Scribe

Click Existing Patient to search your patient list and select someone you have seen before. Click New Patient to create a fresh record for someone not yet in Markoste.

For a new patient, enter their name, date of birth and any other details you have. You can also upload a document here – for example a GP referral or medication list – so Scribe can read medicines and context before you start the consult.

Before you record or process a consultation, Markoste shows a Patient Consent Required window. Confirm the patient has been informed and consented to recording, AI processing and documentation in Markoste, then click Confirm Consent.

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.

Use the New or Existing Document area to upload or select supporting files such as a GP referral, hospital discharge summary or medication list. Add these before you record or upload audio so Scribe can read the medicines and context upfront.

Scribe reads the text so it can be referenced during the consult, used to find medicines, and saved against the patient for next time.

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.

Once documents are uploaded, Markoste loads the medicine list and runs a MIMS interaction check. You can open the Interactions tab while recording is still running – you do not need to stop the consult.

Review the flagged interactions, then say aloud which ones you want discussed in the report. Markoste picks up what you say and includes that discussion when you process the audio.

The Dose tab shows full MIMS Product Information for the medicines on your list – dosing, indications, adverse effects and key pharmacology. Open it while you are still recording.

Read what you need, then say aloud the relevant product information you want in the report – for example adverse effects, dosing points or counselling notes. Markoste includes what you discuss when the report is generated.

Because it shares the medicine list with the Interactions tab, anything you add in one appears in the other.

Once you have selected the format, uploaded or selected the patient documents, checked MIMS during the consult, and finished recording (or 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.

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.

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.

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.

After calendar and PPA prompts (if they appear), a window asks Schedule an HMR follow-up? or Schedule an RMMR follow-up? Recommendations are pulled from the report. Edit, add or delete rows, then click Save follow-up, or Not now if it is not needed.

Open Follow-ups on the left of Hub. Filter by suburb while you are in that town, click the patient, walk through the recommendations, then download PDF or Word for the GP.

Markoste can create a PharmCal task linked to this patient and report so the next piece of work is already in your calendar.

The first time you save an eligible HMR report, Markoste asks whether you want to set up PPA claiming. Enter your PPA User ID, API key and pharmacist profile once, then you can submit claims straight from Scribe after each report.

Once PPA is set up, saving an HMR report can open the claim fields window so you can confirm service details and send the claim to PPA. You can also finish later from HMR → Claims.