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    Internal Medicine AI Scribe

    AI Medical Scribe for Internal Medicine

    Automate complex clinical documentation for multi-system assessments, chronic disease management, and patient consultations. Spend more time with patients, less on notes.

    • HIPAA Ready
    • Save 2+ Hours Daily
    • ICD-11 Ready
    9:41

    Sample patient

    Visit
    SummarySOAP NoteTranscriptionICD-11Audio

    Note ready

    Subjective

    62 y/o male presents for follow-up of HTN, T2DM, and hyperlipidemia. Reports occasional headaches, denies chest pain, SOB, or vision changes. Adherent to metformin and lisinopril.

    Objective

    BP 138/82, HR 76, BMI 29.4. HEENT: unremarkable. CV: RRR, no murmurs. Lungs: CTA bilaterally. Abdomen: soft, NT. Extremities: no edema. A1C 7.2% (down from 7.8%).

    Assessment

    1) HTN, controlled. 2) T2DM, improving (A1C 7.2%). 3) Hyperlipidemia, stable on atorvastatin.

    Plan

    1) Continue lisinopril 20mg. 2) Continue metformin 1000mg BID. 3) Repeat A1C in 3 months. 4) Lipid panel in 6 months. 5) Follow-up in 3 months.

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    Referrals

    Recent visits

    Sample patient
    DRDr. Meera IyerRiverside Clinic

    Sample patient

    Today, 10:40Internal Medicine
    New visit
    SummarySOAP NoteTranscriptionICD-11Audio

    Note ready

    Subjective

    62 y/o male presents for follow-up of HTN, T2DM, and hyperlipidemia. Reports occasional headaches, denies chest pain, SOB, or vision changes. Adherent to metformin and lisinopril.

    Objective

    BP 138/82, HR 76, BMI 29.4. HEENT: unremarkable. CV: RRR, no murmurs. Lungs: CTA bilaterally. Abdomen: soft, NT. Extremities: no edema. A1C 7.2% (down from 7.8%).

    Assessment

    1) HTN, controlled. 2) T2DM, improving (A1C 7.2%). 3) Hyperlipidemia, stable on atorvastatin.

    Plan

    1) Continue lisinopril 20mg. 2) Continue metformin 1000mg BID. 3) Repeat A1C in 3 months. 4) Lipid panel in 6 months. 5) Follow-up in 3 months.

    A sample internal medicine note as RxNote writes it. Fictional patient.

    The problem

    Internal Medicine documentation challenges

    RxNote is built around the documentation internal medicine actually needs.

    • 01

      Complex Patient Histories

      Internal medicine patients often have multiple comorbidities requiring comprehensive documentation.

    • 02

      Multi-System Reviews

      Review of systems across 10+ organ systems generates extensive documentation requirements.

    • 03

      Medication Reconciliation

      Patients on 10+ medications need accurate documentation of each drug, dosage, and interaction.

    Features

    Internal Medicine AI scribe features

    Specialised documentation tools for internal medicine encounters.

    • Multi-System Documentation

      Captures and organizes findings across cardiovascular, respiratory, GI, neurological, and other systems.

    • Medication Reconciliation

      Automatically documents medication lists, dosage changes, and drug interaction discussions.

    • Lab & Diagnostic Integration

      References lab values and diagnostic results discussed during the encounter.

    • Comprehensive SOAP Notes

      Generates detailed SOAP notes capturing the full complexity of internal medicine encounters.

    • Chronic Disease Tracking

      Documents longitudinal care for diabetes, hypertension, COPD, and other chronic conditions.

    • Referral Documentation

      Captures referral discussions and generates specialist referral letters from encounter notes.

    How it works

    From conversation to signed note

    • 01

      Start Your Encounter

      Begin your patient consultation and tap record on RxNote.

    • 02

      AI Organizes by System

      RxNote identifies findings across organ systems and organizes them automatically.

    • 03

      Review & Finalize

      Get a comprehensive SOAP note with ICD-11 codes ready for your EHR.

    Why RxNote

    Why internal medicine providers choose RxNote

    • Document complex multi-system encounters in minutes
    • Automatic medication reconciliation documentation
    • Capture all review of systems findings accurately
    • Reduce after-hours charting and documentation backlog
    • HIPAA-ready with enterprise-grade security
    • Integrated ICD-11 code suggestions
    • 50%

      Less Charting Time

    • 10+

      Systems Documented

    • 99%

      Medication Accuracy

    FAQ

    Questions, answered

    Can RxNote handle complex multi-system encounters?

    Yes. RxNote organizes findings across all organ systems and generates comprehensive documentation for even the most complex internal medicine visits.

    Does RxNote suggest ICD-11 codes for internal medicine?

    Yes. RxNote automatically suggests relevant ICD-11 codes based on the documented assessment and diagnoses discussed during the encounter.

    Simplify Internal Medicine Documentation

    Join internists who've eliminated after-hours charting with RxNote.

    Related specialties

    Also built for

    • Family Medicine

      AI scribe for family practice — pediatric to geriatric patients, well visits to acute care.

    • Cardiology

      Precision documentation for cardiac consultations, stress tests, and cardiovascular risk assessments.

    • Psychiatry

      AI-powered documentation for psychiatric evaluations, therapy sessions, and mental health assessments.

    Keep exploring

    • AI Medical Scribe
    • AI Medical Coding
    • Security & HIPAA
    • Family Medicine Scribe
    • Cardiology Scribe
    • All Specialties

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    Product

    • Intake
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    Specialties

    • All Specialties
    • Psychiatry
    • Family Medicine
    • Internal Medicine
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    • Mental Health
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    Use Cases

    • All Use Cases
    • SOAP Notes Generator
    • Pre-Visit Prep
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