AI Medical Scribe for
Stool diaries, feeding histories, and biologic monitoring don't fit in a twenty-minute slot — let alone the charting afterward. Medical Scribe drafts the GI note from the visit itself, so scope days stop ending in note debt.
A real example of the documentation Medical Scribe generates for pediatric gastroenterologists — ready before your patient leaves the room.
14F with ileocolonic Crohn's disease, diagnosed 18 months ago, on infliximab every 8 weeks. One soft stool daily, no blood, no nocturnal stools, no abdominal pain. Energy improved and back at netball. No mouth ulcers, joint pain, or perianal symptoms. Appetite good; no food avoidance.
Mother's questions about live vaccines on biologic therapy addressed; inactivated influenza vaccine recommended. School letter for bathroom access provided.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Stool frequency and consistency, nocturnal symptoms, diet specifics, growth trajectory — a pediatric GI history is exactly the kind of dense, parent-reported detail that gets flattened when you're typing.
IBD and celiac follow-ups turn on trends: calprotectin, drug troughs, weight gain, activity scores. Every visit's note has to carry the data forward accurately.
Procedure days push clinic notes to the evening, and pre-procedure discussions with families — risks, prep, consent — still need documenting properly.
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.
New abdominal-pain referrals, IBD reviews timed to infusions, celiac annual checks, pre-endoscopy discussions — Medical Scribe records each encounter, in person or telehealth, and drafts the matching note. On procedure days that means clinic documentation is done before you’re back in the endoscopy suite.
Drafts follow the built-in template: Subjective with GI symptoms, feeding and dietary history, and prior treatments; Objective covering growth, abdominal examination, and investigations from calprotectin to endoscopy findings; then a per-condition Assessment & Plan with medication doses, monitoring intervals, and referrals. It’s one of 280+ built-in templates, alongside the Iron Infusion Consent.
When a biologic decision rests on a calprotectin trajectory, the numbers in the chart have to be the numbers from the lab. Medical Scribe documents only what was said and observed — no inferred values, no invented findings — and nothing is filed until you’ve reviewed and signed it.
Yes. Lab values, drug levels, and anthropometrics you mention are structured into the Objective section of the Pediatric Gastroenterologist's note exactly as stated, so serial trends stay accurate visit to visit. It never fabricates a value you didn't say.
There's a built-in Iron Infusion Consent template covering capacity, patient-specific risks, alternatives, and consent — and you can build custom consent or endoscopy templates in minutes to match your unit's process.
Both are part of the visit and both are captured, attributed correctly — the patient's own symptom report and the parent's observations. That distinction matters clinically in adolescent GI care, and it's preserved in the note.
Medical Scribe is HIPAA compliant, encrypted in transit and at rest. Inform the family and take consent as you would for any scribe; you review and sign every note before it enters the chart.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.