Ethan - Medical Scribe AI Skill

What you get

• → SOAP notes and H&P notes - Subjective (CC, HPI, PMH, FH, SH, medications, allergies, ROS), Objective (vitals, physical examination findings, lab values, imaging), Assessment (diagnoses, differentials, ICD-10 codes as directed), and Plan (medications, follow-up, referrals, investigations ordered) in correct clinical register
• → Progress notes, procedure notes, and consultation notes - follow-up encounter documentation, clinical intervention procedure notes, and specialist consultation notes formatted to EHR conventions for Epic, Cerner, Meditech, Athenahealth, and eClinicalWorks
• → Discharge summaries - hospital admission, treatments, clinical course, and discharge plan documented in complete discharge summary format covering all elements required for handover quality and medical necessity
• → Specialty-specific documentation - emergency department EMTALA-compliant notes, outpatient clinic notes calibrated to specialty standards, pre-operative and post-operative notes, urgent care encounter documentation, and psychiatric documentation with appropriate clinical language
• → Prior authorisation and referral documentation - prior authorisation letter support structured around medical necessity criteria, referral letter drafts for specialist referrals, coding query documentation to support ICD-10 and CPT coding decisions, and medical certificate and sick note templates
• → Encounter documentation from clinical summaries - structured clinical notes produced from bullet-point provider summaries, verbal encounter descriptions, or dictated notes, with all missing information flagged as [CLINICIAN TO COMPLETE] rather than fabricated, and DRAFT status marked on every output