Ambient clinical documentation
The note writes itself in the room. You still sign off on every word.
Fieldnote listens to the encounter, drafts the clinical note, and turns every follow-up action — orders, referrals, prescriptions — into a coded, ready-to-act section of that note plus a completion checklist. The finished note files straight into your EHR or RIS, with follow-up actions captured for your EHR's own workflows to act on. Built for practices Abridge and Nuance DAX were never priced for.
Assessment
Reports six weeks of intermittent low back pain radiating to the left leg, worse with prolonged sitting. Recommend MRI of the lumbar spine to evaluate for disc involvement given lack of improvement with conservative measures.
- OrderLumbar spine MRI — routine
- ReferralPhysical therapy — pending review
- RxNaproxen 500 mg BID
How it works
Five steps, in the order they happen in the room
Nothing here runs ahead of you. Every stage produces something you can see before the next one starts.
You record the visit
Open Fieldnote on the web, on any device, with or without a Bluetooth mic. We've already pulled today's schedule from your EHR, so the encounter is tied to the right patient and visit type from the first second.
Confirm the patient has been informed the visit is being recorded and consents before you start.We transcribe it
AWS HealthScribe turns the conversation into a diarized transcript and a draft clinical note in the background — no separate recorder, no separate app.
We find the follow-up work
Fieldnote reads the draft note and pulls out what needs to happen next: imaging orders, referrals, prescriptions, labs — as a checklist, not buried prose.
You review it
Every line of the note and every extracted action is yours to edit, reject, or approve. Nothing moves forward without you.
AI-generated draft — review every section and action before approving.The note is filed for you
Once you approve, the note files to your EHR; follow-up actions are captured in the note as a ready-to-act section and checklist for your EHR's own workflows. No re-typing, no portal, no fax for the note itself.
Fieldnote is a documentation aid, not a medical device. It does not provide medical advice, diagnosis, or treatment — the licensed clinician using Fieldnote remains solely responsible for every note and every action before it is approved.
Why practices switch
Built for the practice you actually run
Get your evenings back
Draft the note while the visit is still fresh, not at 9pm from memory.
Keep the EHR you already use
No migration, no new system of record — Fieldnote plugs into what your practice runs today.
Priced for practices, not health systems
No enterprise procurement cycle, no multi-year minimum.
Keep documenting when the connection drops
Record offline, encrypted on-device, and it syncs automatically once you're back online — useful for rural sites and mobile visits.
A human approves everything
Fieldnote drafts; you decide. Nothing reaches the record without a clinician's sign-off.
Works with your EHR
Writes back over FHIR R4 — no new system of record
Fieldnote connects using SMART on FHIR backend services, so it authenticates and files the note at the system level — no individual logins to manage. The finished note always files this way, with follow-up orders, referrals, and prescriptions captured as a ready-to-act section in the note plus a completion checklist, for your EHR's own ordering, scheduling, and prescribing workflows to act on. We don't place orders, appointments, or prescriptions on your behalf.
Epic
FHIR R4 note write-back via SMART on FHIR backend services.
Oracle Health (Cerner)
FHIR R4 note write-back via SMART on FHIR backend services.
Your EHR or RIS
If your system speaks FHIR R4, Fieldnote can file the finished note back to it.
Don't see your system listed? Email us — we're adding EHR and RIS connections continuously and prioritize by demand.
Security & compliance
Built for regulated healthcare data, not retrofitted
HIPAA
- All AI processing — transcription and note drafting — happens inside AWS HealthScribe and Amazon Bedrock, both HIPAA-eligible services covered under our AWS Business Associate Agreement.
- PHI is encrypted at rest with customer-scoped KMS keys and in transit everywhere.
- We sign a Business Associate Agreement with every US customer.
PIPEDA & data residency
- Canadian data residency is designed in: Canadian customers run in a dedicated
ca-central-1deployment, and no PHI flows out of Canada by default. - Availability of in-Region AI processing (transcription and note drafting) in
ca-central-1is pending AWS — we'll confirm timing before we promise a Canadian go-live. - A separately consented, audit-logged cross-border processing exception exists in the architecture but is disabled by default.
Full audit trail. Every access and every write-back is logged (AWS CloudTrail plus application-level audit logging) so you can account for exactly what happened to a record and when.
You control the data. Each customer is pinned to one region. We don't sell PHI, and we don't train shared or general-purpose AI models on your patients' data.
Pricing
Priced for a practice your size
No enterprise contract, no per-seat health-system pricing, no multi-year minimum.
Per provider, per month
Includes your first 20 encounters each month. $3 per encounter beyond that.
- Ambient transcription and note drafting
- Follow-up action extraction, coded and ready to act
- FHIR R4 write-back to your EHR or RIS
- Full audit trail and encrypted, region-pinned storage
- No setup fee, no multi-year contract
Frequently asked
Questions clinicians actually ask
Is this the same as an AI scribe?
It includes ambient transcription and note drafting like a scribe would, plus one more step: it identifies the follow-up orders, referrals, and prescriptions from the visit, files the approved note directly into your EHR or RIS, and captures each action as a coded, ready-to-act section of that note plus a completion checklist for your EHR's own workflows — not just a transcript.
Does the AI diagnose or make clinical decisions?
No. Fieldnote is a documentation aid, not a medical device — it does not provide medical advice, diagnosis, or treatment, and it does not make clinical decisions. Fieldnote drafts documentation for you to review; every note and every extracted action requires your explicit approval before anything is written back, and the licensed clinician remains solely responsible for it.
What happens if I edit or reject something it drafted?
Your edits are final. Nothing is written to the EHR/RIS until you approve it, and you can change or discard any part of the draft first.
Which EHRs and RIS systems do you support?
Epic and Oracle Health first, then any FHIR R4-compliant system. See "Works with your EHR" above for current status.
Is my patients' data secure?
PHI stays inside the AWS HIPAA BAA boundary, is encrypted at rest and in transit, and never leaves its home region. Canadian data residency is designed in for PIPEDA compliance; in-Region AI processing availability in Canada is pending AWS. See "Security & compliance" above.
What happens if I lose internet mid-visit?
Fieldnote keeps recording. The audio is encrypted on your device and syncs automatically the next time you're online — you don't need to restart or redo anything.
How long does setup take?
Setup includes connecting your EHR/RIS credentials and confirming your schedule feed; no new hardware is required beyond an optional Bluetooth mic.
Who is Fieldnote built for?
Independent physicians, small and rural practices, specialty clinics, and radiology groups in the US and Canada — practices that need accurate documentation without an enterprise health-system contract or a lock-in to one EHR vendor.
Does Fieldnote handle patient consent to recording for me?
No — obtaining the patient's consent to being recorded is the clinician's responsibility, before each recording starts. Fieldnote provides the in-app consent step and a standardized script: "Patient has been informed this visit is being recorded for documentation and consents to recording."
Spend the evening with your family, not your EHR.
Fieldnote is a documentation aid, not a medical device. It does not provide medical advice, diagnosis, or treatment, and every note and action requires clinician review and approval before it is written to the medical record.