AI Scribe for Gastroenterologists
Document colonoscopies, EGDs, and GI visits in seconds. PatientNotes generates procedure reports, tracks polyps, and creates comprehensive IBD and liver disease documentation.
Documentation for Every Gastroenterology Visit
From endoscopy procedures to IBD management, PatientNotes handles all gastroenterology documentation needs
Colonoscopy Procedures
Complete colonoscopy reports with prep scores, polyp documentation, Paris classification, and pathology tracking.
Upper Endoscopy (EGD)
Detailed EGD reports documenting esophageal, gastric, and duodenal findings with biopsy locations.
IBD Management
Crohn disease and ulcerative colitis visits with activity scores, biologic therapy, and surveillance.
Liver Disease
Hepatitis, cirrhosis, NAFLD management with MELD scores, Child-Pugh class, and HCC surveillance.
GERD & Reflux
Gastroesophageal reflux management, Barrett surveillance, and PPI therapy documentation.
GI Bleeding
Acute and chronic GI bleeding workup, hemostasis procedures, and transfusion documentation.
Gastroenterology-Specific Features
Built for the unique documentation needs of gastroenterology
Colonoscopy Templates
Structured colonoscopy reports with Boston Bowel Prep scores, cecal landmarks, withdrawal time, polyp size/morphology, and snare/forceps documentation.
Polyp Classification
Automatic Paris classification (pedunculated, sessile, flat), size measurement, location by segment, and resection technique documentation.
IBD Activity Scoring
Calculate and track Harvey-Bradshaw Index for Crohn disease and Mayo score for ulcerative colitis with longitudinal trending.
MELD Score Calculator
Automatic MELD and MELD-Na calculation from lab values for liver transplant evaluation and cirrhosis monitoring.
Pathology Integration
Link colonoscopy/EGD findings to pathology results, track polyp histology, and manage surveillance intervals per guidelines.
Procedure Time Tracking
Document insertion time, withdrawal time, procedure duration, sedation details, and recovery status for quality metrics.
Sample AI-Generated Colonoscopy Report
See how PatientNotes documents a colonoscopy with polypectomy
PROCEDURE NOTE - COLONOSCOPY PATIENT: 62-year-old male INDICATION: Screening colonoscopy, average risk PROCEDURE: Colonoscopy with polypectomy CONSENT: Informed consent obtained after discussion of risks including bleeding, perforation, sedation risks MEDICATIONS: - Fentanyl 100 mcg IV - Midazolam 4 mg IV - Patient tolerated procedure well, monitored continuously PREP QUALITY: Boston Bowel Prep Score: Right colon 3, Transverse 3, Left colon 3 (Total: 9/9 - excellent) PROCEDURE DETAILS: - Olympus colonoscope introduced into rectum - Advanced to cecum (confirmed by identification of ileocecal valve and appendiceal orifice) - Cecal intubation time: 6 minutes - Withdrawal time: 12 minutes - Photo documentation obtained FINDINGS: Terminal Ileum: Examined, normal appearing mucosa Cecum/Ascending Colon: Normal Hepatic Flexure: Normal Transverse Colon: - 8mm sessile polyp at mid-transverse colon - Paris classification: 0-Is (sessile) - Removed with cold snare technique - Retrieved and sent to pathology (specimen labeled "transverse colon polyp") - Post-polypectomy site hemostasis adequate Splenic Flexure: Normal Descending Colon: - 4mm sessile polyp - Paris classification: 0-Is - Removed with cold forceps - Retrieved and sent to pathology (specimen labeled "descending colon polyp") Sigmoid Colon: - Mild diverticulosis without inflammation - No polyps Rectum: Normal, no hemorrhoids, normal vascular pattern INTERVENTIONS: 1. Cold snare polypectomy x1 (transverse colon, 8mm) 2. Cold forceps polypectomy x1 (descending colon, 4mm) IMPRESSION: 1. Two colon polyps removed and sent to pathology - 8mm sessile polyp, transverse colon - 4mm sessile polyp, descending colon 2. Mild diverticulosis 3. Otherwise normal colonoscopy to cecum ASSESSMENT & PLAN: 1. Awaiting pathology results (estimated 5-7 days) 2. Surveillance interval will be determined based on pathology (likely 3-5 years if adenomatous) 3. Patient recovered well from sedation, discharged home with responsible adult 4. Post-procedure instructions provided 5. Will contact patient with pathology results and surveillance recommendations 6. Return precautions discussed: severe abdominal pain, bleeding, fever COMPLICATIONS: None Procedure completed by: [Physician Name], MD Procedure date/time documented
Intelligent ICD-10 Suggestions
PatientNotes suggests the codes most commonly used in gastroenterology
K63.5Polyp of colonK50.90Crohn disease, unspecified, without complicationsK51.90Ulcerative colitis, unspecified, without complicationsK21.9Gastroesophageal reflux disease without esophagitisK70.30Alcoholic cirrhosis of liver without ascitesK76.0Fatty (change of) liver, not elsewhere classifiedK92.2Gastrointestinal hemorrhage, unspecifiedK22.70Barrett esophagus without dysplasiaAI suggests relevant codes based on your documentation—review and select with one click.
Frequently Asked Questions
Can PatientNotes generate colonoscopy procedure reports?
Yes. PatientNotes creates comprehensive colonoscopy reports including indication, prep quality (Boston Bowel Prep Score), extent of exam, polyp descriptions with Paris classification, biopsy locations, and interventions performed. Reports follow standard gastroenterology templates.
Does PatientNotes support IBD documentation?
Yes. PatientNotes tracks IBD activity scores (Harvey-Bradshaw, Mayo), biologic therapy, immunosuppressant monitoring, colonoscopy surveillance, and flare management. It documents medication titration, labs (CRP, calprotectin), and endoscopic findings.
How does PatientNotes handle liver disease monitoring?
PatientNotes captures MELD scores, Child-Pugh classification, hepatitis treatment monitoring, cirrhosis surveillance, and varices management. It tracks liver enzymes, INR trends, and imaging findings (ultrasound, FibroScan, MRI).
Can PatientNotes document upper endoscopy findings?
Yes. PatientNotes generates EGD reports with detailed descriptions of esophageal, gastric, and duodenal findings. It documents Barrett esophagus with Prague criteria, hiatal hernias, erosions, ulcers, biopsies, and therapeutic interventions like dilation or hemostasis.
See More Patients, Document Less
Join gastroenterologists saving 2+ hours daily on documentation. PatientNotes handles the charting so you can focus on your patients.
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