🏥ZERALIZone for EMR Rehearsal, Assessment, Learning, and Improvement

What is ZERALI?

ZERALI is a safe practice version of an Electronic Medical Record (EMR) — the kind of computer system real hospitals and clinics use to write down what happens to a patient.

Nothing you type here goes to a real patient. It's a place for students to practise recording care, and for supervisors and unit convenors to set up and review that practice.

New here? If you just want to look around without an account, use the Student Demo, Supervisor Demo or Unit Convenor Demo buttons on the home page. The demo accounts are read-only, so you can't break anything.

Who uses ZERALI?

There are three kinds of users. Pick the one that matches you to understand what you'll do here.

🎓

Student

You create records, fill in the patient's information, attach files (like a photo or a PDF) and submit your work to your supervisor.

🩺

Supervisor

You read what your students submitted, leave feedback in plain language, and either sign it off or send it back for changes. You only see task sheets for the units your convenor has assigned to you (or that you teach a class in).

🗂️

Unit Convenor

You set up the unit — add supervisors, assign them to one or more units, group students into classes, and publish the unit's task sheets so everyone has the same instructions.

How a record works (in plain English)

  1. Pick a setting. Is this care happening in an ambulance, in a clinic or in a hospital ward? ZERALI shows you the right tabs for that setting.
  2. Fill in the tabs. Each setting has several sections (tabs) for different parts of the patient's story — like why they came in, what you did, and what comes next.
  3. Use fill-in forms or write freely. Some sections ask you questions (with boxes, dropdowns and dates to pick). Others are a blank page where you write notes in your own words.
  4. Attach files if you need to. You can add a photo, a PDF or a scan to support what you've written.
  5. Submit for feedback. When you're ready, you send the record to your supervisor. They'll read it and either sign it off or send it back with feedback.

What can you record?

ZERALI has three different settings. Each one has its own set of tabs, because what you write down for an ambulance call-out is very different from what you write down for a GP visit or a hospital stay. Pick a setting below to see what's inside.

Setting

Out of Hospital

Care given before the patient reaches a hospital

This is for situations like an ambulance call-out or a roadside emergency. You record what you saw at the scene, what was wrong with the patient, what you did to help, and who you handed them over to.

Example: a paramedic student documents arriving at a fall, checking the patient, giving pain relief, and handing over at the hospital door.

The Out of Hospital record has 13 sections. Each one is a tab you click into. Some are fill-in forms; some are blank pages where you write your own notes.

Patient Details

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (13 items)
  • Encounter DateA date
  • Encounter TimeA time
  • Patient NameShort typed answer
  • Date of BirthA date
  • GenderPick from a list
    Choices: Female · Male · Non-binary · Other · Prefer not to say
  • AddressShort typed answer
  • SuburbShort typed answer
  • PostcodeShort typed answer
  • Service Location / SettingShort typed answer
    For example: Roadside, residence, event site...
  • Next of Kin / Contact NameShort typed answer
  • RelationshipShort typed answer
  • Contact NumberShort typed answer
  • Additional NotesLonger notes

Scene & Ambulance Request

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (5 items)
  • Scene / Dispatch SummaryLonger notes
  • Reason Ambulance RequestedShort typed answer
  • Pick-Up LocationShort typed answer
  • Intended DestinationShort typed answer
  • Attending Ambulance IdentifierShort typed answer

Presenting Incident

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter presenting incident notes for this simulated case..."

History & Co-Morbidities

Free writing

Background health information that helps make sense of today's visit.

You write notes in your own words. Prompt: "Enter history & co-morbidities notes for this simulated case..."

Allergies & Adverse Reactions

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter allergies & adverse reactions notes for this simulated case..."

Monitoring & Observations

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter monitoring & observations notes for this simulated case..."

Investigations & ECG

Free writing

Tests ordered or results discussed (blood tests, scans, etc.).

You write notes in your own words. Prompt: "Enter investigations & ecg notes for this simulated case..."

Clinical Assessment

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter clinical assessment notes for this simulated case..."

Interventions

Free writing

Anything you did to help — oxygen, bandages, pain relief, CPR, etc.

You write notes in your own words. Prompt: "Enter interventions notes for this simulated case..."

Medicines & Fluids

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter medicines & fluids notes for this simulated case..."

Transfer of Care

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (4 items)
  • Receiving Service / ClinicianShort typed answer
  • PCR Copy ProvidedTick yes/no
  • Verbal Handover GivenTick yes/no
  • Handover NotesLonger notes

Consent & Legal

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter consent & legal notes for this simulated case..."

Reflection

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter reflection notes for this simulated case..."
Setting

Community

Care given outside a hospital — clinics, homes, phone calls

This is for visits at a GP clinic, an Aboriginal health service, the patient's home, or even a phone consultation. You record ongoing health problems, medications, tests ordered, referrals, and how the visit ended.

Example: a nursing student documents a home visit for wound care, updates the patient's medication list, and books a follow-up.

The Community record has 13 sections. Each one is a tab you click into. Some are fill-in forms; some are blank pages where you write your own notes.

Service / Encounter Info

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (16 items)
  • Encounter DateA date
  • Encounter TimeA time
  • Patient NameShort typed answer
  • Date of BirthA date
  • GenderPick from a list
    Choices: Female · Male · Non-binary · Other · Prefer not to say
  • AddressShort typed answer
  • SuburbShort typed answer
  • PostcodeShort typed answer
  • Encounter Place / ModePick from a list
    Choices: Aboriginal Health Service · Client's Home · Telephone · Other Community Settings
  • Program (community health / chronic disease / etc.)Short typed answer
  • Provider (clinician / community health worker)Short typed answer
  • Service Location / SettingShort typed answer
    For example: Clinic, home visit, telehealth...
  • Next of Kin / Contact NameShort typed answer
  • RelationshipShort typed answer
  • Contact NumberShort typed answer
  • Additional NotesLonger notes

Clinical Summary

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (7 items)
  • Active Problems & Significant HistoryLonger notes
  • Qualifier Summary (BP, weight, glucose, HbA1c, etc.)Longer notes
  • To Do List (recalls, referrals, preventive care — due within 12 months)Longer notes
  • Medication Summary (current + expired regulars, adherence)Longer notes
  • Social & Family History (CRITICAL — social determinants, living situation, supports)Longer notes
  • Care Plan (goals, chronic disease management, community supports engaged)Longer notes
  • Obstetrics Info (if applicable)Longer notes

Health Information

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (7 items)
  • Active ProblemsLonger notes
  • Significant HistoryLonger notes
  • Alerts & Other Information (allergies, contraindications)Longer notes
  • Outstanding Recalls & ReferralsLonger notes
  • Adherence / Reaction StatusLonger notes
  • Prevention Status (immunisations, screening)Longer notes
  • Community Services EngagedLonger notes

Progress Notes

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (8 items)
  • Note DateA date
  • Note TimeA time
  • Encounter TypePick from a list
    Choices: Aboriginal Health Service · Client's Home · Telephone · Other Community Settings
  • ProviderShort typed answer
  • Free-text Commentary (visit narrative)Longer notes
  • Community / Home Environment ContextLonger notes
  • Dietician / Nutritionist Consultation NotesLonger notes
  • Clinical Items (chronological)A list you can add more rows to
    Each entry in this list includes:
    • • Date
    • • Time
    • • Clinical Item / Term
    • • Provider
    • • Notes

Detail

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (5 items)
  • Filter by Class (Condition / Procedure / Medication / Assessment / Prevention)Short typed answer
  • Filter by Topic (disease, body system, preventive service)Short typed answer
  • Filter by DateA date
  • Search TextShort typed answer
  • Clinical Items ListA list you can add more rows to
    Each entry in this list includes:
    • • Qualifier (measurement type)
    • • Value
    • • Date Recorded
    • • Clinician / Provider
    • • Community Service Context

Medications

Fill-in form

Medicines given to the patient, including time, dose and route.

Show what you fill in (1 item)
  • MedicationsA list you can add more rows to
    Each entry in this list includes:
    • • Medication Name
    • • Strength (e.g. 500 mg)
    • • Pack Size (e.g. 30 tablets)
    • • Dosage (e.g. one tablet)
    • • Frequency
    • • Duration (number + unit)
    • • Duration Type (REQUIRED)
    • • Start Date
    • • End Date
    • • Status
    • • Special Instructions (community compliance)
    • • Authority Number (if restricted)
    • • Practitioner Number
    • • Adherence / Self-Management Notes

Investigations & Diagnostics

Fill-in form

Tests ordered or results discussed (blood tests, scans, etc.).

Show what you fill in (2 items)
  • RequestsA list you can add more rows to
    Each entry in this list includes:
    • • Investigation Provider
    • • Investigation Type
    • • Status
    • • Clinical Notes
    • • Investigation Reason / Indication
    • • Date Requested
    • • Urgency
  • ResultsA list you can add more rows to
    Each entry in this list includes:
    • • Result Name
    • • Value
    • • Reference Range
    • • Date Received
    • • Flag
    • • Clinician Interpretation & Plan

Referrals

Fill-in form

Other services the patient is being sent to (e.g. physio, specialist).

Show what you fill in (1 item)
  • ReferralsA list you can add more rows to
    Each entry in this list includes:
    • • Referral Type
    • • Receiving Organisation
    • • Referring Provider
    • • Date Referred
    • • Referral Reason
    • • Urgency
    • • Referral Complete (patient attended)
    • • Date Attended (required if complete)
    • • Letter Template

Documents & Results

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (4 items)
  • Investigation Results (last 6 months)Longer notes
  • Scanned Documents (discharge summaries, external records)Longer notes
  • Received Documents (from community partners / specialists)Longer notes
  • Outgoing Documents (referrals, reports, patient summaries)Longer notes

Clinical Coding & Billing

Fill-in form

How the visit is being paid for or billed.

Show what you fill in (11 items)
  • Community Service CodeShort typed answer
  • Medicare Item NumberShort typed answer
  • Amount (fee)Short typed answer
  • Claiming ProviderShort typed answer
  • Bulk BilledTick yes/no
  • Authority TypePick from a list
    Choices: FBS · FPS/FS3 · NIP · Other
  • Authority NumberShort typed answer
  • Practitioner NumberShort typed answer
  • Approved IndicationShort typed answer
  • Claim StatusPick from a list
    Choices: Claim Now · Claim Later · Not Claimable · Community Funded
  • Service Message (no confidential information)Longer notes

Service Completion

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (2 items)
  • Is this service now complete?Pick from a list
    Choices: Yes — service complete · No — patient will see another provider · Ignore — no service provided · Cancel — don't close record
  • Service Message / Follow-up NoteLonger notes

Consent & Legal

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter consent & legal notes for this simulated case..."

Reflection

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter reflection notes for this simulated case..."
Setting

In Hospital

Care given to a patient staying in hospital

This is for inpatients — people admitted to a ward. You record admission details, allergies, medications given, observations (like blood pressure), team notes from doctors, nurses and allied health, and finally the discharge plan.

Example: a student records morning observations, charts medications given, adds a physio note, and helps prepare the discharge summary.

The In Hospital record has 13 sections. Each one is a tab you click into. Some are fill-in forms; some are blank pages where you write your own notes.

Demographic & General Information

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (29 items)
  • Encounter DateA date
  • Encounter TimeA time
  • Patient NameShort typed answer
  • Date of BirthA date
  • GenderPick from a list
    Choices: Female · Male · Non-binary · Other · Prefer not to say
  • AddressShort typed answer
  • SuburbShort typed answer
  • PostcodeShort typed answer
  • Medical Record / UR NumberShort typed answer
  • Medical Team / Admitting PhysicianShort typed answer
  • Admission DateA date
  • Admission TimeA time
  • Discharge Date (if applicable)A date
  • Ward / UnitShort typed answer
  • Bed NumberShort typed answer
  • Room NumberShort typed answer
  • Isolation StatusPick from a list
    Choices: None · Contact · Droplet · Airborne · Reverse / Protective
  • Bed StatusPick from a list
    Choices: Occupied · Pending · Available
  • Admission TypePick from a list
    Choices: Elective · Emergency · Transfer
  • Admission SourcePick from a list
    Choices: Emergency Department · GP Referral · Inter-hospital Transfer · Outpatient Clinic · Direct Admission · Other
  • Reason for Admission / Primary DiagnosisLonger notes
  • Patient PhoneShort typed answer
  • Next of Kin PhoneShort typed answer
  • Preferred Language (if not English)Short typed answer
  • Ward / Unit / Service LocationShort typed answer
    For example: Ward, theatre, maternity unit...
  • Next of Kin / Contact NameShort typed answer
  • RelationshipShort typed answer
  • Contact NumberShort typed answer
  • Additional NotesLonger notes

Alerts

Fill-in form

Important warnings everyone caring for this patient must know (allergies, infections, falls risk).

Show what you fill in (1 item)
  • Patient Alerts (allergies, infection control, fall risk, etc.)A list you can add more rows to
    Each entry in this list includes:
    • • Alert Type
    • • Severity
    • • Detail / Reaction
    • • Acknowledged by staff

Medication Administration Record (MAR)

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (1 item)
  • MedicationsA list you can add more rows to
    Each entry in this list includes:
    • • Medication Name
    • • Strength / Dose
    • • Frequency
    • • Route
    • • Status
    • • Scheduled Time
    • • PRN (as-needed)
    • • Given?
    • • Given By (Nurse)
    • • Actual Time Given
    • • Reason Not Given (if held)
    • • Prescriber
    • • Special Instructions

Observation Chart / Vital Signs

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (9 items)
  • Vital Sign ReadingsA list you can add more rows to
    Each entry in this list includes:
    • • Date
    • • Time
    • • Temperature (°C)
    • • Heart Rate (bpm)
    • • BP Systolic
    • • BP Diastolic
    • • Respiratory Rate
    • • SpO2 (%)
    • • Consciousness (AVPU)
    • • Pain (0–10)
    • • Recorded By
  • Custom HR alert threshold — MinA number
  • Custom HR alert threshold — MaxA number
  • Custom BP Sys threshold — MinA number
  • Custom BP Sys threshold — MaxA number
  • Custom RR threshold — MinA number
  • Custom RR threshold — MaxA number
  • Custom SpO2 threshold — MinA number
  • MET / UCR Criteria NotesLonger notes

Results / Test Results

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (1 item)
  • Test & Imaging ResultsA list you can add more rows to
    Each entry in this list includes:
    • • Result Type
    • • Test / Study Name
    • • Result Value / Report
    • • Reference Range
    • • Abnormal / Flagged
    • • Collected (date/time)
    • • Received (date/time)
    • • Imaging Link / Reference

Interactive View & Fluid Balance

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (9 items)
  • Intake (oral, IV, blood products, IV meds)A list you can add more rows to
    Each entry in this list includes:
    • • Time
    • • Type
    • • Description
    • • Volume (mL)
  • Output (urine, bowel, drains, vomitus, wound)A list you can add more rows to
    Each entry in this list includes:
    • • Time
    • • Type
    • • Description
    • • Volume (mL)
  • Behaviours of ConcernLonger notes
  • Falls Risk AssessmentLonger notes
  • Skin Integrity / Pressure Areas / WoundsLonger notes
  • ContinenceLonger notes
  • Sleep / RestLonger notes
  • General ConditionLonger notes
  • Special Precautions (contact / droplet / airborne)Longer notes

Documentation / Progress Notes

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (1 item)
  • Multidisciplinary Progress NotesA list you can add more rows to
    Each entry in this list includes:
    • • Date
    • • Time
    • • Discipline
    • • Entry Type
    • • Provider
    • • Narrative
    • • Locked (finalised)

Orders & Referrals

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (2 items)
  • Referrals to Other DisciplinesA list you can add more rows to
    Each entry in this list includes:
    • • Refer To
    • • Referral Type
    • • Clinical Reason
    • • Urgency
    • • Date Referred
    • • Status
    • • Message / Special Instructions
  • Medical OrdersA list you can add more rows to
    Each entry in this list includes:
    • • Order Type
    • • Detail
    • • Ordered By
    • • Date Ordered

Case Conference

Fill-in form

Complete the structured simulated EMR fields.

Show what you fill in (6 items)
  • Conference DateA date
  • Attendees (disciplines & providers)Longer notes
  • Key MDT DecisionsLonger notes
  • Care Plan ModificationsLonger notes
  • Follow-up Plan & TimelineLonger notes
  • MDT GoalsA list you can add more rows to
    Each entry in this list includes:
    • • Goal Statement
    • • Target Date
    • • Responsible Discipline
    • • Progress
    • • Review Date

Discharge Planning

Fill-in form

The plan for when the patient goes home — instructions, follow-up, medicines to take.

Show what you fill in (6 items)
  • Final Assessment of Patient StatusLonger notes
  • Goals Achieved SummaryLonger notes
  • Recommendations for Ongoing CareLonger notes
  • Referral to Community Services (if applicable)Longer notes
  • Discharge SummaryLonger notes
  • Precautions & RestrictionsLonger notes

Supervisor Sign-Off

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter supervisor sign-off notes for this simulated case..."

Consent & Legal

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter consent & legal notes for this simulated case..."

Reflection

Free writing

Document relevant findings, actions, and rationale for this section.

You write notes in your own words. Prompt: "Enter reflection notes for this simulated case..."

Is any of this real patient information?

No. ZERALI is a training tool. There are no real patients in here, and you should never type real patient details. Your sign-in name is just a short code (your "handle") — your real name is not stored.

Open ZERALI →

Stuck? Use the ? Help button in the top-right of any page for a quick walkthrough.