Core Tools
Scribe
Scribe is where most of your day begins. You record or upload a patient consultation, and Scribe writes a tidy clinical report for you. From the same screen you can check medicines for interactions, look up drug information, generate Markoste+ flags for the completed report, then export or save the finished report.
The steps below follow the natural order of a consultation: choose how you want the report written, capture the consult, generate the report, review the medicines, then export and save.
The flow at a glance
How Scribe works
Everything in Scribe is laid out as tabs across the top of the screen. You will move left to right: Scribe (record and write), Interactions and Dose (check medicines), New or Existing Document (reference files), and Markoste+(flags generated after the report is produced). When you are happy, you save the report to the patient's file.
Good to know
Always pick or create a patient at the top of the screen first. The report, documents and follow-ups all attach to that patient record.Step 1
Choose your format
Pick the style of note you want
Before you generate a note, choose a format. This tells Scribe how to lay the note out. Common choices include:
- Concise– short paragraphs with clear headings.
- Bullet points– a quick scannable list.
- SOAP note– Subjective, Objective, Assessment, Plan.
- Medication review– a detailed review with medication tables.
You can preview each style before choosing, and change it later and regenerate if you change your mind.
Tip
Choose the format that best matches this report. You can change the format before processing if this consultation needs a different layout.Step 2
Record or upload audio
Capture the consultation
You have two ways to get the consultation into Scribe:
- Record live– press record at the start of the consult and stop at the end. A timer shows it is working.
- Upload a file– drag and drop an audio file you recorded earlier, or browse to select it.
You can also skip audio, type the relevant information into Scribe, and then process it into a report.
Good to know
Always confirm the patient has consented to being recorded before you start. Recordings are processed securely.Step 3
Add patient documents
Bring in referrals, discharge summaries and med lists
Use the New or Existing Document area to upload or select supporting files such as a GP referral, hospital discharge summary or medication list. You do not need to open a separate document screen first.
Scribe reads the text so it can be referenced during the consult, used to find medicines, and saved against the patient for next time.
Step 4
Generate the report
Process the audio into a finished report
Once you have selected the format, uploaded or selected the patient documents, recorded live audio, uploaded a saved audio file, or typed information without audio, click Process Audio.
Markoste produces the report in your chosen format. The report is fully editable, so you can fix wording, add detail, or remove anything not needed before saving.
Step 5
Check drug interactions
Run a MIMS interaction check
When a document is uploaded, Markoste automatically reviews the medicines using MIMS and flags any drugs the pharmacist should be aware of.
A notification appears at the top telling you to review medications while you are recording. You can keep recording while checking the interactions, then say aloud which interactions you want discussed in the report. Markoste includes that discussion in the generated report.
Good to know
MIMS interaction checking during Scribe is available for paid tier users only.Step 6
Look up drug information
Get dosing and product information
The Dose tab shows full MIMS Product Informationfor the medicines on your list – dosing, indications and key pharmacology. Use it to confirm a dose or answer a patient question on the spot.
Because it shares the medicine list with the Interactions tab, anything you add in one appears in the other.
Step 7
Run Markoste+ analysis
Review flags after the report is produced
On eligible plans, Markoste+ is generated only after the report is produced. It reviews the report and medicine list, flags potentially inappropriate prescribing using STOPP/START rules, calculates the anticholinergic burden (ACB) score, and links to deprescribing guides.
These are prompts for your review, not instructions – every clinical decision stays with you. There is a dedicated page for this under Markoste+ Rules in the menu.
Step 8
Export your report
Download, copy, or save as PDF or Word
When the report is ready, use the Export button. You can:
- Copy the report to your clipboard to paste into another system.
- Download as PDF for a print-ready document.
- Download as Word if you need to edit it further outside Markoste.
Step 9
Save the report
Save the report to the patient's file
Click Save to store the report against the patient. A short window lets you give the report a name and add tags(for example “HMR” or “follow-up”) so you can find it later from Patient Files.
Saved reports appear in the patient's consultation history, ready to reopen any time.
Step 10
Follow-up pop-ups
After you save, Markoste may show one or more helpful pop-ups so you do not forget the next steps. Which ones appear depends on the patient and your available features:
Polypharmacy prompt
If the patient is on a high number of medicines, Markoste offers to add them to the polypharmacy register so they are tracked for regular review.
Psychotropic register prompt
If a psychotropic medicine is involved, you are prompted to add the patient to the psychotropic register for monitoring and governance.
PharmCal follow-up prompt
Markoste offers to create a PharmCal task for the follow-up, pre-linked to this patient and report, so the next review is already in your calendar.
Tip
You can always skip a pop-up and add the patient to a register or create a task later from the relevant area.