For surgical specialists

The chart writes itself.
You see the patient.

ForesightEMR is the specialty EMR built for orthopedic, spine, and ophthalmology practices. Ambient scribe fills the exam. AI drafts the note. You review and sign. No more typing during visits. No more late-night documentation.

3
Specialties live
6
AI-drafted sections
HIPAA
BAA-covered
foresightemr.com/patients
Patient
Elena Morales
F · 64 · MRN OS-24006
DiagnosisCataract OD
IOP OD / OS18 / 17
Visual acuity20/60 / 20/25
PlanPhaco/IOL OD
Scribe recording
“Right eye showing 3 plus nuclear sclerosis with cortical changes. Visual acuity twenty over sixty pinhole no improvement. Patient interested in surgery. Discussed IOL options, premium versus monofocal…”
Lens ODNS 3+, cortical 1+
VA OD (pinhole)20/60 NI
PlanPhaco/IOL OD, IOL counseling done
E/M level
99214 · documentation complete
Product

Built for how surgeons actually work.

ForesightEMR is the clinical workspace surgeons want to use, not a checkbox compliance system. Desktop cockpit, dense data, zero typing during visits, AI drafts everything you don’t want to write yourself.

Ambient scribe, no extra hardware

Browser microphone captures the visit. Real-time transcription streams to a clinical extraction model that populates the exam fields you need — laterality, severity, findings, plan. The surgeon talks to the patient. The chart fills itself.

Specialty-native exam templates

Ortho, spine, and ophthalmology each get purpose-built exam structures — not generic SOAP. OD/OS side-by-side with slit lamp, IOP trending, MD/PSD reliability, motility grid. Spine gets cervical and lumbar. Ortho gets shoulder, knee, hip.

AI notes you actually sign

Type shorthand in any of six sections — HPI, exam, MDM, assessment, plan — and Claude polishes it into Medicare-compliant E/M documentation. Preview, edit, sign. Addendum and revise on signed notes.

Billing that catches what you miss

Live E/M level suggestions based on documentation completeness. Flags undercoding before you sign. Surfaces missing elements that would have left money on the table.

Prior auth packets, auto-assembled

Pull every required documentation element for insurance pre-auth in one click. Imaging reports, conservative care, problem list, surgical plan — assembled for the payer ahead of submission.

Imaging that connects to the chart

Radiology reports embed in the chart with expandable full reads. Clickable imaging items in the clinical summary scroll directly to the matching report. No second screen, no second login.

How it works

From schedule to signed note in one visit.

STEP 01

Pre-draft from schedule

Each morning, the chart pre-populates from prior visits and the day’s appointments. Carry-forward, prior imaging, problem list — ready before the door opens.

STEP 02

Scribe captures the visit

Surgeon speaks naturally with the patient. Streaming transcription routes findings into the structured exam. No phone, no app, no extra device.

STEP 03

Review and sign

AI drafts the six sections of the note. Surgeon reviews, edits, signs. Billing optimizer confirms E/M level. Done before leaving the room.

Specialty modules

Not generic. Built field by field for each specialty.

Generic EMRs force surgical specialists into primary-care templates. ForesightEMR ships with the exact data fields your specialty documents, validates, and bills on.

Ophthalmology
  • OD/OS side-by-side exam structure
  • Slit lamp, fundus, pupils with APD/RAPD, 9-gaze motility
  • Visual fields with MD, PSD, reliability indices
  • IOP trending with Canvas chart
  • Lens grading (NS, cortical, PSC), C/D ratio
  • IOL calculator and biometry capture
  • Intravitreal injection tracking
Spine
  • Cervical and lumbar exam templates
  • Neurological, motor, reflex, sensory grids
  • Radiculopathy and myelopathy documentation
  • Conservative care tracking for surgical justification
  • Operative note templates for ACDF, TLIF, decompression
Orthopedics
  • Shoulder, knee, hip exam templates
  • Range of motion, strength, special tests
  • Injection tracking with response and laterality
  • Imaging integration with MRI / X-ray reports
  • Surgical scheduling and post-op carry-forward
Infrastructure

PHI stays on your infrastructure. AI runs under BAA.

Patient data lives in PostgreSQL on dedicated infrastructure. AI calls go to AWS Bedrock under Business Associate Agreement. Voice transcription runs through Deepgram under BAA. No third-party data brokers, no ad networks, no surprises.

AuthAWS Cognito under BAA
AIAWS Bedrock — Claude Sonnet 4.5
VoiceDeepgram streaming STT
DatabasePostgreSQL 18 — PHI on your infrastructure
ComplianceHIPAA, BAA-covered, audit-logged
Pricing

$500–$1,500 per provider, per month.

Single price tier for 1–5 provider surgical specialty practices. Includes ambient scribe, AI note drafting, all specialty modules, prior auth packets, billing optimization, and BAA-covered infrastructure. No setup fees. Annual contract.

Demo includes
Live walkthrough · sandbox account · 30-day pilot evaluation
Request a demo