What is automated clinical documentation?
Healthcare professionals spend an average of 30–40% of their working time on administration — a large part of which involves writing consultation notes. According to research by NIVEL, GPs spend an average of 2.5 hours per day on documentation. This comes directly at the expense of patient care.
AI documentation listens during the consultation (with the patient's consent), automatically generates a structured note following the SOAP framework and processes it into the EHR/ECD.
How does it work?
Automatic Speech Recognition (ASR) combined with medical NLP converts the conversation to text and automatically structures it in the correct fields: Subjective, Objective, Assessment and Plan (SOAP). The system recognises medical terminology, medication names and referrals.
The clinician reviews the draft note and adjusts where necessary — this typically takes 1–2 minutes instead of 5–10 minutes of manual typing. The note is automatically saved in the EHR.
What does it deliver?
Healthcare professionals report 45 minutes saved per day, higher documentation quality and more attention for the patient during the consultation. According to research by Nuance Healthcare, AI documentation improves documentation accuracy by 25% while time per note falls by 50%.