An AI medical scribe for allergy and immunology

An allergy consultation stands or falls on the reaction history: what was taken, how much, how long before symptoms, which systems were involved and what treatment was needed. ClearPass transcribes that conversation and drafts a note that keeps the sequence, then writes the action plan and letters from the same visit.

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What the allergy note needs

Each reaction in order: the trigger, the dose or amount, the time to onset, symptoms by system (skin, airway, breathing, circulation, gut), treatment given and time to recovery.
Co-factors: exercise, alcohol, anti-inflammatory drugs, intercurrent illness.
Tolerance history: foods or drugs from the same group taken since without a reaction.
Background: asthma control, eczema, rhinitis, other atopy, and whether the patient carries an adrenaline autoinjector and knows how to use it.
Test results: skin prick wheal sizes in millimetres with controls, specific IgE values, component results, baseline tryptase.
Challenge outcomes: dose steps reached, symptoms observed, final result.
For immunodeficiency: number, site and severity of infections, antibiotic courses, immunoglobulin levels, vaccine responses.

Example: penicillin allergy label review

Allergy clinic, New patient

History: Woman in her twenties labelled penicillin allergic since childhood. Parent reports a rash on day 4 of amoxicillin for an ear infection, no swelling, no breathing difficulty, no hospital attendance. Has not taken a penicillin since. Tolerated cefalexin two years ago without problems.
Background: Mild seasonal rhinitis. No asthma.
Assessment: Low-risk history of a delayed benign rash.
Plan: Direct oral amoxicillin challenge offered and accepted. Amoxicillin 500 mg given, observed 60 minutes. No symptoms, observations stable.
Outcome: Challenge negative. Penicillin allergy label removed. Patient advised the label should be removed from other files and given a letter to show.

Invented patient. The choice of a direct challenge is the invented clinician's decision.

Guided templates that fit

Allergy and immunology does not have its own template group. The Paediatrics group has Allergy / eczema and Recurrent infections / immune workup; Family Medicine / GP has Allergy / hay fever; Emergency / Critical Care has Anaphylaxis / severe allergy. They help when the visit matches. For adult drug allergy, venom allergy or immunotherapy reviews, use free text with New patient, Follow-up or Procedure (for a challenge or an injection session).

If your clinic always documents a challenge the same way, write those headings once with My own structure: indication, consent, dose steps and times, observations, outcome, advice.

Letters and documents

Patient instructions with the allergy action plan in plain language: what to avoid, what symptoms mean, when to use the autoinjector and call for help.
A school or nursery letter from the Something else option, describing the allergy and the emergency plan.
Referral letter back to the family doctor stating the test result and whether a label should be removed or added.
Prior authorization for a biologic in severe allergic disease; see prior authorization for biologics.

Reviewing the draft

Check the timing of each reaction. Minutes versus hours changes the likely mechanism and the plan.
Check wheal sizes and IgE values. The Numbers check marks any value that was never said; compare the rest with your test sheet.
Check which trigger each result belongs to. With several allergens tested, a value placed against the wrong one is easy to miss.
Check the outcome line. A negative challenge, a positive one and an inconclusive one lead to very different advice.

What ClearPass does not do

It does not replace your judgement. Every note is an AI draft that you review and correct before it is used.
It is not a medical device and does not make clinical decisions. It is a documentation aid.
It does not connect to your EMR. The note is copy-ready text that pastes into any system.

Privacy

Clinical note content is not stored on ClearPass servers: it is processed to write the note, then discarded. Consultation audio is transcribed and discarded, never stored. Your note history stays in your browser, on your device, and you choose how long it is kept. Common identifiers are removed from typed and transcribed text before it reaches the AI; that is a best-effort safeguard, so leave names, ID numbers and file numbers out where you can. Processing goes through the AI providers named in our Privacy Policy, which sets out exactly what each one receives and how long it keeps it. ClearPass does not sign HIPAA business associate agreements today.

Questions

Can it write an allergy action plan for a school?

Yes. Choose Something else and ask for a school letter; the Patient instructions option gives the family a plain-language version. Check both against your clinic's action plan format.

Does it know the right dose steps for a challenge?

No. It writes down the protocol you used. Dose choices are yours.

Can parents and child both be heard?

Transcribe separates speakers, so a parent's account and a child's answers can both inform the note. Confirm the parent has agreed before you start.

How do I document immunotherapy injection visits quickly?

Save a short set of headings with My own structure, for example pre-dose check, dose and vial, site, observation period, reaction, next dose, and choose Concise length. Each visit then takes a few spoken sentences.

What does ClearPass cost?

The 7-day trial is free, needs no card and simply ends after 7 days, with no automatic charge. After that there is one plan: $78 a month or $858 a year, with every visit transcribed.

Try it on your next clinic day

The full product for 7 days, with no card and no automatic charge. Then $78 a month or $858 a year. Pricing details.

Start free — 7 days, no card