i-Clarity Audiology
Vision and hearing.
One patient. One record.
One platform.
A patient moves from an eye examination to a hearing assessment without another record, another database or another disconnected journey. Not an optical PMS that happens to contain an audiogram — an end-to-end audiology workflow.
Same patient. Same record. Watch it switch.
Brian Walsh
DOB 27 Nov 1943 · #19122 · Unsworth
Latest refraction · 27 Apr
Add +2.25 · Varifocal dispensed 02 May
Clinical
- OCT imaging27 Apr
- Fields27 Apr
- RecallOn track
Next sight test due Apr 2027 · GP: Dr Patel, Bury (NHS Spine)
Audiogram · pure tone · 14 May
dB HLCOSI
- Conversation in noiseMuch better
- TelevisionBetter
- PhoneFollow-up
Hearing aids
Binaural RIC · fitted 21 May
Follow-up 18 Jun · NOAH session linked
Next hearing review due May 2026 · same GP, same recall diary, same record.
Brian's eye exam and hearing assessment live on one record — one set of demographics, one diary, one recall system, one till. Nothing re-keyed, nothing disconnected.
A complete workflow
Clinical and commercial, end to end.
From case history to audiogram to hearing aid to follow-up — with the referrals, outcomes and NOAH data along the way.
01 · Assess
A dedicated hearing assessment record — on the same file as the eye exam.
- Structured audiology case history
- Configurable clinical questionnaires
- Otoscopy recorded on the record
Everything in this stage
- Structured audiology case history
- Reasons for visit and patient notes
- General health, medication and family history
- Previous examination history
- Configurable clinical questionnaires
- Otoscopy and hearing assessment recording
- Clinical notes throughout the patient journey
Reason for visit
Struggling to follow conversation in restaurants; wife noticed TV volume creeping up.
Otoscopy
R Clear canal, TM intact
L Mild wax, TM visible
History
Noise exposure · engineering, 30 yrs
Meds: amlodipine · No FH
02 · Test
An integrated audiogram — not a bolt-on.
- Air & bone conduction, masked & unmasked
- Speech audiometry and speech masking
- Previous results overlaid for comparison
Everything in this stage
- Air and bone conduction
- Left/right ear plotting
- Masked and unmasked thresholds
- Frequency-specific thresholds
- Multiple audiometric symbols and test conditions
- Speech audiometry and speech masking
- Right and left ear clinical notes
- Previous results for comparison
- Audiogram display controls
Pure tone · air & bone · masked
vs 12 Nov 202403 · Understand
COSI built in — record the difficulties, track the improvement, prove the outcome.
- COSI needs assessment
- Improvement and final ability tracked
- Outcomes and recommendations recorded
Everything in this stage
- COSI needs assessment
- Individual listening difficulties recorded
- Improvement and final ability tracked
- Outcome recording
- Follow-up notes
- Recommendation recording
COSI · Client Oriented Scale of Improvement
Recommendation: binaural RIC · recorded 14 May
04 · Fit
From recommendation to fitting to follow-up — one workflow, connected to NOAH.
- Recommendation → dispensing → fitting record
- Import from and export to NOAH
- Fitting data without re-keying the patient
Everything in this stage
- Hearing aid recommendation workflow
- Dispensing notes
- Fitting and dispensing records
- Follow-up management
- Patient recall management
- Next-due scheduling
- Import from NOAH
- Export to NOAH
- Connected audiological test results
- Fitting and test data accessible without re-keying patient information
Binaural RIC · fitted 21 May
DispensedDispensing notes · domes M/closed · REM verified
Session linked · fitting data imported
No re-keying — same patient, same record
05 · Follow up
Every referral, response and outcome documented — and the next visit already in the diary.
- Referral recording and response tracking
- Clinical outcome documentation
- Recall and next-due scheduling
Everything in this stage
- Referral recording
- Referral response tracking
- Clinical outcome documentation
- Recommendation status
- Structured follow-up
- Complete historical patient record
Referral · ENT, asymmetric loss query
Response receivedSent 22 May · Reply 04 Jun · Outcome: no further action
Next due
Hearing review · May 2026 · recall scheme: audiology annual
Sight test · Apr 2027 · same record, same diary
Complete history: 3 hearing visits · 6 eye exams · every letter, result and note.
Integrated practice management
Everything else is already there.
Audiology doesn't get a separate system. It gets the whole platform.
NHS hearing, next.
We're building NHS hearing capability into the same record — private audiology and NHS hearing, side by side, one patient. When it's right, it ships to every practice.
Interested in shaping it?
Running audiology, or thinking about it?
We integrated audiology into our own practices on i-Clarity — so we've done the switch you're weighing up. A discovery call is the fastest way to see it on a real record.