A nurse checks on a patient. WardLens captures it, extracts the clinical data, and generates a complete SOAP note and ICD-10 codes — automatically. No manual documentation. No lost detail.
Clinical Documentation Engine
Body cam records nurse-patient interaction and transcribes in real time
NLP engine pulls structured data from raw conversation
Structured clinical documentation ready for EHR — no manual typing required
68yo male presenting with substernal chest pressure (6/10, peak 7/10) with onset approximately 03:00. Patient reports pressure sensation at sternum with radiation to left arm. Pain worsens with inspiration. Patient denies nausea or diaphoresis at this time.
Allergies: Aspirin (documented on intake). Medications missed: Lisinopril (morning dose).
BP: 158/94 mmHg (elevated) | O₂ Sat: 97% RA | HR: 88 bpm, regular
Blood glucose: 218 mg/dL (patient self-reported, AM)
Current medications on chart: Metformin 1000mg BID, Lisinopril 10mg QD.
1. Chest pain, substernal with radiation — R/O unstable angina / ACS. Hypertension poorly controlled (missed dose).
2. T2DM with suboptimal glucose control (218 mg/dL, above target range).
3. Aspirin allergy limits standard ACS protocol — attending must be notified before medication orders.
1. Notify attending of new chest pain immediately. Obtain 12-lead ECG. Review cardiac enzyme trends.
2. Hold ASA per allergy flag — document in medication reconciliation. Consider alternative antiplatelet if ACS confirmed.
3. Administer missed Lisinopril 10mg after attending review. Monitor BP q2h.
4. Diabetes management: notify endocrine team re: elevated AM glucose.
AI maps clinical findings to billing codes with confidence scores
| Code | Description | Confidence |
|---|---|---|
| I20.0 |
Unstable Angina
Ischemic Heart Disease — Primary Diagnosis
|
|
| I10 |
Essential (Primary) Hypertension
Chronic Condition — BP 158/94, missed antihypertensive
|
|
| E11.65 |
T2DM with Hyperglycemia
Chronic Condition — AM glucose 218 mg/dL
|
|
| R07.9 |
Chest Pain, Unspecified
Symptom Code — pending ACS confirmation
|
Clinician reviews the AI draft, edits if needed, and signs off with one click
WardLens is currently in pilot with select healthcare systems. If you're evaluating clinical documentation tools for your facility, we want to talk.
HIPAA-native · No PHI stored in demo · SOC 2 in progress