Clinical Documentation Scenarios
Real-world documentation workflows showing how Oonagh AI handles clinical sessions for each speciality — from the moment a consultation begins to the finalised clinical record.
A TCM practitioner begins a follow-up consultation for a patient with chronic lower back pain. While speaking with the patient, Oonagh AI transcribes the conversation in real-time. After the session, the practitioner reviews the transcription and uses TCM documentation templates to record tongue and pulse findings, pattern differentiation (Kidney Yang Deficiency with Blood Stasis), selected acupuncture points (BL23, BL40, KI3, SP6, GV4) with rationale, and treatment details including needle retention time and electroacupuncture parameters. The completed note is saved as a structured clinical record within the patient's file.
From documentation to billing to patient communication, Oonagh AI has you covered.
Speak naturally during patient consultations. Our AI transcribes your conversation in real-time and formats it into structured clinical notes, supporting 60+ languages for diverse patient populations.
Specialized templates for SOAP notes, treatment plans, intake forms, and progress notes designed specifically for Traditional Chinese Medicine practices and acupuncture documentation standards.
Built-in calendar and scheduling system designed for solo practitioners. Manage appointments, send reminders, and keep your practice organized without needing separate software.
Oonagh AI generates US-standard CMS-1500 superbill forms that practitioners can submit to insurance companies. Direct insurance claim tracking and real-time billing workflow visibility are not currently included.
HIPAA-compliant one-way encrypted messaging from physician to patient. AI-assisted email drafting helps you communicate effectively while saving time.
Connect with laboratory services to order tests and receive results directly in your patient records. Streamline your clinical workflow with integrated lab capabilities.
Secure patient portal where patients can access their treatment summaries, complete intake forms, and view their care plans. Enhances patient engagement and satisfaction.
Select successfully treated cases and publish them with colleagues. Invite co-authors or editors from the Oonagh network, use Medical AI for documentation and referencing, then publish directly to journals.
A DO performs an initial patient evaluation for cervical pain with restricted rotation. During the hands-on assessment, Oonagh AI transcribes the practitioner's verbal findings. The practitioner then uses the OMM documentation templates to record: TART findings (Tissue texture changes, Asymmetry, Restriction of motion, Tenderness) across cervical segments, somatic dysfunction findings, techniques applied (muscle energy, HVLA, myofascial release), and post-treatment reassessment. The structured note includes fields aligned to standard OMM documentation requirements.
Purpose-built tools for osteopathic documentation, practice management, and clinical research.
Securely convert patient consultations in over 60 languages into text, ready for the practitioner to review, edit, and organize into structured clinical notes.
Document osteopathic manipulative treatments efficiently with a structured body-region grid. Record somatic dysfunction findings, techniques applied, and treatment response in a standardized format — all entered and confirmed by the practitioner.
Structured templates that help organize your clinical documentation by history, examination, and medical decision-making components — making it easier for you to determine and assign the appropriate E&M level.
Full range of practitioner-completed templates including Initial Consultation, SOAP Notes, Follow-up Reports, Procedure Notes, and secure Professional Letters for referrals and colleague correspondence.
Purpose-built documentation templates for OMM encounters, cranial osteopathy, visceral manipulation, myofascial release, and counterstrain — aligned with AOA documentation guidelines.
Built-in calendar, appointment booking system, and online patient registration with electronic consent forms — all in one platform.
Offer patients a private, encrypted portal to view their treatment summaries, upcoming appointments, and care plans.
Tools to help compile and organize clinical data, generate case report drafts, and support osteopathic research and publications.
Invite receptionists and clinic managers with role-based access — they see patient contact information and scheduling but never clinical documents or SOAP notes.
Built with enterprise-grade encryption, comprehensive audit trails, and full compliance with US healthcare data protection regulations. BAA available.
Communicate with patients in their native language. Our AI-powered transcription supports over 60 languages, making it perfect for diverse patient populations across the United States.
Including: Mandarin, Cantonese, Korean, Vietnamese, Spanish, Japanese, and many more.
Join practitioners across the USA who are saving 3+ hours daily with Oonagh AI.
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