Automated Clinical Documentation

An AI-driven clinical solution that seamlessly records and documents patient interactions with precision and efficiency at the point of care.

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Focus on patients, not paperwork

Instantly transforms patient-doctor conversation into organized clinical notes in real-time at the point of care. With Insights AI Automated Clinical Documentation Solution – Enhance clinician Satisfaction, patient experiences, operational productivity, and financial performance.

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Experience the advantages of an AI-Powered, Voice-Activated, Ambient Tech

Our solution automatically captures patient interactions with accuracy and efficiency at the point of care. It surpasses the performance of a virtual or in-person scribe and can be affordably expanded throughout your organization to enhance the healthcare experience for both clinicians and patients.

Advanced Speech Recognition – Utilize state-of-the-art automated speech recognition (ASR) technology to accurately capture the natural dialogue between healthcare providers and patients.
Multi-Party Conversation Recording – This app enables healthcare professionals to naturally converse with patients and families, securely recording these talks at the point of care, fostering patient interaction and reducing clinician screen time.
Fine-Tune Dictations – Gives healthcare providers the ability to oversee and refine their final documentation, transforming spoken dictations into meaningful clinical notes.
Automated Clinical Documentation – Converts medical conversations into detailed, specialty-focused clinical summaries, rapidly accessible for healthcare provider review and adjustment.
Personalized Templates – Clinicians have the option to tailor and adjust note templates, ensuring uniformity and an optimized workflow that meets individual requirements. Effortless Integration with EHR Systems – Simplifies the process of integrating AI-generated notes into various EHR systems, ensuring seamless data entry.
Designed for Healthcare – Developed and refined using millions of authentic clinical dialogues with patients, this system employs the latest AI technologies to efficiently and consistently generate precise documentation.

Generating SOAP Notes from Doctor-Patient Conversations

SOAP Note Example

Subjective

The patient is a xx-year-old male, accompanied by his wife, who presents today for an acute visit. He complains of a tingling pain in his bruised right shoulder associated with numbness swelling. His pain started last week s/p an injury while playing baseball. He has tried Tylenol without any significant benefits and has swelling and pain has worsened. He had a shoulder dislocation but did not think it would heal over time. He has tried stretching exercise to put in place. He inquires if an ice pack application can help his pain. He also has mild pain and swelling on his right knee resulted from the same injury. His BP was optimal at 118/66 mmHg but his heart rate was elevated at 90 bpm. He does not have any significant medical history. He stays active usually, plays baseball with friends every week, until last week. He denies having any vision changes lately. He also denies any respiratory issues including asthma. Denies having any known history of hyper or hypotension. He does not have any digestive issues. He has a healthy dietary habit including fruits and vegetables. He also stays hydrated. He denies any having any known food & drug allergy. He has his wife at home to help him in his need.

Objective

Senses are intact in his right finger.
Tenderness was noted with abduction of his right arm. The right shoulder was found to be intact in place. ROM is possible but with pain.
Bruising was noted on his right knee. Senses intact. ROM is possible but with pain.

Assessment

Right shoulder pain
Right knee pain

Plan

Fixed a sling to his right arm to restrict his shoulder movement and support healing.
Prescription was sent for ibuprofen 800 mg of; benefits and adverse effects were discussed. Informed him that ibuprofen will also help him with his pain in knees. Advised to report if the pain worsens, we will prescribe naproxen for him.
We will try conservative management at this point, and he is unlikely to require a surgery.
Advised to avoid playing baseball until it heals properly. Assured him that his pain should alleviate in 1-2 week and can start with his mobility.
Assured him that his shoulder is in place and we do not require an X-ray at the moment.
Informed him that ice pack may help her numb the pain to some degree but advised not to use a warm compress and he can put off the sling while sleeping but cautioned not to sleep on the affected shoulder.
Informed him that he does not a need an antibiotic therapy.
Advised to avoid driving and strenuous activity until it heals properly.
Referral provided to physical therapy to assess the need for it.

Summarization Template

Subjective: Middle-aged male with a week-old right shoulder injury from baseball, experiencing tingling pain, numbness, and swelling. Pain relief from Tylenol is minimal. No significant medical history, healthy lifestyle, and no known allergies.

Objective: Intact sensation in right fingers, pain and tenderness in right shoulder & knee with limited range of motion.

Assessment: Right shoulder and knee pain due to injury.

Plan: Applied sling for shoulder support, prescribed ibuprofen, advised against strenuous activities, and suggested ice packs for pain relief. No surgery needed; no X-ray or antibiotics required. Advised caution while sleeping and against driving until healed. Referral to physical therapy given, with a follow-up in 2 weeks.