An AI medical scribe for nephrology

Nephrology notes carry long trends and long medication lists: eGFR over years, potassium, bicarbonate, haemoglobin, phosphate, immunosuppressant levels. A kidney clinic visit often spends more time on numbers than on symptoms. ClearPass transcribes the consultation, drafts the English note, and flags figures that were not said, so the review stays focused on the results.

What a nephrology note needs

• Cause of kidney disease if known, CKD stage by eGFR and albuminuria category.
• eGFR and urine albumin to creatinine ratio with the trend, and the rate of decline per year where known.
• Blood pressure, weight, fluid status and oedema; home blood pressure readings if brought.
• Electrolytes and CKD complications: potassium, bicarbonate, haemoglobin, calcium, phosphate, PTH.
• Medications with renal dose adjustments, nephrotoxins avoided, and RAAS or SGLT2 therapy.
• Dialysis: modality, access type and function, dry weight, adequacy, interdialytic weight gain.
• Transplant: date, immunosuppression doses and levels, rejection episodes, infections.

Example: CKD clinic

A Problem list note, Concise. Invented patient and results.

1. CKD G3b A2, diabetic kidney disease.
eGFR 38 (42 a year ago). ACR 48 mg/mmol.
On ramipril 10 mg daily; dapagliflozin 10 mg started 3 months ago, tolerated.
Plan: continue both. Repeat eGFR, potassium and ACR in 3 months.
2. Hypertension.
Clinic BP 142/84. Home readings average 136/80.
Plan: add amlodipine 5 mg daily.
3. Anaemia of CKD.
Hb 104 g/L. Ferritin 90, TSAT 17%.
Plan: IV iron, then reassess Hb.
4. Mineral bone.
Phosphate 1.5, PTH mildly raised. Dietary advice given.

A problem list suits nephrology because each problem carries its own results and plan. Check each value belongs to the right problem.

Nephrology templates

The Nephrology group includes guided templates for CKD management, acute kidney injury, dialysis, dialysis vascular access, renal biopsy, nephrotic syndrome, glomerulonephritis and vasculitis, transplant workup and follow-up, resistant or secondary hypertension, electrolyte and acid-base disorders, polycystic kidney disease, CKD-mineral bone disease, and proteinuria or haematuria workup.

Dialysis unit reviews are often repetitive. A structure you write yourself, with headings such as Access, Adequacy, Fluid, Bloods and Medications, keeps every review consistent.

Letters from the kidney clinic

Nephrologists write back to primary care after most visits, often with specific monitoring instructions. The referral letter option drafts that reply from the reviewed note. Patient instructions can cover sick-day rules for medicines, fluid and salt advice, or fistula care.

Vascular access procedures, renal biopsy, and some medicines need approval. Start with the prior authorization letter. If a claim comes back with a coding problem, the coding error appeal page explains the Targeted Fix route.

Explaining kidney function to patients

Kidney clinic conversations often explain what eGFR means, why a medicine was stopped, or what dialysis preparation involves. When you say it aloud, the note can show that the discussion happened, including the patient's preferences about treatment options.

For conservative care or dialysis planning discussions, Detailed length keeps the full conversation. For stable CKD reviews, Concise gives a short note focused on results and changes.

Reviewing a nephrology draft

• eGFR and creatinine are not interchangeable; check which one the draft used.
• ACR in mg/mmol versus mg/g, and potassium to one decimal place.
• Doses of renally adjusted drugs, and any drug that was stopped.
• Dry weight, target weight and actual weight on a dialysis note.
• Immunosuppressant levels with the drug name, and whether the dose was changed.

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

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• Correcting a denial caused by a coding error
• Custom note templates: build headings that fit your clinic