An AI medical scribe for sleep medicine
A sleep consultation relies on the bed partner's account, a sleepiness score, study indices and machine data, and ends with advice about driving that has to be written down clearly. ClearPass transcribes the visit, separates the speakers, and drafts a note you can check against the study report.
What a sleep note should include
- Sleep schedule: bedtime, time to fall asleep, awakenings, final waking, time out of bed, naps, and weekday versus weekend.
- Symptoms: snoring, witnessed pauses, choking, morning headache, nocturia, unrefreshing sleep, restless legs, parasomnias, cataplexy.
- The bed partner's account, attributed to them.
- Sleepiness score with the scale used, and a screening score for sleep apnoea if you use one.
- Occupation, shift work, and driving: whether the patient drives, has had near misses, and the advice given.
- Study results: type of study, total sleep time, apnoea-hypopnoea index, oxygen desaturation index, nadir saturation, time below 90%, positional or REM-related patterns.
- Therapy data: CPAP usage hours, percentage of nights used, residual event index, leak, mask type and comfort.
- Insomnia: duration, sleep diary findings, behaviours, and what has been tried.
Example: CPAP follow-up
Background: Man in his fifties with moderate obstructive sleep apnoea, AHI 24 on home study, started auto-CPAP 3 months ago. Since starting: Feels more alert. Wife reports snoring stopped. Sleepiness score 8 (was 15). Mask marks on the nose bridge. Dry mouth some mornings. Device data (90 days): Used 84% of nights, average 5.8 hours on nights used. Residual AHI 2.1. 95th percentile pressure 11 cm water. Large leak 4% of time. Driving: Drives for work. No sleepiness at the wheel since treatment. Assessment: Good response and adherence. Mild mask discomfort and mouth dryness. Plan: Mask refit to a different size. Add heated humidification. Continue current pressure range. Advised on driving and to stop if sleepy. Review in 12 months.
Templates and structures
The Pulmonology group has guided templates for Sleep study (OSA) and Home oxygen / NIV assessment, which suit a request for a study or for ventilation. Other sleep visits, such as insomnia, narcolepsy or parasomnia, work with free text and New patient or Follow-up.
For CPAP reviews, a short set of headings saved with My own structure (symptoms, score, device data, mask, driving, plan) and Concise length makes each review quick. For a new referral with several possible diagnoses, Full headings with Detailed length keeps the history complete.
Letters and requests
- Requests for a sleep study, with prior authorization for a sleep study where a plan requires it.
- A letter of medical necessity for CPAP or ventilation equipment.
- Patient instructions: using and cleaning the mask, humidification, what to do if sleepy while driving.
- A fitness letter from the Something else option when an employer asks about fitness for driving work, with the patient's consent.
- A letter to the family doctor with the diagnosis and treatment.
Reviewing the draft
- Check every study index. AHI, ODI and nadir saturation drive the diagnosis. Compare with the report; the Numbers check marks any figure not said.
- Check the driving advice. It must say exactly what you advised, in words the patient and others can follow.
- Check who reported what. Witnessed apnoeas come from the partner; make sure the note says so.
- Check device data. Usage hours and percentages are easy to swap; read them against the download.
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 I upload a sleep study report or a CPAP download?
Yes. Photograph the report and the values are read into the note. Remove names and ID numbers from the image first.
Can the bed partner join the consultation?
Yes, with both people's agreement. Transcribe separates speakers, which helps keep the partner's observations apart from the patient's.
Does it score sleep studies?
No. It writes the results you give it into the note. Scoring and interpretation are yours.
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