An AI medical scribe for neurology
A neurology history is a timeline: when it started, how it evolved, what the witness saw, what happened in between. The examination adds dozens of short findings, each with a side. ClearPass transcribes the consultation, including a witness if one is present, and drafts an English note that keeps the timeline in order for you to check.
What a neurology note must spell out
Avoid vague summaries. A neurology note earns its value from specifics.
- Onset and tempo: sudden, stepwise, progressive; duration of each episode; frequency per month.
- Headache: site, character, triggers, aura, analgesic days per month, preventives tried with dose and duration.
- Seizures: warning, witness account, duration, tongue biting, incontinence, recovery time, driving and work implications.
- Examination by system: cranial nerves, tone, power graded per muscle group and side, reflexes, plantars, sensation, coordination, gait.
- Scales where used: MoCA or MMSE score, EDSS, modified Rankin, headache days.
- Results: MRI findings, EEG summary, nerve conduction studies, CSF.
Example: first seizure clinic
A New patient note, Detailed. Invented patient; history from the patient and a witness.
Event: 3 weeks ago, at breakfast. Patient recalls a rising feeling in the stomach, then nothing. Witness (partner): stared, unresponsive, lip-smacking for about 1 minute, then stiffened and shook all limbs for about 2 minutes. Bitten left side of tongue. Confused for 20 minutes. Past: febrile seizures as a child. No head injury. Alcohol 6 units a week. Sleep deprived the night before. Exam: normal cranial nerves, tone, power 5/5 throughout, reflexes symmetrical, plantars flexor. Gait normal. Impression: probable focal-onset seizure with bilateral spread. Plan: MRI brain (epilepsy protocol) and EEG. Advised not to drive; explained the reason. Safety advice given. Review with results.
The witness account is kept apart from what the patient remembers because speakers are separated.
Neurology templates
The Neurology group has guided templates for MRI brain, acute CT head, spine imaging, headache and migraine, epilepsy and EEG, stroke and TIA, multiple sclerosis, Parkinson's and movement disorders, peripheral neuropathy with NCS and EMG, myasthenia, dementia and cognitive decline, dizziness, facial weakness, carpal tunnel, botulinum toxin, neuropathic pain, raised intracranial pressure, and syncope versus seizure.
Botulinum toxin sessions fit the Procedure structure: indication, muscles, units per site, side, and response.
Letters and approvals
Neurology often needs a referral letter to neurosurgery or a rehabilitation team, patient instructions about seizure safety or a headache diary, and fitness-to-drive or work letters under Something else.
MRI and preventive migraine treatments are common approval requests. See MRI prior authorization and the general prior authorization letter. For migraine documentation specifically, the migraine SOAP note shows what a clean note includes.
Describing the examination aloud
A transcribed note only contains the examination you verbalise. Many neurologists already narrate findings for teaching; doing the same here is enough. Short phrases work well: 'right pronator drift', 'reflexes brisk on the left', 'plantars flexor both sides', 'finger-nose normal'.
If you prefer to examine in silence, finish the history with transcription, tap Stop, then type the examination findings or use the Ask box to add them, for example 'add exam: power 4/5 right hip flexion, otherwise normal'.
What to check in a neurology draft
- Side for every weakness, sensory change and reflex asymmetry.
- Power grades per muscle group; 4 and 4+ are easy to blur.
- The order of events in the history, especially who observed what.
- Preventive medicines tried, with dose and how long each was taken.
- Driving advice. If you gave it, the note should say so plainly.
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 separate a witness account from the patient's history?
Yes. It separates speakers and writes who reported what. Check attribution, because it matters for seizure and syncope assessments.
Will it grade power on the MRC scale?
It writes the grades you say. It does not examine or grade anything itself.
Can it read an EEG or MRI report?
Photograph the report and upload it; the findings are read into the note. Remove identifiers from the photo first.
Is it useful for cognitive assessments?
It documents the conversation and the scores you state. It does not administer or score tests.
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.
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