The disease activity score, the biologics decision and the consent you took, Note Dr writes the full record and shared-care letter, ready to approve.
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Note Dr listens to the consultation as it happens. While you take the history, examine the joints, score the disease activity and talk through the biologic, it writes the record in the background, so your attention stays on the patient and off the keyboard.
Disease activity and reasoning on record
The joint counts, the DAS28 you calculated and why you escalated or held, captured as you reason it through aloud, not reconstructed when a query lands months later.
Consent for immunosuppression, recorded
The risks of a biologic or DMARD you set out, the screening you required and what the patient agreed to, recorded the moment you take consent to start treatment.
Shared-care plan, clearly handed over
The monitoring you delegated, the parameters that should trigger a call back and what the GP agreed to, the contemporaneous trail that protects everyone if a result is missed.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the history and joint examination, the disease-activity score, your reasoning, consent for immunosuppression and the shared-care plan, where conventional rheumatology records measured against published standards routinely fall short.
Standards and audits referenced: GMC Good Medical Practice (2024), the RCP Generic Medical Record Keeping Standards (Carpenter et al, 2007) and the AoMRC record standards (2013) under the NHS Standard Contract, with ward-round and discharge audits (Armstrong and Carpenter, Cureus, 2022; Mehta et al, BMC Health Services Research, 2017).
Ask what you scored last time, the treatment you escalated to or what the patient consented to, answered in seconds from their own record.
Walk into the review already knowing the story, without trawling the notes.
When a presentation calls for it, Note Dr surfaces the published guidance rheumatologists work to, from the NICE and BSR guidance on rheumatoid arthritis and biologic DMARDs to GMC Good Medical Practice, the AoMRC record standards and the regional shared-care guidelines, with the source shown. It never tells you how to treat your patient; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why rheumatologists trust Note Dr with a record that stands up to scrutiny.
★★★★★
My disease-activity reasoning is on record
The joint counts, the DAS28 and why I escalated used to live in my head and a hurried line. Now the score and the reasoning behind the biologic are in every clinic note, in the same format. I edit and approve in under a minute.
★★★★★
Consent for biologics, never skipped
Starting immunosuppression is where my exposure is. Note Dr records the risks I explained, the screening I required and what the patient agreed to, every time. If a consent discussion is ever questioned, the note already tells the whole story.
★★★★★
Shared-care letters write themselves
The clinic letter and the shared-care agreement are where continuity is won or lost. Note Dr drafts both to the right headings with the monitoring parameters spelled out. The GP gets a clear handover, and I am not writing letters at nine at night.
★★★★★
Monitoring plans, clearly handed over
Biologics commit you to monitoring, and a missed result is a real risk. Note Dr captures what I delegated, the parameters to act on and what the GP accepted. The division of responsibility is documented, not left to assumption.
★★★★★
Calmest record review we've run
Contemporaneous records across the whole team, with the DAS28, consent and shared-care plan on every clinic. Our last record-keeping audit against the AoMRC standards was the smoothest we have had, the notes already told the whole story.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a full clinic, new referrals, biologics reviews and shared-care letters, every record now reads to the same standard, with the disease-activity scores, consent and monitoring plans that used to vanish when the clinic overran. My notes, and the letters that carry them into shared care, finally match the work I actually do.
Dr Marisol AClinical lead, rheumatology
Note Dr is a UK ambient AI scribe built for rheumatology clinics. Transcription runs on your device, and Note Dr drafts the clinic note, the disease-activity assessment, the biologics record and the GP shared-care letter to British record-keeping headings. It surfaces BSR and NICE guidance on request, and you review and approve every note before it leaves you.
Yes. From the consultation, Note Dr drafts the clinic letter to the AoMRC headings, with the diagnosis, disease activity, medication changes and actions for the GP set out clearly. It supports the NHS Standard Contract seven-day expectation. You review and approve every letter before it is sent.
Yes. As you call out the tender and swollen joint counts, the patient global score and the inflammatory marker, Note Dr records the components and the DAS28 you state in your structured note, ready to repeat at review. The score and your escalation reasoning are captured contemporaneously, not from memory.
As you start or review a biologic, Note Dr records the indication, the pre-treatment screen, the monitoring bloods, any adverse events and the continuation decision. Written up after clinic, a biologic decision tends to shrink to a drug name and a dose, and the screening you insisted on and your reason for continuing or switching are the first things to blur.
Yes. As you explain the risks of a biologic or DMARD, the screening required and live-vaccine avoidance, and the patient agrees, Note Dr records the consent discussion in the note: what you explained and what the patient consented to. It is captured the moment you take consent.
Yes. Note Dr drafts the shared-care record from your consultation: what the specialist retains, the monitoring the GP is asked to undertake, the parameters that should trigger a call back and that the patient consented. The handover is documented explicitly. You review and approve before it goes to the GP.
No — Note Dr does not integrate with your EHR or disease register by design; it documents the consultation and you paste or export the note where it belongs. That keeps it usable alongside a DAS28 register, a biologics monitoring system or plain clinic letters, whatever your service runs on. Every note you paste is one you have reviewed and approved.