Optimiza la documentación gastrointestinal con ModMed Scribe para gastroenterología

Natural conversations into clinical actions with ModMed Scribe. Our native AI scribe doesn't just listen. As you speak with your patient, it captures details and prepares the next clinical steps according to your preferences, including orders for surgery, labs, imaging, and prescriptions. And we're using new functionality called MonMedscribe. It'll transcribe our conversation, so it helps make charting faster. That okay with you if I use it? Yeah. Absolutely. Great. Let's start the visit recording in G Mobile. And let me go ahead and start the recording. And what brings you in today? Yeah. I've been experiencing some really bad stomach pain. Okay. Can you tell me about the stomach pain? Yeah. It seems to be like a burning stabbing sensation on my right side of my stomach. Okay. Is that lower right side, upper, or middle? More towards the lower side. Lower? Okay. Are you having any other symptoms? Any blood in your stool or toilet paper when you wipe? I did see a little bit of blood on the toilet tissue toilet tissue last week, but it was only that one time. Okay. And how about any diarrhea or constipation? No diarrhea. No constipation, but I have been having this pain for about a week now. Okay. And have you changed anything with your lifestyle, maybe your diets or exercise? Work has been a little bit stressful, and I love spicy food, I have been increasing my spicy foods. Okay. Alright. Well, let's do a quick physical exam. I'm gonna have you hop up on the table. Sure. Okay. I'm gonna press on your abdomen in different areas. Tell me if anything hurts. Oh, yeah. Right there. Definitely. Okay, yep, so tenderness in the lower right side of your abdomen. Everything else looks normal which is great, so you can hop off the table now. Alright. Alright, so let's go over a few things. I think due your age and you haven't had a colonoscopy yet, let's get you scheduled for one. We're going to give you a prep, it's called SUPrep and we'll give you the instructions at checkout on how you take that prep. Colonoscopies are very simple, very easy to do, again if you have any questions let me know and I think we'll order also a CBC so we can just check some counts. How does that sound? That sounds good. I did also want to mention that I was also taking omeprazole, but I ran out. Do you think that you could refill that for me as well? Sure. I can do omeprazole. Let's do twenty milligrams and three refills. How does that sound? That sounds good. Okay. Great. Let me go ahead and stop our recording, and I'm going to save it. Okay. And if you don't have any other further questions, I'll walk you out to checkout, and they'll give you that instructions for the prep and for the colonoscopy. It was great to see you today. Alright. Thank you, doc. I look forward to feeling better. Thank you. Okay. From here, what we do is our focus turns to g gastro. As you can see the status of AI output pending is gray. Now I can wait and have this finished it takes about thirty to forty seconds. If I want to move on to the next patient I can do that as well. I'll just go to my activities, you can see I have status indicators as here here as well. So if I wanted to move on to my next patient I could certainly do that or if I needed to go back into the chart I can right click and view service. As you can see, my AI output is ready now, so I'll click this icon and you can see that I have my reconciliation screen. I have my AI output tab and transcription tab. If I go to the AI output, you can see I have the data listed here. Everything is selected as accept, So I would review my CC HPI first, then my physical exam, move on to my impressions, review assessment, and then I move on to plans. Now if you see this link icon, it means that this plan item that Scribe has brought in has been linked to a GASR user list item. If I did not want to accept something, I would deselect it here. And if I wanted to make a change to an order, meaning if I wanted to swap it out with one of my user list items, can click this icon and I would select a new item. Now for my medications, once I click select, it'll open the prescription window. Okay. And I'm going to click send if it's ready. Let's do quantity and send. I'll move on to my next prescription. Let's give thirty capsules and refills are three. Okay. I can also leave feedback if it was great, not great and leave detailed feedback. Okay. Great. And I'll save. This is a confirmation just saying that anything that was documented on the visit note would be overwritten by scoring data supplies to chief complaint, history of present illness, physical exam, impressions, and assessment. Plan data will not be overwritten. It'll be appended. I'll proceed. Now on my visit note, you can see I have the chief complaint, history of present illness, physical exam, impressions, assessment, and plan. From there, I can proceed with the rest of my documentation. Once the exam is over, review your notes, finalize your visit, and move on with your day. Mod Med Scribe. The difference isn't how it listens, it's what it does for you next.