Specialties

AI scribe for pediatric clinics

A well-child visit is not a SOAP note, and a pediatric follow-up is not an adult one. Notermed ships three pediatric formats. The well-child visit records feeding method and diet, milestones the clinician actually reviewed by domain (gross motor, fine motor, language, social and emotional), growth with percentiles as provided, screenings performed or ordered with results when given, and vaccines given today or explicitly reviewed. The consult and follow-up formats carry the caregiver’s concerns and the interval history.

  • Built-in formats3
  • Sections across them26
  • Structure reviewed

What a pediatric note captures

Every line below is a field in one of the three built-in pediatric formats. 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

    Visit Type & Age

    • Well-child or routine check
    • The child age as stated
  2. 02

    Interval History & Parental Concerns

    • Concerns raised by the parent or caregiver
    • Illnesses or events since the last visit
    • How the child has been doing
  3. 03

    Feeding & Nutrition

    • Feeding method: breast, formula, solids, table food
    • Diet and appetite
    • Any supplements
  4. 04

    Elimination

    • Bowel and bladder pattern
    • Toilet-training status
  5. 05

    Sleep

    • Sleep duration and routine
    • Sleep concerns raised
  6. 06

    Development & Behaviour

    • Milestones the clinician actually reviewed for this child
    • By domain: gross motor, fine motor, language, social and emotional
    • Behaviour and temperament
    • School or childcare
  7. 07

    Past History

    • Birth history
    • Past medical and surgical history
    • Medications and allergies
    • Family and social history
  8. 08

    Growth & Vitals

    • Weight, length or height, head circumference, BMI
    • Percentiles as provided
    • Vital signs
  9. 09

    Physical Examination

    • Examination findings by system, as stated or dictated
    • Vital signs including temperature and weight
    • Focused examination findings
    • Vital signs and weight
  10. 10

    Screenings

    • Developmental, vision, hearing, lead, anaemia, or other screens
    • Whether each was performed or ordered
    • Results, when given
  11. 11

    Immunizations

    • Vaccines given today
    • Vaccines explicitly reviewed
  12. 12

    Assessment & Plan

    • The overall assessment, plus any concern raised
    • Immunizations given
    • Anticipatory guidance actually provided
    • Screenings or tests ordered
    • Referrals
    • Return-visit interval
  13. 13

    Presenting Complaint

    • Chief complaint in the caregiver words
    • How long it has been going on
  14. 14

    History of Present Illness

    • Onset, symptom character, and severity
    • Associated symptoms, fever, rash
    • Feeding and activity level
    • Sick contacts
    • Treatment already tried
  15. 15

    Past Medical History

    • Relevant diagnoses and prior hospitalizations
    • Birth history where relevant
    • Medications and allergies
    • Immunization status
  16. 16

    Family & Social History

    • Relevant family history
    • Social context
  17. 17

    Review of Systems

    • Only the systems the caregiver raised
  18. 18

    Assessment

    • Working diagnosis or differential, as stated
    • Status of the known condition or conditions
  19. 19

    Plan

    • Medications prescribed
    • Investigations ordered
    • Advice given
    • Safety-netting and return precautions
    • Follow-up
    • Treatment continued or adjusted
    • Investigations
    • Follow-up interval
  20. 20

    Interval History

    • Course since the last visit
    • Response to treatment
    • New events or concerns
  21. 21

    Current Symptoms

    • Symptoms ongoing or resolved
    • Feeding, sleep, and activity
  22. 22

    Medications

    • Current medications
    • Any changes since the last visit

Questions from pediatric clinics

How does the well-child format handle developmental milestones?
It captures the milestones the clinician actually reviewed for this child, by domain: gross motor, fine motor, language, social and emotional, plus behaviour and temperament and school or childcare. Nothing is filled in that was not discussed.
Are growth percentiles recorded?
Weight, length or height, head circumference and BMI are captured with percentiles as provided during the visit, alongside vital signs, in the Growth & Vitals section.
What about immunizations and screenings?
Immunizations records vaccines given today and vaccines explicitly reviewed. Screenings records developmental, vision, hearing, lead, anaemia or other screens, whether each was performed or ordered, and results when given.
Do you have formats beyond the well-child visit?
Three in total: the well-child visit, a pediatric consult note and a pediatric follow-up note. You can add formats of your own, and save your own copy of any built-in one.

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 pediatric 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.