As of 2026, the standard SOAP note has evolved beyond simple clinical summaries into complex documentation tools requiring AI scribe compatibility and adherence to updated CMS telehealth guidelines.

To address shortcomings of human scribes (eg, turnover), clinicians are considering digital scribes (DSs). To our knowledge, to date, no study has assessed DS implementation or clinician user ...

Large language models (LLMs) may serve as a valuable supplement to oncology documentation workflows by detecting and ...

Epic is collaborating with Abridge for generative AI for clinical documentation in the EHR. Abridge, a generative AI company for healthcare, summarizes medical conversations and structures them in ...

The product, which uses AI to summarize medical information from conversations between patients and clinicians, is now available across Kaiser’s 40 hospitals and more than 600 medical offices.

A holistic approach to problem solving is necessary to address the complex issues facing healthcare providers today. Despite the demands of the current environment, quality must remain the top ...

A Harvard-led study found a large language model surpassed hundreds of physicians in diagnostic and management reasoning tasks, especially in emergency triage. Researchers stress the results do not ...

Health tech company Iodine Software and coding software platform TruCode are collaborating to upend clinical administration using artificial intelligence. Austin, Texas-based Iodine Software developed ...

Over the past 5 years, I worked with HITSP and the HIT Standards Committee to select standards for exchanging clinical summaries. But what exactly is a clinical summary? There is common agreement ...

Enough has been said about the lack of patient-centricity of the exam room where the doctor sits ensconced next to the computer, dutifully taking notes, as the patient rattles off a list of maladies.

A WHO-endorsed RAD-AID Radiology Readiness Assessment was used to evaluate clinic resources. In addition, 5 weeks of observation identified resource deficiencies and reviewed existing documentation ...

Here are five best practices for maintaining accurate, complete and thorough clinical documentation in your ambulatory surgery center. 1. Put a formal policy in place. Jack Egnatinsky, MD, a medical ...