#1 Starting out and general consultation buttons
Check your preferred conference microphone is selected as the input device. The microphone we recommend is the MC1000 . If the microphone is not plugged in you will need to plug the correct microphone in and restart the application (consultnote.ai will not recognise a microphone plugged in after it has been opened).
The first step is to press “Add New Patient” at the top left corner. Enter as many or few details as you wish. The more information you enter here the safer your patient’s privacy is as our technology will make sure those specific identifying information will be redacted from any information or data.
After gaining consent from the patient for the use of voice to text technology but can this link directly to the consent tab which is the second from top please) that listens to the conversation, press the ‘start listening’ button (circled in red). Record the verbal consent in your notes. You will see the tab name (here John Doe – circled in green) change to the colour red. This means the tab is actively listening. You can also change the tab name at any time by right clicking on it.
If the correct microphone is being used, you will see the words transcribed (circled in blue) number increase. If this is not happening your microphone is not working and the application will not work.
If the correct microphone is being used, you will see the words transcribed (circled in blue) number increase. If this is not happening your microphone is not working and the application will not work.
#2
When the consult has finished, press ‘stop listening’ (circled in red). Notice at this point the John Doe tab text is red, indicating the tab is still listening. This will change to black when you press stop. Notice the words transcribed are now 1181.
You will also notice at this point during a conversation that all ‘ Actions to be taken after consultation ’ buttons (circled in blue) are greyed out. This is because they rely on the finished transcription to perform.
You can however press ‘stop listening/ start listening’ as many times as you like during a consult. You may wish to do this (for example) to write a ‘smart letter’ midway through the consultation. You do not need to wait for the letter to finish, as soon as you press the ‘smart letter’ (after filling in specialty and subject), you can then press ‘start listening’ again and continue with the consult.
#3
Once you have pressed the ‘stop listening’ button, you will notice that the ‘ Actions to be taken after consultation ’ buttons are no longer greyed out and are able to be used. You will also notice the John Doe tab text is now coloured black, indicating it is no longer listening.
The main buttons you will be using are the consultation buttons (circled red). After pressing the ‘consultnote’ button you will be given options of multiple different consultation types. Alternatively some doctors prefer a written letter as a summary.
These are buttons that will write your AI generated notes for the consultation, which you then review, edit as needed and then paste into your electronic health record. Choose the consultation button that is most aligned with the consult type – for example press ‘general consultation’ for most types of consultation, and ‘mental health consultation’ if mental health was a large theme. Please note you can press multiple consultation buttons at once – for example if both mental health and general issues were discussed in detail, you may obtain optimum notes by pressing both the ‘general’ and ‘mental health consultation’ buttons.‘
#4
After you have pressed a consultation button (in this case, ‘general consultation’, you will notice the John Doe tab text is coloured blue, indicating that the AI is working on this tab. You will also notice a message appear next to the “notes” section indicating to be patient.
Depending on the complexity, the AI response usually takes around 15-30 seconds. You can optimise this by not waiting for the patient to leave the room before pressing buttons. It is a good idea to press this button as soon as the core of the consultation has finished. That way, while you are bidding farewell to the patient and saying things that aren’t important to the consultation, the AI is already working so that your notes are ready as soon as the patient leaves the room.
#5
You can now see your AI generated notes of the consultation (circled red). You are able to review these notes noting that you can scroll up and down with the sidebar, and edit as necessary before copying and pasting the notes into your electronic health record.
You will need a separate and new tab for every consult. When you are ready to see your next patient, press ‘[Add New Patient]’. This will create a new tab. You can rename this new tab at any time by right clicking on the tab name. If you do not wish to have multiple tabs open, you can close the tab you are currently inside by pressing the ‘x’ next to the tab.
#6 Differential diagnosis and investigations.
Buttons other than AI generated consultation notes often require further input for better output. You can hover your cursor over any button to find out more. For example, this button gives better results if you input the patient’s age and sex into the boxes above.
The AI works out possible differential diagnoses to consider based on your consultation transcript. It is a very useful tool, not meant to replace the doctor but to instead improve patient care by reminding the doctor of potential diagnoses and investigations they may otherwise have missed.
You can also enter a set of signs of symptoms into the text box labelled “symptoms or signs”. This will override the consultation and allow you to search for a differential diagnosis for any specific symptoms and signs you wish. Once again you will get more specific information by entering demographics like age and sex.
#7 Preventative health
As experts in preventative health, wherever possible GPs should be playing a key role in health promotion and screening. This button makes that easy. We have tried to combine the best resources from Australia (the RACGP Redbook) with the best resources internationally to come up with the ultimate preventative health guide. Please consider using this button with every patient.
This button gives best results when age, sex, and medical conditions are entered. Notice that even though “nil” has been entered for medical conditions, ConsultNote.ai understands the patient actually has Type 2 diabetes based on the transcript and provides appropriate preventative advice.
#8 What have I missed
This button gives similar information to the “differential diagnosis” button, but with a twist, it focuses mainly on the “must not miss” differentials, like cancer or pulmonary embolism before going into ways the consultation could be improved.
This button is fantastically useful for registrars wishing to improve the quality of their consultations, and especially reminds them of the appropriate review of systems questions to ask. It is also useful for any doctor who wishes to remain at the top of their game.
For optimum results, this button requires age and sex filled in.
#9 Care Plan generator
This button allows you to create customised care plans for your patient using smart goals. Please note, you can enter far more into the medical conditions box than a few words. You can enter the entire medical condition history and it will scroll. Due to limitations in computation power, however, if you are trying to perform a care plan for multiple conditions, you may start to get abbreviated or substandard results. If this occurs, try simply putting in a couple of medical conditions at a time before pressing the button and then repeat.
In this instance “T2DM (weight 110kg, height 160cm), fatty liver, hyperlipaemia’ has been entered into the ‘medical conditions’ field.
This tool requires age, sex and medical conditions information for best use. ConsultNote.ai will create a care plan, but it is the medical practitioner who decides whether a care plan is appropriate and whether it is medically advisable.
#10 Mental Health Care Plan Generator
This creates a mental health care plan (MHCP) based on your consultation. It requires age, sex and medical conditions. Please note when using ConsultNote.ai for MHCP, only enter psychological diagnoses in the ‘medical conditions’ box.
The output will provide you a prompt to fill in a mental status examination using tick boxes. It will also try to review your consult and help you notice areas where you may have fallen short of a medicare rebateable MHCP (according to the medicare descriptor), and give you the opportunity to correct this.
#11 Smart Letter
This is a fantastic resource that will save you many hours a week. ConsultNote.ai will automatically write you a referral letter based on your consultation. Simply input the specialty you wish to write to, and what the subject of the referral is.
The longer the subject, the more specific the letter will be. Here the subject is “ongoing nasal discharge that I feel may be related to allergic rhinitis, to see whether allergy desensitization therapy is appropriate.” However, you can write as much information in this box as you wish.
When you have your draft letter, review and edit it before copying and pasting into your electronic record to create an addressed letter with this text.
#12 Simple Dictation
This button allows you to dictate as you would in old-fashioned dictation software, like Dragon. This may be useful in situations where you may want to dictate a laboratory form request or x-ray form. It may also be useful if you wish to write a very specific letter or note and wish just for your words verbatim to be used. You can use the same voice commands like you would in Dragon. For example “new line”, “comma” et cetera.
To use Smart Dictation, first make sure the “Start Listening” button has already been pushed. Next press “Smart Dictation” and dictate your sentence, paragraph or letter. When you have finished, press the Smart Dictation button again (it is now called) “Stop Dictation”
#13 Treatment Information
This button provides Australian based treatment guidelines sourced from a wide variety of trusted sources. It also covers potential pitfalls in the management of conditions to be mindful of – for example, if you ask for treatment advice for iron deficiency in a 55-year-old male, it will prompt you to consider cancer as a diagnosis and to carry out appropriate investigation.
Requires Age and Sex as well as Diagnosis.
In our previous consult, ConsultNote.ai had suggested pigmented onychomycosis as a potential differential diagnosis for subungual hematoma. The doctor has entered onychomycosis as a diagnosis and hit the treatment information button.
Note: All medications include the Australian Pregnancy Safety Category placed within brackets.
# 13a Treatment information detailed
Note that you can enter complex diagnoses to get tailor made output. In this example the diagnosis entered was not simply “breakthrough [vaginal] bleeding” but “
Bleeding in patient with mirena in situ” – this gives detailed and personalised information to a doctor far quicker than conventional resources can.
#14 Patient Handout
This button creates a tailor-made patient handout based on the diagnosis, custom-fitted to your individual patient. Simply input the patient’s Age , Sex and Diagnosis, then hit the patient handout button. After reviewing the information for accuracy and relevance, copy it into your EMR letter software and print off a patient handout emblazoned with your letterhead.
# 15 Medication information
This button delivers detailed advice about the specific medication you have entered. For the best outcomes, include the patient’s medical conditions, age and sex. ConsultNote.AI will intelligently look at medications commonly used in the patient’s known medical conditions, combine that with risks more common in particular age groups (eg. renal failure in the elderly) and then warn you about potential interactions specific to your patient.To use, just hit the medication information button after entering the above information.