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HIPAA Compliant

AI Medical Scribe for

Traditional Chinese Medicine Specialists

Pattern differentiation, tongue and pulse findings, point prescriptions, a granule formula — a TCM visit produces a note unlike anything a generic scribe understands. Medical Scribe captures the whole encounter in your framework, not a Western template forced onto it.

Sample note

What your notes will look like

A real example of the documentation Medical Scribe generates for traditional chinese medicine specialists — ready before your patient leaves the room.

TCM Consult Ready to copy

Subjective

51F presenting with hot flashes, 8-10 daily with night sweats waking her twice nightly, ongoing 7 months since menses ceased. Accompanying irritability, dry mouth worse at night, and low back soreness. Declined hormone therapy after discussion with her gynecologist. Otherwise well; no regular medications.

Objective

  • Tongue: red body, scant coat, midline crack to the tip
  • Pulse: thin and rapid overall, weak in both chi positions
  • Malar flush noted; palms warm to touch
  • BP 122/76

TCM Assessment

Kidney yin deficiency with empty heat rising, disturbing the shen — consistent with flush pattern, night sweats, scant-coated red tongue, and thin rapid pulse. Western context: menopausal vasomotor symptoms, managed without hormones by patient preference.

Acupuncture Treatment

  • Points: KI3, KI6, SP6, HT6, LR3, yintang; even method
  • Retention 25 minutes; patient rested supine, no adverse response
  • Immediate effect: reported feeling settled, warmth in palms reduced

Herbal Formula & Plan

Zhi Bai Di Huang Wan, granules, 3g twice daily before meals for 2 weeks; counseled to reduce evening caffeine and spicy food. Weekly acupuncture for 6 weeks, then reassess against a flash-frequency diary. Advised to keep her gynecologist informed of the herbal regimen.

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

Charting shouldn't flatten your diagnostic framework

Diagnosis happens through observation

Tongue body and coat, pulse qualities at each position, complexion, spirit — the findings that determine your pattern differentiation require looking at the patient, not at a keyboard.

Point and formula records must be complete

Which points were needled, the technique used, retention time, and every herb and dose in the formula — next week's treatment adjustments depend on exactly what today's record says you did.

Course-of-treatment tracking adds up

Weekly visits over a six-to-eight-week course each need their own note comparing symptoms against the last session — small notes, but ten or more per day of them.

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 traditional chinese medicine specialists

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

Mental Health Care Plan

Patient & GP Details Referring GP Details Problem/Diagnosis Clinical Details Mental Status Examination Risk Assessment

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

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

Present for the questions that matter

The ten questions, palpation, tongue and pulse — TCM diagnosis is built on sustained attention to the patient in front of you. Medical Scribe records the consultation and treatment session, in clinic or by video, and drafts the note afterward, so initial consults get full workups and weekly treatments get concise progress records without any typing between needles.

The whole encounter, in your own framework

The drafted note keeps your clinical logic intact: the subjective picture in the patient’s words, objective tongue and pulse findings, your pattern differentiation as the assessment, and a plan holding the point prescription, technique, formula with doses, and treatment course. Practices coordinating with GPs can also use the built-in GP MP/TCA care-plan template.

Faithful to what you actually prescribed

An herbal formula is exact or it is wrong. Medical Scribe transcribes the herbs, gram doses, and administration instructions you spoke — it never invents an ingredient, a point, or a finding — and flags nothing into the record until you have reviewed and signed. Your treatment stays yours, down to the last granule.

Frequently asked questions

Does it understand TCM terminology — patterns, points, and pinyin formula names?

Yes. Pattern names, point codes like KI3 or SP6, needling technique, and formulas such as Zhi Bai Di Huang Wan are captured as you say them, with the doses and preparation you specify. Nothing is converted into Western-only phrasing unless you want it to be.

Can the note structure follow TCM diagnostics instead of a standard SOAP?

Either works. Use SOAP or DAP, or build a custom template in minutes with sections for tongue and pulse findings, pattern differentiation, point prescription, and formula — Medical Scribe ships with 280+ templates, including care-plan formats like the GP MP/TCA used where TCM practitioners work alongside GPs.

Will it record the exact points and herb doses from the session?

It documents what you state during the encounter — points needled, technique, retention time, each herb and gram dose. It never adds, substitutes, or standardizes a prescription on its own, and you review the note before it's final.

Is client information kept confidential?

Yes. Medical Scribe is HIPAA compliant with encryption in transit and at rest. Clients are informed and consent to recording, and it works in 57 languages — useful when consultations happen in Mandarin or Cantonese.

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