SPECIALTY · INTERNAL MEDICINE

AI medical scribe for internal medicine

Internists see patients with five chronic conditions in a fifteen-minute slot. ScribeLive listens to the visit and writes a problem-based SOAP note that tracks every condition, med change and lab, with ICD-10 code suggestions for each problem.

Sample internal medicine SOAP note

A 17-minute follow-up for hypertension and type 2 diabetes, as ScribeLive drafted it. The clinician changed two words before signing.

ASSESSMENT & PLAN · BY PROBLEM

1. Essential hypertension (I10)

Office BP 138/86, home log averaging 132/84. Adherent to lisinopril 10 mg. Increase to 20 mg daily; BMP in 2 weeks.

2. Type 2 diabetes without complications (E11.9)

HbA1c 7.6%, up from 7.1%. Reports skipping evening metformin dose. Discussed pill organizer; recheck HbA1c in 3 months.

3. Hyperlipidemia (E78.5)

On atorvastatin 20 mg, no myalgias. Continue; fasting lipid panel with next labs.

ICD-10 I10 · E11.9 · E78.5Protocol: T2D follow-up v2 · foot exam flagged

Why internists use ScribeLive instead of a general-purpose scribe

It keeps problems separate

Patients jump between topics. The note doesn't: each condition gets its own assessment and plan.

It follows your chronic care protocols

Diabetes, hypertension and CKD follow-ups are checked against your clinic's own protocol while the patient is still in the room.

It explains the plan to the patient

Med changes go home as a plain-English summary, which cuts the "what was I supposed to take?" calls.

Internal medicine FAQ

Can an AI scribe handle visits with many chronic conditions?

Yes. ScribeLive writes problem-oriented notes, so each condition discussed gets its own assessment, plan and ICD-10 code.

Can it record clinic-specific fields like PHQ-9 scores?

Yes. Your clinic defines custom fields once, and ScribeLive fills them in from the conversation on every note.

Does it suggest billing (CPT / E&M) codes?

Not today. ScribeLive suggests ICD-10 diagnosis codes; billing codes stay with your existing process.