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HIPAA Compliant

AI Medical Scribe for

Allergy and Immunologists

New-patient allergy workups mean long trigger histories, skin test results, and emergency action plans — all in one note. Medical Scribe documents the full consult while you work through the triggers with your patient.

Sample note

What your notes will look like

A real example of the documentation Medical Scribe generates for allergy and immunologists — ready before your patient leaves the room.

Allergy Consult Ready to copy

Subjective

29F referred for perennial rhinitis and two episodes of lip swelling after takeaway meals. Daily sneezing, congestion, and itchy eyes, worse in the evenings at home; two cats indoors. Cetirizine 10mg daily gives partial relief. Lip tingling and swelling within 15 minutes of satay dishes on both occasions; no wheeze, no dizziness. Mother has asthma.

Objective

Pale, boggy nasal turbinates with clear discharge. Chest clear, no wheeze. Skin intact, no urticaria today. Skin prick testing: cat dander 8mm, house dust mite 6mm, peanut 7mm; histamine and saline controls appropriate.

Assessment & Plan — Allergic Rhinitis

  • Perennial allergic rhinitis, cat and dust-mite sensitized
  • Start intranasal fluticasone daily; continue cetirizine 10mg as needed
  • Allergen reduction discussed: bedroom pet exclusion, dust-mite encasings
  • Consider subcutaneous immunotherapy if inadequately controlled at 3-month review

Assessment & Plan — Peanut Allergy

  • Probable IgE-mediated peanut allergy; serum specific IgE ordered
  • Strict avoidance counseled; label reading reviewed
  • Epinephrine auto-injector prescribed; technique demonstrated and taught back
  • Written anaphylaxis action plan provided; review with results in 4 weeks

Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.

In allergy, the history is most of the diagnosis

Trigger histories go on and on

Onset, seasonality, home and workplace exposures, pets, diet, family atopy — the detail that makes an allergy history diagnostic is exactly what makes it exhausting to type.

Immunotherapy runs on documentation

Build-up schedules, dose adjustments, local and systemic reactions — years of injection visits, each needing a consistent record to keep treatment safe and on track.

Anaphylaxis plans must be airtight

Epinephrine auto-injector training, avoidance counseling, and emergency action plans have to be documented clearly — these are the notes that matter most if a reaction happens.

AI-Powered Documentation

Real-time transcription that understands medical terminology and clinical context.

Specialty Vocabulary

Recognizes terms, conditions, and procedures specific to your practice area.

Save Hours Daily

Generate comprehensive clinical notes in minutes instead of hours.

HIPAA Compliant

Enterprise-grade encryption and security to protect sensitive data.

Built-in templates

Note templates built for allergy and immunologists

These aren't generic formats — they ship in the product today, structured around how you actually document.

Allergy and Immunologist's Note

Subjective Objective Assessment & Plan

Plus 280+ templates across every specialty — or build your own in minutes.

From 60-minute workups to 6-minute shot visits

A new allergy consult is a long, winding history; an immunotherapy visit is a quick dose-and-observe. Medical Scribe records both — in clinic or over telehealth — and drafts a note proportional to the encounter, so first visits get their detail and injection visits get their brevity without you typing either one.

Structured the way allergists report

The built-in Allergy and Immunologist’s Note organizes the draft into Subjective, Objective, and a per-condition Assessment & Plan — with room for trigger and dietary history, skin prick and specific IgE results, avoidance strategies, immunotherapy options, and emergency management education. Referral letters back to GPs practically write themselves from it.

Exact numbers, or nothing

Wheal diameters, IgE levels, and build-up doses only help if they’re recorded precisely. Medical Scribe documents the values you actually said — it never estimates or invents a result — and every note stays an editable draft until you’ve reviewed and signed it.

Frequently asked questions

Will it capture skin prick and specific IgE results accurately?

It documents the wheal sizes and lab values you state during the consult — exactly as you say them, in the Objective section of the Allergy and Immunologist's Note. It never fills in results that weren't mentioned.

Can it document auto-injector training and action plans?

Yes. When you walk a patient through epinephrine technique and their emergency plan, that education is captured in the note's Assessment & Plan — creating the clear record you want on file if the patient ever has a reaction.

How does it handle multiple allergic problems in one visit?

The built-in Allergy and Immunologist's Note structures the Assessment & Plan per condition, so rhinitis, food allergy, and asthma each get their own diagnosis, workup, and plan rather than blurring into one paragraph.

Is patient information protected?

Yes. Medical Scribe is HIPAA compliant, with recordings encrypted in transit and at rest. You review and sign every note before it enters the chart.

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