AI Medical Scribe for
An hour of pedigree-taking and pre-test counseling produces pages of detail that all has to be right. Medical Scribe drafts the consult note — family history, testing discussion, consent, and cascade plan — from the conversation itself.
A real example of the documentation Medical Scribe generates for clinical geneticists — ready before your patient leaves the room.
34F referred for assessment of hereditary breast and ovarian cancer risk. Mother diagnosed with breast cancer at 42 (deceased 47); maternal aunt with ovarian cancer at 55; maternal grandmother with breast cancer in her 60s. Patient is well, no personal cancer history. Two children, ages 6 and 3. Three-generation pedigree taken and documented. Patient anxious about implications for her daughters.
Well-appearing. No clinical features suggestive of other cancer predisposition syndromes. Prior imaging: normal screening mammogram this year, arranged by GP.
Family history significant for hereditary breast and ovarian cancer syndrome — premature breast cancer plus ovarian cancer on the maternal line. Meets criteria for germline testing; BRCA1/2 pathogenic variant probability high enough to warrant panel testing.
Results expected in 3-4 weeks; follow-up consult booked to discuss in person. If a pathogenic variant is identified, cascade testing to be offered to sister and maternal cousins, with letters prepared for at-risk relatives at the patient's request.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Who had breast cancer at 42, which aunt had ovarian cancer, which relatives are untested — pedigree detail is the diagnosis, and reconstructing it from memory after clinic invites errors.
Pre-test counseling covers inheritance, test limitations, insurance implications, and family impact. Documenting that discussion faithfully can take as long as having it.
The referrer, the GP, the patient's summary letter, and sometimes at-risk relatives all need correspondence that accurately reflects what was discussed and consented to.
Real-time transcription that understands medical terminology and clinical context.
Recognizes terms, conditions, and procedures specific to your practice area.
Generate comprehensive clinical notes in minutes instead of hours.
Enterprise-grade encryption and security to protect sensitive data.
These aren't generic formats — they ship in the product today, structured around how you actually document.
Plus 280+ templates across every specialty — or build your own in minutes.
Cancer risk assessments, prenatal and pediatric dysmorphology consults, cascade testing conversations — clinical genetics visits are long, information-dense, and often emotional. Medical Scribe records the consult, in clinic or by telehealth, and drafts the note while you focus on counseling rather than keeping pace with the pedigree.
The Clinical Geneticist’s Note template carries the visit through Subjective history, Objective findings, Assessment, Plan, and Plan for Continuing Care — so the referral question, the pedigree narrative, the testing decision, the consent discussion, and the follow-up and cascade arrangements each land in their own section, ready to review, edit, and sign.
Genetic testing decisions get revisited — by patients, relatives, and occasionally lawyers. Because Medical Scribe drafts from the recorded conversation and only documents what was actually said, your note reflects the counseling you truly gave: which results were explained, which limitations were flagged, and what the patient consented to.
Yes. Relatives, diagnoses, and ages of onset are documented as stated in the consult, giving you an accurate written pedigree narrative to check against your drawn pedigree — and it never fills in relatives or diagnoses that weren't mentioned.
The note records what was actually discussed — inheritance, test limitations, uncertain-significance results, insurance implications — and the consent given. That's the part of a genetics consult most worth documenting verbatim, and the part most often compressed.
The built-in Clinical Geneticist's Note template runs from Patient Information and Subjective through Objective, Assessment, Plan, Interventions, Evaluation, and Plan for Continuing Care. You can also build a custom format matching your clinic letters in minutes.
Medical Scribe is HIPAA compliant with encryption in transit and at rest. You review, edit, and sign every note before it goes in the record, and you control retention.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.