AI Scribe for Primary Care

Last updated: Nov 2025

AI scribe for primary care that’s HIPAA-compliant: capture visits or upload audio, generate structured notes (problem-focused or comprehensive), and auto-fill your EHR via the Nudge Chrome extension.

Who this helps

• Family medicine and internal medicine clinics

• Integrated BH practices inside primary care

• Clinic managers standardizing documentation across providers
  
  

What you get

• Structured HPI, ROS (optional), Exam/MSE, Assessment, Plan

• Preventive & chronic-care prompts (BP, A1C, BMI, tobacco)

• Screenings: PHQ-9, GAD-7, AUDIT-C, fall risk (optional)

• Formatting controls (bullets/paragraphs) + redaction
  
  

How it works with your EHR

Record live or upload audio in Nudge. Review your draft. In your EHR, open a new note and launch the Nudge extension—select the patient and note type. Sections map into the correct fields (HPI/Subjective, Objective/Exam, Assessment, Plan). You confirm before saving. No API keys or IT project required.

Quick examples

• Diabetes follow-up: HPI summarizes SMBG and meds; Objective lists vitals/A1C; Plan updates metformin, foot exam reminder, and nutrition referral.

• Depression screen in primary care: PHQ-9 captured; safety check documented; Plan adds counseling referral and follow-up interval, with continuity into next visit.
  
  

Results (2025)

Typical progress note ready in < 60–90 seconds after capture.
Teams report 4–6 hrs/week saved on documentation and cleaner preventive-care prompts.

FAQs

Can I toggle ROS and exam templates per visit type?
Yes. Choose problem-focused vs comprehensive; save defaults by visit type.

Does it support behavioral-health screenings in primary care?
Yes. PHQ-9, GAD-7, and other screens can be included and carried forward for continuity.

Can we standardize provider formatting across the group?
Yes. Set organization-wide preferences (bullets vs paragraphs, required sections, terminology) and apply them to all providers.