AI Medical Scribe for
Sleep consults are history-heavy — bed partner accounts, Epworth scores, years of unexplained fatigue. Medical Scribe drafts the full note from the conversation, and covers your sleep study consent too.
A real example of the documentation Medical Scribe generates for sleep medicine specialists — ready before your patient leaves the room.
52M — OSA follow-up, 3 months on auto-CPAP. Residual AHI 3.2, usage 6.4 hours nightly. Epworth down from 15 to 7. Early mask leak resolved with cushion change.
Reports waking refreshed most mornings and no longer napping after work. Wife confirms snoring has resolved. Uses CPAP nightly but removes the mask around 5 am some mornings. Initial dry mouth improved after enabling heated humidification. Nocturia resolved; caffeine down to one coffee daily.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
The patient describes the fatigue; the bed partner describes the snoring, the gasps, the leg movements. A complete sleep note has to weave both accounts together.
CPAP adherence percentages, residual AHI, leak rates, pressure settings, Epworth trends — every follow-up is a table of numbers that has to be narrated into the chart.
Sleep, medical, psychiatric, and medication histories plus screening scores make initial evaluations among the longest notes in outpatient medicine.
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.
Initial evaluations are long and narrative; CPAP follow-ups are short and numeric. Medical Scribe records either — in clinic or over video — and drafts a note sized to the visit: a full sleep history with screening scores for the new consult, a tight adherence review for the three-month check. You review, edit, and sign.
The built-in Sleep Medicine Specialist’s note template — one of 280+ specialty templates — structures each visit into Subjective, Objective, and a numbered Assessment & Plan, so the reported history, the download data you narrate, and your per-issue plan each land where they belong. A Sleep Study Consent template is included for study bookings.
Sleep medicine runs on precise values — an AHI of 3.2 is not ‘well controlled’ unless the chart says so. Medical Scribe documents the exact figures spoken in the visit and nothing it wasn’t told, and every note passes through your review before it reaches the chart.
Yes. The note is drafted from the whole visit conversation, so a partner's account of snoring, witnessed apneas, or limb movements is captured as part of the history — attributed the way it came up in the room.
Narrate them as you review the data — 'residual AHI 3.2, usage 6.4 hours' — and they're documented under Objective exactly as stated. The note never invents a number you didn't say.
Yes. Alongside the Sleep Medicine Specialist's note there's a built-in Sleep Study Consent template, and you can create custom templates for your lab's forms in minutes.
Fully. Medical Scribe records telehealth and in-person visits on iOS, Android, Web, Apple Watch, and Mac, and is HIPAA compliant with encryption in transit and at rest.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.