AI Medical Charting

Turn free-text conversations into compliant, specialty-ready notes that post to your EHR in seconds, without changing how you speak or document.

Charting Made Simple With AI-Powered Scribing

Clinical-Grade Understanding

Trained with specialty packs (urgent care, cardiology, ortho, behavioral health, ASC) for accurate terminology and templates. Speaker separation (clinician vs. patient) and context memory across the encounter.

Clinical-Grade Understanding

Trust & Safety by Design

Dual-channel consent capture (verbal prompt and one-tap banner in patient app/kiosk). On-device redaction before transmission; PHI minimization by default. Immutable audit ledger storing ‘who edited what, when.’

Clinical-Grade Understanding

Interop That Actually Works

SMART on FHIR launch, HL7 v2, CCD/CCDA, and discrete data mapping (Problems, Meds, Allergies, Orders, Vitals). Auto-post with guardrails: note posts only if validation rules pass (required fields, specialty checks, payer rules).

Clinical-Grade Understanding

Human-in-the-Loop

Attest & amend: provider accepts, edits, or quick-fixes with one-click macros. Risk screens (suicide risk, SDOH flags) surfaced as alerts, not recommendations.

Clinical-Grade Understanding

Operates in the Real World

Low-connectivity mode with deferred sync. Accent-tolerant ASR and HIPAA-safe Telehealth capture.

Clinical-Grade Understanding
Specialty Packs (Your Edge)

Specialty Packs (Your Edge)

Urgent Care, ASC, Cardiology, Primary Care, Behavioral Health, Pediatrics, Ortho, Pain, GI, Endocrine, etc.

Star 6

Templates that match the visit type (injury, URI, laceration repair, pre-op, post-op).

Star 6

Built-in scales & scores (PHQ-9, GAD-7, NIHSS, Wells, Centor, ASA, NRS pain).

Star 6

Payer-aware field hints for commonly denied elements (e.g., MDM clarity).

Experience the OmniMD Advantage

AI Medical Charting

Implementation & Rollout

Implementation & Rollout (2)

Frequently Asked Questions

Unlike standard dictation, our AI medical charting understands clinical intent and medical relationships. It structures free-text conversations into SOAP-ready, billable notes that integrate directly with your EHR system, eliminating manual entry.

Yes. It uses speaker separation technology and context memory to differentiate between clinician, nurse, and patient voices, ensuring accurate attribution and continuity in the clinical documentation workflow.

Our AI charting models are trained on clinical negation patterns (“no murmurs,” “mild tenderness”) and diagnostic qualifiers to ensure charting accuracy and coding compliance, critical for revenue integrity and audit readiness.

Through on-device redaction and real-time consent tagging, sensitive or non-billable statements are flagged before submission, ensuring HIPAA-compliant AI documentation and preserving patient trust.

Each note includes AI confidence indicators and human-in-the-loop review. Providers can verify flagged segments before EHR posting, maintaining full control over AI-generated medical notes.

Yes. Our telehealth-compatible AI charting captures dual-channel encrypted audio, separates speech artifacts, and syncs structured notes to your EHR system once a stable internet is available, ideal for low-bandwidth or hybrid care settings.

Yes. It improves through de-identified data aggregation, never raw PHI. Privacy-safe AI learning pipelines enhance performance while meeting HIPAA and GDPR compliance standards.