AI Clinical Assistant

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Main Chat Input

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Enhanced Progress Note

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Previous Progress Note

Include the complete prior progress note for context and continuity.

Hospital Day

Date of Prior Note

Clinical Updates

New Lab Results

Treatment Changes

Patient Response

Disposition Plan

Consultant Notes

Nursing Notes

Family/Social Updates

Code Status

Isolation Status

Activity Level

Input Summary

Complete all tabs to see a summary of your inputs.

Select Progress Note Type

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Enhanced HPI (History of Present Illness)

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Chief Complaint *

Describe the main reason for the patient's visit and primary symptoms.

Symptom Onset

Duration

Severity (1-10)

Emergency Department Note

Include ED physician notes, initial assessment, and acute care documentation.

ED Working Diagnosis

ED Treatment Provided

Prior Medical Encounters

Include relevant previous healthcare encounters that provide context for the current illness.

Prior Diagnoses

Prior Treatments

Specialist Clinical Notes

Include specialist evaluations, expert opinions, and specialized assessments.

Specialist Recommendations

Existing Hospitalist HPI

Include current hospitalist HPI that will be enhanced with additional data sources.

Hospitalist Clinical Assessment

Diagnostic Impressions

Include current diagnostic thinking and clinical impressions from various sources.

Differential Diagnosis

Current Medical Plan

Include current treatment plans and management strategies.

Treatment Response

Enhanced HPI Input Summary

Complete the tabs above to see a summary of your HPI inputs.

Basic HPI - Add supporting data for enhanced quality

Select HPI Type

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Enhanced Discharge Summary

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Prior Progress Notes *

Include all progress notes that document the patient's hospital course and clinical progression.

Admission History & Physical *

Include the complete admission history and physical examination.

Emergency Department Note

Include ED presentation, initial assessment, and treatment if the patient came through the ED.

Specialist Consultation Notes

Include consultations from cardiology, pulmonology, surgery, psychiatry, or other specialists involved in care.

Medication Changes

Follow-up Plans

Specific Recommendations

Patient Education

Discharge Diagnoses

Hospital Course Summary

Functional Status

Discharge Disposition

Care Transition

Enhanced Discharge Summary Input Summary

Complete the tabs above to see a summary of your discharge summary inputs.

Basic Discharge Summary - Add supporting data for enhanced quality

Select Discharge Summary Type

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Enhanced Rounding Plan

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Most Recent Progress Notes

Include recent progress notes that document the patient's current status and recent changes.

Relevant Prior Hospitalizations

Include previous admissions that provide context for the current hospitalization.

Previous Clinic Notes

Include outpatient notes that provide background and context for current issues.

Emergency Department Note

Include ED physician notes, initial assessment, and acute care documentation.

ED Working Diagnosis

ED Treatment Provided

ED Disposition & Admission Rationale

Admission History & Physical

Include the complete admission history and physical examination.

Admission Assessment

Initial Plan

CBC (Complete Blood Count)

Include latest CBC values or indicate if pending.

CMP (Comprehensive Metabolic Panel)

Include latest CMP values or indicate if pending.

Other Relevant Labs

Include other labs relevant to active problems and monitoring needs.

Vital Signs Trends

I/O Balance (if relevant)

Enhanced Rounding Plan Input Summary

Complete the tabs above to see a summary of your rounding plan inputs.

Basic Rounding Plan - Add supporting data for enhanced quality

Select Rounding Plan Type

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Enhanced Consult Note

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Consult Question *

Be specific about what clinical question(s) need to be addressed by the specialist.

Requesting Service *

Consulting Specialty

Urgency Level

Patient Overview

Include age, sex, key medical history, and current clinical status relevant to the consultation.

Admission Reason & Context

Describe why the patient is currently hospitalized and how it relates to the consult question.

Clinical History

Include the history of present illness and timeline of events leading to the consultation.

Relevant Past Medical History

Focus on past medical history that is relevant to the specialty consultation.

Current Clinical Presentation

Describe the patient's current clinical presentation and relevant physical exam findings.

Recent Clinical Findings

Include any recent changes in clinical status or new findings since admission.

Active Problem List

List all active problems, with those most relevant to the consultation listed first.

Current Treatments & Management

Describe current treatments and management plans from the primary team.

Specialist History

Include any previous specialist evaluations or ongoing specialist care relevant to this consultation.

Prior Consultations

Include relevant information from previous consultations or specialist recommendations.

Current Medications

Include all current medications, especially those relevant to the consultation.

Allergies

Include all known drug allergies and reactions.

Recent Laboratory Results

Include recent lab results that are relevant to the consultation question.

Recent Imaging Studies

Include recent imaging studies and their interpretations relevant to the consultation.

Additional Clinical Context

Include any other relevant clinical information, family discussions, or contextual factors.

Enhanced Consult Note Input Summary

Complete the tabs above to see a summary of your consult note inputs.

Basic Consult Note - Add supporting data for enhanced quality

Select Consult Note Type

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Enhanced Integrated Note

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Recent Progress Notes

Include all relevant progress notes that document the patient's hospital course.

Clinical Updates & Changes

Document any recent changes in clinical status or new findings.

Specialist Consultation Notes

Include all relevant specialist consultations and their recommendations.

Cardiology Notes

Other Specialist Notes

Emergency Department Note

Include ED physician notes, initial assessment, and acute care documentation.

ED Working Diagnosis

ED Treatment Provided

Admission History & Physical

Include the complete admission history and physical examination.

History of Present Illness

Physical Examination

Laboratory Results

Include all relevant laboratory results with values and trends.

Vital Signs & Monitoring

Include vital signs trends and any continuous monitoring data.

Imaging Studies

Include all relevant imaging studies with findings and interpretations.

Current Medications

Include all current medications with doses and recent changes.

Allergies & Reactions

Include all known allergies and specific reactions.

Social History & Context

Include relevant social history and contextual factors.

Code Status

Functional Status

Activity Level

Clinical Assessment

Include clinical assessment and reasoning about the patient's current status.

Problem List & Management Plan

List all active problems with specific management plans for each.

Treatment Response

Pending Studies/Consults

Discharge Readiness

Assess readiness for discharge and any barriers.

Discharge Planning Needs

Include specific discharge planning needs and coordination.

Follow-up Plans

Patient Education

Anticipated Disposition

Estimated Length of Stay

Discharge Barriers

Enhanced Integrated Note Input Summary

Complete the tabs above to see a summary of your integrated note inputs.

Basic Integrated Note - Add supporting data for enhanced quality

Select Integrated Note Type

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Potential PHI Detected

PHI Scanner Settings

Global Settings

Pattern-Specific Settings

Current Status

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AI Clinical Assistant

Main Chat Input

Enhanced Progress Note

Input Summary

Enhanced HPI (History of Present Illness)

Enhanced HPI Input Summary

Enhanced Discharge Summary

Enhanced Discharge Summary Input Summary

Enhanced Rounding Plan

Enhanced Rounding Plan Input Summary

Enhanced Consult Note

Enhanced Consult Note Input Summary

Enhanced Integrated Note

Enhanced Integrated Note Input Summary

Conversation History

User Preferences

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