Clinical Documentation
Speak the visit. Review the note.
ThinkRoman Notes turns dictation into a draft SOAP note. The clinician reviews and approves every word.
Powered by ThinkRoman Notes
The problem
Notes are written twice
Jotted during the visit, then written up after hours.
Structure slips on busy days
Notes get shorter and harder for a colleague to follow.
Details fade
The longer the gap after the visit, the more is lost.
The solution
Three steps. The draft is a starting point, and nothing is final until the clinician approves it.
1Capture
Dictate, type, or start with the chief complaint.
2Generate
Notes drafts a SOAP note from the input.
3Finalize
Approve the note and copy it into your record system.
From dictation to a signed note
One fictional consultation, in four stages.
ThinkRoman Notes
Demonstration · fictional data
Dictation captured · Dr. Sofia Marin
“Thirty-seven-year-old man with a cough for ten days. It started after a cold. Dry at first, now a little clear sputum. No fever for the past week, no shortness of breath, no chest pain. He doesn't smoke. On examination, temperature thirty-six point eight, pulse seventy-six, oxygen saturation ninety-eight percent. Chest is clear with no wheeze. Impression is a post-viral cough. Plan is reassurance and fluids, review in two weeks if it isn't settling, and return sooner for fever, breathlessness, or blood in the sputum.”
What's included
Dictation and speech-to-textIn the product
Speak during or after the visit.
AI-assisted draftingIn the product
A draft built from what the clinician said or typed.
SOAP notesIn the product
Subjective, Objective, Assessment, and Plan, set out consistently.
Suggested questionsIn the product
Prompts based on the chief complaint.
Clinician reviewIn the product
Every draft is checked and edited before it is final.
Copy into your EHRIn the product
The clinician copies the final note across. Notes does not write into Fusion EHR automatically.
“In the product” is what the application describes today. “Illustrative” is confirmed for your deployment in a demonstration.
Who benefits
- Individual physicians
- Clinic teams
- Hospitals
- Visiting and locum clinicians
- AI drafts support the clinician. They do not replace clinical judgement, and the clinician stays responsible for the note.
- Notes is a separate application. There is no automatic integration with Fusion EHR today.
See it with your own requirements in mind.