DR. INFOUpdated 31 August 2026Reviewed by Miguel Romano, MD

AI medical scribe: how it turns a consultation into a SOAP note

An AI medical scribe listens to a consultation and drafts the clinical note. DR. INFO does this by separating speakers, handling busy clinical rooms, and turning the conversation into a structured SOAP note for a clinician to review and sign. Two things matter in real clinical use: the scribe must know who is speaking, and it must work when the room is noisy. Consultations include interruptions, background noise, and sometimes more than two voices. Documentation also takes significant time. A time and motion study found that physicians spent 49.2 percent of the office day on the record and desk work, compared with 27.0 percent with patients [1]. A large real-world deployment of an ambient AI scribe across 7,260 physicians and more than 2.5 million encounters saved an estimated 15,791 hours. It also found that 84 percent of physicians reported better communication with patients [2]. DR. INFO is a CE-marked medical device under EU MDR 2017/745, hosted in the EU under GDPR [3]. It is an information and education tool for qualified professionals, does not make clinical decisions in patient care, and its outputs are to be verified before use.

From the conversation to a SOAP note

A medical scribe captures the consultation and drafts a structured note, usually in SOAP format: subjective, objective, assessment, and plan. With DR. INFO, the clinician can speak naturally during the encounter and focus on the patient rather than the keyboard, and the system produces a draft from the conversation. The clinician then edits and signs the note. Responsibility for the record stays with the clinician. The scribe removes typing, not clinical judgement.

Speaker separation: telling the doctor from the patient

A consultation is a dialogue, so a useful note needs to know who said what. Speaker diarization separates the voices, attributing the history to the patient and the examination and plan to the clinician. This helps the note reflect the actual encounter rather than one undifferentiated transcript. DR. INFO separates speakers while building the note, which lets the draft distinguish what the patient reported from what the clinician found.

Working in a real, busy clinical room

Demonstrations often happen in quiet rooms. Clinics do not. A scribe needs to handle background conversation, equipment, interruptions, and more than two speakers. DR. INFO is built for this setting: it keeps separating speakers in a busy room and has been tested against real clinical audio rather than a clean recording. Noise handling is therefore a capability to check, not assume.

Any language, and the clinician in control

A scribe needs to work in the language used during the consultation, and DR. INFO produces notes across languages rather than only in English. The clinician remains in control throughout. The note is a draft that the clinician corrects and approves before it becomes part of the record, and a session can be deleted, which matters under GDPR. The scribe speeds up documentation; it does not replace clinical review or sign-off.

What the evidence shows about ambient scribes

The strongest evidence comes from real deployments. Across more than 2.5 million encounters, an ambient documentation tool saved an estimated 15,791 hours, and 84 percent of physicians reported better communication with patients [2]. A separate study examined discharge letters: large-language-model discharge letters matched or exceeded those of junior clinicians on information provision, with no hallucinations in the sample [4]. The evidence supports time savings and acceptable clinical quality when a clinician reviews the draft before signing it.

Why regulation decides which scribe you can use

A scribe records a patient consultation, and in Europe that makes the regulatory framework important. A clinical AI that is a medical device must be CE-marked under EU MDR 2017/745 and host patient data under GDPR, and under the EU AI Act such a device is treated as high-risk [3][5]. Many well-known scribes are built for the US market and are not EU MDR devices. DR. INFO is CE-marked and EU-hosted, allowing a European clinic to assess it for clinical use rather than treating it only as a trial tool.

Scribe, ambient scribe, or ambient documentation

AI medical scribe, ambient scribe, and ambient clinical documentation describe the same type of tool: software that listens to a consultation and drafts the note, so the clinician types less and can focus more on the patient. The important differences are speaker separation, performance in a busy room, language support, and whether the tool can be cleared for care. DR. INFO provides these capabilities as a CE-marked medical device hosted in the EU, and the clinician reviews and signs the note.

Frequently asked questions

What is an AI medical scribe?
An AI medical scribe listens to a consultation and drafts the clinical note, usually as a SOAP note, for a clinician to review and sign. DR. INFO separates speakers, works in a busy room, and produces notes across languages. The clinician signs off because responsibility for the record stays with the clinician.
Can an AI scribe tell the doctor and patient apart?
Yes. This is called speaker diarization. DR. INFO separates voices while building the note, distinguishing the history reported by the patient from the examination and plan recorded by the clinician. This helps the note reflect the dialogue rather than one undifferentiated transcript.
Does an AI scribe work in a noisy clinical environment?
It needs to. Clinics include background noise, interruptions, equipment, and sometimes more than two voices. DR. INFO is built to separate speakers and produce the note in a busy room, and it has been tested against real clinical audio rather than a clean recording. Noise handling is a capability worth checking rather than assuming.
Does an AI scribe save time?
In real deployments, yes. An ambient documentation tool used by 7,260 physicians across more than 2.5 million encounters saved an estimated 15,791 hours, and 84 percent of physicians reported better patient communication [2]. Documentation is also a major time burden: physicians spent 49.2 percent of the office day on the record and desk work, compared with 27.0 percent with patients [1]. The clinician still checks and signs the draft.
What languages does the DR. INFO scribe work in?
DR. INFO produces notes across languages rather than only in English. The clinician reviews and signs the draft, and a session can be deleted, which matters under GDPR.
Is an AI medical scribe regulated in Europe?
Yes, when the AI is a medical device. In the EU it must be CE-marked under EU MDR 2017/745 and host patient data under GDPR, and under the EU AI Act it is treated as high-risk [3][5]. Many well-known scribes are built for the US market and are not EU MDR devices. DR. INFO is CE-marked and EU-hosted, allowing a clinic to assess it for clinical use.

An AI medical scribe turns a consultation into a SOAP note, so the clinician can spend less time typing and more time with the patient. Two capabilities matter in real use: speaker separation and performance in a busy, noisy room. The evidence from real deployments is strong: an ambient scribe saved an estimated 15,791 hours across more than 2.5 million encounters, with 84 percent of physicians reporting better patient communication [2]. In Europe, regulation is another key consideration: a scribe that records a consultation must be CE-marked and EU-hosted before a clinic can clear it for use [3]. DR. INFO separates speakers, works in a busy room, produces notes across languages, and keeps the clinician in control. Review the note before you sign it.

References

  1. 1.Sinsky C, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Annals of Internal Medicine. 2016.
  2. 2.Tierney AA, et al. Ambient Artificial Intelligence Scribes: Learnings after 1 Year and over 2.5 Million Uses. NEJM Catalyst. 2025.
  3. 3.Regulation (EU) 2017/745 of the European Parliament and of the Council on medical devices (EU MDR). 2017.
  4. 4.Tung JYM, et al. Comparison of the Quality of Discharge Letters Written by Large Language Models and Junior Clinicians: Single-Blinded Study. Journal of Medical Internet Research. 2024;26:e57721.
  5. 5.Regulation (EU) 2024/1689 of the European Parliament and of the Council laying down harmonised rules on artificial intelligence (EU AI Act). 2024.