An AI medical scribe for cardiology clinics

A cardiology clinic runs on numbers: ejection fraction, heart rate, blood pressure, LDL, QTc, INR. The note has to carry all of them correctly, alongside a symptom history that is often vague. ClearPass transcribes the consultation, writes an English note in the structure you choose, and flags any number that was never said so you can check it before it goes into the chart.

What a cardiology note has to capture

Most outpatient cardiology visits are one of a handful of patterns: new chest pain or breathlessness, palpitations, a heart failure review, an anticoagulation check, a pre-operative opinion, or follow-up after an intervention. Each needs a different emphasis, but the same core facts keep coming up.

• Symptom character with a functional class: exertional threshold, NYHA class for breathlessness, CCS class for angina, orthopnoea and ankle swelling.
• Risk factors stated explicitly: smoking status in pack-years, diabetes, family history of premature coronary disease, lipids and blood pressure trend.
• Examination: pulse rate and rhythm, blood pressure in both arms when relevant, JVP, murmurs with timing and radiation, crackles, peripheral oedema.
• Investigations with values: ECG rhythm and intervals, echo LVEF and valve gradients, troponin, BNP, Holter burden, stress test result.
• Scores the plan depends on, such as CHA2DS2-VASc and HAS-BLED for atrial fibrillation.
• Medication list with doses, including anticoagulant, rate or rhythm control agents and the reason any drug was stopped.

Example: atrial fibrillation follow-up

A short follow-up in the Follow-up structure, Concise length. The clinician said every number here aloud during the visit.

Reason for visit: review of paroxysmal AF, 3 months after starting anticoagulation.
Interval history: two self-limiting episodes of palpitations, each under 1 hour. No syncope, no chest pain. Breathless on 2 flights of stairs, unchanged (NYHA II). No bleeding.
Exam: pulse 72, regular. BP 134/82. No murmur. No peripheral oedema.
Investigations: ECG today sinus rhythm, QTc 428 ms. Echo (last month) LVEF 55%, mild left atrial dilatation. Creatinine stable.
Scores: CHA2DS2-VASc 3 (age, hypertension, female). HAS-BLED 1.
Plan: continue apixaban 5 mg twice daily and bisoprolol 2.5 mg daily. 7-day Holter to assess burden. Review in 3 months or sooner if episodes lengthen.

If the note had listed a QTc or LVEF that nobody mentioned, the numbers check would have marked it for review.

Guided cardiology templates

When you type a case instead of transcribing it, the Cardiology group gives you guided case templates with the fields that matter for that problem. Examples include echocardiography (TTE) and transoesophageal echo requests, chest pain non-invasive workup, coronary angiography, CT coronary angiogram, Holter monitoring, atrial fibrillation management, heart failure assessment, valvular heart disease, syncope evaluation, pacemaker or device assessment, cardiac MRI, pre-operative cardiac clearance, lipid and primary prevention, pulmonary hypertension, pericardial disease and cardiomyopathy.

You do not need a template to use the scribe. A transcribed visit goes straight to a note in SOAP, Full headings, Follow-up, New patient, Procedure, Problem list, or a structure you write yourself.

Letters that come out of a cardiology visit

From the same visit you can produce a referral letter to cardiac surgery or electrophysiology, patient instructions for a new anticoagulant, or a medical report for an employer or a fitness assessment. Each is one click, drafted from the note you already reviewed.

Cardiac imaging and devices often need approval before they are funded. The prior authorization letter mode builds a medical-necessity argument from the documented symptoms, failed first-line tests and risk profile. If a request comes back denied, the denial appeal mode reworks the justification and the codes. ICD-10 and procedure codes are suggested where your system uses them; you confirm them.

Reviewing the draft: what to check in cardiology

• Every number. Ejection fraction, gradients, QTc and doses are exactly where a transcription slip matters most. Start with anything the numbers check has marked.
• Drug names that sound alike. Check that amiodarone, amlodipine and apixaban land where you meant them, with the right dose and frequency.
• Which side and which vessel. Radial versus femoral access, LAD versus circumflex, left versus right heart catheter.
• Negatives. Syncope, bleeding and chest pain at rest are often documented as absent; confirm the draft kept them.
• Scores. The AI can add up a score from what was said, but the components should be visible so you can verify the total.

For a wider checklist see how to review an AI note.

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

Related

• An AI medical scribe for internal medicine
• SOAP note example: chest pain
• SOAP note example: hypertension
• Prior authorization for a CT scan
• How to review an AI-written note