AI Scribe for Pulmonologists
Document COPD exacerbations, asthma assessments, and pulmonary function tests in seconds. PatientNotes captures spirometry values, CAT scores, and generates comprehensive respiratory documentation.
Documentation for Every Pulmonology Visit
From acute exacerbations to chronic disease management, PatientNotes handles all pulmonology documentation needs
COPD Management
Exacerbation assessment, spirometry review, inhaler optimization, and oxygen titration.
Asthma Control
ACT scoring, peak flow monitoring, trigger identification, and step-wise therapy adjustment.
Bronchoscopy
Pre-procedure assessment, procedural notes, pathology requisitions, and post-procedure care.
Sleep Disorders
Sleep apnea diagnosis, CPAP titration, compliance monitoring, and alternative therapy planning.
Interstitial Lung Disease
ILD classification, HRCT correlation, 6-minute walk distance, and immunosuppression management.
Pulmonary Hypertension
Right heart cath results, echo findings, functional class assessment, and targeted therapy.
Pulmonology-Specific Features
Built for the unique documentation needs of pulmonology
PFT Interpretation
Automatic analysis of spirometry, lung volumes, and diffusion capacity with pattern recognition (obstruction, restriction, mixed).
COPD Assessment Tools
CAT score calculation, GOLD staging, exacerbation history tracking, and guideline-based treatment recommendations.
Asthma Control Testing
ACT score integration, peak flow trending, step therapy guidance per GINA and EPR-3 guidelines.
Oxygen Requirements
Document home oxygen flow rates, ambulatory needs, pulse ox trends, and Medicare qualification criteria.
Bronchoscopy Templates
Structured procedural notes with anatomic mapping, biopsy tracking, and BAL culture correlation.
Sleep Study Integration
AHI documentation, sleep architecture analysis, CPAP pressure settings, and compliance data from DME.
Sample AI-Generated Pulmonology Note
See how PatientNotes documents a COPD follow-up visit
SUBJECTIVE: 68-year-old male with severe COPD (GOLD Stage 3) presents for follow-up after recent exacerbation requiring hospitalization 3 weeks ago. Currently on prednisone taper (down to 10mg daily). Reports improvement in dyspnea but still has morning cough productive of yellow sputum. Using rescue inhaler 3-4 times daily, down from 8-10 times during exacerbation. Smoking history: 50 pack-years, quit 2 years ago Current medications: Fluticasone/vilanterol 100/25 mcg daily, tiotropium 18mcg daily, albuterol PRN, prednisone 10mg daily (taper ends in 3 days), supplemental oxygen 2L continuous CAT Score today: 18 (was 28 during exacerbation) Exacerbation history: 3 in past year requiring steroids, 2 requiring hospitalization OBJECTIVE: Vitals: BP 135/82, HR 88, RR 18, O2 sat 92% on 2L NC, Weight 72 kg (down 2kg from baseline) General: Mild distress with exertion, pursed-lip breathing noted Pulmonary Exam: - Inspection: Increased AP diameter, use of accessory muscles - Auscultation: Diffusely diminished breath sounds, scattered expiratory wheezes bilaterally, no crackles - Percussion: Hyperresonant throughout Cardiovascular: Regular rate, distant heart sounds, no JVD Extremities: No edema, no cyanosis Spirometry (performed today, post-bronchodilator): - FEV1: 1.05 L (38% predicted) - improved from 0.88 L during exacerbation - FVC: 2.45 L (65% predicted) - FEV1/FVC: 0.43 (consistent with severe obstruction) - Bronchodilator response: 8% improvement 6-Minute Walk Distance: 285 meters (desaturation to 88% at end, dyspnea score 4/10) ASSESSMENT: 1. Severe COPD (GOLD Stage 3, Group D) - recovering from recent exacerbation 2. Persistent bronchitis with productive cough 3. Exercise-induced hypoxemia on current oxygen dose 4. Cachexia/muscle wasting noted PLAN: 1. Continue prednisone taper as planned, complete in 3 days 2. Increase home oxygen to 3L continuous given exercise desaturation 3. Add azithromycin 250mg three times weekly for exacerbation prevention 4. Pulmonary rehabilitation referral placed - strongly encouraged 5. Nutrition consultation for weight loss/muscle wasting 6. Inhaler technique reviewed and reinforced - demonstrated proper use 7. Continue current bronchodilator regimen 8. Advance directive discussion - patient interested, will send forms 9. Follow-up in 6 weeks or sooner if worsening symptoms 10. Action plan reviewed: Start prednisone 40mg + call office if increased dyspnea, sputum volume, or sputum purulence
Intelligent ICD-10 Suggestions
PatientNotes suggests the codes most commonly used in pulmonology
J44.1COPD with acute exacerbationJ45.50Severe persistent asthma, uncomplicatedG47.33Obstructive sleep apneaJ84.9Interstitial lung disease, unspecifiedI27.0Primary pulmonary hypertensionJ18.9Pneumonia, unspecified organismJ96.01Acute respiratory failure with hypoxiaJ43.9Emphysema, unspecifiedAI suggests relevant codes based on your documentation—review and select with one click.
Frequently Asked Questions
Can PatientNotes interpret pulmonary function test results?
Yes. PatientNotes can document PFT values (FEV1, FVC, FEV1/FVC ratio, DLCO) with automatic interpretation of obstruction, restriction, and severity. It compares to predicted values and prior tests to track disease progression.
Does PatientNotes support asthma control assessment?
Yes. PatientNotes can calculate ACT scores, document inhaler technique, track exacerbations, and adjust treatment according to GINA guidelines with step-up/step-down recommendations.
How does PatientNotes handle bronchoscopy documentation?
PatientNotes has specialized templates for diagnostic and therapeutic bronchoscopy including indications, sedation, anatomic findings, biopsy locations, BAL results, and post-procedure instructions.
Can PatientNotes document ventilator settings and weaning trials?
Yes. PatientNotes tracks ventilator modes, settings (FiO2, PEEP, tidal volume), ABG results, and spontaneous breathing trial outcomes. It documents liberation readiness and extubation decisions.
See More Patients, Document Less
Join pulmonologists saving 2+ hours daily on documentation. PatientNotes handles the charting so you can focus on your patients.
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