Documentation Index
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Category: Clinical Operations · Signals: Encounter audio · Visit modality · Chart context · ICD-10 / CPT codebooks
Overview
The Visit Scribe runs alongside the encounter — diarized capture, real-time SOAP drafting in the practice template, ICD-10 / CPT code suggestions anchored to documented support, and direct EHR sync. Every claim, every code, and every section ties back to a quoted span in the transcript so the clinician can verify, edit, or strike it before sign-off.How this agent works
Configuration
This agent takes the following configuration from your practice settings:- Practice SOAP template and required fields
- EHR target (Epic, Cerner, athenahealth, eClinicalWorks, NextGen, others)
- Code-set scope and revenue-cycle rules
- Sign-off workflow and clinician edit windows
Execution
At runtime, the agent executes the following steps:- Captures encounter audio with speaker diarization
- Drafts the SOAP note in the practice template during the encounter
- Suggests ICD-10 and CPT codes anchored to quoted documentation
- Posts the note and code set to the EHR through the integration adapter
- Logs every claim with the transcript span that supports it
Composable experts
The Visit Scribe Agent bundles the following experts from the registry:| Expert | Role |
|---|---|
| ICD-10 Coding Expert | Diagnosis coding with documented support |
| CPT / E&M Expert | Procedure and evaluation-and-management coding |
| SOAP Structure Expert | Practice template adherence and completeness |
| Clinical Terminology Expert | Normalization across SNOMED, LOINC, RxNorm |
Typical use cases
- Eliminate after-visit charting for the entire clinic
- Code at the level the chart supports, not the level the visit billed
- Post structured notes to Epic, Cerner, athenahealth, or any FHIR target
- Keep the clinician in control with a real edit window before sign-off
Compliance & safety guarantees
- Every code is anchored to a quoted span supporting it
- Clinician sign-off is required; agent edits are surfaced as suggestions
- Notes are written to the EHR only after the clinician signs
Tags
Scribe · SOAP · ICD-10 · CPT · EHR sync
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