Encounter summaries are automatically created using information entered by the patient, information generated during the encounter, and notes written by the provider.

With patient consent to use an AI scribe, charting can be further simplified with one-click pasting of the generated notes.

These summaries are saved to the patient’s profile and faxed to the patient’s primary care provider (if applicable), keeping the patient’s medical history up to date.

The QDoc software also records audio for each encounter. To keep our forms clear and concise, a dictation of this recording is not included in the Encounter Summary. Each recording is stored in the QDoc database, linked to the corresponding patient and encounter.

According to the CMPA, audio recordings are the best way for physicians to protect themselves from a medical-legal perspective, and in the event that a patient encounter is audited, or a complaint is registered.

At the bottom of each Encounter Summary, there is a disclaimer: ‘As part of the medical visit, QDoc records the audio of the encounter. If you need further information for this encounter, please contact us at info@qdoc.ca.’