• Guideline lookup — Ask about acute stroke guidelines in plain language from the dedicated Guidelines tab, open the official source, and access content that will continue to be updated • Expanded neurology scales — Beyond stroke scores, assess and record common neurological conditions, with all results organized in one place • Adjustable text size — Follow the system setting or choose a larger size in the app • Improved the subscription experience and fixed issues for a better overall experience

• More scales are now available in all 6 languages • New: use all Pro features free for your first 2 weeks — no subscription required • Fixed a subscription issue, plus other improvements

NIHSS Records 5.0 • Smart Reminders — Three-tier urgency system with custom templates and auto-complete • PDF & CSV Export — Professional patient reports for archives and research • Siri Shortcuts — Quick access to any scale from Shortcuts app and Spotlight • Live Activity — Stroke timer on your Lock Screen and Dynamic Island • Pro Subscription — Unlock advanced export, iCloud sync, reminders and more.

New: Stroke Timer • Two timing modes — IVT and EVT, covering the most common stroke workflows • AHA and Chinese guideline time benchmarks shown for every key interval • Share results as image cards — works great with WeChat, iMessage, or any messaging app • Tap any completed step to correct timestamps before saving • NIHSS assessment built into the timer flow, linked to the same patient record • Save timer records to patient profiles and view full history Updated NIHSS 2024 picture stimuli: • New scene illustration and naming objects based on the official 2024 update • Designed for better cross-cultural recognition • Both classic and 2024 versions available Other improvements: • Default rater name — set once in Settings, auto-fills every assessment • 6-language localization updates across all new features • UI polish: consistent typography, Dynamic Type support

Version 4.1 New Features: • Clinical Tools: Added flashlight and tuning fork for bedside examination • Image Sharing: Optimized share card design for better sharing experience • Rater Settings: Set default rater and temporary rater for assessments Improvements: • Added original English scoring instructions for NIHSS (non-English users)

Optimized functionality with focus on core scoring and recording features.

Bug fixes and performance improvements.

What's New in Version 4.0 • 10+ New Clinical Scales: ASCOD stroke classification, DIAS³ seizure prediction, SI₂NCAL₂C outcome calculator, Framingham stroke risk, RoPE score, HAT score, DRAGON score, GWTG mortality, Padua VTE risk, and ASTRAL score • New Guideline Contents: tPA angioedema management, post-tPA hemorrhage protocols, endovascular treatment guidelines, and NOAC dosing guide with reversal agents • Enhanced Scoring Interface: Improved tap responsiveness, better prediction probability displays, and clearer risk stratification results • Bug Fixes: Resolved complex prediction model display issues, fixed score details visibility, and improved automatic subscription recognition

• Enhanced In-App Purchase Experience - Fixed product loading issues and improved purchase state persistence. Your purchases will now be automatically restored after app updates. • Improved Assessment Workflow - Fixed duplicate save issues and enhanced the assessment completion process for better reliability. • User Interface Fixes - Resolved blank content display in scale settings and improved overall app navigation. • Better Localization - Enhanced multi-language support for improved user experience across different regions.

Improved the NIHSS scoring process, allowing users to go back to previous steps to review or modify scores during the assessment, significantly enhancing operational convenience and efficiency. Multiple known issues have been fixed, improving overall stability and user experience, making neurological assessments more smooth and efficient for healthcare professionals. Users can now download and try NIHSS Records' core features for free, while existing paid users automatically receive permanent Basic tier protection.

Added support for iOS 18 and fixed some known bugs.

Fix a bug in CHA₂DS₂-VASc Scale.

NIHSS Records 3.3 introduces new features and bug fixes. New features include: - A quick view of the tPA Checklist is now possible - You can delete the default tPA Checklist items - You add custom tPA Checklist items

NIHSS Records 3.2 introduces new features and bug fixes. New features include: - NIHSS Instruction Notes let you take your own instruction notes, and you can look up these notes conveniently when scoring later. - Now you can share scale results with others - In Global Style of NIHSS, you can also look up the realted contents(Does calculator, guidelines). - You can quickly view the total times of scale evaluation, lowest and higest score.

Added Simplified Chinese, Traditional Chinese, Portuguese and Spanish (Latin America) versions of the NIHSS scale, and localized the App.

New Features: NIHSS Records version 3.0 provides users with the notification function of scale scoring. When the notification function is turned on, iPhone will send notifications to the user according to the Schedule Model selected by the user, so as to avoid missing assessments for patients requiring multiple scores. There are two types of schedule models: one is the default model inside the App, including: Daily, Every 3 Days, Weekly, Biweekly, Monthly, Every 3 Months, Every 6 Months; the other is a custom model: there is a built-in demonstration custom model: Demo Model. You can delete the Demo Model and define you own Schedule model. If we would like to evaluate weekly for 6 weeks after we evaluate a patient at baseline, we can select the Schedule Model as Weekly in the NIHSS scale(or other scales) settings, and then set the number of repetitions to 6. After the baseline score, the system will push a weekly notification to remind you that the patient should be scored again. Baseline score is the first score with the schedule model you choose.

New Features: - Add the feature of displaying scale definitions in the global style of all scales. Now you can see scale definitions when performing a scale in global style. - Add illustration figures to ASPECTS - Add scale general information in scale setting Optimize: - Fixed the abnormal display of default option in global style of GCS

New Features: - Add IV Alteplase Guidelines - Add Eligibility Recommendations for IV Alteplase in Patients with AIS - Add Alteplase Dosing Calculator - Add Endovascular Treatment Guidelines Optimization: - Fixed the bug that missing score records after app updating

New Features - Now you can directly add a new patient in Patients tab. - Also you can directly perform scales(New Scale Button) to the patient and save it in each patient's information details page. Optimization - Adjust the position of the delete patient button: the button locates in the upper right corner of the patient detail info page. - When total number of ratings of some scale exceeds 3, score results will be collapsed and displayed. Bugs fixed - Total scores of the ASPECTS adjusted to 10 points - The abnormal status of purchase button in some cases was fixed.

Bugs fix: • Fixed the bug of UI going to MRS scale when clicking on ABCD2 and CHADS2 scales (Important). • Fixed the bug of purchased scales disappear when reinstall the NIHSS Records App. If you find that scales's contents are not displayed correctly, you can delete this app reinstall it.

- Optimize the display of scales - Fixed bugs

New features: - NIHSS Records 2.0 version add a scale store. There are 9 new common used scales in stroke patients in the store. - The scores of all different scales of the same patient are displayed in the patient's personal information, which is convenient for comparison and review. NIHSS Records is not only a scale tool, but also a small scale database in your iPhone. Other: - Fixed some bugs - Optimized the display of score records and score details in patient information

New features: - Added the global view mode of NIHSS scoring. Optimization: - Adjusted the display of NIHSS score details, and the scores of items rated as "UN" are directly displayed as "UN". - Adjusted the display logic of patient information in the score record details. - Optimized the display of patient information details page. - Optimized the data structure: you‘d better back up important data manually temporarily during this update. - Bugs fixed If you have any feedback or questions, we would love to hear from you! Send email to support@medapps.tech or leave us comments on Twitter: @MedAppsTech.

New functions and features: - The patient’s name will be displayed in Recents page if you create a new patient. - In the scoring record details page, you can create a new patient with the score or add the score to an existing patient. - Patient information and your quick notes can be edited on the Patients page. - A second confirmation was made when deleting a patient to avoid mis-operation. - The person that administering the score is set to "Me" by default to reduce unnecessary input.

The process of saving patient NIHSS scores has been redesigned, including: - Redesign the UI of page that saving and updating the NIHSS scores. - After scoring, the specific date and time of NIHSS scoring can be displayed and changed - When storing patient information, you can upload patient photos. - When updating the patient’s NIHSS score, the date, time, scorer and notes of the NIHSS score can be updated at the same time. - Stored patient information can be displayed in the Recent and Patient tab . Optimized some functions: - When updating the patient’s NIHSS score, you can click anywhere in a row to select the patient. - Optimization of the font size and color of the rating page.