AI documentation built for the emergency department
Every minute spent charting is a minute away from the next patient. Eluve captures your encounters in real time — from triage to disposition — and generates structured ED notes, critical care documentation, and discharge instructions without slowing you down.
75%
less time charting
2 min
average note turnaround
99%
documentation accuracy
Built for your workflow
Ambient ED Note Generation
Eluve listens to your patient encounter and generates a structured emergency department note — chief complaint, HPI, review of systems, physical exam, medical decision-making, and disposition — without you typing a single word.
Auto Billing & E/M Coding
ED E/M codes 99281–99285 and critical care codes 99291–99292 are suggested automatically based on documented medical decision-making complexity. Each suggestion maps directly to the note's clinical reasoning for audit-ready support.
Procedure Note Templates
Laceration repairs, incision and drainage, fracture reductions, lumbar punctures, and central line placements each get a structured procedure note with indication, technique, findings, and complications — generated from what you dictate during the procedure.
Discharge Instructions & Follow-Up
Patient-friendly discharge instructions are generated automatically — including diagnosis, medications prescribed, warning signs for return, and follow-up appointments. Clear return precautions are included for every encounter.
Specialist Consultation Requests
When you call a consult, Eluve drafts a structured consultation request with the clinical question, relevant history, workup results, and urgency — so the specialist gets a complete picture before arriving at bedside.
Critical Care Time Documentation
For critically ill patients, Eluve tracks and documents time spent on direct critical care activities — ventilator management, hemodynamic support, resuscitation decisions — ensuring accurate 99291/99292 billing with defensible time logs.
Every ED presentation, one AI scribe
Emergency medicine covers the full spectrum of acuity — from low-complexity fast-track visits to multi-system trauma resuscitations. Eluve handles all of them with ED-tuned documentation templates.
Chest Pain / ACS
STEMI and NSTEMI workups, troponin trending, ECG interpretation, and cath lab activation documentation
Trauma
Primary and secondary surveys, FAST exam results, imaging, and trauma team activation notes
Stroke / TIA
NIH Stroke Scale, CT head, tPA decision-making, and neurology consultation with door-to-needle documentation
Sepsis
Sepsis bundle compliance, lactate trending, blood cultures, fluid resuscitation, and antibiotic timing documentation
Laceration Repair
Wound assessment, anesthesia, irrigation, repair technique, and suture material with aftercare instructions
Fracture & Orthopedic
Imaging interpretation, reduction documentation, splinting, and orthopedic follow-up instructions
Abdominal Pain
Differential workup including labs, imaging, surgical consultation, and disposition decision-making
Pediatric Emergencies
Age-appropriate assessment, weight-based dosing, febrile illness workup, and asthma exacerbation management
Psychiatric Emergencies
Safety assessment, suicidal ideation screening, involuntary hold documentation, and crisis disposition planning
Respiratory Distress
COPD exacerbation, pneumonia, PE workup, intubation documentation, and ventilator management notes
Overdose & Toxicology
Toxidrome identification, antidote administration, poison control consultation, and serial reassessment documentation
Critical Care / Resuscitation
Cardiac arrest management, hemodynamic monitoring, vasopressor titration, and critical care time documentation
How an ED encounter works with Eluve
Instant patient context on arrival
Eluve pulls the patient's triage assessment, chief complaint, vital signs, prior ED visits, active medications, and allergy list into a concise pre-encounter summary. You walk into the room already knowing the story — no chart diving required.
You treat, Eluve documents
Focus on the patient — history, physical exam, procedures, and critical decisions. Eluve captures the encounter in the background and generates a structured ED note with HPI, review of systems, exam findings, differential diagnosis, and medical decision-making. Whether it's a 5-minute straightforward visit or a 90-minute multi-system trauma resuscitation, the documentation matches the encounter complexity.
Disposition, discharge, done
Review the completed ED note, confirm suggested E/M or critical care codes, generate discharge instructions with return precautions, and finalize procedure notes — all from the same encounter. Admission orders or transfer documentation are pre-drafted when needed. Sign off and move to the next patient in under a minute.
Better documentation means fewer denied claims and less unpaid work
Emergency physicians are already doing the clinical work. The gap is in documentation — and that gap costs ED groups tens of thousands per provider each year.
More
complete documentation per visit
When the ambient scribe captures the full encounter — every condition addressed, every clinical decision, every procedure — your documentation supports the true complexity of each visit without extra work.
Fewer
denied claims
Documentation that captures the clinical reasoning, medical necessity, and payer-specific detail from the start means fewer gaps for payers to deny on — and less time spent on appeals.
3x
More critical care encounters captured
When critical care time is documented in real time rather than reconstructed from memory, providers capture significantly more billable critical care encounters that would otherwise go unbilled.
2.5 hrs
Saved per physician per shift
Less time charting after each encounter means you leave on time after your shift — or see the extra patients backing up in the waiting room.
If your charts ever get audited, they're ready
Payer audits, utilization reviews, and malpractice claims all come down to what's in the chart. Eluve structures every note so it holds up under scrutiny.
MDM-Based E/M Support
Auditors check whether your note shows the medical decision-making complexity that supports the billed E/M level. Eluve documents the number of problems addressed, data reviewed, and risk of complications — the three pillars of the 2023 MDM framework.
Critical Care Time Attestation
Critical care billing requires documented time spent on direct patient management. Eluve generates time-stamped logs with specific activities — ventilator management, hemodynamic support, resuscitation coordination — so your 99291/99292 claims are defensible.
EMTALA Compliance Documentation
Every patient who presents to the ED is entitled to a medical screening exam. Eluve ensures the MSE is documented for every encounter, protecting your department from EMTALA violations.
Medicolegal Protection
Emergency medicine carries high malpractice risk. Eluve documents your clinical reasoning, differential diagnosis, and disposition rationale in real time — creating a defensible record that reflects what you actually considered, not what you remembered to type hours later.
HIPAA-Compliant by Default
All data is encrypted in transit and at rest. Eluve is SOC 2 Type II certified and operates under a BAA with every practice. Your patient data is never used to train AI models.
See what Eluve generates
Every clinic is different. Switch between note styles to see how Eluve adapts to your preferred level of detail.
ED Procedure Note — Laceration Repair
Chief Complaint
Laceration to right forearm after fall onto broken glass.
History of Present Illness
34-year-old right-hand-dominant female presents after falling onto broken glass at home approximately 45 minutes ago, sustaining a laceration to the right volar forearm. Denies loss of consciousness, head strike, or other injuries. No numbness or weakness distal to the wound. Tetanus up to date (booster 2022). No anticoagulant use. No allergies to local anesthetics or latex.
Physical Examination
Vitals: BP 128/78 mmHg, HR 82 bpm, SpO2 99% on RA. Right forearm: 4.5cm linear laceration on the volar aspect of the mid-forearm, extending through the dermis into subcutaneous tissue. No active arterial bleeding. No visible foreign body. No tendon exposure or injury — intact finger flexion and extension against resistance. Sensation intact to light touch in median, ulnar, and radial nerve distributions distally. Capillary refill <2 seconds in all digits. Radial pulse 2+.
Procedure
Indication: Traumatic laceration requiring repair. Consent: Risks, benefits, and alternatives discussed. Verbal consent obtained. Anesthesia: 1% lidocaine without epinephrine, 5mL infiltrated locally. Adequate anesthesia achieved. Irrigation: Wound irrigated with 500mL normal saline under pressure using 30mL syringe and splash guard. No foreign bodies identified on exploration. Repair: Deep dermal layer closed with 4-0 Vicryl (4 interrupted buried sutures). Skin closed with 4-0 nylon (8 simple interrupted sutures). Good approximation achieved. Hemostasis confirmed. Dressing: Wound cleaned, bacitracin applied, covered with sterile non-adherent dressing and gauze wrap.
Disposition
Condition: Stable, improved. Discharge instructions provided: 1. Keep wound clean and dry for 24 hours, then gentle cleansing with soap and water daily 2. Apply bacitracin and fresh dressing daily 3. Suture removal in 10–12 days at primary care or urgent care 4. Return to ED for increasing redness, swelling, drainage, red streaking, fever >100.4°F, or loss of sensation/movement 5. Ibuprofen 400mg PO Q6H PRN pain, acetaminophen 500mg PO Q6H PRN as adjunct Diagnosis: Laceration of right forearm (ICD-10: S51.811A). Procedure: Intermediate repair, 4.5cm (CPT: 12031). E/M: 99283 (low MDM).
Generated from a 20-minute ED encounter with integrated procedure documentation
Frequently asked questions
Yes. Eluve is specifically tuned for the ED environment — including rapid triage documentation, trauma assessments, resuscitation workflows, and the fast-paced, multi-patient encounters that define emergency practice. It captures clinical detail in real time without slowing you down between patients.
Eluve generates structured ED notes as each encounter happens, so documentation keeps pace with your patient flow. Whether you see 2 patients per hour or 5, notes are ready for review by the time you move to the next bed. Triage data, chief complaints, and vital signs are integrated automatically into each encounter.
Yes. Eluve documents the full scope of your medical decision-making — problems addressed, data ordered and reviewed, differential diagnosis, and risk of morbidity — in real time. This ensures your notes support the correct E/M level (99281-99285) and critical care codes (99291-99292) without you reconstructing the reasoning after your shift.
Yes. Eluve is trained on emergency department encounters and recognizes EM-specific workflows including trauma assessments, STEMI activations, stroke alerts, sepsis protocols, procedural sedation, and critical care resuscitations. It understands OPQRST history-taking, triage acuity levels, and ED-specific documentation structures.
Yes. When you perform a procedure — laceration repair, abscess drainage, fracture reduction, central line placement, intubation, or chest tube insertion — Eluve generates a structured procedure note with indication, consent, technique, findings, and complications. The procedure note is embedded directly within the encounter documentation.
Eluve tracks and documents the time you spend providing direct critical care — managing ventilator settings, titrating vasopressors, interpreting hemodynamic data, and coordinating resuscitation. It generates time-stamped critical care logs that support accurate 99291/99292 billing with defensible documentation.
Yes. Eluve maps your documented medical decision-making to the appropriate ED E/M level (99281–99285) based on problem complexity, data reviewed, and treatment risk — following the 2023 AMA MDM-based guidelines. It also identifies when critical care codes (99291–99292) or procedure codes (laceration repair, fracture care, sedation) apply.
Absolutely. Eluve is designed for high-volume, high-acuity environments. Notes are generated in real time as you move between patients, so documentation never becomes a bottleneck — even on shifts where you're managing 20+ patients simultaneously.
Eluve is HIPAA compliant and SOC 2 Type II certified. All data is encrypted in transit and at rest. We offer a Business Associate Agreement (BAA) for every practice. Your data is never used to train AI models.
Most emergency departments are up and running within a single shift. Eluve integrates with your existing ED information system — including major hospital and urgent care EHR platforms — and requires no changes to your clinical workflow. Start using it on your next shift.
Yes. Patient-friendly discharge instructions are generated from the encounter — including the diagnosis in plain language, medications prescribed with dosing instructions, wound care or activity restrictions, warning signs that warrant a return visit, and follow-up recommendations. Instructions are ready to review and print before the patient leaves.
Ready to finish charting before your shift ends?
Join hundreds of emergency physicians who've eliminated post-shift documentation backlogs and after-hours charting with Eluve.
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