Nem Scribe listens to a visit and turns it into a draft note the clinician reviews, edits and files. It is part of the practice management system rather than a separate app, so the draft lands on the visit it belongs to and is filed into that patient's chart from there.

One rule holds the whole feature up: nothing reaches the patient record until a clinician reviews it and files it. There is no path by which the model writes to a chart on its own.

Recording the visit

A clinician starts a recording from the visit they are already working in. By default Nem records the whole visit and transcribes it in one pass after Stop. That produces a better transcript than transcribing as the conversation goes, and it costs a fraction as much. A live mode that transcribes in short chunks as the visit runs is also available.

A conversation is never lost to a dropped connection. Every fragment of transcript is written to the device the moment it exists and then sent to the server one piece at a time, and the server recognises a piece it already holds rather than storing a second copy. A visit interrupted by a flat battery, a closed laptop or a lost network leaves everything already sent sitting safely on the server, and the clinician resumes instead of starting again.

Who was speaking

Lines of the transcript can carry a speaker role: Clinician, Patient or Other. Roles, never names. Nothing in Nem enrols a voiceprint, so attaching a person's name to a line would be a claim the product cannot support. Where the role is not clear the line carries no label at all, because a wrong label on a clinical transcript is worse than no label.

The draft note

The note is drafted in five sections: Summary, Subjective, Objective, Assessment and Plan. You accept or reject each section on its own, because a clinician routinely keeps the subjective and rewrites the plan, and a single verdict over the whole note would force all of it or none of it. A rejection can carry a reason.

Before the note is written, Nem extracts the facts the note will be built from, and each fact points at the transcript lines it came from. A fact that came from the chart rather than from today's conversation carries no transcript lines at all, which is how something the record already held stays out of today's findings. On the review screen each section can show which transcript lines it was written from.

Codes and suggestions

Nem suggests ICD-10-CM codes, and every suggestion is checked against the real code catalogue before a clinician sees it. A code the catalogue does not contain is dropped rather than shown, and so is a real code carrying a description the model invented. Each surviving suggestion arrives with a confidence and a reason.

An accepted code is recorded inside the filed note, labelled as a suggestion. It is never written to a diagnosis table, a condition, a care plan or a claim. The scribe proposes text a clinician may adopt in their own words. It does not diagnose and it does not bill.

Nem also proposes procedures, matched against your own procedure catalogue at your own prices, and a short list of things a clinician might reasonably do next: a follow-up, a referral, a medication review, a documentation gap. Nothing on either list touches the treatment record until a reviewer files the draft.

When there is nothing to propose, Nem says why. "We asked and nothing matched" and "that step never ran" are different facts, and the screen shows which one happened rather than showing the same empty card for both.

When the transcript is incomplete

Sometimes part of a visit does not become text. Nem measures how much of the recording was transcribed and tells the clinician before they read the note, as a percentage rounded down so it does not claim a precision the measurement does not have.

A partial transcript is not a failure and is not reported as one. It is a fact about the note, and a fact nobody is told is the same as a fact nobody has.

Languages

The transcript is written in the language the visit was conducted in, and the note is written in English. Urdu is supported explicitly. A language Nem carries no specific instruction for still works, through the same fallback.

What happens to the recording

By default the audio is a transit buffer and nothing more. It is deleted as soon as the transcript is stored.

A clinic may choose to keep recordings for a period, up to ninety days. That choice is off for every clinic until somebody turns it on, and two rules bound it. The consent wording the patient hears changes to match, so a patient is never told a recording is deleted while it is being kept. And the audio may never outlive the transcript made from it, whatever either setting says, because keeping the voices after the words were destroyed would be holding the richer record under the shorter promise.

Transcripts are kept for thirty days after the note is filed by default, configurable up to a year, and their destruction is recorded with a certificate. The filed note is the clinical record and none of this touches it.

Provenance

Every draft stores which model and which prompt version produced it, along with a fingerprint of your clinic's own instruction block exactly as it stood at that moment. A note filed months ago can be read against the configuration that actually produced it rather than against whatever the configuration says today.

What is not built yet

• No named speaker identification. Roles only. Nem will not tell you which named person said a line, and it is not going to guess.
• No automatic filing, ever. Every section, every code and every procedure needs a person to accept it. This is a deliberate design constraint, not a gap waiting to be closed.
• Nem Scribe is not a certified electronic health record component. There is no e-prescribing, no electronic lab ordering or results, no quality measure reporting, and no structured clinical template beyond the five sections above.
• Approved patient-facing consent wording exists in English only. The Urdu version is a machine translation and is marked as not approved for patient use.
• Pricing has not been published. Nem Scribe is an add-on and has to be switched on for your clinic before it appears on a visit.

Getting it switched on

Nem Scribe is enabled per clinic. If you do not see it on a visit, it is not enabled for you, and your administrator or your Nem contact can turn it on.