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A doctor showing a patient their headache log on a tablet
Hirotaka Maekawa, MD, headache specialist

Headache specialist and app developerHirotaka Maekawa, MD

Your patients' headache diaries,
delivered before the visit.

  • Completely freeFor practices and patients
  • No EHR integration neededEven with paper charts
  • Sign up in 5 minutesAll done online

Zutsu Note is a free headache diary app made in Japan ("zutsu" means "headache" in Japanese). Your patients log headaches on their phones, and you see their diaries at a glance on your phone or computer. The "How was last month?" conversation is done before the visit even starts.

3 things that change for your clinic

See recent progress before the visit

See headaches, medication, sleep, and barometric pressure on one screen, in time order. Headache-day trends, MIDAS, and MIBS-4 are charted automatically, so you no longer spend visit time taking a history.
30-day daily chart
Progress summary

Spend visit time on treatment

Acute medication response rates, before-and-after comparisons for preventive medication, and changes in headache days around each visit appear automatically. That frees up the visit for adjusting medications and planning treatment.
Medication report
Changes before and after visits

Let patients with headaches find you

Registered clinics are listed for free in Find a headache clinic. Patients who haven't chosen a clinic yet are directed to you in the app, and your clinic's page also shows up in web and AI search. There are no advertising fees.

* Screens show sample data

Get started in
3 steps

Register your practice

Just enter your practice name and the doctor in charge. It takes about 5 minutes.

Patients add you as their clinic

Patients set this up themselves on the Account tab in the app.

Shows up on your screen instantly

Patients appear in your patient list automatically, and you can open their stats right away.
Register your clinic for free

No cost to use it or to be listed

Built by a headache specialist who uses it in clinic every day

Hirotaka Maekawa, MD, headache specialist

Headache specialist and Zutsu Note developer

Hirotaka Maekawa, MD

Neurologist and headache specialist in Japan

Board-certified headache specialist (Japanese Headache Society), neurologist (Japanese Society of Neurology), and internist (Japanese Society of Internal Medicine)

I see patients as a headache specialist in Japan, and I built Zutsu Note myself. I use it in my own headache clinic, too. The data shows changes that paper questionnaires missed, and visits go more smoothly.

FAQ

How does patient data reach my screen?
As soon as a patient sets your practice as their clinic in the app, they show up in your patient list automatically. Patients always decide for themselves whether to share.
Is patient data secure?
Data is stored in the AWS Tokyo Region and encrypted in transit and at rest. Only the practice a patient has set as their clinic can view their data. You will never see patient data from other practices.
Our EHR is on-premises, and internet access in our exam rooms is limited. Can we still use it?
Yes. It doesn't connect to your EHR at all. You just view it on your phone or tablet. It works the same for doctors who use paper charts.
Does it cost anything for our practice or our patients?
It's free for practices, and the app is free for patients. There's no IT work, and registering your practice takes 5 minutes. Current features, like sharing headache diaries, will stay free.

Make your headache clinic one patients want to keep coming back to.

Free for practices, and setup takes 5 minutes. No EHR changes or IT work needed.