> ## Documentation Index
> Fetch the complete documentation index at: https://docs.ndumed.co/llms.txt
> Use this file to discover all available pages before exploring further.

# Draft clinical notes with the AI scribe

> Use the NduMed AI scribe to record or upload a consultation and get a structured draft note to review and sign. Covers availability, limits and privacy.

The AI scribe turns a recording of a consultation into a structured **draft** clinical note on the encounter. You review, edit and sign the draft like any other note. The scribe is an optional module that your hospital must have switched on.

> [!NOTE]
>
> The AI scribe is off by default. If you do not see it on the encounter screen, your hospital has not enabled it. Ask your administrator.

## Create a draft note

**1. Open the scribe**

From the encounter, open the scribe for clinical notes.

**2. Record or upload**

Select **Start recording** and speak (with the patient's consent), then **Stop and create draft**. Or upload an existing audio file (up to 9 MB).

**3. Wait for the draft**

The audio is transcribed and organised into a note. This can take a minute. Requests that take longer than 10 minutes expire; try again with a shorter recording.

**4. Review and sign**

The note is saved as a **Draft** on the encounter. Read it carefully, correct anything that is wrong, then sign it. See [Vitals, notes and diagnoses](https://docs.ndumed.co/clinical/notes-vitals-diagnoses.md).

> [!WARNING]
>
> The scribe can mishear or misinterpret speech. You are responsible for the content of every note you sign. Always check drug names, doses, numbers and laterality.

## Privacy

* The audio recording is not stored by NduMed. Only the resulting draft note is saved.
* Audio is sent to third-party speech-to-text and AI services to produce the draft. Your hospital decides whether to enable the scribe.
* Get the patient's consent before recording, following your hospital's policy.

## Who can use it

Anyone who can write clinical notes (doctors and nurses), when the module is enabled for your hospital.


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