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Dr. F. Khan just finished a note in 3m 12s
Emergency Medicine · Mountain View Clinic
✦ Loved by clinicians · Free 14-day trial

Focus on your patients.
Not the paperwork.

Your ambient AI clinical scribe — listening in the background,
writing the note, handing you back the evening.

No credit card required · Cancel anytime · First note in under 4 minutes

Built by scribes,
for physicians.

92% Approval rate
without edits
<4m from encounter
to signed note
3x faster than
manual charting
HIPAA Compliant

Complete SOAP +
MDM notes

Chief Complaint, HPI, Physical Exam, and Medical Decision Making — the full structured note is now generated automatically from your encounter.

Automatic patient
re-evaluations

Every patient interaction timestamped and appended chronologically. Complete audit trail from initial encounter through all follow-ups.

Context-aware
ICD-10 codes

Code suggestions generated from documented symptoms and findings. Catches codes you might miss — you always have final approval.

Compliant, secure infrastructure

All patient data encrypted at rest and in transit. We maintain full HIPAA compliance and never use your patient data to train our AI large language models.

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SSubjective
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ICD-10 Codes
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Instant Structured SOAP Notes

Speak naturally with your patient. Cagnea listens, understands, and generates a complete, structured SOAP note the moment the consultation ends — ready to review, edit, and sign off.

One app, does
it all for you.

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Emergency Medicine
Allergy and Immunology
Anesthesiology
Cardiology
Dermatology
Endocrinology
Family Medicine
Gastroenterology

Built for your specialty

Adapts to how your specialty actually documents. Whether you're filling structured procedure notes, tracking complex decision-making, or managing ongoing care.

Recording

Capture everything, flexibly

Works during patient conversations or solo dictation; adapts to your workflow whether you're in the exam room or charting between cases. Using either your phone or laptop, automatically syncing across platforms.

MARK SMITH03/09/2026
Lower back pain -...
**Chief Complaint** · Lumb...
ROGER MATHEWS03/08/2026
Chest pain concerni...
**Chief Complaint** · Che...
Session expires in 14 days
MARCUS WEBB03/08/2026
Pulmonary embolism (PE) -...
**MDM (Medical Decision Making)**...
EMMA ROSS03/07/2026
Acute appendicitis -...
**SOAP Note** · Abdominal pain...

Zero Data Retention

Your privacy is protected at every step; session recordings are deleted the moment they're processed, and any generated notes are automatically removed after 14 days.

Works out of the box with your specialty

Cagnea morphs to how your specialty actually documents. Pick a tab — watch the same engine produce a chart that fits the room you're in.

Emergency Medicine

Chest pain, 2 hours, radiating to left arm

99285 · High complexity MDM
S HPI

58 y/o male presenting with substernal chest pain that began 2 hours ago while at rest. Pain rated 8/10, pressure-like, radiating to left arm. Associated with diaphoresis and shortness of breath. No prior cardiac history. Denies recent trauma.

O Objective

BP 162/94 · HR 102 · SpO2 96% RA · ECG: 1mm ST elevation in II, III, aVF

P Plan

Activate cath lab. ASA 325mg PO. Heparin bolus. Cardiology consult bedside.

I21.19 — Acute STEMI, inferior wallR07.9 — Chest pain, unspecified
Family Medicine

Annual well visit, no acute concerns

99396 · Preventive medicine
S HPI

47 y/o female presenting for annual physical. Reports good general health. Following Mediterranean diet, walking 4x/week. Last labs 14 months ago. No new medications. ROS negative except mild seasonal allergies in spring.

O Objective

BP 118/74 · BMI 24.1 · A1c (last) 5.4 · LDL 108 mg/dL

P Plan

CMP, lipid panel, A1c. Mammogram referral. Td booster today. Return in 12 months.

Z00.00 — General adult medical examZ23 — Vaccination encounter
Cardiology

Follow-up post-stent, 3 months

99214 · Established patient, moderate
S HPI

Patient is 3 months s/p drug-eluting stent placement to LAD. Reports good exercise tolerance, climbed two flights of stairs without chest pain or dyspnea. Compliant with dual antiplatelet therapy. No bleeding events.

O Objective

BP 124/78 · HR 64 · LVEF 55% (post-stent echo) · No new murmurs

P Plan

Continue ASA + ticagrelor through 12-month mark. Statin titration. Stress echo at 6 months.

I25.10 — ASCVD without anginaZ95.5 — Presence of coronary stent
Psychiatry

Med management, major depressive disorder

99214 · Established patient, moderate
S HPI

31 y/o female, 6-week follow-up on sertraline 100mg for MDD. Reports improved mood and energy, sleeping 7 hours nightly. PHQ-9 down from 18 to 9. No suicidal ideation. Tolerating medication well, mild early nausea resolved.

O Objective

MSE: cooperative, euthymic affect · Linear thought process · No SI/HI · Insight/judgment intact

P Plan

Continue sertraline 100mg daily. Reinforce sleep hygiene. Refer for CBT. Follow-up in 4 weeks.

MDM Generation

Turn complex clinical reasoning into structured, billing-ready MDM in seconds — without manually piecing together labs, imaging, and risk discussions.

Medical Decision Making

Sarah Johnson · ED #2847

High Complexity
01Problems AddressedHigh
02Data ReviewedModerate
03Risk AssessmentLow
E/M Level suggestion 99285 — Level 5 ED Visit

Continuous Re-eval

Document patient progression automatically with timestamped re-evaluations integrated directly into your ER note and final disposition.

Continuous Re-evaluations

Sarah Johnson · ED #2847 · Oct 15

2h 32m
14:08Initial Assessment
14:52Re-evaluation #1
15:34Re-evaluation #2
16:15Re-evaluation #3
16:40Dispositionpending
Auto-appended chronologically to the final note
Discharge Summary
Ready

Patient: Sarah Johnson, 34F

Diagnosis: Costochondritis (M94.0)

Instructions: You were evaluated for chest pain. Tests show your heart is healthy. Your pain is caused by inflammation of the rib cartilage.

📋 Copy to EHR
✏️ Edit
Medications
Ibuprofen 400mg — every 6hrs as needed
Omeprazole 20mg — daily with food
⚠ Return Precautions
Return to ED if: worsening chest pain, shortness of breath, fever, or new symptoms

Discharge Instructions

After every ED visit, Cagnea turns your clinical notes into a clear, patient-friendly discharge paragraph — ready to review and drop straight into the EHR before the next patient arrives.

From Transcript

"...patient presents with chest pain, 2-day history, sharp left-sided, worsened with deep inspiration..."

Suggested Codes
M94.0Costochondritis
95%
R07.9Chest pain, unspecified
87%
Z87.891Hx non-cardiac chest pain
72%
I10Essential hypertension
48%

Automatic ICD-10 Codes

Cagnea surfaces relevant ICD-10 codes directly from the consultation transcript, reducing manual lookup time and minimizing billing errors at the point of care.

B
I
U
✓ Approve
S Subjective

CC: Patient presents with chest pain that began 2 days ago.

HPI: 34-year-old female with 2-day history of sharp, left-sided chest pain, 7/10 severity, worsened with deep inspiration. No radiation. Associated mild dyspnea. No prior cardiac history.

O Objective

Vitals: BP 128/82, HR 76, RR 16, T 98.6°F, SpO₂ 98%

Chest: Tender at left costochondral junction. Breath sounds clear bilaterally. No crepitus or ecchymosis.

A Assessment

Costochondritis (M94.0). Chest pain, unspecified (R07.9).

AI SuggestionSOON

Consider adding: "No radiation to arm or jaw. No associated diaphoresis."

Accept
Dismiss
v2 · edited 1m ago

Edit & Refine Notes

Every generated note is fully editable. Review, adjust, and approve your SOAP or MDM documentation before it's finalized — so you stay in control of every clinical decision.

Notes that write themselves

Cagnea works in the background, transforming your natural patient conversations into industry-standard clinical notes. No manual typing, no distractions — just better care. Join the thousands of doctors reclaiming their time.