AI Medical Scribe for
Cath lab days leave no room for charting, so pre-cath evaluations and post-PCI follow-ups get written at night. Medical Scribe turns each visit conversation into a structured cardiology note before you scrub in for the next case.
A real example of the documentation Medical Scribe generates for invasive cardiologists — ready before your patient leaves the room.
67M seen 4 weeks after PCI with drug-eluting stent to the mid-LAD for NSTEMI. Denies chest pain, dyspnea, or palpitations since discharge. Mild fatigue on exertion, improving. No bleeding or bruising on dual antiplatelet therapy. Walking 30 minutes daily. Former smoker, quit at admission.
CAD s/p PCI with DES to mid-LAD for NSTEMI, clinically stable on optimal medical therapy. Mildly reduced EF with apical hypokinesis, improving. Hyperlipidemia at goal on high-intensity statin.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Pre-procedure workups and follow-ups stack up on clinic days, but the detailed notes they require — history, ROS, exam, studies — get pushed behind procedure time.
DAPT regimens, anticoagulation, antianginals, and a system-by-system review of symptoms all have to land in the note accurately before anyone goes to the lab.
Payers and reviewers expect the symptoms, ischemic workup, and clinical reasoning behind every invasive study to be explicit in the record — not implied.
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.
Consult, cath, follow-up — each step generates its own note. Medical Scribe records the pre-procedure evaluation, the post-PCI clinic visit, or the telehealth check-in and drafts a complete note from the conversation, so lab days stay for the lab and clinic notes are done before the schedule turns over.
The generated note follows the built-in Invasive Cardiologist’s note template: Subjective (HPI, medication history with doses, family and social history, review of systems), Objective (vitals, cardiovascular exam, ECG, echo, and labs as discussed), then Assessment and Plan — medications, lifestyle modifications, referrals, and follow-up.
When a chart gets pulled to justify a cath, the note has to show the ischemic symptoms, the prior workup, and your clinical reasoning. Medical Scribe documents exactly what you said in the visit — never inventing findings — and you review and sign every note before it enters the chart.
Yes. The Invasive Cardiologist's note template captures the complete Subjective workup — reason for visit, HPI, past medical and medication history, family and social history, and a system-by-system review of systems — from the visit conversation.
When you discuss or dictate study results during the visit, they are filed under Diagnostic Studies in the Objective section — ECG, echocardiogram, and laboratory results each in their place. Nothing is inferred; only what you actually said is documented.
The structured Assessment and Plan record your stated diagnoses and reasoning — symptoms, prior workup, and why catheterization or intervention is indicated — which is what payer reviewers look for. You review and sign before anything is final.
Medical Scribe is HIPAA compliant and encrypted in transit and at rest. It works for in-person and telehealth visits across iOS, Android, Web, Apple Watch, and Mac, and it is free to get started.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.