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HIPAA Compliant

AI Medical Scribe for

Gastroenterologists

Between clinic consults and endoscopy lists, GI notes pile up fast. Medical Scribe turns each visit conversation into a structured gastroenterology note — history, abdominal exam, scope results, and a numbered plan — ready to review before your next patient.

Sample note

What your notes will look like

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

GI Clinic Follow-up Ready to copy

Subjective

31M — Ulcerative colitis follow-up, diagnosed 3 years ago, left-sided disease. Reports 4-5 loose stools daily with intermittent blood for 6 weeks, urgency, no fever or weight loss. Previously well controlled on mesalamine; adherent to therapy. Non-smoker, alcohol 2-3 drinks weekly. No recent travel or antibiotics. NKDA.

Objective

  • BP 118/74, HR 78, afebrile, weight stable at 74kg
  • Abdomen soft, mild left lower quadrant tenderness, no peritonism, no masses
  • Labs: Hb 12.8, CRP 22, fecal calprotectin 640 µg/g
  • Last colonoscopy 3 years ago: Mayo 2 proctosigmoiditis

Assessment & Plan

  • 1. Ulcerative colitis flare on mesalamine 4.8g daily — likely loss of response
  • Investigations: stool culture and C. difficile toxin to exclude infection; flexible sigmoidoscopy to grade activity
  • Treatment: add mesalamine enema 1g nightly; discussed escalation to biologic therapy if sigmoidoscopy confirms moderate-severe activity
  • Follow-up in 2 weeks with results; earlier if bleeding worsens or fevers develop

Additional Notes

Discussed flare triggers and importance of continuing oral mesalamine. Patient advised to seek urgent care for severe pain, persistent bleeding, or fever. Questions about biologic side effects addressed.

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

GI clinic moves faster than your charting can

Clinic days squeezed by procedure days

When half your week is on the scope, clinic notes get pushed to evenings. IBD reviews, dyspepsia workups, and abnormal LFT consults each need a detailed history you don't have time to retype.

Every consult spans history, scopes, and labs

A single GI visit ties together symptom chronology, prior endoscopy findings, imaging, calprotectin, and liver panels. Reconstructing that from memory hours later is where detail gets lost.

Chronic disease means longitudinal notes

IBD, cirrhosis, and Barrett's surveillance patients return for years. Each follow-up must document interval symptoms, medication response, and surveillance timing precisely enough for the next visit to build on.

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 gastroenterologists

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

Gastroenterologist's Note

Subjective Objective Assessment & Plan

Iron Infusion Consent

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

Fits the rhythm of a GI practice

Gastroenterology alternates between dense clinic consults and procedure days that leave no time for typing. Medical Scribe records each clinic or telehealth visit and drafts the note from the conversation — new dyspepsia workups, IBD reviews, abnormal LFT consults, post-colonoscopy discussions — so documentation keeps pace with the list instead of trailing it.

Structured the way GI notes should be

Notes follow the built-in Gastroenterologist’s Note template: Subjective for symptom chronology, bowel habit changes, and GI-relevant social history; Objective for the abdominal and rectal exam, endoscopic findings, imaging, and labs; and a numbered Assessment & Plan per condition. A separate Iron Infusion Consent template documents consent discussions in full.

Surveillance-grade accuracy

In GI, the interval matters — when the last scope was, what the calprotectin trend shows, when surveillance is due. Medical Scribe documents only what was said and observed in the visit, never inventing results, so the timeline in your note is the timeline from the room. You review and sign every note.

Frequently asked questions

Does it handle both clinic consults and consent discussions?

Yes. The built-in Gastroenterologist's Note template structures clinic visits into Subjective, Objective, and a numbered Assessment & Plan. There's also a built-in Iron Infusion Consent template that documents the consent conversation section by section — capacity, procedure request, patient-specific risks, alternatives, and consent.

Will it document scope findings and lab values correctly?

It captures what you actually say in the visit — Mayo scores, calprotectin values, biopsy results you review aloud — and never invents clinical findings. Every note is a draft you review, edit, and sign before it reaches the chart.

Can it keep up with a high-volume clinic day?

Each visit generates its own note shortly after the recording ends, so documentation stays in sync with your list instead of stacking up for the evening. It works for in-person and telehealth consults on iOS, Android, Web, Apple Watch, and Mac.

Is it HIPAA compliant?

Yes. Medical Scribe is HIPAA compliant with encryption in transit and at rest, and you control every note before it enters the record.

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