Solutions
AI Clinical
Documentation
Physicians spend about two hours on EHR and desk work for every hour with patients (Annals of Internal Medicine, 2016). Scribeberry's AI clinical documentation software drafts the note, letters, and forms from each visit and sends them to your EMR, so charting doesn't follow you home.
Key capabilities
Full documentation pipeline
Ambient scribe, dictation, recording transcription, template-based note generation, PDF form filling, EMR push. One platform, not five.
Specialty-tuned AI
100+ specialties supported. Family medicine to OB/GYN to veterinary — specialty-aware note structures and terminology.
Enterprise-grade compliance
HIPAA, PIPEDA, SOC 2 Type 2, Quebec Law 25. Regional data residency. SSO/SAML for enterprise. Audit trails for regulatory review.
About AI Clinical Documentation
What AI clinical documentation covers. The work after a visit is more than the note. Scribeberry captures the encounter by ambient listening, dictation, or an uploaded recording; drafts the note in your template; fills forms such as the CRA disability tax credit (T2201) and AISH medical reports; writes referral letters; and pushes the signed result to Accuro, Oscar Pro, or Jane, or into any web EMR through the Chrome extension.
What to expect from the evidence. In large deployments, ambient AI documentation has improved clinicians' working lives: at The Permanente Medical Group, 84% of 7,260 physicians reported a positive effect on patient communication and 82% on work satisfaction (NEJM Catalyst, 2025). Time savings in the first randomized trial were modest (NEJM AI, 2025), so measure time to signed note and after-hours charting in your own pilot.
Choosing clinical documentation software. Test the EMR integration on real visits, check the consent workflow, match data residency to your patients (Canadian patient data stays in Canada with Scribeberry), and compare published pricing. Scribeberry Pro is $99/month per provider with unlimited use; Enterprise starts at $79/user/month for 5+ providers and adds custom integrations, SSO, and white labeling.
At a glance
What Scribeberry documents and where it goes
| Task | How Scribeberry handles it | Where the output goes |
|---|---|---|
| Visit note | Ambient listening, dictation, or uploaded audio | Your template, then your EMR |
| Referral and consult letters | Drafted from the visit and history | A letter you edit, sign, and send |
| Forms (T2201, AISH, WSIB, insurance) | Fields filled from the visit and notes | A completed PDF you review and sign |
| EMR entry | Smart Push for Accuro, Oscar Pro, and Jane; Chrome extension for web EMRs | The patient's chart |
FAQ
What does AI clinical documentation include?
AI clinical documentation covers the full pipeline: capturing the encounter (ambient mic, dictation, or audio upload), transcribing speech to text, structuring the transcript into a clinical note format, auto-filling required forms (CRA DTC, AISH, insurance, MVA), and pushing the finalized note into the EMR.
Is AI clinical documentation HIPAA compliant?
Reputable AI clinical documentation platforms are HIPAA compliant and sign Business Associate Agreements (BAAs). Scribeberry is HIPAA, PIPEDA, SOC 2 Type 2, and Quebec Law 25 compliant. Verify compliance documentation before deploying any AI tool in clinical workflows.
How does AI clinical documentation reduce physician burnout?
By shrinking the end-of-day charting backlog. Physicians spend about 2 hours on EHR and desk work for every hour of patient care (Annals of Internal Medicine, 2016). AI documentation turns writing into reviewing, which cuts the after-hours 'pajama time' clinicians name as a major burnout driver.
Can AI clinical documentation work with our existing EMR?
Yes. Scribeberry has native integrations for Accuro, Oscar Pro, Jane App, and works with every web-based EMR (Epic, Cerner, Athena, MYLE, CHR, etc.) via the Chrome extension. The desktop app works with any application via keyboard shortcuts.
What is AI medical documentation?
AI medical documentation uses ambient listening, speech recognition, and natural language processing to capture clinician–patient encounters and produce structured clinical notes. Unlike basic transcription, it extracts medications, labs, diagnoses, and exam findings, then organizes them into HPI, Assessment & Plan, and other EMR-ready sections. The physician reviews and signs the draft.
What ROI can I expect from AI documentation?
Studies show physicians spend 5.9 hours of an 11.4-hour day in the EHR, with 86 minutes after hours. AI documentation shifts work from building notes from scratch to reviewing drafts. The return is reduced after-hours charting, less weekend catch-up, and lower burnout risk. The AMA cites administrative burden as a key driver of physician burnout.
Is AI medical documentation compliant in Canada?
In Canada, PIPEDA governs health data. Ontario’s CPSO expects patient notification and consent before recording clinical encounters with AI tools. Scribeberry is built for PIPEDA and HIPAA compliance, with consent-first design and Canadian data residency.
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