When convincing someone with your clinical records, if you tell them something and the heart turns purple, you failed automatically. For example, when trying to convince Hikechi, the cancer patient, selecting the choice "Honestly is the best quality" results in a purple heartand he dies, not telling his wishes.
Complete the game to unlock the Omake options which allow you to replay mini-games and operations found during the main game, and view gallery images and listen to music tracks. All eleven Operations in Omake can be purchased for 500,000 Ten. To unlock all gallery entries, unlock all sixteen epilogues.