AI scribe and clinic software for benign and malignant haematology

The haematology note, built around the result

Built in wai's clinic template library, the haematology template opens with the question asked, then the history, the blood count trend with dates, the film and the haematinics as the haematologist reads them aloud, and the working diagnosis. For malignant haematology it adds the staging system the clinic uses, the treatment line and cycle, response markers and toxicities. For anticoagulation it holds the indication, the agent and dose, the start date and the planned review. The clinic's template and phrase library are shared across every haematologist, and the Clinician Plus plan adds bespoke templates.

Anticoagulation reviews follow a fixed rule. NICE says to offer anticoagulation for at least 3 months to people with confirmed proximal DVT or PE, to consider the HAS-BLED score in unprovoked cases and to discuss stopping if it is 4 or more and cannot be modified, and to review people on long-term treatment at least once a year.⁵ wai suggests the score for the haematologist to apply, and the draft records the score the haematologist states.

Codes are suggested from the note, each beside the line it rests on. In ICD-10, used in the UK and the Gulf, typical codes are D50.9 for iron deficiency anaemia, unspecified, D69.6 for thrombocytopenia, unspecified, C90.0 for multiple myeloma, C91.1 for chronic lymphocytic leukaemia of B-cell type, I26.9 for pulmonary embolism without mention of acute cor pulmonale, and Z92.1 for long-term current use of anticoagulants. US ICD-10-CM uses Z79.01 for the last. SNOMED CT is suggested beside them, and procedure codes, CPT in the US and OPCS in the UK, stay with the clinic's coder.

Letters that explain a number to a patient

Most haematology letters go to the patient with a copy to the GP. The Academy of Medical Royal Colleges recommends writing outpatient letters directly to the patient, makes that the default setting for an AI scribe, and says the clinician checks every document a scribe produces.⁶ A haematology letter explains each result in plain words, the medicine and dose, when the next blood test is due and who arranges it, and the symptoms that need a call.

Transfusion has its own written duty. NICE says to give people verbal and written information on the reason for transfusion, the risks and benefits, the alternatives and that they can no longer donate blood, to document the discussion, and to give the person and their GP written details of the transfusion and any adverse events.⁴ wai drafts each of those points from the conversation. Referral letters carry the question for the specialist, and the referral letter guide sets out what they need.

Results and diagnoses in the patient's own language

A bone marrow result or a new diagnosis of myeloma is hard to take in, and harder in a second language. wai captures consultations in 60 languages, among them English, Arabic, Spanish, French, Portuguese, Italian, Russian, Polish, Turkish, Urdu and Mandarin. English can be mixed in one consultation with Spanish, French, Portuguese, Russian, Italian, Dutch, German, Hindi or Japanese, and the other languages are captured in that language.

The signed note is written in English for the record, or in another language the clinic chooses. The patient's summary, with the dose of the anticoagulant and the date of the next blood test, can be translated into their language beside it, with emergency numbers kept exactly as written. The guide to multilingual consultations explains how mixed-language consultations are captured.

Clinic software for haematology clinics, from blood tests to recalls

Haematology runs on repeat blood tests. wai Admin sends recalls for the repeat count, the monitoring bloods on watch and wait and the annual anticoagulation review, each message approved by a person. In the UK, pathology orders go out and results come back through TDL, and each result reaches the patient with the haematologist's own comment and a plain explanation of each marker, so a falling ferritin or a stable paraprotein arrives with its meaning attached.

Patients request appointments, venesection slots and iron infusion reviews through booking links that read each haematologist's calendar, cancellations backfill from the waitlist and reminders go out. Calls, email, web forms and WhatsApp land in one thread per patient, with the patient memory brief showing the anticoagulant, the last count and the last letter, each fact traced to its source. Private prescriptions in the UK are issued and signed through SignatureRx, and medication change letters go out from the same consultation.

After the visit, each blood test, referral and follow-up is tracked until it is done. Invoices to the insurer and payment links run through the clinic's own Stripe account. The clinic management software page covers the full front desk.

One anticoagulation review, start to finish

Take a 52-year-old man seen three months after a pulmonary embolism, on apixaban since. He says his breathlessness has gone, he has had no bleeding, and he mentions a flight to Lisbon two weeks before the clot. The haematologist says she does not count the flight as a provoking factor, states a HAS-BLED score of 1, and talks through stopping against continuing long term. He chooses to continue.

The draft records the indication, the agent and dose, the start date, the bleeding history, the score as stated, the options discussed and his decision, with an annual review and blood test. wai suggests I26.9 and Z92.1, each beside the line it came from. The haematologist corrects one line, where the draft had called the embolism provoked because of the flight, and signs.

The letter goes to the patient, copied to the GP, with the plan in plain words, the bleeding symptoms that need a call and the advice to mention the anticoagulant before any procedure. The front desk sets the recall for the annual review and the blood test before it, ordered through TDL, and the result will reach him with the haematologist's comment.

The evidence behind wai's method

The note is one part of the day the evidence measures. In a randomised trial of 238 outpatient physicians across 14 specialties at UCLA Health, the ambient scribe with a significant effect cut the time spent writing each note by about 41 seconds, against 18 seconds in usual care.¹ At The Permanente Medical Group, 3,442 physicians used an ambient scribe across 303,266 encounters in its first ten weeks.² That is why wai takes on the results, the recalls and the letters as well as the note.

Haematology guidance sets the content. NICE puts transfusion thresholds in figures, 70 g/litre with a target of 70 to 90 g/litre after transfusion where a restrictive threshold applies, and 80 g/litre for acute coronary syndrome,³ and lists what the patient and GP must be told in writing.⁴ wai drafts to that list and holds every draft until the haematologist signs it.

Language changes outcomes. In a systematic review of 33 studies, 76% found at least one outcome better when patient and physician shared a language other than English.⁷

Measured in a working clinic. At The Wellness in London, which runs on wai every day, every clinician has 15 hours a week back, as published in the customer story.⁸

Where to start

Start with anticoagulation reviews and new anaemia referrals for one haematologist. Build the template around the result trend, the diagnosis and the planned review, run it for two weeks, and count corrections to values, doses and dates. In the second week, switch on results explained and the recall for repeat bloods for the same patients.

Then add the malignant haematology reviews and the transfusion discussion. The wai Clinicians page shows the scribe, the specialties hub lists the other specialties, and oncology and nephrology cover the clinics that share many haematology patients.

Frequently asked questions