AI Scribe for ID Specialists
Document complex infections, antibiotic stewardship, and HIV management in seconds. PatientNotes integrates culture data, generates evidence-based recommendations, and streamlines ID consultations.
Documentation for Every ID Visit
From complex consultations to HIV management, PatientNotes handles all infectious disease documentation needs
ID Consultations
Comprehensive infectious disease consults with differential diagnosis, culture review, and antibiotic recommendations.
HIV/AIDS Management
Antiretroviral therapy, viral load monitoring, CD4 tracking, and opportunistic infection prophylaxis.
Sepsis & Bacteremia
Severe infection management with source control, empiric therapy, and culture-directed treatment.
Antibiotic Stewardship
De-escalation strategies, antimicrobial optimization, therapeutic drug monitoring, and resistance prevention.
Osteomyelitis & Endocarditis
Complex infection management requiring prolonged IV antibiotics and surgical coordination.
Travel Medicine
Tropical infections, malaria, typhoid, and post-travel fever evaluation with exposure history.
Infectious Disease-Specific Features
Built for the unique documentation needs of infectious disease
Antibiogram Integration
Access local antibiotic susceptibility patterns and resistance trends to guide empiric therapy selection based on institutional data.
Culture Correlation
Link culture results with clinical presentation, track source control, and document transition from empiric to culture-directed therapy.
Dosing Calculator
Automatic antibiotic dose adjustments for renal/hepatic impairment, weight-based dosing, and therapeutic drug monitoring for vancomycin, aminoglycosides.
HIV Metrics Tracking
Longitudinal tracking of CD4 counts, viral loads, ART regimens, resistance mutations, and opportunistic infection prophylaxis.
Stewardship Documentation
Document antibiotic time-outs, de-escalation rationale, stop dates, and stewardship interventions for quality reporting.
ID Consultation Template
Structured consultation format with infectious workup, differential diagnosis, culture review, and detailed recommendations with rationale.
Sample AI-Generated ID Consultation
See how PatientNotes documents a complex infectious disease consultation
INFECTIOUS DISEASE CONSULTATION PATIENT: 67-year-old male REQUESTING SERVICE: Internal Medicine REASON FOR CONSULTATION: Persistent fever and bacteremia despite antibiotic therapy HISTORY OF PRESENT ILLNESS: Patient admitted 5 days ago with fever, chills, and hypotension. Presented from home with 3 days of progressive malaise, confusion, and decreased oral intake. Initial vitals showed T 39.2°C, BP 82/45, HR 118. Resuscitated with 4L crystalloid in ED. Blood cultures drawn, started on vancomycin and piperacillin-tazobactam empirically for sepsis. Day 3 blood cultures grew Staphylococcus aureus (MSSA) in 4/4 bottles. Antibiotics switched to cefazolin. However, patient remains febrile (T 38.5-39°C daily) and repeat cultures on day 5 continue to grow S. aureus. TTE ordered but not yet completed. No obvious source identified on initial workup. PAST MEDICAL HISTORY: - Type 2 diabetes mellitus - Chronic kidney disease stage 3 (baseline Cr 1.6) - Hypertension - Prior MRSA skin infection 2 years ago MEDICATIONS: - Cefazolin 2g IV q8h (started day 3) - Previously: Vancomycin and piperacillin-tazobactam (days 1-3) ALLERGIES: NKDA SOCIAL HISTORY: - No IVDU, no recent travel - Recently had dental work 3 weeks ago (tooth extraction) REVIEW OF SYSTEMS: - Denies chest pain, SOB, cough - Denies dysuria, back pain - Denies new murmurs or heart failure symptoms - No joint pain or swelling PHYSICAL EXAMINATION: Vitals: T 38.8°C, BP 118/72, HR 92, RR 18, SpO2 97% RA General: Ill-appearing, no acute distress HEENT: Poor dentition, no oral lesions Cardiac: Regular rate, 2/6 systolic murmur at apex (per chart review, previously documented) Lungs: Clear to auscultation bilaterally Abdomen: Soft, non-tender, no organomegaly Extremities: No edema, no signs of embolic phenomena, no Osler nodes or Janeway lesions Skin: No rashes, no injection sites LABORATORY DATA: Blood Cultures: - Day 1: 4/4 bottles positive for Staphylococcus aureus (MSSA) * Susceptibilities: Oxacillin-susceptible, cefazolin MIC <0.5 * Resistant to penicillin only - Day 5 (repeat): 2/2 bottles positive for S. aureus (preliminary) Labs (today): - WBC 14.2 (88% PMNs) - CRP 186 mg/L - ESR 78 mm/hr - Creatinine 1.8 (up from 1.6) - Vancomycin level: discontinued IMAGING: - Chest X-ray: No infiltrates, no signs of septic emboli - Transthoracic echo: Pending (ordered today) ASSESSMENT: 1. Persistent Staphylococcus aureus bacteremia (MSSA) - concerning for endocarditis - Persistent positive cultures on day 5 despite appropriate antibiotics - Recent dental procedure as possible source - Known cardiac murmur increases risk - Duke criteria: Awaiting TEE, but high suspicion given persistent bacteremia 2. Sepsis, improving hemodynamically 3. Acute kidney injury on CKD (Cr 1.8 from 1.6) - likely ATN from sepsis, pre-renal component RECOMMENDATIONS: 1. Continue cefazolin 2g IV q8h - appropriate for MSSA bacteremia - Dose is adequate given renal function - More effective than vancomycin for MSSA 2. URGENT transesophageal echocardiogram (TEE) today/tomorrow - High suspicion for infective endocarditis given persistent bacteremia - TTE has poor sensitivity for vegetations 3. Repeat blood cultures daily until clearance documented - Need to establish date of clearance for treatment duration 4. If endocarditis confirmed on TEE: - Continue cefazolin (or nafcillin if renal function improves) - Duration: 6 weeks from first negative blood culture - Early cardiothoracic surgery consultation for surgical candidacy evaluation - Repeat imaging at 6 weeks 5. If endocarditis ruled out: - Search for alternative source (consider MRI spine for epidural abscess, consider joint infections) - Minimum 2 weeks of therapy from first negative culture 6. Source control: - Remove any central lines if present - Dental evaluation for occult abscess after acute infection treated 7. Infectious disease to follow daily - Will contact cardiology for expedited TEE - Will reassess after imaging results 8. Monitor renal function closely - Adequate hydration - Adjust cefazolin if creatinine worsens significantly DISPOSITION: Continue inpatient care, transfer to telemetry if TEE shows vegetations Thank you for this interesting consultation. Will follow closely. [Infectious Disease Attending Signature] Pager: [number]
Intelligent ICD-10 Suggestions
PatientNotes suggests the codes most commonly used in infectious disease
A41.9Sepsis, unspecified organismB20Human immunodeficiency virus [HIV] diseaseJ18.9Pneumonia, unspecified organismN39.0Urinary tract infection, site not specifiedL03.90Cellulitis, unspecifiedM86.9Osteomyelitis, unspecifiedI33.0Acute and subacute infective endocarditisA49.9Bacterial infection, unspecifiedAI suggests relevant codes based on your documentation—review and select with one click.
Frequently Asked Questions
Can PatientNotes document complex antibiotic regimens?
Yes. PatientNotes captures antimicrobial therapy including drug selection rationale, dosing (including renal/hepatic adjustments), duration, culture susceptibilities, and de-escalation strategies. It supports antibiotic stewardship documentation and tracks therapeutic drug monitoring.
Does PatientNotes support HIV management documentation?
Yes. PatientNotes tracks HIV viral load, CD4 counts, antiretroviral therapy regimens, resistance testing, opportunistic infection prophylaxis, and adherence. It documents medication side effects and drug interactions.
How does PatientNotes handle culture and susceptibility data?
PatientNotes integrates culture results, organism identification, antibiotic susceptibilities (MIC values), and resistance patterns. It correlates microbiologic data with clinical presentation and generates evidence-based antibiotic recommendations.
Can PatientNotes document ID consultations?
Yes. PatientNotes creates comprehensive ID consultation notes including review of history, imaging, labs, cultures, differential diagnosis, and detailed antibiotic recommendations with rationale. It tracks follow-up plans and communicates with referring teams.
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