AI Scribe for Rheumatologists
Document joint examinations, disease activity assessments, and biologic therapy in seconds. PatientNotes captures DAS28 scores, joint counts, and generates comprehensive rheumatology documentation.
Documentation for Every Rheumatology Visit
From inflammatory arthritis to systemic autoimmune diseases, PatientNotes handles all rheumatology documentation needs
Rheumatoid Arthritis
Joint counts, DAS28 calculation, DMARD optimization, and biologic therapy management.
Lupus Management
SLEDAI scoring, organ involvement assessment, hydroxychloroquine monitoring, and immunosuppression.
Inflammatory Arthritis
Psoriatic arthritis, ankylosing spondylitis, and reactive arthritis evaluation and treatment.
Vasculitis
GCA, Takayasu, ANCA-associated vasculitis with organ assessment and immunosuppression.
Connective Tissue Disease
Scleroderma, myositis, Sjogren's with organ-specific manifestation tracking.
Infusion Visits
Biologic infusions with pre-screening, vital signs, adverse reactions, and post-infusion monitoring.
Rheumatology-Specific Features
Built for the unique documentation needs of rheumatology
Disease Activity Calculators
Automatic DAS28, CDAI, SDAI, SLEDAI, BASDAI calculation with trend analysis and remission assessment.
Joint Examination Templates
Structured 28, 66, or 68 joint counts with tender/swollen documentation and anatomic mapping.
Biologic Therapy Tracking
Track TNF inhibitors, IL-6, IL-17, JAK inhibitors with response monitoring and safety screening.
Autoantibody Documentation
ANA patterns, titer tracking, RF, anti-CCP, anti-dsDNA, complement levels with longitudinal trending.
Imaging Integration
X-ray, MRI, ultrasound findings with erosion documentation, synovitis grading, and RAMRIS scoring.
Medication Safety Monitoring
Track methotrexate labs, TB screening, hepatitis panels, and vaccination status for immunosuppressed patients.
Sample AI-Generated Rheumatology Note
See how PatientNotes documents a rheumatoid arthritis follow-up with DAS28 calculation
SUBJECTIVE: 52-year-old female with seropositive rheumatoid arthritis (RF+, anti-CCP+) presents for follow-up. Diagnosed 18 months ago, currently on methotrexate 20mg weekly, folic acid, and hydroxychloroquine 400mg daily. Started methotrexate escalation 3 months ago from 15mg. Current symptoms: - Morning stiffness: 20 minutes (improved from 60 minutes at last visit) - Joint pain: bilateral hands, wrists rated 3/10 (down from 6/10) - Fatigue: mild, not limiting activities - No new joint involvement - Good medication tolerance, no nausea or mouth sores Patient Global Assessment (0-10): 3 Physician Global Assessment (0-10): 2 OBJECTIVE: Vitals: BP 118/74, HR 68, Temp 98.4°F, Weight 65 kg Musculoskeletal Examination: Joint Count Assessment (28 joints): - Tender joints: 2 (right wrist, left MCP2) - Swollen joints: 1 (right wrist with mild synovitis) - MCP joints: Mild tenderness MCP2 bilaterally, no active synovitis - PIP joints: No tenderness or swelling - Wrists: Right wrist tender with boggy swelling, left improved - Elbows: Non-tender, full range of motion - Shoulders: Full ROM, no tenderness - Knees: No effusion, no tenderness Hands: - No active Boutonniere or swan-neck deformities - Grip strength improved bilaterally - No ulnar deviation progression Skin: No nodules, no vasculitic lesions Ophthalmologic: No sicca symptoms Recent Labs (obtained 1 week ago): - ESR: 18 mm/hr (was 42 at baseline) - CRP: 0.8 mg/dL (was 2.4 at baseline) - CBC: WBC 6.2, Hgb 13.2, Plt 245, MCV 88 - CMP: AST 24, ALT 28, Cr 0.8, all within normal limits - RF: 145 IU/mL (stable) - Anti-CCP: >200 (stable) DAS28-CRP Calculation: - Tender joint count (28): 2 - Swollen joint count (28): 1 - CRP: 0.8 mg/dL - Patient global: 3 - DAS28-CRP: 2.1 (Low Disease Activity) Previous DAS28: 4.2 (Moderate Disease Activity) CDAI: 8 (Low Disease Activity) ASSESSMENT: 1. Seropositive rheumatoid arthritis - excellent response to methotrexate escalation, now in low disease activity (DAS28 2.1, CDAI 8) 2. Target: Clinical remission (DAS28 <2.6 achieved, aim for <2.0) PLAN: 1. Continue current regimen: - Methotrexate 20mg weekly - Hydroxychloroquine 400mg daily - Folic acid 1mg daily 2. Maintain current dose given excellent response 3. Repeat labs in 8 weeks: CBC, CMP, ESR, CRP 4. Continue monitoring for MTX toxicity - no current concerns 5. Ophthalmology follow-up for hydroxychloroquine screening due this quarter 6. Discussed treat-to-target approach - aiming for sustained remission 7. Patient reports excellent quality of life, able to return to gardening 8. Follow-up in 3 months 9. Pneumococcal and influenza vaccines up to date, COVID booster recommended
Intelligent ICD-10 Suggestions
PatientNotes suggests the codes most commonly used in rheumatology
M06.9Rheumatoid arthritis, unspecifiedM32.10Systemic lupus erythematosus, organ unspecifiedM45.9Ankylosing spondylitis, unspecifiedL40.50Psoriatic arthropathy, unspecifiedM34.9Systemic sclerosis, unspecifiedM35.00Sjogren syndrome, unspecifiedM31.6Other giant cell arteritisM79.3Panniculitis, unspecifiedAI suggests relevant codes based on your documentation—review and select with one click.
Frequently Asked Questions
Can PatientNotes calculate DAS28 and other disease activity scores?
Yes. PatientNotes automatically calculates DAS28, CDAI, SDAI for rheumatoid arthritis, along with SLEDAI for lupus, BASDAI for ankylosing spondylitis, and tracks trends over time.
Does PatientNotes support detailed joint examination documentation?
Yes. PatientNotes captures tender and swollen joint counts (28, 66, or 68 joint assessments), specific joint involvement patterns, and correlates with disease activity calculations.
How does PatientNotes handle biologic therapy documentation?
PatientNotes tracks biologic initiation, dose adjustments, response assessment, TB screening, and infection monitoring. It can flag due dates for safety labs and vaccinations.
Can PatientNotes document autoantibody panels and lab trends?
Yes. PatientNotes tracks ANA, RF, anti-CCP, complement levels, CRP, ESR, and disease-specific antibodies. It compares to baseline and flags significant changes requiring intervention.
See More Patients, Document Less
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