Doctors finance other doctors and the practice of medicine.
The InstantHPI Guild
Physicians who take the patient's story before the visit and sign drafted documents. No dues, ever. Join free, run your first case, choose how you pay inside your account.
Why doctors implement this
- Security
Your patient's story is taken on a private page, stored under a healthcare agreement, and nothing leaves without your signature. No recording in the room, no microphone listening to the visit.
- The patient reviews their own story
Before you see them, the patient reads back what they said and corrects it. The history you receive has already been checked by the person it is about.
- The writing is done when you walk in
Note, HPI summary, prescription, lab and imaging requests, referral, work note, each ready for review and signature. You read, correct, sign. Minutes saved per visit: measured in our clinic.
- More patients, less load
When the history and the paperwork are done before the visit, a doctor sees more patients in the same day and goes home without a stack of notes. Visits per day before and after: measured in our clinic.
- Cents per consultation
One case costs cents of computing to produce. The exact number is on our public costs page, to the cent, every month. Measured in 2026-11: US$0.029 of compute per case.
- Works at the scale of a nation
Nothing to install in the room: a phone, a tablet, a work code. With the right organisation (a network, a ministry, an insurer) it runs across a whole country in the patient's language.
- At cost for the doctor, free when covered
A doctor pays only what their cases cost to produce, shown to the cent, or nothing when a supporter covers them. Doctors finance other doctors and the practice of medicine. Institutions pay the licences.
- Doctors supporting doctors, worldwide
A guild of physicians who practise this way, no dues, a public roll, one chapter per country. Join, run your first case, tell one colleague.
- The notes get better every year without you lifting a finger
The models behind the drafting are being perfected with billions invested by others. Every improvement reaches your notes the next day. You are the indirect beneficiary of the largest research effort in history, at cents per case.
- Stronger legal documentation
Every visit leaves a complete, dated, signed record: what the patient said in their own words, what you found, what you ordered, each document separately signed. That is the file you want when a complaint or an insurer asks.
La Guilde InstantHPI
Des médecins qui recueillent l'histoire du patient avant la visite et signent des documents préparés. Aucune cotisation, jamais. Inscrivez-vous sans frais, faites votre premier cas, choisissez comment vous payez dans votre compte.
Pourquoi des médecins l'adoptent
- Sécurité
L'histoire de votre patient est prise sur une page privée, hébergée sous entente de confidentialité en santé, et rien ne sort sans votre signature. Aucun enregistrement dans la salle, aucun micro qui écoute la visite.
- Le patient relit sa propre histoire
Avant que vous le voyiez, le patient relit ce qu'il a dit et le corrige. L'histoire que vous recevez a déjà été vérifiée par la personne qu'elle concerne.
- La rédaction est faite quand vous entrez
Note, résumé de l'HMA, ordonnance, requêtes de labo et d'imagerie, référence, billet de travail, chacun prêt à relire et signer. Vous lisez, corrigez, signez. Minutes gagnées par visite : mesurées dans notre clinique.
- Plus de patients, moins de charge
Quand l'histoire et la paperasse sont faites avant la visite, un médecin voit plus de patients dans la même journée et rentre sans une pile de notes. Visites par jour avant et après : mesurées dans notre clinique.
- Quelques cents par consultation
Un cas coûte quelques cents de calcul à produire. Le chiffre exact est sur notre page publique des coûts, au cent près, chaque mois. Mesuré en 2026-11 : 0,029 $ US de calcul par cas.
- À l'échelle d'un pays
Rien à installer dans la salle : un téléphone, une tablette, un code de travail. Avec la bonne organisation (un réseau, un ministère, un assureur), ça tourne à l'échelle d'un pays, dans la langue du patient.
- Au prix coûtant pour le médecin, gratuit quand il est couvert
Un médecin paie seulement ce que ses cas coûtent à produire, affiché au cent près, ou rien quand un supporteur le couvre. Les médecins financent d'autres médecins et la pratique de la médecine. Les institutions paient les licences.
- Des médecins qui soutiennent des médecins, partout
Une guilde de médecins qui pratiquent ainsi, sans cotisation, un tableau public, un chapitre par pays. Joignez-vous, faites votre premier cas, parlez-en à un collègue.
- Des notes meilleures chaque année, sans effort de votre part
Les modèles derrière la rédaction sont perfectionnés avec des milliards investis par d'autres. Chaque progrès arrive dans vos notes le lendemain. Vous êtes le bénéficiaire indirect du plus grand effort de recherche de l'histoire, à quelques cents par cas.
- Une documentation légale plus solide
Chaque visite laisse un dossier complet, daté, signé : ce que le patient a dit dans ses mots, ce que vous avez trouvé, ce que vous avez prescrit, chaque document signé séparément. C'est le dossier que vous voulez quand une plainte ou un assureur demande.
Join the Guild
Joindre la Guilde
Joining is free. We email you episode 1 of the training, the video of the work, and a sign-in code. Your doctor account opens when you type the code.
L'inscription est sans frais. Nous vous envoyons par courriel l'épisode 1 de la formation, la vidéo du travail et un code de connexion. Votre compte médecin s'ouvre quand vous entrez le code.
The Guild roll
Le tableau de la Guilde
The founders' roll, by chapter
Le tableau des fondateurs, par chapitre
The founding charter
La charte fondatrice (en anglais)
Doctors finance other doctors and the practice of medicine. (Carlos, 2026-11-06, the principle of the Guild.)
Carlos: "There is no tech like our own. We will find a way to honor all these doctors wherever they are. We should create a guild for these doctors, so we can implement this at zero cost in the future, and make it standard operating procedure in the practice of medicine."
1. What the Guild is
A worldwide association of physicians who practise with pre-visit intake and signed-ready documentation (the InstantHPI method): the patient tells the story once, before the visit, in their own language; the clinician receives a drafted note, one document per order, and the care gaps prepared for signature; nothing is final until the physician signs.
The Guild belongs to its members, not to the company. InstantHPI Technologies founds it, supplies the software and the training, and holds one seat on the council. The rest of the council is elected by members.
2. Purpose
- Make pre-visit structured intake and physician-signed drafted documentation a recognised standard operating procedure in primary care, urgent care and emergency medicine.
- Keep the method at cost for the physician: the doctor pays only what their cases cost to render, or nothing when a supporter covers them. Institutions pay full licences; supporters pay US$100 a month to cover other family doctors worldwide; the Guild's non-profit income (grants, CME, conference fees) carries the rest.
- Honour the physicians who practise this way: a public roll of members by country, a credential (Guild Fellow), and a yearly recognition in each chapter.
- Build the evidence: members contribute anonymised time-saved, document-count and care-gap-closure numbers; the Guild publishes them yearly and submits them to the societies that write practice guidelines.
3. Membership
- Open to any licensed physician, resident or medical student, in any country. Quebec physicians are welcome in the Guild (the licensing restriction is commercial, not collegial).
- No dues ever. The software is at cost or covered (section 6). A member is a member for as long as they hold a licence or are in training.
- One condition: the member has run at least one real case end to end with the method (intake, draft, review, sign) and attests to it.
- A member is never asked to buy anything, promote anything or send patient data anywhere.
4. What a member receives
- The InstantHPI doctor account at cost or covered, for life, in English, Spanish, French or Tagalog (and the languages added later).
- The training library (25 episodes today) and every future module, and CME/CPD credit where the Guild obtains accreditation (first targets: Philippines PRC CPD, US AAFP prescribed credit, Canada Mainpro+ outside Quebec, UK RCGP CPD).
- The Guild credential: "Fellow of the InstantHPI Guild (FIG)" after 100 signed cases and one peer-reviewed case review; listed on the public roll.
- A voice: members vote on the SOP text, the document templates and the council.
- The local chapter: a country or language group with its own lead, meeting online quarterly.
5. What a member gives
- Practises the method and signs every document personally.
- Contributes anonymised counts (not patient data) when they choose: visits with pre-visit intake, documents drafted, minutes saved by self-report.
- Reviews one case of a new member per year (peer review of the drafted note, in the member's own language).
- Tells one colleague.
6. The at-cost model (decided by Carlos, 2026-11-06)
Every family doctor in the world gets InstantHPI at cost: the doctor pays only what their cases cost us to render (AI compute plus hosting), shown to the cent, billed monthly in aggregate, with no charge at all below a small monthly threshold. No margin on doctors, ever.
Three ways to pay, chosen by the doctor:
| Tier | What the doctor pays | What it does |
|---|---|---|
| At cost | The measured cost of their own cases, monthly | Their own practice, nothing more |
| Covered | Nothing | A supporter or a licence covers them (residents, students, doctors in low-income settings, anyone who asks) |
| Supporter, US$100 a month | US$100 | "Doctors finance other doctors." Their own cases at cost, the rest covers family doctors all over the world; named on the supporters' roll if they wish |
A public transparency page (instanthpi.com/costs) shows every month: cases rendered, compute paid, hosting paid, contributions received, doctors covered, the gap. The numbers come from the bills automatically, not from hand.
Institutions (hospitals, clinic networks, HMOs, governments, EMR vendors) pay full licences (docs/us-licensing/ONE-PAGER.md). That money, not doctor contributions, funds the engineering. The page says so.
Supporter contributions are contributions to InstantHPI Technologies, not tax-deductible donations, until the Guild is a registered non-profit (section 8). Every licence contract carries one clause: the licensee's physicians may join the Guild, and the at-cost and covered accounts are never cut off by a commercial dispute.
7. Standard operating procedure (the text the Guild maintains)
SOP-1, Pre-visit intake: every scheduled or walk-in visit begins with a guided structured interview in the patient's language, on the patient's phone or a clinic tablet, before the clinician sees the patient.
SOP-2, Drafted documentation: the interview produces a one-screen note, a separate HPI summary, and one document per order, referral, prescription, lab, imaging request and work form.
SOP-3, Care gaps: the draft lists the preventive and chronic-care gaps against the national quality measures, each as a separate signable order.
SOP-4, Physician review and signature: nothing leaves as final without the physician's review and signature. The assistant never diagnoses and never acts alone.
SOP-5, Separate signatures: each document is signable on its own, so the nurse, medical assistant or clerk takes only their sheet.
SOP-6, Record: the signed package goes into the clinic's record system (copy, upload, or SMART on FHIR write-back as an unsigned draft that the physician signs in the record).
SOP-7, Measurement: the clinic counts intakes, documents and minutes saved and reports yearly to the Guild in anonymised form.
The SOP is published in English, Spanish, French and Tagalog, versioned, and changed only by member vote.
8. Governance
- Council of 9: 1 founder seat (InstantHPI Technologies), 8 elected members, at least 4 continents represented, one seat reserved for a resident or student.
- Chapters: one per country or language region; the first chapter is the Philippines (Carlos trained there; the patient side already speaks Tagalog), then the United States, Canada outside Quebec, Latin America (Spanish), Europe, Middle East, Asia-Pacific.
- Legal form: a non-profit association, registered where the first council sits (decided by the first council; Canada or the Philippines are the two candidates). Until then the Guild is a programme of InstantHPI Technologies with this charter as its rule.
- Money: the Guild's accounts are published yearly to members.
9. Honouring the doctors
- The public roll at instanthpi.com/guild: name, country, chapter, year joined, Fellow status (opt-in).
- The yearly chapter recognition: the member whose anonymised numbers or peer reviews helped most, chosen by the chapter.
- The founders' roll: the first 100 members worldwide, permanent.
10. First steps (owner's list)
- Publish this charter at instanthpi.com/guild with a join form (name, country, licence number or training programme, email). Email-code sign-in like the doctor product.
- The join form creates the free doctor account and sends the first training episode and the video of the work at play (instanthpi.com/doctors).
- Seed the roll with the physicians Carlos already knows and the Philippine colleagues first.
- Use the JOB-021 prospect scrape Tier H (physician societies, conferences 2027) to propose talks and demos: the video first, the charter second.
- Apply for CPD accreditation in the Philippines first (PRC CPD provider), then AAFP.
11. What the Guild never does
- Never sends, stores or sees patient data. The Guild handles members, not patients.
- Never charges a physician.
- Never ties membership to buying anything.
- Never replaces the physician's judgement; the signature stays with the doctor.