatically, and you can undo imports if needed.

Manual report retry

If automatic report generation fails, you can now retry directly from the interface. The system checks for existing reports to avoid duplicates, and a built-in grace period prevents premature retries.

Improved adjudication workflow

The adjudication interface for resolving grade disagreements has been redesigned. Multiple disagreements can now be resolved in a single submission instead of one at a time. The new batch resolution is approximately 40% faster.

Updated result displays

New collapsible sections for CTCAE results and drug attribution data make it easier to review grading details without information overload. Drug interaction attribution is now displayed more clearly.

Improvements

• Broader CTCAE recognition. Synonym coverage expanded from 73 to 150+ terms, now including drug-specific toxicity language, immune-related adverse event (irAE) terminology, and CAR-T/checkpoint inhibitor patterns.
• Clearer clinical naming. "Drug Interaction" workflow replaces the previous "Clinical Decision" label for more precise clinical semantics.
• Streamlined workflow architecture. Centralized trigger handling across recording-based and text-based visits reduces redundancy and improves reliability.
• EHR sandbox mode. Clinical notes are always available during development and testing, keeping the development loop fast.

Bug fixes

• Fixed SAE count display to always reflect the current graded events, ensuring regulatory accuracy.
• Resolved report generation failures caused by workflow step naming mismatches.
• Fixed PDF generation crash with special characters (Unicode arrows, curly quotes).
• Corrected clinical note data extraction from EHR when notes are embedded as base64 data.

This week's impact

• 7 PRs shipped across 736+ files
• CTCAE synonym terms expanded from 73 to 150+
• Adjudication resolution approximately 40% faster with batch submissions
• Direct EHR encounter import from Epic and Cerner

New features

Comorbidity-aware grading

Burna AI now considers patient comorbidities during CTCAE grading. When a patient with Type 2 Diabetes presents with peripheral neuropathy, the system recognizes this may be a pre-existing condition rather than a new treatment-related adverse event. This reduces false-positive AE attribution and saves coordinators the 5 to 10 minutes they currently spend manually cross-referencing comorbidities per patient.

Copy-forward detection

Clinical documentation often carries forward unchanged notes from prior visits. Burna AI now detects when adverse event descriptions and grades remain identical across multiple visits, flagging potential documentation artifacts for clinician review. This helps ensure grades reflect a patient's current condition, not stale data from weeks or months ago.

Self-improving terminology

When the system encounters medical terms it has not seen before, it no longer silently skips them. Unmatched terms are captured and routed to a clinician-guided review queue. Once resolved, the system learns the new vocabulary permanently. Every clinical note processed makes the system smarter.

42 oncology regimen profiles

Pre-built drug profiles for the most common oncology combination regimens, including FOLFOX, FOLFIRI, carboplatin/paclitaxel, and checkpoint inhibitor combinations. Multi-drug attribution works out of the box without custom configuration.

Improvements

• Broader terminology coverage. Medical terminology now spans 26 organ system classes with 79 groupings covering 458+ individual terms, including new coverage for hepatobiliary, ear/labyrinth, and reproductive system toxicities.
• Faster grading pipeline. Streamlined internal workflow architecture improves overall grading performance.
• Improved system reliability. Consolidated configuration layer reduces surface area for configuration drift.

This week's impact

• 4 major clinical intelligence features shipped
• Coverage expanded across 5 new organ system areas
• 42 regimen profiles available out of the box
• System now learns and improves with every clinical note processed

New features

Import patients directly from your EHR

Search and import patient records from Epic, Cerner, and Athena without leaving the app. When launched via SMART on FHIR, the patient context loads automatically with a one-click import. In standalone mode, search by name, date of birth, gender, or MRN. Imported demographics stay in sync, and EHR-sourced fields like name and MRN are protected from accidental edits.

Workflow resumption for failed steps

If a network hiccup interrupts an attribution or clinical decision workflow mid-run, clinicians can now retry the failed step without re-doing the entire CTCAE grading. A "Retry Workflow" button appears in the error state and picks up where the workflow left off.

AE report PDF generation

Generate structured adverse event report PDFs directly from the platform. Reports include all grading data, citations, and audit trail information in a format suitable for regulatory submissions and sponsor reporting.

Provider notifications for high-grade events

When a patient self-reports a Grade 3 or higher adverse event via PRO-CTCAE, the assigned provider receives an automatic notification with a time-based action deadline.

Operational automation hub

52 automation workflows covering customer support, content generation, SEO intelligence, and sales operations. All workflows include error handling, retry policies, and audit logging.

Improvements

• More secure EHR access. EHR OAuth flow upgraded from system-level to clinician-level scopes for more appropriate, per-user data access.
• Consistent navigation state. Visit context is now shared across all dashboard routes, so navigating between pages no longer drops your current session state.
• Cleaner audit trails. Workflow data architecture is decoupled from visit records, enabling cleaner audit trails and future workflow types.
• Flexible check-in scheduling. Check-in frequency options expanded to include biweekly, monthly, and adaptive scheduling.

Bug fixes

• Fixed clinical note input staying disabled during SMART on FHIR patient assignment.
• Fixed OAuth token refresh failing due to network access restrictions.
• Fixed URL mismatch errors caused by trailing slashes in OAuth redirect URIs.

This week's impact

• 8 feature PRs shipped
• 5 improvements deployed
• 5 bugs resolved
• 1,000+ files updated across the platform

New features

EHR integration goes live

Connect directly to your Epic, Oracle Health (Cerner), or Athenahealth EHR system with a single click. The platform now supports clinician-level OAuth authentication through standard SMART on FHIR protocols, so your team can securely access patient data without additional IT lift.

Submission-gated blinding for grading integrity

The grading workflow now enforces strict blinding rules: admins and adjudicators can only view a rater's work after that rater has formally submitted their grades. Progress indicators show real-time status (in-progress vs. submitted) without exposing intermediate work.

Organization management made simple

A dedicated organization picker page streamlines onboarding and team switching. Create new organizations, switch between existing ones, and manage team settings from a single interface.

MRN-powered patient search

Search across patient names and Medical Record Numbers simultaneously. The composite search field updates automatically when patient records change, so results are always current.

Real-time analytics dashboard

The analytics dashboard now displays live production data instead of placeholder metrics. Four dedicated tabs (Overview, Productivity, Quality, Practice-wide) show grading volume, agreement rates, turnaround times, and feature adoption across your organization.

Improvements

• Organization-scoped access enforcement ensures graders only see cases within their assigned organization.
• Adjudicator flow now streams grading events and case status changes to analytics in real time.
• Settings modal stays open after saving, reducing unnecessary navigation.
• Patient creation now automatically assigns new patients to the active visit.
• Integrations page uses reactive data patterns for faster, more reliable EHR status updates.

Bug fixes

• Fixed login redirect sending users to a non-existent page after email verification.
• Fixed logout redirect pointing to the incorrect sign-in URL.
• Resolved auth layout scrolling issues on smaller screens.

This week's impact

• 9 features shipped
• 5 improvements deployed
• 5 bugs fixed
• 160+ files changed across the platform

New features

Automated adjudicator workflow with collision detection

When two independent raters disagree on a CTCAE grade, the system now automatically detects the conflict and assigns an adjudicator from a pre-designated pool. Adjudicators see both grades side by side and resolve with one click. Built-in collision detection prevents duplicate assignments, and digest notifications keep the team informed without inbox overload. Every resolution includes e-signature support for regulatory compliance.

Adjudicator role management

Coordinators can now pre-designate team members as adjudicators through a dedicated management interface. When grading conflicts arise, the system automatically assigns from this pool rather than requiring manual selection.

Real-time analytics dashboard

The analytics dashboard now shows live production metrics. Four tabs (Overview, Productivity, Quality, Practice-wide) stream live data from clinical workflows, covering active cases, grading volume, agreement rates, and turnaround metrics.

Smart encounter capture modal

New modal-driven encounter creation with smart patient preset. When viewing a patient's profile, starting a new encounter pre-populates patient information automatically. Keyboard accessibility is preserved throughout.

Searchable CTCAE term lookup

Over 1,000 CTCAE terms are now searchable and grouped by System Organ Class. Selecting a term auto-populates the SOC field, replacing the previous two-step dropdown that required navigating SOC first, then finding the specific term.

Manual grading entry

Clinicians can now manually enter CTCAE grades through a dedicated interface when the assisted grading workflow is not needed or available. Supports all grade levels (1 through 5) with term search and SOC auto-population.

Start visit from patient view

Clinicians can initiate a new encounter directly from a patient's profile page. The visit creation flow carries forward patient identifiers and reduces navigation steps.

Improvements

• Adjudicator collision detection prevents duplicate case assignments during concurrent operations.
• Digest notifications for adjudication events reduce email noise while keeping teams informed.
• CTCAE term search groups 1,000+ terms by System Organ Class with auto-population.
• "Clinical Evidence" labels standardized to "Drug Interaction" across web and mobile platforms.
• Skeleton loaders replaced with consistent loading indicators.
• Completion checkmarks and collapsible causality details added to workflow tabs.

Removed

Treatment recommendations removed from multi-drug attribution. Clinical review determined that generating treatment suggestions without full patient context (comorbidities, contraindications, concurrent medications) could be misleading. Grades and causality remain; treatment decisions stay with the clinician.

Bug fixes

• Fixed patient list item color contrast for better readability in light and dark mode.
• Fixed review status not updating correctly after grading submission.

This week's impact

• 14 PRs merged across the platform
• 9 features shipped: adjudicator workflow, role management, analytics dashboard, encounter capture, CTCAE search, manual grading, patient view visits, infrastructure, and content
• Automated adjudication replaces manual conflict resolution workflows
• Real-time analytics replace all mock dashboard data
• Responsible product decision: removed a feature that lacked sufficient patient context

New features

Blind grading for quality assurance

Independent graders can now evaluate CTCAE cases without seeing previous assessments, ensuring unbiased quality control. Coordinators can seed standardized test cases (15 realistic clinical scenarios) and assign graders in bulk, making inter-rater reliability validation and grader certification programs possible.

Grader role and bulk assignment

A dedicated grader role streamlines case routing. Coordinators can filter for qualified raters, assign 2 to 10 cases at once, and see rater names directly in case views.

Grade definitions at your fingertips

Clinicians can now click any adverse event's "Grade Definitions" button to view all five CTCAE v6.0 grade descriptors, with the currently assigned grade visually highlighted.

Patient assignment across web and mobile

Assign patients directly within the CTCAE grading workflow on both web and mobile. The web app holds note submission until a patient is assigned, while the mobile app offers a dedicated patients screen with search, filtering, and inline editing. A five-second countdown before voice recording gives clear feedback and recovery time.

Redesigned marketing website

Brand new home page with comparison tables, trust badges (SOC 2, HIPAA, 21 CFR Part 11), demo video, and waitlist form. Six new pages added: About Us, FAQs, Cookie Policy, Privacy Policy, Security and Compliance, and Terms and Conditions, all with full dark mode support.

Improvements

• Marketing design system migrated to semantic primary color palette with automatic dark mode support (approximately 280 color updates).
• Voice recording now includes error recovery with retry and manual fallback options.
• Recording state properly resets between patient sessions, preventing stale data.
• Encounter screen centered on wide displays with clearer attribution for accepted records.
• Patient form keyboard navigation improved on mobile for smooth field-to-field flow.
• Workflow tooling migrated from experimental to stable APIs across approximately 20 tools.

Bug fixes

• Fixed encounter content alignment on wide screens.
• Fixed mobile bottom sheet layout with predictable snap points.
• Fixed keyboard dismissal after clipboard paste in recording view.

This week's impact

• 14 PRs merged across the platform
• 6 major features shipped: blind grading, grader roles, grade definitions, patient assignment, marketing redesign, and voice coaching
• 400+ files changed
• Full dark mode across the marketing site
• Blind grading infrastructure enables quality assurance programs

New features

Patient safety dashboard: view all adverse events in one place

Clinical coordinators can now view a patient's complete adverse event history across all encounters in a single modal. No more navigating through individual encounters to assess safety trends. Includes grade badges, review status, and direct links to source encounters.

Accept, edit, and add adverse events during review

Reviewers can now accept AI-suggested adverse events, edit grades and evidence, or manually add new adverse events directly from the encounter review interface. All changes are tracked with accept/edit status for audit purposes.

Patient assignment across all workflows

Patient assignment is now available everywhere you need it: clinical note input, encounter details, and new encounter modals. The redesigned workflow decouples patient selection from note creation, enabling flexible assignment at any point in the encounter.

Unified CTCAE workflow across web and mobile

The CTCAE grading workflow now behaves consistently on both web and mobile platforms. Shared types, constants, and workflow infrastructure ensure the same adverse event data flows through both platforms identically.

Encounter audio playback

Listen to encounter recordings directly from the encounter detail view with secure, time-limited audio URLs. The new audio player supports playback speed control and is fully accessible.

Real-time review status tracking

Encounter review status (Pending, Accepted, Rejected) now updates automatically whenever a review is saved. No manual status management needed.

Improvements

• Smarter encounter list with paginated loading, collapsible adverse event rows, and grade badges (G1-G5 with severity colors)
• Patient encounters sidebar for quick browsing of all encounters for a specific patient
• Clinical note panel now shows recent encounters for the same patient (last 30 encounters)
• Design system enforcement across 370+ files: all colors now use semantic tokens for consistent light/dark mode
• Mobile workflow error recovery: retry failed recordings without losing completed steps

Bug fixes

• Improved audio player accessibility with proper ARIA attributes
• Fixed navigation path from /encounter/ to /encounters/
• Fixed invalid component prop types

New features

Patient safety dashboard: full adverse event history in one place

Clinical coordinators can now view a patient's complete adverse event history across all encounters in a single modal. Grade badges, review status, and direct links to source encounters are all visible without navigating through individual records.

Accept, edit, and add adverse events during review

Reviewers can now accept suggested adverse events, edit grades and evidence, or manually add new adverse events directly from the encounter review interface. All changes are tracked with accept or edit status for audit purposes.

Patient assignment across all workflows

Patient assignment is now available everywhere you need it: clinical note input, encounter details, and new encounter modals. The redesigned workflow decouples patient selection from note creation, enabling flexible assignment at any point.

Unified CTCAE workflow across web and mobile

The CTCAE grading workflow now behaves consistently on both web and mobile platforms. The same adverse event data flows through both platforms identically.

Encounter audio playback

Listen to encounter recordings directly from the encounter detail view with secure, time-limited audio URLs. The audio player supports playback speed control and is fully accessible.

Real-time review status tracking

Encounter review status (Pending, Accepted, Rejected) now updates automatically whenever a review is saved. No manual status management needed.

Improvements

• Smarter encounter list with paginated loading, collapsible adverse event rows, and grade badges (G1 through G5 with severity colors).
• Patient encounters sidebar for quick browsing of all encounters for a specific patient.
• Clinical note panel now shows recent encounters for the same patient (last 30 encounters).
• Design system enforcement across 370+ files: all colors now use semantic tokens for consistent light and dark mode.
• Mobile workflow error recovery: retry failed recordings without losing completed steps.
• Removed 4,000+ lines of deprecated code for a leaner, faster codebase.

Bug fixes

• Fixed deployment build errors.
• Fixed invalid component prop types causing lint warnings.
• Improved audio player accessibility with proper ARIA attributes.
• Fixed navigation path from /encounter/ to /encounters/.

This week's impact

• 18 features and improvements shipped
• 7 bug fixes deployed
• 4,000+ lines of deprecated code removed
• Platform-wide design token enforcement for light and dark mode

New features

Workflow error recovery

When something goes wrong during recording or AI analysis, you no longer get stuck. The app now tracks where you were in the workflow and lets you retry from that exact point without losing your progress.

Clinical data export

Export your clinical session notes, CTCAE grading history, and clinical decision logs with one click. Everything downloads as a ZIP file ready for your records or compliance documentation.

Enhanced EHR integrations page

A completely redesigned integrations page with dedicated tabs for EHR systems (Epic, Oracle Health, Athena), communication tools, and productivity apps, now with branded logos so you can see exactly what you are connecting to.

ICD-10 code mapping alongside CTCAE terms

When you search CTCAE terms, you now see associated ICD-10 diagnostic codes with confidence scores. This helps with accurate coding and documentation.

Mobile workflow progress tracking

The mobile app now shows exactly where you are in the recording and AI analysis workflow. Each step completes visibly in real time.

Improvements

• Faster patient search. Now powered by real-time backend search instead of local filtering.
• Consistent mobile styling. All screens use the unified design system for better visual consistency.
• Simplified navigation. Mobile app now uses tab-based navigation: Search, Record, Cases, Settings.
• Better loading states. Skeleton screens show exactly what is loading, reducing perceived wait time.
• Improved dark mode. Fixed contrast issues so text is always readable.

Bug fixes

• Fixed loading indicators not appearing during profile photo upload.
• Fixed adverse event acceptance occasionally not showing confirmation.
• Resolved recording completion sometimes appearing stuck.
• Fixed missing visual feedback on various button interactions.

This week's impact

• 12 features shipped across web and mobile
• 15+ screens migrated to the updated design system
• 200+ lines of styling debt eliminated
• 4 bug fixes for smoother daily workflows

Added

• New dashboard tools and improved analytics
• More options and better chat for AI builder

Changed

• Optimized response viewer for faster, smoother data loading
• Upgraded dashboards and layouts for a better experience
• Updated many libraries and configs

Fixed

• Major performance fixes across the app
• Issues with AI form builder
• Access and security checks for forms and users

Removed

• Outdated security docs
• Old Black Friday promos

New features

Unified provider dashboard

The new provider dashboard brings together real-time session tracking, encounter management, and the full CTCAE search experience in one place. Everything your team needs for a complete patient assessment is available from a single screen.

Multi-event grading in a single session

Grade up to 10 adverse events in one session using a new accordion-style interface. Each event shows AI-suggested grades and confidence scores. You review, adjust if needed, and confirm. Human-in-the-loop review remains the final step on every grade.

Adverse event intelligence with MedDRA classification

The platform now uses MedDRA classification to understand medical terminology hierarchies, group related adverse events automatically, and standardize drug names across your documentation. The grading engine also incorporates drug interaction data and clinical trial evidence when generating suggestions.

Inter-rater reliability analytics dashboard

A new six-tab analytics dashboard shows grading consistency across your team: agreement rates, classification metrics, confidence calibration, and weekly trends. The data is organized and audit-ready.

Organization management and team tools

A new settings modal provides team management, bulk invitations, and organization-wide preferences from one screen. A command palette (Cmd+K) is available for power users who prefer keyboard-driven navigation.

Improvements

• CTCAE search speed. Results appear in under 200ms with real-time ICD-10 code integration so finding the right term is nearly instant.
• Design consistency. Dark mode support and accessibility improvements applied across all screens.
• Mobile experience. Smoother keyboard handling, faster screen transitions, and feature parity with the desktop experience.
• Audio format support. Additional audio formats are now accepted for voice recordings.

Bug fixes

• Clinical evidence is now editable during grade review (previously read-only)
• Keyboard no longer covers input fields on mobile forms
• Patient creation now properly links to the current visit
• Privacy policy page content is no longer cut off at the top

This week's impact

• 5 major features shipped
• 14 new interface components added to the provider dashboard
• Sub-200ms search response times achieved

These updates are live for all Burna AI users. Questions? Reply to this changelog or email hello@burna.ai

New features

Mobile CTCAE grading

Your providers can now grade adverse events directly from the mobile app. Search CTCAE terms, view grade definitions, and submit manual gradings, all from the field or clinic floor.

Recent cases dashboard

See your most recent cases at a glance with statistics showing total AEs, severe AEs, and pending reviews. One-tap navigation gets you into any case instantly.

Personalized experience

The app now greets you by name and remembers your email for faster sign-in. It's the little things that make your day smoother.

Production-ready mobile

The provider mobile app now connects to our production environment, giving you the same reliability and data you have on web.

Improvements

Authentication flow overhaul

• Sign-in keeps your email and one-time code entry in context
• Protected routes now show clear login prompts instead of redirecting
• Bottom sheet authentication keeps you in context

Search-focused navigation

• Home tab is now "Search" so you can find CTCAE terms faster
• Branded header with Burna AI logo for clear app identity
• Cleaner, more scannable term lists with better typography

UI/UX polish

• Improved form button styling with proper theming
• Better dark mode colors for easier viewing
• Fixed filter icon visibility issues
• More spacious media selection modal

Bug fixes

• Gender selection now shows relevant options (removed "Unknown")
• Settings screen input fields styled consistently
• Fixed text encoding issues in onboarding screens
• Filter close button is now properly visible

New features

Mobile CTCAE search and grading

Providers can now search CTCAE terms, view grade definitions, and submit manual gradings entirely from the mobile app. The full grading workflow is available from the field or clinic floor, not just at a desktop.

Recent cases dashboard

A new dashboard surfaces your most recent cases with counts for total adverse events, severe adverse events, and items pending review. Tap any case to open it directly.

Production-ready provider mobile app

The provider mobile app now connects to the production environment, giving your team the same data and reliability on mobile that they have on web.

Personalized sign-in experience

The app now greets you by name and remembers your email for faster sign-in on return visits.

Improvements

Authentication flow

• Sign-in keeps your email and one-time code entry in context
• Protected areas of the app now show a clear sign-in prompt instead of silently redirecting
• Bottom-sheet authentication keeps you in context without losing your place

Navigation

• The home tab is now labeled "Search" to match how most providers actually use it
• The Burna AI logo is prominent in the header for clear app identity
• Term lists are cleaner and more scannable with improved typography

Interface polish

• Improved form button styling with consistent theming
• Better dark mode colors for easier viewing in low-light settings
• Filter icon visibility issues resolved
• Media selection modal is more spacious and easier to use

Bug fixes

• Gender selection now shows relevant options only
• Settings screen input fields styled consistently across all forms
• Fixed text encoding issues on onboarding screens
• Filter close button is now properly visible

This week's impact

• 10 updates shipped
• 18 features added
• 7 bugs resolved

Questions about these updates? Reply to this changelog or email hello@burna.ai

New features

Manual CTCAE grading on mobile

Providers can now manually add and grade adverse events directly from their phone or tablet. CTCAE grades, notes, and documentation sync instantly to the rest of your team whether you are at the bedside, in a hallway, or in a meeting.

AI-generated clinical notes from audio

Upload a visit recording and the platform automatically produces a structured clinical note with ICD-10 diagnosis codes and CPT billing codes extracted and ready for review. The note is generated from the audio, not entered by hand.

Workflow history tracking

Every AI-assisted grading session, transcription, and analysis is now properly linked and auditable in a dedicated history view. Workflow associations are stored in a flexible architecture that keeps your visit records clean and complete.

Improvements

Real-time workflow results

Workflow results now stream in as they are ready. You can continue working in the platform while results arrive, with no page refresh needed.

Mobile performance

• Optimized data streaming for lower latency on mobile networks
• Improved safe area handling so screen content no longer overlaps device notches on newer iPhones and Android devices
• More intuitive and consistent date picker across iOS and Android
• App size reduced: storage utilities consolidated for a 2.1 MB smaller install

Patient management

Patient profiles are now properly scoped to your organization with enhanced multi-tenant isolation, so each team's data remains separate and secure.

Bug fixes

• Theme colors are now consistent across all screens
• Audio recordings over 10 minutes now transcribe reliably
• Workflow status updates appear immediately without requiring a page refresh

This week's impact

• 3 major features shipped
• Mobile grading available to all provider app users
• AI clinical notes in early access for audio upload workflows

Have thoughts on these updates? Reply to this changelog, email us at feedback@burna.ai, or chat with us in the app.

New features

AI model tracking on every grade

Every adverse event grade now displays which AI model generated the assessment. The model identifier is part of the grade record and carries forward into your audit trail and any downstream reports.

Automatic adverse event categorization by system organ class

Adverse events are now automatically sorted into their system organ class: hematologic, neurologic, dermatologic, gastrointestinal, cardiovascular, pulmonary, renal, hepatic, metabolic, infectious, and other categories. No manual categorization is needed during patient visits.

Simplified authentication with email and password

You can now sign up and sign in using a traditional email address and password, in addition to social authentication options. Both paths are available at sign-in.

Automated waitlist processing

When prospects submit the waitlist form, the system now researches their background, generates a personalized draft response, syncs the contact to the CRM, and sends an internal notification. Your team gets instant context about each prospect's clinical trials experience.

Improvements

Mobile app

• Fixed authentication state synchronization issues that occasionally caused incorrect redirects
• Improved safe area handling on modern iOS devices
• Enhanced app responsiveness with better state management

Billing

• Streamlined subscription management with improved customer account tracking
• Simplified billing workflows for enterprise customers

Performance

• Reduced unnecessary data fetching by consolidating user profile lookups
• Faster page loads when accessing user information

This week's impact

• 5 features shipped
• 4 customer-facing improvements deployed
• Multiple authentication and mobile experience enhancements
• Enhanced regulatory compliance capabilities

Have feedback on these updates? Reply to our newsletter or email us at hello@burna.ai

New features

Automated CTCAE grading

Clinicians can now trigger AI analysis of adverse events with a single click. The system evaluates patient data, matches events to CTCAE v6 criteria, and returns grades with confidence scores and detailed rationales. Human-in-the-loop review remains the final step; the AI suggests, clinicians decide.

Grading performance analytics

A new analytics dashboard gives your team real-time visibility into grading performance: agreement rates between AI suggestions and human reviewer decisions, confidence calibration trends, and override rates across your study portfolio.

Enterprise audit infrastructure with six-year retention

Every action in the platform is now logged with HIPAA-compliant storage and real-time user enrichment for complete traceability. Audit records are retained for six years, meeting FDA submission requirements and sponsor audit standards.

Security and compliance

21 CFR Part 11 e-signatures on AI grades

Every AI-generated grade now carries a cryptographic signature using SHA-256 hashing. Each signature is tamper-proof and includes complete provenance tracking: which model contributed, which clinician reviewed, and when.

HIPAA compliance hardening

Zero protected health information in system logs, automated PHI exposure prevention, and IP spoofing protection are now enforced at the platform level.

Improvements

• Enhanced IP address validation prevents security vulnerabilities in audit records
• Standardized error handling gives clearer feedback when operations fail
• Improved confidence score handling eliminates data quality gaps
• Better authentication reliability with updated security packages

Bug fixes

• Fixed an authorization issue that could cause null return errors
• Eliminated PHI logging violations to maintain HIPAA compliance
• Corrected audit record type mismatches for reliable data access

This week's impact

• 3 major features shipped
• 150+ tests passing, including 18 new comprehensive tests
• 60+ legal documents prepared for pilot partnerships

Added

• Changelog page with markdown-based changelog system
• Individual changelog entries with frontmatter support
• Sticky date layout for changelog entries
• Responsive changelog layout for mobile and desktop

Changed

• Redesigned header section for better UX and reduced layout shift
• Updated Vercel brand icon in hero section
• Improved header navigation structure and styling

Fixed

• Reduced layout shift in header component
• Enhanced header accessibility and user experience

Improvements

• Enhanced reasoning with improved logical thinking and problem-solving
• Context awareness with better understanding of conversation history
• Multi-modal support to process text, images, and code simultaneously
• Adaptive responses tailored to communication style based on user preferences
• Real-time learning with dynamic adaptation during conversations