An AI medical scribe for pain medicine

Pain clinic notes need two kinds of detail: the patient's experience of pain and function over months, and an exact technical account of each procedure. ClearPass transcribes the consultation, drafts the clinic note, and lets you dictate procedure details into a Procedure structure afterwards.

Start free — 7 days, no card See pricing

What the pain clinic note should include

Site, character, radiation and pattern of pain; what makes it worse or better; how it started.
Severity on a numeric scale: now, average over the week, worst, and how it compares with the last visit.
Function: walking distance, sitting tolerance, work, sleep, and the goals the patient set.
Mood and the effect of pain on daily life, with any screening scores used.
Red flags asked about and their answers.
Treatments tried with dose, duration, benefit and side effects: physical therapy, psychological approaches, medicines, previous injections.
For patients on opioids: the drugs and doses, the total daily dose you calculated, function gained, side effects, the treatment agreement, and any concerns discussed.
For procedures: pre-procedure pain score, the response at follow-up and how long it lasted.

Example: review after a diagnostic block

Pain clinic follow-up, Follow-up structure

Background: Man in his fifties with axial low back pain for 3 years, worse on extension and standing, no leg symptoms. Physiotherapy and a graded activity programme with partial benefit.
Since last visit: Bilateral L4-5 and L5-S1 medial branch blocks with local anaesthetic 3 weeks ago. Pain score before block 7 of 10. Pain diary shows 2 of 10 for 6 hours afterwards, then back to baseline. Able to stand at the kitchen for 40 minutes during that time (usually 10).
Current medicines: paracetamol, naproxen when needed. No opioids.
Examination: Tender over lower lumbar facets bilaterally. Pain on extension-rotation. Neurological examination of the legs normal.
Assessment: Positive response to diagnostic medial branch blocks, consistent with facet-mediated pain.
Plan: Discussed radiofrequency denervation, expected benefit and duration, risks including temporary numbness and increased pain. Patient wishes to proceed. Continue exercise programme.

Invented patient. The procedure choice is the invented clinician's decision.

Guided templates and structures

Pain medicine has no dedicated template group. Rehabilitation & Therapy has Chronic pain rehabilitation; Neurology has Neuropathic pain management; Orthopaedics & MSK has Spine MRI (radiculopathy) and Joint / soft-tissue injection. They suit the visits they name.

For procedure days, use the Procedure structure and say or type: indication, consent, position, image guidance, level and side, needle, drug and volume, response, complications, and discharge instructions. See the procedure note template. For clinic reviews, Follow-up or Problem list works well when a patient has several pain sites.

Letters pain clinicians write

Prior authorization for an interventional procedure or a specialist medicine, with the failed treatments set out; see the letter of medical necessity.
An appeal when a procedure is refused as not necessary; see denial appeals for 'not medically necessary'.
Referral letters to pain psychology, physiotherapy or surgery.
Letters to the family doctor about opioid plans, so prescribing stays consistent.
Sick notes and medical reports about work capacity.

Reviewing the draft

Check the pain scores. Before and after values carry the treatment decision. The Numbers check marks any score not said in the transcript.
Check opioid doses and units. Milligrams and micrograms, patches per hour and tablets per day must be exact. ClearPass does not calculate equivalent doses; add your own figure.
Check level and side for procedures. Vertebral level and laterality must match what was done.
Keep the tone neutral. Notes about opioid concerns are read by the patient and other clinicians. The Ask box can rephrase a passage more neutrally without changing the facts.

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 keep track of pain scores across visits?

Notes are kept in your browser's history, which is searchable, so earlier scores are easy to find. It does not chart scores over time.

Does it calculate morphine equivalents?

No. Calculate the total daily dose yourself and say or type it; the note carries the figure you give.

Can I dictate the procedure note straight after the injection?

Yes. Choose the Procedure structure and dictate with the browser, or type. The draft comes back in order, ready to check and paste into your EMR.

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