Turn Dictated Audio Into a SOAP Draft

Who / when: the physician (any documenting clinician), at the end of a consultation or while you talk through it. Instead of typing the note from scratch, you let Veona listen — either to a live recording or to an audio file you upload — and draft the note for you. Behind the scenes Veona runs its ASR (Automatic Speech Recognition — the engine that turns speech into text) and a clinical language model, both self-hosted on your facility’s own hardware so the audio never leaves your walls. The work is queued and runs in the background, so you are free to carry on while it thinks. The result is a SOAP draft — Subjective (what the patient tells you), Objective (what you measure and examine), Assessment (your impression), Plan (what you’ll do). It is only a draft: nothing reaches the record until you read it and sign it.

We’ll follow Dr. Okeke, finishing a clinic consultation she wants documented.

1. Physician — open AI → Scribe. (You can reach the same flow from inside a patient’s chart on Chart → Scribe, the “Veona Scribe” bar — see Capture a Note From Inside the Chart.)
2. Physician — pick the patient and the encounter you are documenting against, so the finished note lands on the right visit.
3. Physician — choose how to feed the audio. Select “Start recording” to capture the consultation live, or “Upload audio” to bring in a recording you already have (a dictated clip, for example).
4. Physician — when the audio is in, select “Generate draft”. Veona uploads the audio, encrypts it, and places the job on the background queue.
5. Physician — watch the status move through transcribing and then generating. The ASR transcribes the speech, then the clinical model shapes the transcript into the four SOAP sections. You don’t have to wait on this screen — go and see your next patient if you like.
6. Physician — when the status reaches “Draft ready for review”, the SOAP fields are filled in with the AI’s text, ready for you to read and edit.

Note

The audio is stored encrypted in Veona’s shared storage and the whole pipeline runs on hardware your facility controls — your patients’ voices and words stay inside your own system.

Tip

Speak the way you’d write the note — say your findings, your impression, and your plan out loud. The clearer your dictation, the cleaner the draft, and the less you’ll have to fix in the next step.

What happens next

Once the draft is ready, you move on to reading and correcting it — and then signing it. The draft is advisory only; it never enters the patient record on its own. Carry it through to Review, Edit and Approve the Scribe Draft. And if the AI service is busy or offline when you submit, your charting is never held hostage — see Keep Charting Even When the AI Is Down.

Follow the trail

• Next: Review, Edit and Approve the Scribe Draft
• Related: Capture a Note From Inside the Chart
• Related: Keep Charting Even When the AI Is Down