AI Medical Scribe for
Every treatment visit stacks regimen details, toxicity grading, and tumor-marker trends into one note — and the goals-of-care conversations deserve better than a rushed summary. Medical Scribe drafts oncology notes from the visit itself.
A real example of the documentation Medical Scribe generates for medical oncologists — ready before your patient leaves the room.
58F with stage IIIB colon adenocarcinoma (pT3N2aM0), s/p laparoscopic resection, presenting before cycle 6 of 12 of adjuvant FOLFOX. Reports grade 1 peripheral neuropathy — fingertip tingling without functional limitation. Nausea controlled with ondansetron 8 mg; one episode of diarrhea last cycle, self-limited. Appetite fair, weight stable, no fevers.
Tolerating adjuvant FOLFOX with grade 1 sensory neuropathy and adequate counts. Proceed with cycle 6 at full dose; if neuropathy reaches grade 2, reduce oxaliplatin by 20%. Continue ondansetron and loperamide PRN. Interval CT chest/abdomen/pelvis after cycle 8. Return in 2 weeks for labs and cycle 7.
Reviewed cumulative neuropathy risk with patient and her husband; she wishes to continue full-dose therapy for now. Reiterated fever precautions and 24-hour triage line.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Each pre-cycle visit documents the regimen and cycle number, graded side effects, counts, and dose decisions — a data-dense note repeated for every patient on treatment.
Continued chemotherapy, growth-factor support, and supportive-care drugs all hinge on documented response, toxicity, and rationale — thin notes invite denials and peer-to-peer calls.
Progression discussions and goals-of-care conversations are no place for a keyboard between you and the patient — yet they are exactly the visits that must be documented carefully.
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.
Pre-cycle assessments, surveillance visits, new-patient consults, telehealth symptom checks between infusions — Medical Scribe records each encounter type and drafts a note that matches it. A 15-minute toxicity check yields a tight interval note; a new metastatic consult yields the full history, staging discussion, and treatment plan.
Drafts follow the built-in Oncologist’s note: Subjective covers cancer history, prior treatments, and interval symptoms; Objective captures performance status, exam, and investigations; Assessment & Plan records treatment response, regimen decisions, supportive care, clinical-trial involvement, and follow-up — with patient and family education preserved in Additional Notes.
Whether it is a payer reviewing cycle 7 or a colleague covering your clinic, the note must show why this regimen, at this dose, for this patient. Medical Scribe captures your stated reasoning and the toxicity picture from the visit itself — never inventing findings — so the record defends the decision you actually made.
The regimen names, cycle numbers, toxicity grades, and dose modifications you state during the visit are captured into the note's structured sections. It documents only what was said — you verify counts and doses when you review and sign.
Notes generated from the Oncologist's note template record response to treatment, graded toxicities, performance status, and your stated rationale for continuing or changing therapy — the elements reviewers ask for. The clinical judgment stays yours.
Those discussions are part of the recorded visit, so patient preferences, prognosis discussions, and advance-care-planning points are drafted into the note's supportive care and patient education sections rather than lost to a one-line summary.
Medical Scribe is HIPAA compliant with encryption in transit and at rest. Recordings are processed securely, and every note is a draft until you sign it.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.