AI Medical Scribe for
A genetics consult means a three-generation pedigree, pre-test counseling, and a family conversation that can run past an hour — then a letter-length note. Medical Scribe drafts it from the visit so the pedigree details survive intact.
A real example of the documentation Medical Scribe generates for medical geneticists — ready before your patient leaves the room.
31F referred by her PCP after her mother's diagnosis of breast cancer at 38. Three-generation pedigree notable for a maternal aunt with ovarian cancer at 51 and maternal grandmother with breast cancer at 60. Patient is asymptomatic with no prior breast imaging. Ashkenazi Jewish ancestry on the maternal side. Expresses anxiety about implications for her 2-year-old daughter.
Well-appearing; no dysmorphic features. Outside records reviewed: mother's tumor ER-positive, HER2-negative; no genetic testing performed in the family to date.
Family history meets criteria for hereditary breast and ovarian cancer syndrome evaluation. Pre-test probability elevated given early-onset clustering and ancestry.
If positive: annual breast MRI screening protocol, referral to the high-risk clinic, and cascade testing offered to first-degree relatives. If negative or VUS: screening based on family history and periodic review for variant reclassification.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A new-patient genetics evaluation covers family history across three generations, exam findings, testing strategy, and counseling — routinely one of the longest notes in medicine.
Which aunt had ovarian cancer at what age, on which side — details recited verbally that are easy to garble when reconstructed from memory hours later.
Possible results, variants of uncertain significance, cascade testing, and insurance implications all need documenting — informed consent for genetic testing is only as good as its record.
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.
A medical genetics visit is talking: eliciting the family history, walking through testing options, counseling on results. Medical Scribe records the encounter — in person or telehealth, including results-disclosure calls — and drafts the note while you keep eye contact through the hardest conversations in the clinic.
Drafts are structured on the built-in Clinical Geneticist’s Note: Subjective holds the presenting concern and family history as discussed; Objective records exam findings and outside records reviewed; Assessment, Plan, and Plan for Continuing Care capture testing strategy, counseling points, and the surveillance or cascade-testing pathway for each possible result.
An age of onset off by a decade or a maternal history recorded as paternal can change testing criteria. Because the note is generated from what was actually said — and never invents clinical findings — the pedigree in your chart matches the one the patient gave you, ready for your review and signature.
The relatives, diagnoses, and ages of onset you and the patient discuss out loud are transcribed from the conversation itself rather than reconstructed afterward. You verify the pedigree details when you review the draft — nothing is invented.
Yes. The possible results you explained — including variants of uncertain significance — cascade testing, and GINA or insurance discussions appear in the note because they were part of the visit. That is the record informed consent depends on.
The built-in Clinical Geneticist's Note covers Subjective, Objective, Assessment, Plan, and Plan for Continuing Care, and a Genetic Counselor's note is also included among 280+ templates. Custom templates for your clinic's letter format take minutes.
Medical Scribe is HIPAA compliant with encryption in transit and at rest. Notes are drafts until you review and sign them, and only what was said in the visit is documented.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.