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AI Medical Scribe

AI Scribe for Neurology, Built for Complex Longitudinal Care

 

Neurology documentation does not compress well. In high-volume clinics, manual note-taking after a full outpatient session can lead to unsigned interval histories, incomplete medication updates, and missed documentation context.

 
Othisis helps capture and structure the neurology encounter, symptom progression, neurological examination findings, anti-epileptic drug adjustments, and cognitive assessment scores, into a draft note for clinician verification before sign-off. Every post-encounter note, whether for a new-onset headache workup or a Parkinson’s review, remains a draft until the neurologist reviews and approves it.

 
Designed for neurologists, neurology registrars, and clinic managers running high-volume outpatient sessions, where undocumented AED titrations, missed MMSE baselines, and fragmented outside neurology letters can compound into clinical risk across complex, multi-visit patient panels.

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Neurology Documentation Is Complex, Longitudinal, and Under-Resourced

  

AED titration history does not always survive between visits
Anti-epileptic drug adjustments are often made across multiple visits by different providers. Without structured interval capture, dose changes can go undocumented, and the active medication list may drift from the patient’s actual current regimen.
 

Cognitive baselines erode without structured longitudinal tracking
MMSE, MoCA, and neuropsychological assessment scores taken at initial assessment do not always carry forward in a retrievable, comparable format. By the third visit, the clinician may be reconstructing the baseline from incomplete notes rather than reviewing a traceable progression.
 

Outside neurology letters arrive unreconciled at review
Discharge summaries from neurology admissions, EEG reports, and MRI brain findings often come in as unindexed PDFs. Neurologists may need to sign off on interval notes without a clean view of how outside findings relate to the active problem list.

Referral letters carry incomplete diagnostic timelines
Neurosurgery and neuropsychology referrals require precise symptom chronology and investigation history. Letters drafted from working memory or fragmented clinic notes can omit prior imaging findings, investigation results, or undocumented symptom progression.

End-to-End Workflow Coverage for Neurology Clinics

Pre-Visit

  • Organises MRI, EEG, discharge summaries, and prior neurology letters before the appointment.

  • Pulls prior MMSE, MoCA, and neuropsychology scores into a longitudinal view.

  • Highlights missing assessments, undocumented interval changes, and incomplete history.

  • Structures AED history, dose changes, and current medications for clinician review.

  • Summarises symptom chronology across previous visits and outside records.

  • Links key pre-visit details back to the source document for verification
During Visit
  • Captures neurological examination findings from clinician speech.
  • Structures interval history, symptom progression, and patient-reported changes.
  • Documents AED titrations, new medications, discontinuations, and dose changes
  • Supports medication reconciliation or interaction-review prompts where configured.
  • Records MMSE, MoCA, EDSS, tremor grading, seizure frequency, and other scores
  • Keeps the encounter output as a clinician-reviewed draft before finalisation.
After Visit

  • Generates structured interval note drafts for neurologist review.

  • Links findings back to encounter audio or referenced clinical documents.

  • Drafts neurosurgery referrals with symptom chronology and investigation history.

  • Drafts neuropsychology referrals with cognitive concerns and prior scores.

  • Creates longitudinal summaries for follow-up neurology reviews.

  • Keeps notes and referral letters reviewable before chart filing or dispatch.

Clinical Documentation Support Neurology Workflows

Othisis addresses the documentation risks that accumulate in high-volume neurology OPD, undocumented AED titrations, missing cognitive baselines, and referral letters drafted without traceable investigation history.

Interval notes are linked to the source encounter for neurologist verification before chart filing.
Structured outputs map neurological examination findings, cognition scores, and AED changes to reviewable fields.
Outside neurology letters, imaging reports, and prior documentation can be compared against the active problem list.
Draft-first workflow keeps every note and referral letter under clinician control before finalisation.

Every output is structured, reviewable before sign-off, and traceable to the clinical source, including interval notes, cognitive assessment summaries, and referral letters. Clinician approval is required before documentation is copied, exported, or filed into the chart, and the system supports multi-provider neurology departments without requiring each provider to rebuild templates from scratch.

Document Intelligence for Urology

Neurology Inputs Othisis Handles
Neurology-Specific Outputs
Risk and Accuracy Controls
Workflow Impact in Neurology OPD
Scalable Across Neurology Departments
Specialty-Aware Document Intelligence (Before & During Visit)

Neurology Inputs Othisis Handles

  • MRI brain and spine reports, CT head findings, and angiography results
  • EEG and EMG reports, including seizure characterisation and nerve conduction studies
  • Neuropsychological assessment reports and cognitive testing outputs
  • Neurology admission discharge summaries and inpatient clinical letters
  • Prior clinic letters from treating neurologists and neurosurgeons
High-Fidelity Clinical Documentation

Neurology-Specific Outputs

  • Structured interval notes covering examination findings, symptom progression, and medication changes
  • Longitudinal cognitive assessment summaries with MMSE and MoCA scores across visits
  • Chart-ready consult note drafts reconciling outside imaging and investigation results
  • Neurosurgery and neuropsychology referral letter drafts requiring neurologist sign-off
  • AED titration records with structured medication history for clinician review
Accuracy, Traceability & Risk Controls

Risk and Accuracy Controls

  • Draft notes are traceable to the source audio segment or referenced clinical document
  • Contradictions between outside letters and the active problem list can be flagged before sign-off
  • Clinician approval is required before any note, summary, or referral letter enters the chart
  • Medication reconciliation or interaction-review prompts can be surfaced where configured
  • Cognitive assessment comparisons are verified against prior visit records before finalisation
Time, Throughput & Revenue Efficiency

Workflow Impact in Neurology OPD

  • Designed to reduce interval note completion time per complex neurology review appointment
  • Helps reduce after-hours unsigned note backlog across high-volume outpatient sessions
  • Supports faster pre-visit brief preparation through structured outside-record review
  • Shortens referral letter drafting cycles without removing neurologist review and sign-off
Designed for Ophthalmology & Optometry Practices

Scalable Across Neurology Departments

  • Supports solo neurology practices and multi-consultant outpatient departments
  • EHR-agnostic and designed to fit existing neurology clinic workflows
  • Supports multi-location deployment with centralised audit trails per clinician
  • Configurable across neurology subspecialty workflows without rebuilding templates from scratch
  • Supports shared patient records across neurology, neurosurgery, and neuropsychology teams

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Frequently Asked Questions

Yes. Othisis captures ambient clinical speech during the neurological examination and structures findings into reviewable note fields, covering cranial nerve assessment, motor and sensory findings, coordination, reflexes, and gait. The draft note is linked to the source recording and held for neurologist sign-off before it is copied, exported, or filed into the chart.

Yes. Othisis structures MMSE, MoCA, and neuropsychological assessment scores into a retrievable, visit-by-visit format so the clinician can review progression rather than reconstruct a baseline from fragmented notes. Gaps in the longitudinal record, such as missing assessments or undocumented interval changes, can be surfaced before the encounter.

Othisis helps structure AED changes and medication updates for clinician review. Where configured, medication reconciliation or interaction-review prompts can be surfaced against the patient’s current medication context. The clinician makes the final determination; Othisis does not auto-resolve, override, or make prescribing decisions.

Yes. Othisis produces referral letter drafts with clinical claims linked to supporting context, such as an MRI report, EEG finding, or prior neurology letter. The neurologist can review the referenced source before approving the letter.

Yes. Othisis is built for multi-provider accountability. Each interval note and referral draft can be tied to the source document and treating clinician, so a registrar, specialist, or covering consultant can trace specific findings before sign-off. The audit trail is maintained per clinician across shared patient records.