Workflow snapshot
Context in, prepared action out — what Tabflows reads in a user-started browser session, and what it stages for review.
Initiation
An authorized clinic user starts the workflow from a refill request in Spruce, or from a thread the team has flagged.
User-initiated. Runs in the authorized clinic user's active browser session and uses the systems the user is already signed into.
Apps connected
Steps
- 1Reads the requestAction kind: context
- 2Pulls chart contextAction kind: context
- 3Sorts the refill queueAction kind: context
- 4Prescriber decidesAction kind: review
- 5Prepares reply and chart noteAction kind: prepared_action
Action out
Refills move from inbox request to a prescriber's decision, an approved patient reply, and a chart-ready note.
Tabflows does not store EHR credentials, does not independently initiate EHR access, and prepares work for review rather than acting as an open-ended autonomous EHR agent.
How it runs
Each step Tabflows prepares, from user initiation to clinic review.

- 1Reads the requestGatheringTabflows parses the message — medication, dose, and any quantity or pharmacy preferences the patient mentions.
- 2Pulls chart contextThinkingLast fill date, prescriber, allergies, and recent labs are surfaced from Elation alongside the message.
- 3Sorts the refill queueDraftingRefill requests in the Elation practice queue are grouped apart from scheduling, labs and urgent clinical work, with the medication, quantity and directions, and Elation's controlled-substance flag.
- 4Prescriber decidesWaitingThe prescriber approves, changes or declines the refill and e-prescribes it from the EHR or prescribing tool. Tabflows never issues a prescription.
- 5Prepares reply and chart noteDoneTabflows drafts the Spruce confirmation and chart note so the clinic can review and complete the follow-up.
Paste this into Assist
Drop this into Tabflows Assist to set up the reviewed workflow.
Hey Tabflows — set up user-initiated refill coordination from Spruce. When I choose a patient refill message, parse the med, dose, and any pharmacy or quantity hints. Pull last fill date, prescriber, allergies, and recent labs from Elation, and tell me if Elation flags it as a controlled substance. Once I've decided, draft the patient reply in Spruce and prepare the chart note for review.
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Tabflows lives in your browser, our team connects your tools, and the workflow quietly prepares the in-between work.
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