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HIPAA Compliant

AI Medical Scribe for

Pediatric Pulmonologists

Between spirometry review, inhaler technique checks, and a wheezy toddler's worried parents, the note usually waits until clinic ends. Medical Scribe drafts each asthma follow-up and new consult as you go.

Sample note

What your notes will look like

A real example of the documentation Medical Scribe generates for pediatric pulmonologists — ready before your patient leaves the room.

Asthma Follow-up Ready to copy

Subjective

8M — Moderate persistent asthma. Mother reports 2 nighttime awakenings in the past month and albuterol use about twice weekly, mostly with soccer. No ED visits or oral steroids since January. Using fluticasone 44 mcg 2 puffs BID with spacer; technique observed today, adequate. Cat in the home; bedroom kept off-limits.

Objective

  • SpO2 98% RA, RR 18; no increased work of breathing
  • Lungs clear, good air entry bilaterally, no wheeze
  • Height and weight tracking 50th percentile
  • Spirometry: FEV1 92% predicted, FEV1/FVC 0.84, no significant bronchodilator response

Assessment

Moderate persistent asthma, not fully controlled — nocturnal symptoms and exercise-triggered rescue use exceed control criteria despite good adherence and technique.

Plan

  • Step up to fluticasone 110 mcg 2 puffs BID with spacer
  • Continue albuterol 2 puffs PRN and before exercise
  • Updated written asthma action plan provided; copy sent for school
  • Repeat spirometry and reassess control in 3 months

Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.

Asthma clinic runs faster than your charting

Control assessments stack up

Every asthma review means symptom frequency, rescue-inhaler use, nighttime awakenings, and technique checks — the same structured data documented patient after patient, all afternoon.

Numbers that must land exactly

FEV1 percent predicted, FEV1/FVC, SpO2, growth percentiles, and dose changes in mcg — one transposed value changes the clinical picture on a child's chart.

Action plans rewritten endlessly

Every step-up or step-down means updating the written asthma action plan and documenting the counseling — again, and for the school copy too.

AI-Powered Documentation

Real-time transcription that understands medical terminology and clinical context.

Specialty Vocabulary

Recognizes terms, conditions, and procedures specific to your practice area.

Save Hours Daily

Generate comprehensive clinical notes in minutes instead of hours.

HIPAA Compliant

Enterprise-grade encryption and security to protect sensitive data.

Built-in templates

Note templates built for pediatric pulmonologists

These aren't generic formats — they ship in the product today, structured around how you actually document.

GP MP/TCA

Patient's Medical Background Clinical History GP Management Plan (GPMP) Patient Problem or Need or Relevant Condition 2 Patient Problem or Need or Relevant Condition 3

OT Note

Subjective Objective Assessment

Physio Note

Patient Information Employment status, Physical demands of job, Work-related activities] Medical History Current Condition/Complaint Patient Goals Subjective

Skin Check Note

Sleep Study Consent

Plus 280+ templates across every specialty — or build your own in minutes.

Follows your clinic, from wheeze to follow-up

Record the encounter — a new consult for chronic cough, a routine asthma review, a pre-op respiratory clearance, in person or telehealth — and Medical Scribe drafts the note while you move to the next room. The apps run on iOS, Android, Web, Apple Watch, and Mac, so review happens wherever the gap in clinic opens.

The SOAP note your subspecialty expects

Drafts follow the built-in Pediatric Respirologist’s note used for this specialty: Subjective with history, medications, immunizations, and environmental exposures like smoke or pets; Objective with vitals and chest findings; Assessment; and a Plan spanning investigations, dose changes, and follow-up intervals. It’s one of 280+ templates and supports SOAP, DAP, or custom formats.

Step-up decisions backed by exact numbers

An asthma chart is a longitudinal argument — control criteria, spirometry trends, and dose history justify every step-up. Medical Scribe documents only the values and symptoms actually stated in the visit, never inventing findings, so the trend line you act on next quarter is the one you actually measured.

Frequently asked questions

Will it capture spirometry values correctly?

Values you state during the visit — FEV1 percent predicted, ratios, bronchodilator response — are documented as said. Medical Scribe never invents or extrapolates numbers; if a value wasn't mentioned, it isn't in the note. You verify everything before signing.

Is there a template for pediatric pulmonology?

Yes — the built-in Pediatric Respirologist's note (respirology and pulmonology are the same specialty by two names) structures drafts into Subjective, Objective, Assessment, and Plan. It's one of 280+ templates, and a custom version takes minutes.

Can it document a visit where the parent answers for the child?

That's the normal case in pediatrics, and the note reflects it — 'mother reports two nighttime awakenings' — while the child's own responses and your observed exam findings are attributed correctly.

Is a recorded visit with a child HIPAA compliant?

Medical Scribe is HIPAA compliant, with encryption in transit and at rest. Parents consent to recording the same way they would to a human scribe, and you control retention.

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