What we shipped, and why it mattered.

The biggest change to Care Journal since the platform launched. Care Journal is now available directly to cancer patients and their families, without requiring an invitation from a clinical trial team.

What is new for patients and families

• Download Care Journal from the App Store, Google Play, or use the web app at carejournal.ai/app.
• Record any doctor visit, not only trial check-ins.
• Get a plain-language summary of each visit, with medical terms translated and citation back to the source recording.
• Build a longitudinal record across visits, symptoms, and treatment cycles.
• Add family members as dependents and manage their records alongside your own.
• Optional cancer-specific features (PRO-CTCAE-aligned symptom tracking, red flag self-screening) that surface when you identify as a cancer patient.
• Microphone test before your first recording, so the first time you hit record at a real appointment, it works the way you expected.

What is unchanged for trial patients

• Patients on clinical trials that use Care Journal still receive a link from their coordinator.
• The trial-mode check-in flow is preserved exactly.
• Trial submissions still go to the care team according to the trial's workflow.

The two modes coexist by design. One app, one record, two ways to use it.

Care Journal v1.x added expanded PRO-CTCAE symptom coverage for trial-mode use, a pre-visit check-in flow, and improved red flag screening sensitivity.

Accessibility audit completed against WCAG 2.1 AA with no critical findings. The full audit report is available on request.

Care Journal v1.x added voice input in all seven supported languages with oncology-tuned transcription. The transcription model is trained on oncology terminology rather than generic dictation, in every supported language.

Trial coordinators routing patients in bulk also get an improved batch upload flow.

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.

Why it matters: Reduces the time to assess patient safety from navigating 10+ encounters to viewing one consolidated view.

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.

Why it matters: Clinicians maintain full control over AI suggestions with a streamlined review workflow that persists every decision.

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.

Why it matters: Faster encounter setup and better data organization, especially for multi-patient clinical trials.

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.

Why it matters: Whether you are at your desk or on the ward with a mobile device, the grading experience and data quality are the same.

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.

Why it matters: Review the original clinical conversation alongside AI-generated notes without switching tools.

Real-Time Review Status Tracking

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

Why it matters: Always know which encounters need attention. The system keeps status in sync across all views automatically.

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
• Removed 4,000+ lines of deprecated code for a leaner, faster codebase

Bug Fixes

• Fixed Vercel 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/dark mode

Care Journal v1 launched in design partner trials at selected US cancer centers in the 2026 cohort. Initial deployments cover PRO-CTCAE structured check-ins, red flag screening, pre-visit check-ins, and coordinator review queues.

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

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.

Why it matters: Faster documentation means more time for patient care.

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.

Why it matters: No more hunting through lists to find what needs attention.

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.

Why it matters: Less friction means less frustration during your busy day.

Production-Ready Mobile

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

Why it matters: Real data, real workflows, ready for real clinical use.

Improvements

Authentication Flow Overhaul

• Seamless sign-in experience with persistent email and OTP entry
• 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" - 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

This Week's Impact

• 10 updates shipped
• 18 features added
• 7 bugs squashed
• ~1,300 lines of unused code removed

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

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

• Enhanced Reasoning: Improved logical thinking and problem-solving
• Context Awareness: Better understanding of conversation history
• Multi-modal Support: Process text, images, and code simultaneously
• Adaptive Responses: Tailored communication style based on user preferences
• Real-time Learning: Dynamic adaptation during conversations