AI Scribe

Visit documentation

Chen, Alex

← Patient
1. Record & transcribe

Tap Record visit, speak naturally, then tap stop — Deepgram transcribes, Claude writes the SOAP. Or paste / type the transcript below.

Current draft on file

S: Pt reports current pain level at 3/10, down from original 5/10 at intake. Chief complaint of low back pain in the setting of prolonged air travel and sedentary desk work; no new symptoms reported this visit.

O: Visit focused on upper thoracic region per provider assessment. Segmental restriction identified in upper thoracic spine; specific palpation findings, ROM measurements, and orthopedic test results not documented in transcript. Adjustment performed to upper thoracic region; technique and listing not specified.

A: Upper thoracic segmental dysfunction with associated pain; pt trending toward improvement (5/10 at intake → 3/10 today). Mechanical low back pain per active care plan, visit 3 of 8. Diagnostic imaging (repeat X-ray) ordered to assess structural progress.

P: Adjustment to upper thoracic region performed as above. Repeat X-rays ordered to compare with baseline. Provider goal to reduce pain to 2/10. Continue care plan per 2x/week × remaining 5 visits; RTC per schedule.

Running the generator again inserts another SOAP version for this visit.

Advanced — file upload & debug

Short audio file instead of the built-in mic.

Dev: Deepgram token

3. Manual SOAP entry

Type the note directly when you didn’t record, or to append another version. Saves a new SOAP version on this visit — does not call the AI.