AI Medical Scribe for
Every patient on beam owes you a weekly on-treatment visit note, and every consult ends with an hour of dictation about dose, intent, and risk. Medical Scribe drafts your OTV and consult notes — interval history, graded toxicities, exam, and plan — from the visit itself.
A real example of the documentation Medical Scribe generates for radiation oncologists — ready before your patient leaves the room.
58M with Gleason 4+3=7 prostate adenocarcinoma on definitive IMRT (78 Gy in 39 fractions) with concurrent leuprolide; fraction 23 delivered today. Reports daytime urinary frequency every 2 hours, nocturia x3, and mild urgency. No dysuria or hematuria. Bowel habits unchanged. Fatigue mild, still working part-time.
Weight stable at 88kg. Abdomen soft, no suprapubic tenderness. No skin reaction over the treatment region. ECOG 1.
Tolerating IMRT with expected Grade 2 GU toxicity at the mid-course point; no indication for treatment interruption.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Twenty to thirty patients under treatment means twenty to thirty status checks a week — each one needing interval symptoms, toxicity grades, exam, and a plan in the chart before billing.
CTCAE grades, the management you started, and your decision to continue or hold treatment are what defend the course later. 'Tolerating well' doesn't survive an audit or a complication.
Intent, dose and fractionation, alternatives, acute and late effects, fertility and second-malignancy risk — recalling that conversation accurately for a long consult note is its own job.
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.
A radiation oncologist’s week is consults, weekly on-treatment visits, and surveillance follow-ups — the same patients, again and again, each contact owed a note. Medical Scribe records each encounter, in clinic or by telehealth, and drafts the interval history, toxicity assessment, exam findings, and plan before your next patient is roomed.
Say it once in the room — “frequency every two hours, that’s grade 2, let’s start tamsulosin” — and the draft carries it into interval history, graded toxicity, assessment, and plan. Custom templates take minutes, so the note can mirror your department’s OTV format exactly, alongside 280+ built-in specialty templates.
When a late effect surfaces years on, the chart is the account of what you warned, watched, and managed week by week. Because Medical Scribe documents only what was actually said and observed at each visit, your toxicity trail is contemporaneous and complete — and signed by you, every time.
Grades you voice during the visit are captured exactly and organized into a toxicity assessment — alongside the management you initiated and your continue/hold decision. Medical Scribe never assigns a grade itself; grading stays your clinical call.
All of them. A new-patient consult produces a full note including the treatment recommendation and risk discussion; a weekly OTV produces a tight status note; surveillance follow-ups capture interval history and response. The note scales with the visit.
Yes. Medical Scribe supports SOAP and custom formats, and a custom template mirroring your department's OTV or consult structure — including a dedicated toxicity section — takes minutes to build alongside the 280+ built-in specialty templates.
Medical Scribe is HIPAA compliant and encrypted in transit and at rest. It records in-person and telehealth visits with patient consent, documents only what was said and observed, and nothing is final until you review and sign.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.