AI Medical Scribe for
Whipple candidacy, biliary strictures, incidental gallbladder findings — HPB consults are dense with imaging narrative and staged decisions. Medical Scribe drafts the consult note, consent discussion included, so the operative thinking you shared with the patient is what lands in the chart.
A real example of the documentation Medical Scribe generates for hepatobiliary surgeons — ready before your patient leaves the room.
63M referred with obstructive jaundice. Three weeks of painless jaundice, dark urine, and pale stools; 6kg unintentional weight loss over 2 months. No fevers or rigors. PMH: type 2 diabetes on metformin 1g BID. 30 pack-year ex-smoker, quit 2019. ECOG 1. No anticoagulants. NKDA.
Resectable pancreatic head adenocarcinoma with limited venous contact, reviewed at HPB MDT 06/26 with consensus for upfront pancreaticoduodenectomy. Long consent discussion undertaken: pancreatic fistula, delayed gastric emptying, hemorrhage, anastomotic leak, diabetes worsening, and perioperative mortality reviewed alongside expected oncologic benefit. Patient wishes to proceed.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
CT pancreas protocol, MRCP, EUS findings — vessel contact, duct caliber, lesion size — must be restated in the note precisely, because resectability lives in those details.
Pancreaticoduodenectomy and hepatectomy risk discussions — fistula, leak, mortality — take real time with the patient and are only defensible if documented in full.
Tumor board conclusions, staged plans, and neoadjuvant pathways get decided in one room and documented in another — often days later, from memory.
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.
An HPB practice moves patients through workup, MDT review, consent, operation, and surveillance — each step a documented conversation. Medical Scribe records clinic and telehealth consults and drafts notes that carry the reasoning forward: the imaging read you explained, the resectability call, the consent given. You review and sign each one.
Drafts follow the built-in Hepatobiliary Surgeon’s Note template: Subjective with presenting complaint and surgical history; Objective with examination and investigation results dated where possible; and an Assessment & Plan organized per surgical issue — differential, planned investigations, the procedure with expected outcomes and risks, pre-operative preparation, and the post-operative care plan.
If an outcome is ever questioned, the record of what the patient was told is everything. Because Medical Scribe drafts from the actual consult — the fistula risk you quantified, the alternatives you offered, the questions the family asked — the consent documentation reflects the conversation verbatim, with nothing added and nothing reconstructed.
Yes. Lesion size, vessel contact, duct dilation, and study dates you discuss are documented in the Objective section of the Hepatobiliary Surgeon's Note exactly as stated. Medical Scribe never generates an imaging finding — if you didn't say it, it isn't in the note.
The template's Assessment & Plan structure includes patient education and informed consent, so the risks, alternatives, and expected outcomes you actually discussed — and the patient's decision — become part of the consult note rather than a memory.
When you relay the tumor board's conclusion during the consult, that discussion is captured in the note with the rest of the plan — keeping the decision, its rationale, and the patient conversation in one place.
Medical Scribe is HIPAA compliant, encrypted in transit and at rest. Recordings are processed securely, and every note is reviewed, edited, and signed by you before it enters the chart.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.