Stay in the conversation.
Start with a structured draft.
With patient consent, OAK EMR listens during the appointment, transcribes the conversation, and prepares a structured note with suggested diagnoses, tests, follow-up tasks, and coding details. The clinician keeps review, editing, and approval control.
Confirm Consent & Start
Begin the ambient recording only after the patient consent workflow is completed.
Capture & Transcribe
The visit conversation becomes a working transcript linked to the appointment.
Generate the Draft
Structured SOAP content, summary, care suggestions, and coding support are organized for review.
Review, Approve & Apply
The clinician edits and approves the note before chart details and billing-review items move forward.
2. Rule out melanoma — biopsy indicated.
2. Pathology to partner lab — H&E and special staining.
3. Follow up in 10 days for results review.
4. Patient counseled on care instructions and self-exam.
SOAP Notes & Documentation
Specialty-ready templates for every visit type — from routine exams to procedures. Spend less time typing and more time treating.
Specialty Templates
Pre-built and configurable templates for every visit type.
Body Diagram
Mark lesion locations directly on anatomical diagrams.
Lesion Documentation
Size, color, morphology, and ABCDE criteria tracking.
MOHS Procedure Notes
Stage tracking, margin documentation, and repair notes.
Cosmetic Documentation
Botox, filler, and laser treatment records with photos.
Biopsy Workflow
Site marking, consent, specimen labeling, and pathology tracking.
Treatment Response Tracking
Compare before/after measurements and photo series over time.
Photo Comparison Notes
Side-by-side visit photos linked directly to chart notes.
ICD-10 Code Lookup
Search diagnosis codes and attach the selected code to the visit.
Custom Macros
One-tap text expansion for your most-used phrases and orders.
One-Tap Charge Capture
CPT codes suggested from note content, ready to sign off.
iPad Kiosk Mode
Touch-optimized interface for tablet charting at the point of care.
Interactive Body Diagram &
Lesion Lifecycle Tracking
Tap any body location to add, track, and manage lesions across every visit. Complete lifecycle from identification to resolution.
BCC
Basal Cell Carcinoma — tracked with margin status and treatment type.
SCC
Squamous Cell Carcinoma — depth, differentiation, and perineural status.
Melanoma
Breslow depth, Clark level, sentinel node, and staging tracked.
Benign
Seborrheic keratosis, nevi, angiomas — monitored with photos.
Medication Records &
Refill Coordination
Keep medication history, directions, refill activity, related documentation, and prior-authorization status connected to the patient chart.
- Medication list and history review
- Refill request work queue
- Directions and clinician notes
- Prior-authorization status tracking
- Specialty medication documentation
- Chart-linked follow-up tasks
Lab & Pathology
Result Tracking
Keep orders, received results, provider review, patient notification, and follow-up tasks connected to the chart. Connection requirements are scoped during implementation.
- Specialty-configured order lists
- Result status and due-date tracking
- Provider review queues
- Patient notification documentation
- Follow-up and recall tasks
- Serial result views for clinician review
Pathology Order
Specimen, site, order status, result status, and clinician review.
Treatment Monitoring
Recurring order schedule, results received, and next review date.
Recurring Lab Panel
Configurable test list, due date, completion status, and follow-up.
Diagnostic Workup
Related orders grouped together with a shared review task.
Patch Testing
Panel selection, application dates, readings, and documented results.
Clinical Photography
Standardized photo protocols, specialty images, and visit-to-visit comparison attached directly to the patient chart and finding record.
Standard Clinical Photos
Consistent positioning protocols with anatomical reference guides.
Specialty Imaging
Clinical images linked to finding records with metadata.
Before & After Series
Multi-visit comparison series with overlaid measurement tools.
Baseline Documentation
Full-body baseline photography for high-risk patients, stored securely.
✦ Visit-to-Visit Comparison — review photographs side by side with dates, lesion references, and documented measurements.
Ready to See It in Action?
See how OAK EMR's clinical tools transform the daily workflow in your medical practice. Book a 30-minute demo.