Notermed

Specialties

AI scribe for endocrinology clinics

An endocrinology follow-up is a conversation about numbers over time. Notermed’s endocrinology format records HbA1c and glucose with any prior value, CGM metrics such as time-in-range and GMI, the thyroid panel (TSH, free T4 and T3, antibodies), lipids, renal function with urine albumin to creatinine, vitamin D, calcium and PTH, cortisol and ACTH, and the DEXA T-score or thyroid ultrasound impression. Each on its own line, each only if it was said.

  • Built-in formats1
  • Sections across them14
  • Structure reviewed

What an endocrinology note captures

Every line below is a field in the built-in endocrinology format. The draft fills a line only when the visit spoke to it; a section with nothing stated is left out rather than padded.

  1. 01

    Chief Complaint (CC)

    • A short reason for the visit
    • For example diabetes follow-up, thyroid nodule, hyperparathyroidism
  2. 02

    History of Present Illness (HPI)

    • Reason for referral or follow-up
    • Glycemic control and its trend
    • Hypoglycemia and hyperglycemia: frequency, timing, awareness
    • Polyuria, polydipsia, weight change, fatigue
    • Heat or cold intolerance, palpitations, tremor
    • Adherence, diet, and activity
    • Home glucose or CGM data the clinician reviewed aloud
  3. 03

    Past Medical History (PMHx)

    • Relevant medical history, where provided
  4. 04

    Past Surgical History (PSHx)

    • Prior surgery such as thyroidectomy or bariatric surgery
  5. 05

    Family History (FHx)

    • Diabetes, thyroid disease, endocrine tumours in the family
  6. 06

    Social History

    • Smoking status and alcohol
    • Diet pattern and physical activity
  7. 07

    Review of Systems (ROS)

    • Only the systems raised, with the findings actually stated
  8. 08

    Medications

    • Insulin regimen, with any titration stated
    • Oral agents, GLP-1 or SGLT2, thyroid replacement
    • Medications from an attached list
  9. 09

    Allergies

    • Allergies as stated
    • No known allergies only when someone said so
  10. 10

    Vitals

    • BP and HR
    • Height, weight, BMI, weight trend
    • Waist circumference
  11. 11

    Physical Exam

    • By system: GEN, NECK and thyroid, CV, RESP
    • ABD, EXT, SKIN, NEURO
    • Diabetic foot and monofilament examination
    • Only findings actually stated or dictated
  12. 12

    Results / Diagnostics

    • HbA1c and glucose, reported with any prior value
    • CGM metrics such as time-in-range and GMI
    • Thyroid panel: TSH, free T4 and T3, antibodies
    • Lipid panel
    • Renal function and urine albumin to creatinine
    • Vitamin D, calcium, PTH
    • Cortisol and ACTH
    • DEXA T-score, thyroid ultrasound or other imaging impression
  13. 13

    Assessment

    • A problem list of the diagnoses the clinician stated
    • ICD-10 codes flagged for billing verification
    • Severity or control status, only where the clinician stated it
  14. 14

    Plan

    • Grouped by problem, numbered
    • Diabetes: insulin or oral agent change, GLP-1 or SGLT2 start
    • Diabetes: glucose or CGM monitoring, HbA1c interval
    • Diabetes: education or nutrition referral, foot and eye screening
    • Thyroid: levothyroxine dose change, TSH recheck interval
    • Thyroid: ultrasound or FNA, endocrine surgery referral
    • Bone: vitamin D and calcium repletion, bisphosphonate, repeat DEXA

The format

One built-in format

  1. Endocrinology Note

    Endocrinology, Diabetes & Metabolism encounter note.

    14 sections

Questions from endocrinology clinics

Does it record the prior HbA1c alongside the current one?
The Results / Diagnostics section captures HbA1c and glucose reported with any prior value, so the trend you discussed is in the note, not just the latest number.
Can it document CGM data?
Yes. CGM metrics such as time-in-range and GMI have their own line. If you read them out during the visit, they are captured as stated.
What does the thyroid section look like?
The thyroid panel is captured as TSH, free T4 and T3, and antibodies, with a separate line for thyroid ultrasound or other imaging impression.
Which other results have a place in the format?
Lipid panel, renal function and urine albumin to creatinine, vitamin D, calcium and PTH, cortisol and ACTH, and the DEXA T-score. Anything not mentioned in the visit is left out rather than padded.

What holds true for your patient data

These apply from your first free session, on every plan, whichever format you write in. The technical detail is on the security and HIPAA page.

  • A BAA first

    We sign a Business Associate Agreement with your clinic before any patient data is processed.

  • US servers only

    Patient data is stored and processed only on servers in the United States.

  • Encrypted throughout

    Recordings, transcripts and notes are encrypted in transit and at rest.

  • Never training data

    Patient conversations are never used to train AI models.

  • Yours to sign

    Every note is a draft until the clinician reviews it and signs it.

This page describes how a note is structured. It is not clinical guidance, and the clinician who signs the note remains responsible for the record.

See it on one of your own endocrinology visits

Bring a consultation. We will record it, show you the draft in your format, and tell you plainly if Notermed is not a fit yet.

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