Documentation help for community clinics
Focus on the patient.
Let Steto
handle the notes.
Turn a clinic conversation into a clean medical record. Read the draft, finish the exam, sign off.
From conversation to draft. You control the final note.
Consult room
Visit note
What brings you in today?
Dizziness and tiredness for about three days.
Any nausea or vomiting?
No, none.
Subjective
Dizziness and tiredness for three days. No nausea or vomiting.
From the conversationObjective
Exam findings not yet recorded.
Assessment
Awaiting clinician assessment.
Plan
Awaiting follow-up plan.
Draft for review.
Final decisions stay with the clinician.
Sample content, not a live processing result.
The shape of one visit
One visit.
One complete record.
Documentation follows the exam room, from patient setup to clinician sign-off.
See the SOAP draftSet up the patient
NursePull up the chart and record the vital signs before the visit.
Consent first
Doctor / midwifeAsk permission, then capture the conversation.
Review the draft
Doctor / midwifeCompare the SOAP draft against the conversation and exam.
Finish the record
ClinicianConfirm the ICD-10 code and the visit note before approval.
Open Steto
where you work.
Sign in with your existing account.