Emergency notes drafted before you pick up the next chart.
ED notes with history, exam, procedures and medical decision-making, drafted from short bedside conversations across a shift.
Emergency medicine
ED note with MDM
median time to a signed ED note, down from 19
fewer charts left open at the end of a shift
Measured over a 12-week pilot at the clinic quoted on this page.
A sample visit and the note drafted from it.
Visit transcript
[00:05] Physician: Tell me what happened to your arm.
[00:08] Patient: I cut my left forearm on a broken glass in the kitchen about an hour ago. It bled a lot at first.
[00:30] Physician: Make a fist and spread your fingers for me. Any numbness?
[00:35] Patient: No numbness. It moves fine, it just stings.
[01:10] Physician: Full flexion and extension in every finger, and sensation's normal. It's about 3 centimeters, I can see the base of the wound, no tendon showing and no glass in it. I'll numb it, clean it out and close it with four stitches. Your last tetanus shot was four years ago, so you don't need another.
[04:40] Physician: The stitches come out in 7 to 10 days. Come back sooner if it gets red, warm or starts draining.
Draft note
Chief complaint: Laceration, left forearm.
HPI: Cut left forearm on broken glass at home about 1 hour before arrival. Bleeding heavy at first, now controlled. Denies numbness. Last tetanus vaccine 4 years ago.
Exam: 3 cm laceration, left forearm. Base of wound visible, no tendon exposed, no visible foreign body. Full finger flexion and extension. Sensation normal.
Procedure: Local anesthesia, irrigation and simple repair with 4 sutures. Anesthetic, amount and suture material not stated; add before signing.
MDM: Simple laceration with no sign of tendon or nerve injury or retained foreign body. Tetanus up to date; no booster needed. Low risk.
Disposition: Discharge. Suture removal in 7 to 10 days. Return for redness, warmth or drainage.
Suggested codes: S51.812A Laceration without foreign body of left forearm, initial encounter; W25.XXXA Contact with sharp glass, initial encounter
Fictional patient. Transcript shortened for this page.
How the clinic uses Charted.
The emergency department at Halvane Care sees about 40,000 visits a year. Physicians move between rooms every few minutes, and notes pile up until the end of the shift, when details from the first patients are hardest to recall.
Physicians start a recording at each bedside after the consent prompt. Charted keeps a patient's conversations together across several short encounters, then drafts an ED note with history, exam, procedures and medical decision-making. The draft is ready by the time the physician reaches a workstation.
Over the pilot, median time to a signed ED note fell from 19 minutes to 6, and physicians left 38% fewer charts open at the end of a shift. The department now uses Charted on every shift in the main ED and in fast track.
