The AI scribe for rheumatologists

The rheumatology record, clinic to shared care

The disease activity score, the biologics decision and the consent you took, Note Dr writes the full record and shared-care letter, ready to approve.

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Trusted from private rooms to teaching hospitals

Bupa Until HCA Healthcare UK Nuffield Health Circle Health Group NHS
See it in action

From clinic to an approved record

Note Dr listens to the consultation as it happens. While you take the history, examine the joints, score the disease activity and talk through the biologic, it writes the record in the background, so your attention stays on the patient and off the keyboard.

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Built for scrutiny

Defensible by
default, every review

  • Disease activity and reasoning on record

    The joint counts, the DAS28 you calculated and why you escalated or held, captured as you reason it through aloud, not reconstructed when a query lands months later.

  • Consent for immunosuppression, recorded

    The risks of a biologic or DMARD you set out, the screening you required and what the patient agreed to, recorded the moment you take consent to start treatment.

  • Shared-care plan, clearly handed over

    The monitoring you delegated, the parameters that should trigger a call back and what the GP agreed to, the contemporaneous trail that protects everyone if a result is missed.

Document the biologic escalation plan

Plan, active rheumatoid arthritis

Disease activity recordedDAS28-CRP 5.1, two DMARDs failed
Consent recordedImmunosuppression risks and screen explained
Shared care issuedGP monitoring agreement and parameters set

As thorough as your joint review

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the history and joint examination, the disease-activity score, your reasoning, consent for immunosuppression and the shared-care plan, where conventional rheumatology records measured against published standards routinely fall short.

  • Time back in your day
  • Burnout & wellbeing

Standards and audits referenced: GMC Good Medical Practice (2024), the RCP Generic Medical Record Keeping Standards (Carpenter et al, 2007) and the AoMRC record standards (2013) under the NHS Standard Contract, with ward-round and discharge audits (Armstrong and Carpenter, Cureus, 2022; Mehta et al, BMC Health Services Research, 2017).

A note for
every clinic contact

    Patient memory

    The last flare,
    before they sit down

    Ask what you scored last time, the treatment you escalated to 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.

    Ask Note Dr, Goronwy Easton
    What did we start for Goronwy, and what did he consent to?
    NNote Drfrom this patient's record
    At the clinic on 10 June, you recorded active rheumatoid arthritis with a DAS28-CRP of 5.1 after two failed DMARDs, and added a TNF inhibitor to methotrexate. You requested the pre-biologic screen, and consent for immunosuppression and a shared-care agreement with the GP were documented.
    Drawn from 3 documents across 2 clinics
    Clinical references

    The standard,
    in the rheum clinic

    When a presentation calls for it, Note Dr surfaces the published guidance rheumatologists work to, from the NICE and BSR guidance on rheumatoid arthritis and biologic DMARDs to GMC Good Medical Practice, the AoMRC record standards and the regional shared-care guidelines, with the source shown. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptGoronwy EastonToday · 17:06
    04:12GoronwyThe methotrexate helped a bit, but my hands are still swollen and stiff every morning.
    05:38RheumatologistEight tender, six swollen, CRP 28, DAS28 of 5.1. Two DMARDs failed, so you meet the threshold for a biologic.
    NNote Dr

    Want me to surface any guidance for this? You could ask:

    Remind me of the GMC Good Medical Practice record-keeping standards
    What do NICE and the BSR recommend before starting a biologic DMARD?
    Which AoMRC headings should this clinic letter follow?
    Show me the pre-biologic screening and live-vaccine guidance
    Find the regional shared-care guideline for methotrexate monitoring
    GuidelinesJournalsReferences

    The clinic's record,
    continuity intact

    Why rheumatologists trust Note Dr with a record that stands up to scrutiny.

    ★★★★★

    My disease-activity reasoning is on record

    Dr Sunita R, consultant rheumatologist

    The joint counts, the DAS28 and why I escalated used to live in my head and a hurried line. Now the score and the reasoning behind the biologic are in every clinic note, in the same format. I edit and approve in under a minute.

    ★★★★★

    Consent for biologics, never skipped

    Dr Lochlann F, rheumatology consultant

    Starting immunosuppression is where my exposure is. Note Dr records the risks I explained, the screening I required and what the patient agreed to, every time. If a consent discussion is ever questioned, the note already tells the whole story.

    ★★★★★

    Shared-care letters write themselves

    Dr Padraig D, consultant rheumatologist

    The clinic letter and the shared-care agreement are where continuity is won or lost. Note Dr drafts both to the right headings with the monitoring parameters spelled out. The GP gets a clear handover, and I am not writing letters at nine at night.

    ★★★★★

    Monitoring plans, clearly handed over

    Dr Elspeth M, rheumatology consultant

    Biologics commit you to monitoring, and a missed result is a real risk. Note Dr captures what I delegated, the parameters to act on and what the GP accepted. The division of responsibility is documented, not left to assumption.

    ★★★★★

    Calmest record review we've run

    Dr Tariq B, clinical lead, rheumatology

    Contemporaneous records across the whole team, with the DAS28, consent and shared-care plan on every clinic. Our last record-keeping audit against the AoMRC standards was the smoothest we have had, the notes already told the whole story.

    Rated 4.7 out of 5 by rheumatologists from 69 reviews

    What's said in the surgery
    stays in the surgery.

    Every recording and record is protected by strong, independently assessed security and encryption.

    ISO 27001 Aligned Cyber Essentials GDPR Compliant ICO Registered NHS Compliant UKCA Medical Device HIPAA Compliant

    ★★★★★

    Across a full clinic, new referrals, biologics reviews and shared-care letters, every record now reads to the same standard, with the disease-activity scores, consent and monitoring plans that used to vanish when the clinic overran. My notes, and the letters that carry them into shared care, finally match the work I actually do.

    Dr Marisol AClinical lead, rheumatology

    Rheumatologist FAQs

    Is there an AI scribe made for UK rheumatology?

    Note Dr is a UK ambient AI scribe built for rheumatology clinics. Transcription runs on your device, and Note Dr drafts the clinic note, the disease-activity assessment, the biologics record and the GP shared-care letter to British record-keeping headings. It surfaces BSR and NICE guidance on request, and you review and approve every note before it leaves you.

    Can Note Dr draft my rheumatology clinic letter to the GP?

    Yes. From the consultation, Note Dr drafts the clinic letter to the AoMRC headings, with the diagnosis, disease activity, medication changes and actions for the GP set out clearly. It supports the NHS Standard Contract seven-day expectation. You review and approve every letter before it is sent.

    Does it document disease activity scores such as DAS28?

    Yes. As you call out the tender and swollen joint counts, the patient global score and the inflammatory marker, Note Dr records the components and the DAS28 you state in your structured note, ready to repeat at review. The score and your escalation reasoning are captured contemporaneously, not from memory.

    How does it record biologics and DMARD monitoring?

    As you start or review a biologic, Note Dr records the indication, the pre-treatment screen, the monitoring bloods, any adverse events and the continuation decision. Written up after clinic, a biologic decision tends to shrink to a drug name and a dose, and the screening you insisted on and your reason for continuing or switching are the first things to blur.

    Can it capture consent for immunosuppression?

    Yes. As you explain the risks of a biologic or DMARD, the screening required and live-vaccine avoidance, and the patient agrees, Note Dr records the consent discussion in the note: what you explained and what the patient consented to. It is captured the moment you take consent.

    Does Note Dr help with shared-care agreements?

    Yes. Note Dr drafts the shared-care record from your consultation: what the specialist retains, the monitoring the GP is asked to undertake, the parameters that should trigger a call back and that the patient consented. The handover is documented explicitly. You review and approve before it goes to the GP.

    Does an AI scribe integrate with my rheumatology EHR or disease register?

    No — Note Dr does not integrate with your EHR or disease register by design; it documents the consultation and you paste or export the note where it belongs. That keeps it usable alongside a DAS28 register, a biologics monitoring system or plain clinic letters, whatever your service runs on. Every note you paste is one you have reviewed and approved.

    Records that keep up with the rheum clinic

    Complete, watertight records for every contact, from clinic to shared care, reviewed and approved by you. The disease-activity score, the consent for immunosuppression and the shared-care plan, finally handled.

    Get Note Dr free

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