Can I describe a lesion in my own words?

Yes. Describe it as you normally would and the scribe writes it in standard morphology terms, exactly as described.

Does it record pharmacy creams and home remedies?

Yes. Treatments the patient has already tried have their own section.

Can I use the Dermatology template for ward notes?

Yes. Specialty templates work for outpatient clinic notes and inpatient ward notes.

What if I also have my own template?

Both are used together: your own sections first, then the specialty sections.

Dermatology template

Dermatology notes, written while you talk

A skin consultation depends on an accurate description. The Dermatology template records the lesion's type, size, colour, shape and distribution, how it has changed, and what has already been tried, including pharmacy creams.

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Built for a Dermatology clinic

The consultations this template is laid out for, among others:

Eczema and dermatitis
Acne
Psoriasis
Fungal infections
Urticaria
Pigmentation

See a Dermatology note

A short consultation in Urdu, and the note Hikayat Scribe writes from it.

The consultation (Urdu)

Patient: Haathon pe khujli wale daane hain, ek mahine se.

Doctor: Koi cream lagayi?

Patient: Pharmacy se steroid cream li thi, thoda farq pada.

Doctor: Dono haathon ki pusht pe laal, khushk, scaly patches hain, kuch jagah se phate hue. Sabun kam karein, moisturiser lagayein.

The note

Presenting complaint: Itchy rash, both hands, x1/12.
Lesion description: Bilateral dorsal hands: erythematous, dry, scaly patches with fissuring.
Treatments tried: Over-the-counter topical steroid, partial improvement.
Patient education: Reduce soap use; apply emollient regularly.

Fictional patient. Sections that were not discussed are left off.

What the Dermatology template records

Alongside the usual history and examination, every Dermatology note has these sections:

Lesion descriptionOnset and courseTriggers and treatments triedImpact on daily lifePain assessmentPatient education

Only what was discussed

Lesion descriptions are written only from what you described or observed. Any section that was not covered is simply left off the note, so it never fills up with "not discussed".

Set it once

Choose Dermatology when you start a clinic or ward note, or tick "Always start my notes with this specialty" and it stays selected until you change it. Specialty templates are part of Pro and Enterprise, and included in the 7-day free trial.

The rest of the note

Ranked differentials with the reasoning shown, for you to choose from
Investigations and medicines you tick yourself; nothing is prescribed until you do
ICD-10 and SNOMED codes for your review
Your name, qualifications, registration number and the date and time on the printed note

How it works

Record. Press the button and talk with your patient in any of nine languages, or dictate on your own.
Review. The note is ready in seconds. Tick the diagnosis, investigations and medicines you are keeping, and edit anything.
Use it. Copy, print or email the note, with your name, qualifications and registration number on it.

Common questions

Can I describe a lesion in my own words?: Yes. Describe it as you normally would and the scribe writes it in standard morphology terms, exactly as described.
Does it record pharmacy creams and home remedies?: Yes. Treatments the patient has already tried have their own section.
Can I use the Dermatology template for ward notes?: Yes. Specialty templates work for outpatient clinic notes and inpatient ward notes.
What if I also have my own template?: Both are used together: your own sections first, then the specialty sections.

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