AI documentation built for general surgery
Surgeons spend up to 30% of their workweek on EHR documentation. Eluve listens to your patient encounters, dictated operative notes, and clinic visits — then generates complete surgical documentation in real time, from pre-op H&Ps to operative reports to discharge summaries.
75%
less time charting
2 min
average note turnaround
99%
documentation accuracy
Built for your workflow
Ambient Operative Notes
Dictate key steps as you operate — Eluve captures pre-op diagnosis, post-op diagnosis, findings, technique, estimated blood loss, specimens, and complications into a structured operative report. No typing required after you leave the OR.
Surgical Billing & Coding
CPT codes for laparoscopic cholecystectomy, hernia repairs, appendectomy, colectomy, and hundreds of other procedures are suggested automatically — with modifiers like -22, -59, and -80 applied when documentation supports them.
Pre-Op & Post-Op Templates
Structured templates for pre-operative history and physicals, surgical consent documentation, post-op checks, and wound care instructions are populated from the encounter — matching Joint Commission documentation standards.
Discharge Summaries
Discharge summaries with procedure details, post-operative instructions, wound care guidance, activity restrictions, follow-up appointments, and medication reconciliation are generated automatically from the surgical encounter.
Referral & Correspondence
Post-surgical reports to referring physicians, pathology follow-up letters, and return-to-work clearances are drafted from the operative and post-op notes — ready to review and send.
Medication & Order Summaries
Post-operative medication regimens, DVT prophylaxis protocols, pain management plans, and antibiotic courses discussed during rounds are captured and formatted into clear order summaries.
Every surgical encounter, one AI scribe
General surgery spans clinic consultations, the operating room, hospital rounds, and post-op follow-ups. Eluve handles documentation across all of them.
Surgical Consultation
New patient evaluations for hernias, gallbladder disease, breast masses, thyroid nodules, and other surgical conditions
Laparoscopic Procedures
Cholecystectomy, appendectomy, hernia repair, Nissen fundoplication, and other minimally invasive cases
Open Abdominal Surgery
Colectomy, small bowel resection, exploratory laparotomy, and complex abdominal cases
Breast Surgery
Lumpectomy, mastectomy, sentinel lymph node biopsy, and excisional breast biopsy
Endocrine Surgery
Thyroidectomy, parathyroidectomy, and adrenalectomy with intraoperative monitoring documentation
Wound Care & I&D
Abscess incision and drainage, wound debridement, wound VAC changes, and complex wound management
Post-Op Follow-Up
Wound checks, drain management, pathology review, staple/suture removal, and return-to-activity clearance
Hospital Rounds
Daily progress notes on post-surgical inpatients — vitals, diet advancement, drain output, ambulation status, and discharge planning
Emergency Surgery
Acute appendicitis, perforated viscus, bowel obstruction, incarcerated hernia, and trauma laparotomy
Pre-Op Clearance
Pre-operative history and physical, risk stratification, medication review, and anesthesia coordination
How a surgical encounter works with Eluve
Pre-op evaluation, organized
Eluve compiles the patient's surgical history, imaging reports, lab results, anesthesia clearance, and referring physician notes into a concise pre-operative brief. The history and physical, problem list, and surgical consent documentation are pre-populated — so you review instead of rebuild from scratch.
You operate, Eluve documents
Whether you're in clinic evaluating a new hernia patient or in the OR performing a laparoscopic cholecystectomy, Eluve captures the encounter. In the operating room, dictate key findings and steps — Eluve structures them into a complete operative report with pre-op diagnosis, post-op diagnosis, procedure description, findings, specimens, EBL, and complications. In clinic, your consultation note is generated from the conversation.
Op notes, discharge, follow-up — done
Review your operative note, generate the post-op orders and discharge summary, send a letter to the referring physician, and confirm surgical billing codes — all from the same encounter. Global period follow-up visits are documented with the original procedure context carried forward. Sign off and move to your next case.
Better surgical notes mean fewer denied claims and faster reimbursement
You're already doing the procedures. The gap is in documentation — and that gap costs surgical practices tens of thousands per surgeon each year in undercoding, denials, and missed modifiers.
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.
5x
Faster operative note completion
Instead of typing or dictating operative notes after the last case of the day, AI-assisted documentation generates the structured note in real time — completing what used to take 15 minutes in under 3.
2.5 hrs
Saved per surgeon per day
Less time on operative notes, discharge summaries, and coding means surgeons leave the hospital on time — or spend that time on cases, teaching, or patient care instead of paperwork.
If your operative notes are ever audited, they're ready
Payer audits, peer reviews, and medical-legal scrutiny all start with the operative note. Eluve structures every surgical document so it holds up under examination.
Joint Commission Compliance
Eluve ensures every operative note includes all 11 required elements — surgeon, assistants, pre-op and post-op diagnoses, procedure, findings, specimens, EBL, complications, date/time, and full description. Missing elements are flagged before finalization.
Complete Procedure Documentation
Every step of the procedure is documented with specificity — approach, technique, anatomical landmarks, instruments used, and intraoperative findings. Your notes reflect exactly what happened in the OR.
Modifier Justification Built In
When modifiers like -22, -59, or -24 are applied, the supporting clinical rationale is embedded in the note. Auditors can see why additional complexity, distinct procedures, or unrelated E&M services were billed.
Medical Necessity for Every Procedure
The clinical indications, failed conservative measures, imaging findings, and patient symptoms that support surgical intervention are documented in a format that satisfies payer medical necessity reviews.
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.
Pre-Operative Surgical Consultation Note
Chief Complaint
Right inguinal bulge and intermittent groin pain for 4 months.
History of Present Illness
67-year-old male referred by primary care for evaluation of a right inguinal hernia. Reports a bulge in the right groin first noticed approximately 4 months ago, gradually increasing in size. The bulge is more prominent with standing, coughing, and heavy lifting, and reduces spontaneously when supine. He describes a dull aching sensation rated 3-4/10, worse at end of day. No episodes of incarceration, acute pain, nausea, or vomiting. No changes in bowel habits. No urinary symptoms. He is a retired carpenter with a history of heavy lifting. BMI 28.4.
Past Surgical History
Appendectomy (open, 1992). No other prior abdominal or groin surgeries.
Past Medical History
Hypertension (well-controlled on lisinopril 10mg daily). Hyperlipidemia (atorvastatin 20mg). Osteoarthritis bilateral knees. No diabetes. No cardiac history. No bleeding disorders.
Medications
Lisinopril 10mg daily Atorvastatin 20mg daily Acetaminophen 500mg PRN No anticoagulants or antiplatelet agents
Examination
Abdomen: Soft, non-tender, non-distended. Well-healed RLQ scar from prior appendectomy. No incisional hernia. Groin: Right inguinal region demonstrates a visible and palpable bulge with Valsalva, approximately 3cm, reducing to the internal ring with gentle pressure. Positive cough impulse. No erythema, warmth, or tenderness to suggest incarceration. Left groin: no hernia palpable. Genitourinary: Normal scrotal exam. No hydrocele.
Assessment
Right inguinal hernia, reducible (K40.90). Symptomatic and progressively enlarging. Given age, symptom burden, and risk of incarceration, surgical repair is indicated.
Plan
1. Proceed with elective right inguinal hernia repair — plan for laparoscopic transabdominal preperitoneal (TAPP) repair (CPT 49650) 2. Pre-operative labs: CBC, BMP, coagulation studies 3. EKG for pre-operative cardiac clearance given age 4. Hold acetaminophen 24 hours prior to surgery 5. DVT prophylaxis per protocol 6. Discussed risks, benefits, alternatives, and expected recovery (2-4 weeks activity restriction, 6-week lifting restriction). Patient understands and wishes to proceed 7. Informed consent obtained 8. Schedule surgery within 4 weeks 9. Follow-up at 2 weeks post-op for wound check
Generated from a 20-minute surgical consultation
Frequently asked questions
Yes. Eluve is purpose-built for surgical workflows and understands the terminology, note formats, and documentation standards unique to general surgery. From operative reports structured with pre-op and post-op diagnoses to clinic consultation notes with surgical decision-making, Eluve generates documentation that matches how surgeons actually practice.
Eluve captures your intraoperative dictation and structures it into a complete operative report — including approach, technique, findings, specimens, EBL, and complications — while also generating pre-operative H&Ps and post-operative notes from the same encounter data. All documents are formatted to meet Joint Commission standards and are ready for review before you leave the OR.
Yes. Eluve generates operative notes, discharge summaries, and post-op orders in real time as each case concludes, so documentation never accumulates into an end-of-day backlog. Whether you are running six cases or splitting time between the OR and surgical clinic, every note is ready for review within minutes.
Yes. Eluve is trained on surgical encounters and recognizes specialty-specific terminology including laparoscopic and open surgical techniques, anatomical landmarks like Calot's triangle and the critical view of safety, instrument names, suture types, and standardized operative note formats required by the Joint Commission.
Yes. As you dictate key findings and steps during the procedure, Eluve structures them into a complete operative report — including pre-op and post-op diagnoses, procedure description, findings, specimens, estimated blood loss, and complications. The note is ready for review when you finish the case.
Yes. Eluve suggests CPT codes specific to general surgery — from 47562 for laparoscopic cholecystectomy to 49505 for inguinal hernia repair to 44970 for laparoscopic appendectomy. It also applies appropriate modifiers like -22 for increased complexity, -59 for distinct procedures, and -80 for assistant surgeon, with supporting documentation for each.
Eluve tracks the 10-day and 90-day global surgery periods for each procedure. Post-op follow-up visits within the global period are documented with the original procedure context, and Eluve flags when a separate E&M service is warranted with modifier -24 for unrelated diagnoses during the global period.
Yes. Pre-operative history and physical notes are generated from the surgical consultation, including past surgical history, medication review, anesthesia risk factors, and planned procedure details. Discharge summaries are generated from the cumulative encounter data — procedure, hospital course, discharge medications, wound care instructions, activity restrictions, and follow-up plan.
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 surgical practices are up and running within a day. Eluve integrates with your existing EHR — including all major platforms — and comes pre-loaded with surgical note templates, operative report formats, and procedure-specific coding libraries.
Yes. Eluve is built for surgeons managing full operative schedules and busy clinic days. Whether you're running six cases in the OR or seeing 25 patients in surgical clinic, notes and operative reports are generated in real time so documentation never backs up.
Ready to leave the OR without a documentation backlog?
Join hundreds of general surgeons who've eliminated after-hours charting, dictation backlogs, and manual operative note typing with Eluve.
Request a Demo