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AI Scribe for Endocrinology

Transcribe Health drafts your consult and follow-up notes while you work, so the insulin titration, the lab trend, and the plan are on the page before the patient leaves.

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Endocrinology documentation, one lab value at a time

Endocrinology is a numbers specialty. Most visits turn on data: an A1c that moved, a TSH that is still suppressed, a morning cortisol that came back low, a calcium creeping up. The note has to carry those values and the reasoning that connects them, and a follow-up that skips the numbers is a follow-up that will not hold up later.

A single diabetes visit can touch the current regimen, the last three A1c results, home glucose patterns, weight, renal function, and a medication change with exact units. A thyroid or adrenal case adds its own set of results and a differential that shifts with each one. By hand, that means typing through clinic or finishing notes after the last patient has gone home.

Transcribe Health listens to the visit and drafts a note that puts the endocrine detail where it belongs: the insulin units, the drug names, the lab values you read out, and the reasoning behind your assessment. You read it and sign. Nothing is filed without you.

Documentation Challenges in Endocrinology

1
Recording insulin and other diabetes medication changes with exact units, timing, and the glucose or A1c data that drove each adjustment
2
Documenting thyroid, pituitary, and adrenal workups where the assessment hangs on a specific pattern of TSH, free T4, cortisol, ACTH, and stimulation-test results
3
Pulling months of lab trends (A1c, TSH, cortisol, calcium, vitamin D) into a note in a way that shows the direction of travel, not just the latest value

How Transcribe Health Helps Endocrinology

Diabetes Titration Notes

Records the regimen change you make (basal units up, mealtime dose adjusted, a GLP-1 added) with the glucose logs and A1c behind the decision.

Workup Documentation

Captures the reasoning through a thyroid nodule, an adrenal incidentaloma, or a pituitary case, including which labs and imaging you ordered and why.

Lab-Heavy Follow-Ups

Writes the values you reviewed into the note where they belong, so the trend and your interpretation are both on the page.

An endocrinology note, captured in real time

An abridged follow-up for type 2 diabetes with an insulin titration, drafted the way you would see it before signing.

Follow-up · Type 2 diabetes, insulin titration

Subjective

58-year-old woman with type 2 diabetes for 11 years, back for routine follow-up. Reports fasting glucose running in the 160s to 180s on her home meter despite her current regimen. No overnight lows. Occasional afternoon readings above 200 after larger lunches. Adherent to medications. No polyuria, no blurred vision, no numbness or tingling in the feet. Following a lower-carbohydrate diet, walking most days. Last dilated eye exam 8 months ago was normal.

Objective

BP 132/78, HR 76, weight 92 kg (down 1.5 kg since last visit), BMI 33. Feet: intact skin, monofilament sensation preserved at all sites, pulses 2+. A1c today 8.4% (was 7.9% three months ago, 8.1% before that). Fasting glucose in clinic 171. eGFR 68, urine albumin-to-creatinine ratio 22 mg/g. Lipid panel: LDL 88 on statin.

Assessment

1) Type 2 diabetes, uncontrolled, A1c trending up to 8.4% with fasting hyperglycemia as the main driver. 2) Obesity, BMI 33, with modest weight loss this interval. 3) Early diabetic nephropathy, stage suggested by mildly elevated albuminuria with preserved eGFR. 4) Hyperlipidemia, LDL at goal on statin.

Plan

Increase insulin glargine from 24 to 30 units at bedtime, with the patient continuing to log fasting glucose and titrating up 2 units every 3 days until fasting readings are 80 to 130, holding for any reading below 80. Continue metformin 1000 mg twice daily. Start semaglutide 0.25 mg weekly for 4 weeks, then increase to 0.5 mg, for glycemic control and weight. Continue atorvastatin. Add an ACE inhibitor, lisinopril 10 mg daily, for albuminuria; recheck urine albumin-to-creatinine ratio and basic metabolic panel in 4 weeks. Repeat A1c in 3 months. Nurse to review injection technique and hypoglycemia signs today. Return in 3 months, sooner if fasting readings stay above 180.

Illustrative example. Not a real patient encounter.

Built for endocrinology coding and your EMR

Notes capture the labs you reviewed, the problem complexity, the medication risk, and any glucose-monitor data you interpreted, the detail that supports your billing and your college's record-keeping standards. It is the first thing to slip when charting is rushed.

Coding suggestions use the US code sets ICD-10 and HCPCS. For OHIP, MSP and AHCIP claims, you select the provincial fee codes.

CPT

99204 / 99205New-patient consult, moderate to high complexity
99214 / 99215Established-patient follow-up, moderate to high complexity
95251Continuous glucose monitoring, interpretation and report
99091Collection and interpretation of physiologic data (glucose), 30 minutes over 30 days
76536Ultrasound of the neck and thyroid, soft tissue
76942Ultrasound guidance for thyroid fine-needle aspiration

ICD-10

E11.65Type 2 diabetes mellitus with hyperglycemia
E03.9Hypothyroidism, unspecified
E05.90Thyrotoxicosis, unspecified, without thyrotoxic crisis
E27.40Unspecified adrenocortical insufficiency
E04.1Nontoxic single thyroid nodule

Fits the workflow you already have

Transcribe Health connects natively to OSCAR, and the Chrome extension works alongside any browser-based EMR, so you can move the finished note into the chart you already use. You get whatever note type you are working in, a new consult, a diabetes follow-up, or a nodule workup. It writes up the labs and the regimen changes you dictate, with insulin units and drug names spelled correctly. It does not pull results from your lab system or read images for you; you review those and it records what you decide.

Endocrinology AI scribe questions

Does it get insulin regimens and drug names right?

Yes. It captures agents like insulin glargine, semaglutide, levothyroxine, and hydrocortisone, along with exact units and titration instructions, rather than making phonetic guesses at the dose.

Can it handle the lab detail a follow-up depends on?

It records the values you read out during the visit, such as A1c, TSH, free T4, cortisol, and calcium, and puts them in the note next to your interpretation. It documents what you reviewed; it does not fetch results from your lab system on its own.

Will it help with coding for visits and CGM interpretation?

It surfaces the labs you reviewed, the problem complexity, the medication risk, and any glucose-monitor data you interpreted, so the note supports what you bill and holds up if the chart is reviewed. You still choose and confirm the codes.

How is patient information protected?

Australian clinic access is being prepared. Before using patient information, confirm the offered features, patient consent, clinic agreements and overseas processing arrangements. Records and transcription are hosted in Canada, with encryption in transit and at rest.

Does it connect to our EMR?

Notes go into OSCAR through a native integration, and the Chrome extension works alongside any browser-based EMR. With any other system, you copy the finished note in. It documents the labs and imaging interpretations you give during the visit; it does not replace your lab or imaging systems.

Australian access in preparation

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