SprigganSpriggan

01The visit

Scribe Agent

Never chart after hours.

Captures the visit and writes the note in your format, from SOAP and APSO to an H&P or your clinic’s own template, with an accuracy score on every section and the transcript one tap away to verify any line.

02The history

Medication and Immunization History

Surescripts fill history and the state registry, pulled before the visit.

Before the visit, the Care Sync agent pulls what pharmacies actually dispensed from Surescripts and every recorded shot and what is due next from the state immunization registry, and files both to the chart. The scribe writes against that history, so a lapsed refill or an overdue booster is on the page, not a question for later. Today’s shot is reported back to the registry the same way.

03The note

Custom Templates

Your note, your structure. Write a template or pick one of thousands.

The note comes out in your template, not a generic SOAP. Write your own for each visit type and specialty, or pick from thousands of curated templates, a diabetes follow-up, a well-child visit, a dermatology consult. Twenty seconds after the door closes it is in the chart, each line traceable to the moment it was said.

04The orders

Auto-Extract Orders and Medications

Referrals, labs and prescriptions pulled out of the note, ready to send.

The plan is not just text. The scribe reads the orders out of the note, the neurology referral, the A1c, the gabapentin refill, and queues each one where it belongs: the referral to the Referral agent, the lab to Quest, the prescription to the pharmacy. You confirm with one look. Nothing is retyped.

05The prescription

E-Prescribing

Written in the chart, sent over Surescripts to the pharmacy the patient chose.

The prescription is written inside the chart and sent electronically over the Surescripts network to the patient’s pharmacy. Medication history and plan coverage are on screen as you write, so the formulary surprise happens here, not at the counter. Renewal requests from the pharmacy come back to the same chart and are answered without re-entering anything.

06Controlled substances

Controlled Substance E-Prescribing

Schedule II to V, signed with two factors by the prescriber alone.

A controlled substance takes more than a click, and the chart enforces it. The prescriber is identity-proofed, holds a DEA registration and is enrolled in two-factor authentication. Each prescription is signed with a PIN plus a one-time code from the prescriber’s own phone. Those credentials cannot be delegated, so no one else can sign on a prescriber’s behalf.

07The codes

Medical Coder

Every code, cited to the note.

Pulls the billing codes from the note, ICD-10 and CPT, and cites the exact sentence behind each one. Review, adjust, and submit to the chart in seconds.

08The sign-off

Sign from Anywhere

Phone, tablet or desk. The chart closes wherever you are.

Review takes a minute, not an evening. Sign from your phone between rooms, from the tablet, or from the desk at the end of the day, and the note, the codes and the orders are filed together, ready for the claim. No after-hours charting.

Scribe AgentIn the room
Exam 2 · listening
Dr. ReyesHow’s the numbness been since we started the gabapentin?
MarcusBetter at night. Still there in the morning.
Scribe AgentThe note, live
Draft note · updating
SNumbness improved at night, persists AM
OSensation reduced, L4–L5
ANeuropathy, improving
Written as you talk · nothing typed
Care SyncFrom Surescripts
Metformin 1000 mg · 180 · filled Sep 14
Lisinopril 10 mg · 90 · filled Sep 14
Atorvastatin 20 mg · 90 · last filled Jul 02
Statin not refilled since July · asked in the room
Care SyncFrom the registry
Influenza, high dose · Oct 02, 2026
Pneumococcal, PCV20 · Mar 18, 2024
Due · Tdap booster · last 2015
Tdap given today · reported to the registry
Custom TemplatesTemplate
Yours · 12Curated · 2,400+
Diabetes follow-up · SOAP, your phrasing
Well-child · 4-year, milestones and shots
Derm consult · HPI, exam, procedure note
Selected · Diabetes follow-up
Custom TemplatesThe note
SNumbness improved at night, persists in AM1
OSensation reduced, L4–L5 dermatome
ADiabetic neuropathy, improving
PContinue gabapentin 300 mg · refer to neurology · A1c in 3 mo
1Said at 12:06 · tap to hear
Orders & MedsFrom the plan
PContinue gabapentin 300 mg · refer to neurology · A1c in 3 mo
Three orders found in the plan
Matched to the chart · allergies, formulary, payer
Orders & MedsExtracted
Rx · gabapentin 300 mg, 90 days · pharmacy
Referral · neurology, Dr. Okafor · queued
Lab · HbA1c, Quest · ordered
Sent · nothing retyped
E-PrescribingWritten in the chart
Rx · gabapentin 300 mg · 90 days · 3 refills
Allergies and interactions · none
Covered · tier 1 · $4 copay
Pharmacy · CVS Silver Spring · patient’s choice
E-PrescribingSent
Sent over Surescripts
Pharmacy received · 12:32 PM
Renewal requests return to this chart
Sent · nothing re-entered
EPCSBefore signing
Schedule IV · tramadol 50 mg · 7 days · no refills
Prescriber identity-proofed · DEA on file
Quantity and days supply within limits
Only Dr. Reyes can sign this one
EPCSTwo-factor sign
PIN entered
One-time code · prescriber’s phone
Sent to the pharmacy · logged under Dr. Reyes
Signed · cannot be delegated
Medical CoderCodes
E11.42 · Type 2 diabetes with neuropathy1
99214 · moderate MDM, chronic illness2
1Assessment line 32Two problems, Rx management
Level supported by the note
Medical CoderTo Billing
Codes attached to the visit
Claim built
Scrubbed · 0 edits
Ready to submit · nothing re-keyed
Sign from Anywhere08
Note · read in 40 s, one edit
Signed from your phone · 12:31 PM · claim queued
Start with AI Scribeor get every agent with Spriggan EHR · per provider · per month

The only EHR with

Shared Context

Every agent works from the same chart, the same history and the same rules. Nothing is re-asked, re-typed or lost between them.

Shared history

Every call, fax, visit and claim is logged once and remembered by every agent.

Shared context

The receptionist knows what the scribe heard. Billing knows what prior auth won.

Shared knowledge

Your protocols and payer rules are learned once and applied everywhere.