How it works

From a messy PDF to a record you actually understand.

We walk through exactly what happens when you upload a document, so you know what you’re getting — and what we never do.

The pipeline

Five steps. Nothing magical.

  1. 01

    You upload

    Drag-drop a PDF, tap the camera to snap the paper, or forward an email straight to your library. Whatever shape your records are in, that’s the shape we accept.

    What you see

    A progress bar, an estimated time, and the ability to upload more in parallel.

    What we never do

    Open your document in a public web viewer, share it with anyone, or use it to train a model.

    Step 1 of 5
  2. 02

    We classify

    A small model decides whether it’s a discharge summary, a lab report, a prescription, a doctor note, an imaging report, a vaccination record, a hospital bill, or something else. The right downstream prompt is picked from there.

    What you see

    The detected document kind, with a confidence chip if low.

    What we never do

    Guess silently. If confidence is low we tell you and let you override.

    Step 2 of 5
  3. 03

    We extract

    A purpose-built prompt per document kind pulls out every item, dose, value, date, and flag. The result is validated against a strict schema before anything is saved.

    What you see

    A structured view you can scroll — patient info, diagnoses, medicines, procedures, follow-ups, lab values (with reference ranges where present).

    What we never do

    Invent a value that wasn’t in the document. If we can’t read a value, we say so.

    Step 3 of 5
  4. 04

    We explain

    In plain English, hedged where it should be, with ‘ask your doctor’ callouts next to anything uncertain. Designed to inform a conversation, not replace one.

    What you see

    A summary paragraph, per-item “likely used for” notes, and a list of specific questions to bring to your next visit.

    What we never do

    Tell you what you had, or tell you to change a dose.

    Step 4 of 5
  5. 05

    You ask

    Open any record and chat with it. Every answer cites the exact extracted line it came from, so you can trace anything we say back to the source.

    What you see

    Streamed answers, citation chips that scroll you to the source, and full conversation history.

    What we never do

    Answer from outside your document, make up dosages, or give a diagnosis.

    Step 5 of 5

Worked examples

What you put in, and what you get back.

Two synthetic but realistic walk-throughs. The raw documents on the left are made up; the Medical Records Vault output on the right is the real shape of what you’ll see.

Raw documentApollo Hospitals — Discharge Summary

APOLLO HOSPITALS · GREAMS ROAD · CHENNAI


PatientMr. R. Iyer · 64 yrs · M
MRNAH-204-88193
Admitted08 Mar 2024
Discharged12 Mar 2024

Diagnosis

Community-acquired pneumonia (right lower lobe), resolving.

Medications on discharge

  • Ceftriaxone 1g IV BID × 5 days (in-hospital, completed)
  • Azithromycin 500mg PO OD × 3 days
  • Paracetamol 650mg PO SOS for fever

Follow-up

Review in 10 days with repeat CXR.

Medical Records Vault output

Plain-English summary

You were treated in hospital for a lung infection. You received two antibiotics through a drip and by mouth, along with a fever medicine. Your doctor wants to see you again in about 10 days with a new chest X-ray.

Per-item explanation · Ceftriaxone

Likely used for bacterial infections, commonly including chest infections. The dose here is a standard adult hospital dose.

Medications, line 1

Questions for your doctor

  • Ask whether the repeat chest X-ray is necessary if you feel fully recovered.
  • Ask what symptoms should bring you back before the follow-up.

Hard limits

Things Medical Records Vault refuses to do.

  • Give you a diagnosis.
  • Tell you to change a medication or a dose.
  • Replace your doctor's clinical judgement.
  • Share or sell your records.
  • Train AI models on your documents.
  • Keep your data if you ask us to delete it.

Compare Medical Records Vault to …

How Medical Records Vault actually compares.

A side-by-side, in plain language, against the three things people most often consider when they're trying to make sense of their medical paperwork. Written so it's still honest about where Medical Records Vault isn't the right answer.

Capability
Medical Records Vault
this product
Generic AI chat
ChatGPT / Claude / Gemini
Patient portal
MyChart-style
Drive / spreadsheet
do-it-yourself
Designed for medical paperworkYes — every prompt is per-document-kind, validated against a schema.No — general-purpose chat with no medical schema.Partial — only the documents from that one provider.No — you're the schema.
Plain-English explanations with citationsYes — every claim cites the source line in your document.Sometimes — but the model hallucinates and cites itself.No — raw clinician prose.No.
Refuses to diagnose by designYes — refusal is in the system prompt and tested.No — will happily speculate.N/A — no AI layer.N/A.
Your data is not used to train AIYes — zero-retention, no-training contracts with AI providers.Depends on the plan and your settings — easy to misconfigure.Yes (no AI today), but the portal owns your data.Depends on the vendor and plan.
Works across providersYes — drop in PDFs from any hospital, lab, or country.Yes, but no organisation or memory.No — siloed to that hospital network.Yes, but no understanding.
Manage records for a parent or kidYes — multi-patient profiles (Me / Dad / Mom / Kid) ship today.No first-class concept of patients.Limited — proxy access is painful and per-network.Manual folder discipline.
Share a single record with a doctor for 7 daysYes — watermarked public viewer, revocable, expires automatically.No — you'd share a chat transcript, not a record.Rarely — usually portal-to-portal only.Yes, but anyone with the link, forever.
Export everything as a ZIP and leaveYes — one click, originals plus structured data plus chat history.Partial — chat export only, not a clinical record.Often clunky or unavailable.Yes — but the data was never structured.
HIPAA boundary todayNo — explicitly stated. Wait for HIPAA coverage if you need a BAA.No (consumer plans).Yes — that's the point.No.
CostFree during public beta. Planned: Personal ~$4/mo, Family ~$8-10/mo.$0–$20/mo, but no medical schema.Free (paid for by your insurance / hospital).Free or a few dollars a month.

We try to keep this table honest. If you spot something that's no longer true, email contact@fourtwos.com and we'll fix it.

Under the hood

For the trust-seekers (and the LLMs grading us).

The detail you’d want before trusting any tool with your health records.

Keep learning

Plain-English guides to the documents themselves.

Want to understand a document before you upload it? Our Learn hub explains discharge summaries, lab values, and Indian hospital bills in plain language — source-cited, never a diagnosis.