Streamline Your POMR Charting
Our AI medical scribe helps you draft structured, problem-oriented medical records. Generate accurate notes that keep every clinical issue organized and easy to review.
HIPAA
Compliant
See how Aduvera turns a recorded visit into a transcript-backed clinical note that clinicians can review before charting.
Built for Problem-Oriented Documentation
Maintain the integrity of your POMR workflow with tools designed for clinical precision.
Structured Problem Lists
Automatically organize encounter details into specific problem-oriented categories to ensure each condition is addressed clearly.
Transcript-Backed Review
Verify your documentation against the original encounter context with per-segment citations, ensuring your POMR notes remain accurate.
EHR-Ready Output
Generate clean, professional clinical notes that are formatted for immediate review and copy-pasting into your EHR system.
From Encounter to POMR Note
Follow these steps to transition from a patient conversation to a finalized problem-oriented record.
Record the Encounter
Use the app to record your patient visit, capturing the full clinical narrative and all discussed problems.
Generate the Draft
The AI processes the recording to create a structured note, mapping clinical data to your specific problem list.
Review and Finalize
Use the transcript-backed citations to verify the note, make necessary edits, and finalize the POMR documentation for your EHR.
The Importance of Problem-Oriented Medical Records
Problem-Oriented Medical Record (POMR) charting is a foundational approach to clinical documentation that prioritizes the patient's active issues. By organizing notes around specific problems rather than chronological events, clinicians can more effectively track the progress of chronic conditions, acute symptoms, and treatment plans. This structure demands high fidelity to ensure that the relationship between assessment, plan, and the underlying problem remains clear for all members of the care team.
Effective POMR documentation requires a disciplined approach to data entry. When using AI to assist in this process, it is critical to maintain clinical oversight. By leveraging a system that provides source-context citations, you can ensure that every entry in your problem list is supported by the actual encounter. This allows you to focus on clinical decision-making while the AI handles the synthesis of the narrative into the required problem-oriented format.
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Frequently Asked Questions
Transcript-backed documentation, clinician review, and EHR-ready note output are built into every workflow.
Does the AI support custom problem-oriented note structures?
Yes, our AI scribe is designed to draft notes that align with standard problem-oriented formats, allowing you to review and adjust the output to fit your specific documentation style.
How do I ensure my POMR notes remain accurate?
You can verify every section of your generated note by reviewing the transcript-backed citations provided by the app, ensuring the documentation reflects the exact clinical encounter.
Can I use this for complex patients with multiple active problems?
Absolutely. The AI is well-suited for complex encounters, helping to categorize and structure multiple active issues into a coherent POMR format for easier review.
Is the note generation process HIPAA compliant?
Yes, the entire documentation workflow, from recording the encounter to generating and reviewing your notes, is built to be HIPAA compliant.
Reclaim your evenings from chart notes
Let Aduvera turn visit conversations into a cleaner first draft so you can review faster and finish documentation with less after-hours work.