Trusted from private clinics to hospital dietetic teams
ABCDE assessment, your PASS nutrition diagnosis, the goals you agreed and the monitoring you set, Note Dr writes the full dietetic record, ready to approve.
Get Note Dr free→Trusted from private clinics to hospital dietetic teams
Note Dr listens to the consultation as it happens. While you take the diet history, weigh up the ABCDE picture and reason toward a nutrition diagnosis aloud, it writes the record in the background, so your attention stays on the patient and off the keyboard.
Nutrition diagnosis and reasoning on record
Your PASS statement and the clinical reasoning behind it, captured as you work through the ABCDE picture aloud, not reconstructed after the clinic.
Measurable goals and monitoring captured
The measurable goals you agreed and the monitoring you scheduled, the very elements audits find documented least well across the dietetic record.
Consent for nutrition support
What you explained about oral, enteral or parenteral support, any refeeding risk discussed and what the patient agreed to, recorded the moment you gain consent.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the ABCDE assessment, the PASS nutrition diagnosis, measurable goals and monitoring, where published audits show conventional dietetic records most often fall short.
Audits and standards referenced: Lövestam et al (Nutrition & Dietetics, 2015), Clerc et al (Journal of Human Nutrition and Dietetics, 2024) and Tabacchi et al (Supportive Care in Cancer, 2024), with the HCPC standards of proficiency and the BDA Model and Process for Nutrition and Dietetic Practice (2021).
Ask what you assessed last time, the nutrition diagnosis you made, the goals you set or what the patient consented to, answered in seconds from their own record.
Walk into the review already knowing the story, without trawling the notes.
When a presentation calls for it, Note Dr surfaces the published guidance dietitians work to, from the HCPC Standards of Proficiency and the BDA Model and Process to NICE nutrition support guidance and standardised dietetic terminology, with the source shown. It never tells you how to treat your patient; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why dietitians trust Note Dr with a record that stands up to scrutiny.
★★★★★
My nutrition diagnosis is finally on record
I reasoned the PASS statement in my head and then wrote two lines. Now the problem, the aetiology and the signs are all there in full. The one part audits always pulled me up on is the part that writes itself.
★★★★★
Goals and monitoring, never skipped
Measurable goals and the monitoring plan were the first things to slip when the ward round ran over. Note Dr captures the goal and the review date every time, so my notes finally show what I set out to achieve.
★★★★★
The whole ABCDE, every time
Anthropometry and dietary always made the note; biochemistry and the social picture sometimes did not. Now the full ABCDE is captured as I work through it, so nothing that shaped my plan goes unrecorded.
★★★★★
Consent for nutrition support, documented
Recording consent for supplements and feeds, and the refeeding discussion, used to be the box I forgot when busy. Now what I explained and what the patient agreed to is in every note, which is where my exposure was.
★★★★★
Calmest record audit we've had
Contemporaneous records across the team, with the nutrition diagnosis, measurable goals and monitoring on every episode. Our last record-keeping audit against HCPC standards was the smoothest we have run.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a full caseload, assessments, reviews and discharges, every record now reads to the same standard, with the PASS diagnosis, measurable goals and monitoring that used to vanish when I was busy. My notes finally match the work I actually do.
Carys LGeneral dietitian
Yes. As you work through anthropometry, biochemistry, clinical, dietary and environmental findings, Note Dr records each ABCDE domain in your structured note, including weights, BMI, MUST score and diet history. The full picture that informs your plan is captured as you assess, ready for you to review and approve.
Yes — Note Dr captures the diet history as you take it, from a 24-hour recall to a full food-frequency picture, including portion sizes, oral nutritional supplements and the fortification advice you gave. Each item lands in the dietary domain of your ABCDE assessment, drafted for you to review and approve before it enters the record.
Yes. As you reason toward the diagnosis aloud, Note Dr drafts it as a PASS statement: the problem, its aetiology, and the signs and symptoms that evidence it. The nutrition diagnosis is one of the weakest-documented parts of the record, so capturing it contemporaneously is exactly where it counts.
Yes — Note Dr drafts to whichever structure your service works to. If you record against the BDA Model and Process with a PASS nutrition diagnosis, that is how this page's examples are written; if you document in ADIME — assessment, diagnosis, intervention, monitoring and evaluation — build the template once and every note follows it. Either way, the draft is yours to review and approve.
Yes — Note Dr documents telephone and video consultations just as it does clinic appointments. Much of community dietetics happens remotely — follow-up reviews, home enteral feeding checks, weight and intake updates — and the record still needs the same rigour. It drafts the history, the reported weights, progress against the agreed goal and the revised plan, ready for you to review and approve.
Yes — ask the patient's permission before you begin, just as you would for any recording. Note Dr transcribes on the device, the AI drafts the note from the transcript, and nothing enters the dietetic record until you have reviewed and approved it. What you explained and what the patient agreed to becomes part of the record itself.
Yes. Note Dr sits beside whatever EPR or practice software you already run. You paste or export the finished note straight into SystmOne, EMIS or your own records, with no integration project and nothing to rip out and replace. It is a scribe, not a replacement for your system.