🩺
VascuNote
Clinical Dictation Formatter
Contact your administrator to request access.
🔒 Admin access
Enter the admin password to manage shared letter templates.
🩺 VascuNote Beta
⚙ Admin mode active — changes to templates are shared with all users immediately.
Dictation Input
0 words
Formatted Letter
Applied substitutions
Grammar suggestions — click a row to highlight in letter:
🔍 Substitutions
Formatting your dictation…
🫀 Did you know?
📋
No formatted letter yet
Paste your dictation on the left and click Format Letter

Settings

Your personal settings — synced across all your devices.

🔑 Anthropic API Key

Stored in this browser only — never sent to any server. Get a key at console.anthropic.com (~$0.003/letter).

✓ API key saved

🔄 Word Substitutions

Auto-correct misheared words before formatting. Personal to your account. You can also select any word in the formatted letter to add a substitution directly.

⚙ Admin — Letter Templates

These templates are shared with all users and drive the formatting for everyone. Changes take effect immediately.

📄 Shared Templates

Paste fully-formatted example letters from MedAccess. Bold and italics are preserved. Up to 10 templates.

How to use VascuNote

VascuNote turns raw speech-to-text dictation into a clean, formatted consult letter ready to paste into MedAccess — in seconds.

📋 Basic workflow

1
Paste your dictation into the left panel. This is the raw text from your speech-to-text tool — punctuation and formatting don't matter at this stage.
2
Click Format Letter. VascuNote sends your dictation to Claude AI which applies bold headers, dash lists, italics, and spacing — reproducing every word exactly as spoken.
3
Review the output in the right panel. The letter is editable — you can click directly into it and make changes.
4
Click Copy then paste into MedAccess with Cmd+V (Mac) or Ctrl+V (Windows). Bold, italics, and line breaks are all preserved.

🔤 What the formatter does

VascuNote reproduces your dictation word-for-word — it never adds, removes, or rephrases anything. It only applies layout:

• Section labels ending with a colon (e.g. Past Medical History:) are automatically bolded.

• Three or more comma-separated items after a header are converted to a dash list.

• Opening checklist items, CVD checklists, and Sclerotherapy consent sections are italicised.

• Missing end-of-sentence periods are added and double spaces are removed.

The formatting is guided by example letters set up by your administrator. The more complete those examples, the more accurately VascuNote matches your practice's style.

✅ Grammar checker

After formatting, click Check Grammar to review suggested corrections. Each suggestion shows the original phrase (red strikethrough) and the correction (green). Click a suggestion row to jump to that location in the letter and highlight it. Accept with ✓ or skip with ✕. Apply all at once with Apply all.

🔄 Word substitutions

If your speech-to-text engine consistently mishears a word, add a substitution in Settings. For example: die beat ease → diabetes. Substitutions are applied before formatting so the AI always receives the correct text.

You can also select any word in the formatted letter with your mouse — a small popup appears letting you add it as a substitution on the spot.

Substituted words are highlighted in amber in the output. Use the ◀ ▶ arrows to navigate between them in case you want to verify the correction was appropriate.

Substitutions are personal to your account — they won't affect your colleagues' output.

🔑 API key

VascuNote uses the Anthropic Claude API to format your letters. You need your own API key — get one free at console.anthropic.com. Enter it once in Settings and it's saved in your browser.

Each letter costs approximately $0.003 USD to format. Your dictation text goes directly from your browser to Anthropic — it is never stored by VascuNote.

Your API key is stored only in your browser and is never sent to any VascuNote server.

💡 Tips for best results

• Speak section labels clearly and end them with a colon: "Past Medical History colon…"

• Lists work best when items are clearly separated: "hypertension comma diabetes comma high cholesterol"

• The formatter works best when your dictation follows the same structure as the example letters your administrator has set up.

• If the output isn't quite right, you can edit it directly in the right panel before copying.

🔒 Privacy

Your dictation text is sent to Anthropic's API for formatting and is not stored by VascuNote. Anthropic retains API inputs for up to 30 days for safety review, then deletes them. Your substitutions and account data are stored securely in your own private account. Formatted letters are never stored anywhere — they exist only in your browser during your session.

For questions or access requests, contact your administrator.

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