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HIPAA Compliant

AI Medical Scribe for

Prosthetists

Socket fittings are hands-on work — you can't take notes with a cast in your hands. Medical Scribe records the appointment and drafts a full prosthetic note, from residual limb findings to functional goals, before the patient leaves the parallel bars.

Sample note

What your notes will look like

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

Socket Fitting Ready to copy

Current Condition/Complaint

58M with right transtibial amputation (dysvascular, secondary to type 2 diabetes) 11 months ago, presenting for review of definitive prosthesis. Reports pistoning and distal-anterior discomfort after ~2 hours of wear, onset over past 3 weeks. Currently wearing 2 x 3-ply socks over cushion liner. Metformin 1000mg BID; denies skin breakdown.

Patient Goals

  • Short-term: comfortable all-day wear within 4 weeks to return to part-time retail work
  • Long-term: community ambulation without gait aid, including stairs and uneven ground

Objective

  • Residual limb: volume loss noted distally; skin intact, no erythema over tibial crest; well-healed scar
  • Socket fit: pistoning ~1cm during swing phase; distal-anterior gapping with current sock ply
  • Gait: mild lateral trunk lean right stance; step length symmetrical; ambulates without aid indoors (consistent with K3 community ambulator status)

Assessment

Residual limb volume reduction causing suboptimal socket fit and pistoning, consistent with expected first-year maturation. Componentry remains appropriate for community ambulation level; socket replacement indicated rather than further sock management.

Plan

  • Increase to 5-ply total sock management as interim measure; wear-time diary
  • Cast for replacement socket today; test-socket fitting in 2 weeks
  • Alignment review at test-socket stage; document gait outcomes
  • Skin check education reinforced given diabetic status; review sooner if any breakdown

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

Prosthetic care is documented under a microscope

Funding rides on functional justification

Payers scrutinize prosthetic claims: documented functional level, mobility goals, and clinical rationale for every componentry choice. A thin note can hold up a limb for months.

Fittings are long and your hands are full

Casting, test-socket checks, and alignment sessions run an hour or more of physical work. Detailed findings — fit, pressure areas, gait deviations — get reconstructed from memory afterwards.

Every visit changes the device story

Residual limb volume fluctuates, sockets get modified, alignment gets tuned. The record has to track each change across a series of visits, or the clinical reasoning disappears.

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 prosthetists

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

OT Note

Subjective Objective Assessment

Physiotherapy Note

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

Prosthetist's note

Patient Information Medical History Social History Current Condition/Complaint Patient Goals Objective

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

Built around the fitting room, not the front desk

Initial assessments, casting appointments, test-socket fittings, alignment sessions, and delivery reviews — Medical Scribe records each one while your hands stay on the patient and the device. Narrate limb findings, fit issues, and adjustments as you make them; the drafted note is waiting when the session ends, in clinic or on a telehealth check-in.

The Prosthetist’s note, section by section

The built-in Prosthetist’s note template captures what prosthetic care actually documents: Patient Information and Medical History, the Current Condition/Complaint, explicit Patient Goals with time frames, Objective findings on limb and socket, Treatment provided in-session, and an Assessment and Plan recording your clinical reasoning and next fitting stage.

Justification that survives review

Prosthetic funding turns on documented function and rationale. Because the note is generated from the recorded appointment, your observed gait findings, stated goals, and reasoning for socket replacement or componentry are preserved as evidence — never invented, never boilerplate. Every note carries your review and signature before it becomes part of the record.

Frequently asked questions

Will the notes support funding justification for devices and componentry?

The Prosthetist's note template documents the elements funding reviews look for — functional goals, mobility status, objective fit findings, and the clinical rationale for the plan — drawn from what was actually said and assessed in the appointment. You review and sign before anything is submitted anywhere.

Can I document while casting or adjusting alignment?

Yes — that's the core use case. Record hands-free on iOS, Android, Web, Apple Watch, or Mac and narrate findings as you work ('one centimeter of pistoning, distal-anterior gapping'). The note drafts itself from what you said during the session.

Does it track changes across a fitting series?

Each appointment generates its own complete note — diagnostic, test socket, definitive fitting, follow-up — so the record shows how limb volume, fit, and alignment evolved and why each modification was made. It never carries forward findings you didn't restate.

Which templates fit prosthetic practice?

The built-in Prosthetist's note covers patient information, medical history, current condition, patient goals, objective findings, treatment, assessment, and plan. Physiotherapy and OT note formats are also built in, among 280+ templates, plus custom formats in minutes. HIPAA compliant, encrypted in transit and at rest.

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