ScribeMDPro

Sleep Medicine

Sleep medicine notes with study review and adherence intact

OSA, insomnia, parasomnia — ScribeMDPro drafts sleep visit notes with the specialty's data-heavy structure.

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Sleep medicine consultations are data-heavy — symptom scoring (ESS, ISI), sleep-study interpretation, and CPAP adherence data all need to appear cleanly in the note. Insomnia and parasomnia workups add cognitive-behavioural elements. ScribeMDPro was configured with a sleep medicine template that captures ESS/ISI as discrete scores, structures sleep-study interpretation, and pulls in CPAP adherence discussion as a first-class section.

Documentation challenges we solve

  • Symptom scores (ESS, ISI, STOP-BANG) must be captured as discrete numbers
  • Sleep-study interpretation is dense and benefits from structured formatting
  • CPAP adherence data drives OSA follow-up but is often lost in narrative
  • Insomnia workup requires cognitive-behavioural intervention documentation

What clinicians gain

  • Discrete score capture for ESS, ISI and STOP-BANG
  • Sleep-study interpretation formatted with AHI, arousals, oxygenation
  • CPAP adherence discussion captured as structured plan input
  • Insomnia workup with CBT-I intervention documentation

How it works

  1. Step 1
    Start ambient capture

    Open ScribeMDPro before the sleep medicine encounter and start recording — the patient never has to talk to a device.

  2. Step 2
    Focus on the patient

    Conduct your normal history and exam. Review symptoms, study and adherence as usual — each becomes structured data.

  3. Step 3
    Auto-drafted note

    A structured SOAP note appears seconds after the visit ends, formatted for your specialty.

  4. Step 4
    Review, sign, export

    Edit inline, copy to your EMR, download as PDF, or push through supported integrations.

Example SOAP output

S: 54yo M with newly diagnosed severe OSA (AHI 42). Started on APAP 2 weeks ago. Reports improved sleep quality and morning alertness. Compliant nightly.
O: Weight stable at BMI 33. APAP data: 90% use, 6.2h/night avg, residual AHI 3.
A: Severe OSA responding well to APAP.
P: Continue APAP. Sleep hygiene reinforced. Weight management referral. RTC 3 months with updated adherence data.

Illustrative only. Clinicians retain final responsibility for the record.

Frequently asked questions

Does it capture ESS and ISI as scores?

Yes. Symptom scores are captured as discrete numbers when discussed.

How does it handle sleep-study interpretation?

AHI, arousal index, oxygenation and sleep architecture are captured in a consistent format.

Does it document CPAP adherence?

Yes — adherence data (usage percentage, average hours, residual AHI) is captured as structured plan input.

What about insomnia and CBT-I?

Insomnia visits support CBT-I intervention documentation and longitudinal symptom tracking.

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