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

Purpose-built AI medical charting engine trained with specialty packs (urgent care, cardiology, ortho, behavioral health, ASC) for precise medical terminology and structured clinical documentation automation. Advanced AI medical scribe with speaker separation (clinician vs. patient), real-time medical voice transcription, and context memory across the encounter to generate accurate, compliant EHR clinical notes every time.

Clinical-Grade Understanding

Trust & Safety by Design

HIPAA-compliant AI healthcare documentation with dual-channel consent capture (verbal prompt + one-tap banner in patient app/kiosk). On-device PHI redaction before transmission; automated patient data privacy and PHI minimization by default. Immutable audit ledger tracks who edited what, when, supporting regulatory audits, medical compliance standards, and AI documentation transparency.

Trust & Safety by Design

Interop That Actually Works

Native SMART on FHIR launch, HL7 v2, CCD/CCDA, and precise EHR/EMR data mapping (Problems, Meds, Allergies, Orders, Vitals). Auto-post to charts with safety guardrails: notes only get published when clinical validation rules, payer documentation rules, and specialty-based templates pass. Designed for EHR integration, seamless EMR workflows, and frictionless health data exchange.

Interop That Actually Works

Human-in-the-Loop

Physician-controlled documentation with Attest & Amend: accept, edit, or one-click macro correction. Intelligent risk surfacing for suicide screening, SDOH flags, medication concerns, and compliance alerts, always as clinical decision support, never as medical advice. Built for provider oversight, accuracy, and trust.

Human-in-the-Loop

Operates in the Real World

Reliable AI charting in low-connectivity environments with deferred sync. Accent-tolerant medical speech-to-text, HIPAA-safe telehealth capture, ambient documentation for in-clinic and virtual visits, and secure AI clinical recording workflows designed for busy care settings, from exam rooms to urgent care to remote consults.

Operates in the Real World
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.